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Sample records for functional management assessment

  1. Social Dynamics Management and Functional Behavioral Assessment

    Science.gov (United States)

    Lee, David L.

    2018-01-01

    Managing social dynamics is a critical aspect of creating a positive learning environment in classrooms. In this paper three key interrelated ideas, reinforcement, function, and motivating operations, are discussed with relation to managing social behavior.

  2. Lawrence Livermore National Security CFO Processes Functional Management Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Sparks, A; Sampson, D; Thomas, B; Mendez, M

    2008-06-12

    The scope of the Functional Management Assessment of the CFO included a review of the CFO Organizational Structure, including deployed financial services and the division of responsibilities and internal controls between CFO and other organizations that perform financial functions across the Laboratory. In addition, the assessment team solicited input from end users and reviewers. Three issues discussed are: ISSUE 1: Financial activities and cash transactions are occurring outside the CFO organization. Approximately $200M of non-purchase order spending occurs in seven areas outside CFO control (travel, relocation, special disbursements, IPO, legal, risk management, and freight). NIF financial services have not been integrated into the CFO organization and operate outside CFO control. Business risks--There is no single point of financial accountably; Currently within the CFO and Business and Operations organizations there is a lack of clarity of roles and responsibilities for financial activities; Financial talent within the laboratory is fragmented; and Inefficiencies exist based on the current structure; An example of the above business risks associated with organizational structure can be observed in the process for reimbursement of relocation costs to employees. Currently, Human Resources and Travel both administer portions of an employee's relocation. Costs are reviewed for compliance with FAR travel guidelines and for compliance with the offer letter but there is no financial review for allowability of costs nor is there a single point where the total relocation costs are reviewed. Through the e-pay system the check is processed by the CFO organization but there is no review by that organization. ISSUE 2: Impact of involuntary separation on current and future activities. 3 risks are: (1) Loss of internal controls--with the upcoming involuntary reductions there will be a loss of personnel with institutional knowledge which will increase the risk of losing

  3. Expert Assessment of Conditions for Accredited Quality Management System Functioning in Testing Laboratories

    Science.gov (United States)

    Mytych, Joanna; Ligarski, Mariusz J.

    2018-03-01

    The quality management systems compliant with the ISO 9001:2009 have been thoroughly researched and described in detail in the world literature. The accredited management systems used in the testing laboratories and compliant with the ISO/IEC 17025:2005 have been mainly described in terms of the system design and implementation. They have also been investigated from the analytical point of view. Unfortunately, a low number of studies concerned the management system functioning in the accredited testing laboratories. The aim of following study was to assess the management system functioning in the accredited testing laboratories in Poland. On 8 October 2015, 1,213 accredited testing laboratories were present in Poland. They investigated various scientific areas and substances/objects. There are more and more such laboratories that have various problems and different long-term experience when it comes to the implementation, maintenance and improvement of the management systems. The article describes the results of the conducted expert assessment (survey) carried out to examine the conditions for the functioning of a management system in an accredited laboratory. It also focuses on the characteristics of the accredited research laboratories in Poland. The authors discuss the selection of the external and internal conditions that may affect the accredited management system. They show how the experts assessing the selected conditions were chosen. The survey results are also presented.

  4. Exploring Moodle Functionality for Managing Open Distance Learning E-Assessments

    Directory of Open Access Journals (Sweden)

    Indira KONERU

    2017-10-01

    Full Text Available Current and emerging technologies enable Open Distance Learning (ODL institutions integrate e-Learning in innovative ways and add value to the existing teaching-learning and assessment processes. ODL e-Assessment systems have evolved from Computer Assisted / Aided Assessment (CAA systems through intelligent assessment and feedback systems. E-Assessment (electronic assessment connotes using electronic technology and tools to design and administer assessments, collect and store students’ assessment evidences, grade performance, provide feedback and generate reports. The widely recognized advantages of e-Assessment over traditional, paper-based assessment include: lower long term costs, instant feedback to students, greater flexibility with respect to location and timing, improved reliability with machine marking, improved impartiality, and enhanced question styles that incorporate interactivity and multimedia. The advent of Learning Management Systems (LMS, such as Moodle (Modular Object-Oriented Dynamic Learning Environment paved the way for integrated advanced services for: interactive dialogue, controlling knowledge at different stages of distance process and e-Assessment systems. Moodle provides the complete integrated environment for handling all aspects of e-Assessment from authoring questions through to reports for course teams (Butcher, 2008. This study explores how Moodle functionality: supports diagnostic, formative, summative and competency-based assessments and facilitates ODL institutions design, administer and manage e-Assessments.

  5. The Inpatient Assessment and Management of Motor Functional Neurological Disorders: An Interdisciplinary Perspective.

    Science.gov (United States)

    McKee, Kathleen; Glass, Sean; Adams, Caitlin; Stephen, Christopher D; King, Franklin; Parlman, Kristin; Perez, David L; Kontos, Nicholas

    2018-01-08

    Motor functional neurologic disorders (FND)-previously termed "hysteria" and later "conversion disorder"-are exceedingly common and frequently encountered in the acute hospital setting. Despite their high prevalence, patients with motor FND can be challenging to diagnose accurately and manage effectively. To date, there is limited guidance on the inpatient approach to the neuropsychiatric evaluation of patients with functional (psychogenic) neurologic symptoms. The authors outline an inpatient multidisciplinary approach, involving neurology, psychiatry, and physical therapy, for the assessment and acute inpatient management of motor FND. A vignette of a patient with motor FND is presented followed by a discussion of general assessment principles. Thereafter, a detailed description of the neurologic and psychiatric assessments is outlined. Delivery of a "rule-in" diagnosis is emphasized and specific guidance for what can be accomplished postdiagnosis in the hospital is suggested. We encourage an interdisciplinary approach beginning at the early stages of the diagnostic assessment once an individual is suspected of having motor FND. Practical suggestions for the inpatient assessment of motor FND are presented. It is also important to individualize the diagnostic assessment. Future research should be conducted to test best practices for motor FND management in the acute inpatient hospital setting. Copyright © 2018 Academy of Consultation-Liaison Psychiatry. Published by Elsevier Inc. All rights reserved.

  6. i-Tree: Tools to assess and manage structure, function, and value of community forests

    Science.gov (United States)

    Hirabayashi, S.; Nowak, D.; Endreny, T. A.; Kroll, C.; Maco, S.

    2011-12-01

    Trees in urban communities can mitigate many adverse effects associated with anthropogenic activities and climate change (e.g. urban heat island, greenhouse gas, air pollution, and floods). To protect environmental and human health, managers need to make informed decisions regarding urban forest management practices. Here we present the i-Tree suite of software tools (www.itreetools.org) developed by the USDA Forest Service and their cooperators. This software suite can help urban forest managers assess and manage the structure, function, and value of urban tree populations regardless of community size or technical capacity. i-Tree is a state-of-the-art, peer-reviewed Windows GUI- or Web-based software that is freely available, supported, and continuously refined by the USDA Forest Service and their cooperators. Two major features of i-Tree are 1) to analyze current canopy structures and identify potential planting spots, and 2) to estimate the environmental benefits provided by the trees, such as carbon storage and sequestration, energy conservation, air pollution removal, and storm water reduction. To cover diverse forest topologies, various tools were developed within the i-Tree suite: i-Tree Design for points (individual trees), i-Tree Streets for lines (street trees), and i-Tree Eco, Vue, and Canopy (in the order of complexity) for areas (community trees). Once the forest structure is identified with these tools, ecosystem services provided by trees can be estimated with common models and protocols, and reports in the form of texts, charts, and figures are then created for users. Since i-Tree was developed with a client/server architecture, nationwide data in the US such as location-related parameters, weather, streamflow, and air pollution data are stored in the server and retrieved to a user's computer at run-time. Freely available remote-sensed images (e.g. NLCD and Google maps) are also employed to estimate tree canopy characteristics. As the demand for i

  7. Assessment and management of respiratory function in patients with Duchenne muscular dystrophy: current and emerging options

    Science.gov (United States)

    LoMauro, Antonella; D’Angelo, Maria Grazia; Aliverti, Andrea

    2015-01-01

    Duchenne muscular dystrophy (DMD) is an X-linked myopathy resulting in progressive weakness and wasting of all the striated muscles including the respiratory muscles. The consequences are loss of ambulation before teen ages, cardiac involvement and breathing difficulties, the main cause of death. A cure for DMD is not currently available. In the last decades the survival of patients with DMD has improved because the natural history of the disease can be changed thanks to a more comprehensive therapeutic approach. This comprises interventions targeted to the manifestations and complications of the disease, particularly in the respiratory care. These include: 1) pharmacological intervention, namely corticosteroids and idebenone that significantly reduce the decline of spirometric parameters; 2) rehabilitative intervention, namely lung volume recruitment techniques that help prevent atelectasis and slows the rate of decline of pulmonary function; 3) scoliosis treatment, namely steroid therapy that is used to reduce muscle inflammation/degeneration and prolong ambulation in order to delay the onset of scoliosis, being an additional contribution to the restrictive lung pattern; 4) cough assisted devices that improve airway clearance thus reducing the risk of pulmonary infections; and 5) non-invasive mechanical ventilation that is essential to treat nocturnal hypoventilation, sleep disordered breathing, and ultimately respiratory failure. Without any intervention death occurs within the first 2 decades, however, thanks to this multidisciplinary therapeutic approach life expectancy of a newborn with DMD nowadays can be significantly prolonged up to his fourth decade. This review is aimed at providing state-of-the-art methods and techniques for the assessment and management of respiratory function in DMD patients. PMID:26451113

  8. Plant functional modelling as a basis for assessing the impact of management on plant safety

    International Nuclear Information System (INIS)

    Rasmussen, Birgitte; Petersen, Kurt E.

    1999-01-01

    A major objective of the present work is to provide means for representing a chemical process plant as a socio-technical system, so as to allow hazard identification at a high level in order to identify major targets for safety development. The main phases of the methodology are: (1) preparation of a plant functional model where a set of plant functions describes coherently hardware, software, operations, work organization and other safety related aspects. The basic principle is that any aspect of the plant can be represented by an object based upon an Intent and associated with each Intent are Methods, by which the Intent is realized, and Constraints, which limit the Intent. (2) Plant level hazard identification based on keywords/checklists and the functional model. (3) Development of incident scenarios and selection of hazardous situation with different safety characteristics. (4) Evaluation of the impact of management on plant safety through interviews. (5) Identification of safety critical ways of action in the management system, i.e. identification of possible error- and violation-producing conditions

  9. Functional Assessment of Battery Management System Tested on Hardware-in-the-Loop Simulator

    DEFF Research Database (Denmark)

    Kalogiannis, Theodoros; Stroe, Daniel-Ioan; Swierczynski, Maciej Jozef

    2017-01-01

    . The BMS under test is interacting in real-time with the emulated battery pack and several of its functions such as current, voltage and State of Charge (SOC) estimation are evaluated. Also, passive balancing experiments are conducted during charging in order to assess different balancing settings...... of the BMS as far as their respective balancing times and deviations in SOC are concerned. Finally, the energy efficiency of the BMS is accurately measured which, depending on the requirements, can achieve more than 99% of efficiency. In general, it is demonstrated that the HIL setup can provide...... representative outcomes at minimum resources and time requirements....

  10. Assessing the effects of management on forest growth across France: insights from a new functional-structural model.

    Science.gov (United States)

    Guillemot, Joannès; Delpierre, Nicolas; Vallet, Patrick; François, Christophe; Martin-StPaul, Nicolas K; Soudani, Kamel; Nicolas, Manuel; Badeau, Vincent; Dufrêne, Eric

    2014-09-01

    The structure of a forest stand, i.e. the distribution of tree size features, has strong effects on its functioning. The management of the structure is therefore an important tool in mitigating the impact of predicted changes in climate on forests, especially with respect to drought. Here, a new functional-structural model is presented and is used to assess the effects of management on forest functioning at a national scale. The stand process-based model (PBM) CASTANEA was coupled to a stand structure module (SSM) based on empirical tree-to-tree competition rules. The calibration of the SSM was based on a thorough analysis of intersite and interannual variability of competition asymmetry. The coupled CASTANEA-SSM model was evaluated across France using forest inventory data, and used to compare the effect of contrasted silvicultural practices on simulated stand carbon fluxes and growth. The asymmetry of competition varied consistently with stand productivity at both spatial and temporal scales. The modelling of the competition rules enabled efficient prediction of changes in stand structure within the CASTANEA PBM. The coupled model predicted an increase in net primary productivity (NPP) with management intensity, resulting in higher growth. This positive effect of management was found to vary at a national scale across France: the highest increases in NPP were attained in forests facing moderate to high water stress; however, the absolute effect of management on simulated stand growth remained moderate to low because stand thinning involved changes in carbon allocation at the tree scale. This modelling approach helps to identify the areas where management efforts should be concentrated in order to mitigate near-future drought impact on national forest productivity. Around a quarter of the French temperate oak and beech forests are currently in zones of high vulnerability, where management could thus mitigate the influence of climate change on forest yield.

  11. CLINICAL ASSESSMENT OF FUNCTIONAL OUTCOME IN LATERAL EPICONDYLITIS MANAGED BY LOCAL INFILTRATION OF AUTOLOGOUS BLOOD

    Directory of Open Access Journals (Sweden)

    Dr. Ajay Bharti

    2010-01-01

    Full Text Available Lateral epicondylitis is a well known elbow disorder known to affect a variety of population. Though the disorder is expected to affect a lot of sports personnel, the incidence is not uncommon in persons of household activities. The management comprises of conservative to operative with a dilemma of what to be done in most of the affected population. A large number of interventions have been tried to delineate the best modality but none of them proved to be conclusive. The aim of the present study was to prove the efficacy of cheapest possible interventional modality autologous blood for treatment of Lateral Epicondylitis. Twenty five patients of Tennis elbow were included in this study who have attended the OPD of GSVM Medical College and associated LLR Hospital, Kanpur from November 2007 to April 2008 and fulfilled inclusion and exclusion criteria. 78% were females, mostly housewives involved in regular household activities. All the patients were infiltrated autologous blood with local anaesthetic infiltration. Patients were deprived of regular activities for 3 weeks after infiltration. Follow up was done at weekly interval for 2 weeks and then at 6th week and 12th week. Assessment was done using Visual Analogue Scale ( VAS and Verhaar et al scoring system. Total follow up period was 3 months. We observed that the mean VAS score improved from preinfiltrative 6.40±1.22 to 0.48±1.53 with p value being < .001. 64% patients showed excellent results and 32% showed good results as per Verhaar et al scoring system on 12 weeks follow up. One patient did not respond to this procedure and showed poor result as per Verhaar et al score. Therefore, autologous blood infiltration is a safe and effective modality in treatment of Lateral Epicondylitis.

  12. An independent safety assessment of Department of Energy nuclear reactor facilities: Safety overview and management function

    International Nuclear Information System (INIS)

    Booth, M.; Brodsky, R.S.; Frankhouser, W.L.

    1981-02-01

    The Under Secretary of Energy established the Nuclear Facilities Personnel Qualification and Training (NFPQT) Committee in October, 1979, in the aftermath of the Three Mile Island (TMI) nuclear accident, to assess the adequacy of training of personnel at DOE nuclear facilities. Subsequently, in February, 1980, the charge to this Committee was modified to assess all implications of the Kemeny Commission report on TMI with regard to DOE nuclear reactors, excluding those in the Division of Naval Reactors. The modified charge was also limited, for the time being, to reactor facilities instead of all nuclear facilities. This report describes the portion of the revised assessment activities that was assigned to the Assessment Support Team

  13. IDENTIFICATION AND ASSESSMENT OF THE AIRCRAFT FUNCTIONAL SYSTEMS IN THE FLIGHT SAFETY MANAGEMENT SYSTEMS

    Directory of Open Access Journals (Sweden)

    I. D. Dashkov

    2014-01-01

    Full Text Available The article discusses issues related to determining the technical states of aircraft functional systems (FS. Mathematical formulas are given for expressing the relationship between the main parameters characterizing the model.

  14. Managing Functional Power

    DEFF Research Database (Denmark)

    Rosenstand, Claus Andreas Foss; Laursen, Per Kyed

    2013-01-01

    How does one manage functional power relations between leading functions in vision driven digital media creation, and this from idea to master during the creation cycle? Functional power is informal, and it is understood as roles, e.g. project manager, that provide opportunities to contribute...... to the product quality. The area of interest is the vision driven digital media industry in general; however, the point of departure is the game industry due to its aesthetic complexity. The article's contribution to the area is a power graph, which shows the functional power of the leading functions according...... to a general digital media creation cycle. This is used to point out potential power conflicts and their consequences. It is concluded that there is normally more conflict potential in vision driven digital media creation than in digital media creation in general or in software development. The method...

  15. Accounting for multiple functions in environmental life cycle assessment of storm water management solutions

    DEFF Research Database (Denmark)

    Brudler, Sarah; Arnbjerg-Nielsen, Karsten; Rygaard, Martin

    The wide range of approaches to handle storm water runoff have varying effects on the environment. Local stormwater control measures for retention and treatment are increasingly used components in urban climate adaptation plans. Often, these solutions modify the multiple functions of urban...

  16. Functional Assessment Inventory Manual.

    Science.gov (United States)

    Crewe, Nancy M.; Athelstan, Gary T.

    This manual, which provides extensive new instructions for administering the Functional Assessment Inventory (FAI), is intended to enable counselors to begin using the inventory without undergoing any special training. The first two sections deal with the need for functional assessment and issues in the development and use of the inventory. The…

  17. Management self assessment plan

    Energy Technology Data Exchange (ETDEWEB)

    Debban, B.L.

    1998-01-30

    Duke Engineering and Services Hanford Inc., Spent Nuclear Fuel Project is responsible for the operation of fuel storage facilities. The SNF project mission includes the safe removal, processing and transportation of Spent Nuclear Fuel from 100 K Area fuel storage basins to a new Storage facility in the Hanford 200 East Area. Its mission is the modification of the 100 K area fuel storage facilities and the construction of two new facilities: the 100 K Area Cold Vacuum Drying Facility, and the 200 East Area Canister Storage Building. The management self assessment plan described in this document is scheduled to begin in April of 1999 and be complete in May of 1999. The management self assessment plan describes line management preparations for declaring that line management is ready to commence operations.

  18. Management self assessment plan

    International Nuclear Information System (INIS)

    Debban, B.L.

    1998-01-01

    Duke Engineering and Services Hanford Inc., Spent Nuclear Fuel Project is responsible for the operation of fuel storage facilities. The SNF project mission includes the safe removal, processing and transportation of Spent Nuclear Fuel from 100 K Area fuel storage basins to a new Storage facility in the Hanford 200 East Area. Its mission is the modification of the 100 K area fuel storage facilities and the construction of two new facilities: the 100 K Area Cold Vacuum Drying Facility, and the 200 East Area Canister Storage Building. The management self assessment plan described in this document is scheduled to begin in April of 1999 and be complete in May of 1999. The management self assessment plan describes line management preparations for declaring that line management is ready to commence operations

  19. Using basic geographic information systems functionality to support sustainable forest management decision making and post-decision assessments

    Science.gov (United States)

    Ronald E. McRoberts; R. James Barbour; Krista M. Gebert; Greg C. Liknes; Mark D. Nelson; Dacia M. Meneguzzo; et al.

    2006-01-01

    Sustainable management of natural resources requires informed decision making and post-decision assessments of the results of those decisions. Increasingly, both activities rely on analyses of spatial data in the forms of maps and digital data layers. Fortunately, a variety of supporting maps and data layers rapidly are becoming available. Unfortunately, however, user-...

  20. The Use of a Functional Behavioral Assessment-Based Self Management Intervention for Students with Emotional/Behavioral Disorders

    Science.gov (United States)

    Rasheed, Saleem A.; Fore, Cecil, III; Jones, Arthur; Smith, Latisha

    2012-01-01

    The research literature on the use of Functional Behavioral Assessments (FBA) to develop Behavior Intervention Plans (BIP) for students with emotional/behavioral disorders, who present problem classroom behaviors for use in the schools, is well documented. There are school-wide, district-wide, and state-wide plans that are currently being…

  1. Requirements in Functional IT Management

    NARCIS (Netherlands)

    Blaauboer, F.A.; Blaauboer, F.A.

    Requirements engineering and functional IT management have never been researched as to containing similar activities. This paper describes and compares both disciplines, where the BiSL-framework is used for functional IT management. The similarities and differences between the two disciplines are

  2. The Functions of Visual Management

    OpenAIRE

    Tezel, Algan; Koskela, Lauri; Tzortzopoulos, Patricia

    2009-01-01

    Visual Management has been evolving and effectively employed in some manufacturing and service organisations for a long time. In order to facilitate a cross-industrial learning process and to advance in detailed research the understanding of how the Visual Management concept may serve in an organisation is necessary. The aim of this paper is to identify Visual Management functions and the theoretical base for the construction industry. A detailed literature review and an analysis of the findi...

  3. Inter-rater variability in motor function assessment in Parkinson's disease between experts in movement disorders and nurses specialising in PD management.

    Science.gov (United States)

    de Deus Fonticoba, T; Santos García, D; Macías Arribí, M

    2017-05-23

    In clinical practice, assessing patients with Parkinson's disease (PD) is a complex, time-consuming task. Our purpose is to provide a rigorous and objective evaluation of how motor function in PD patients is assessed by neurologists specialising in movement disorders, on the one hand, and by nurses specialising in PD management, on the other. We conducted an observational, cross-sectional, single-centre study of 50 patients with PD (52% men; mean age: 64.7 ± 8.7 years) who were assessed between 5 January 2016 and 20 July 2016. A neurologist and a nurse evaluated motor function in the early morning hours using the Unified Parkinson's Disease Rating Scale (UPDRS) parts III and IV and Hoehn & Yahr (H&Y) scale. Tests were administered in the same PD periods (in 48 patients during the 'off' time and in 2 patients during the 'on' time). Inter-rater variability was estimated with the intraclass correlation coefficient (ICC). Forty-nine patients (98%) were classified in the same H&Y stage by both raters. Assessment times were similar for both raters. ICC for UPDRS-IV and UPDRS-III total scores were 0.955 (Pde Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

  4. Assessing the Efficacy of the SWAT Auto-Irrigation Function to Simulate Irrigation, Evapotranspiration, and Crop Response to Management Strategies of the Texas High Plains

    Directory of Open Access Journals (Sweden)

    Yong Chen

    2017-07-01

    Full Text Available In the semi-arid Texas High Plains, the underlying Ogallala Aquifer is experiencing continuing decline due to long-term pumping for irrigation with limited recharge. Accurate simulation of irrigation and other associated water balance components are critical for meaningful evaluation of the effects of irrigation management strategies. Modelers often employ auto-irrigation functions within models such as the Soil and Water Assessment Tool (SWAT. However, some studies have raised concerns as to whether the function is able to adequately simulate representative irrigation practices. In this study, observations of climate, irrigation, evapotranspiration (ET, leaf area index (LAI, and crop yield derived from an irrigated lysimeter field at the USDA-ARS Conservation and Production Research Laboratory at Bushland, Texas were used to evaluate the efficacy of the SWAT auto-irrigation functions. Results indicated good agreement between simulated and observed daily ET during both model calibration (2001–2005 and validation (2006–2010 periods for the baseline scenario (Nash-Sutcliffe efficiency; NSE ≥ 0.80. The auto-irrigation scenarios resulted in reasonable ET simulations under all the thresholds of soil water deficit (SWD triggers as indicated by NSE values > 0.5. However, the auto-irrigation function did not adequately represent field practices, due to the continuation of irrigation after crop maturity and excessive irrigation when SWD triggers were less than the static irrigation amount.

  5. Managing a network vulnerability assessment

    CERN Document Server

    Peltier, Thomas R; Blackley, John A

    2003-01-01

    Managing a Network Vulnerability Assessment provides a formal framework for finding and eliminating network security threats, ensuring that no vulnerabilities are overlooked. This thorough overview focuses on the steps necessary to successfully manage an assessment, including the development of a scope statement, the understanding and proper use of assessment methodology, the creation of an expert assessment team, and the production of a valuable response report. The book also details what commercial, freeware, and shareware tools are available, how they work, and how to use them.

  6. Pain Management in Functional Gastrointestinal Disorders

    Directory of Open Access Journals (Sweden)

    Antonio Vigano

    1995-01-01

    Full Text Available Pain is a common feature in functional gastrointestinal disorders (FGID. An abnormally low visceral sensory threshold, as well as a number of central, spinal and peripheral pain-modulating abnormalities, have been proposed for this syndrome. Clinical aspects of pain associated with irritable esophagus, functional dyspepsia, biliary dysmotility, inflammatory bowel syndrome and proctalgia fugax are reviewed. Because of its unclear pathophysiology, pain expression is the main target for the successful assessment and management of symptomatic FGID. The sensory, cognitive and affective components of pain intensity expression need to be addressed in the context of a good physician-patient rapport. A multidisciplinary team approach is ideal for the smaller subset of patients with severe and disabling symptoms. Although pharmacotherapy may target specific functional disorders, the role of behavioural techniques and psychotherapy appears much more important for pain management in FGID. Functional performance and quality of life improvement, rather than pain intensity, are the main therapeutic goals in these patients.

  7. A Database Management Assessment Instrument

    Science.gov (United States)

    Landry, Jeffrey P.; Pardue, J. Harold; Daigle, Roy; Longenecker, Herbert E., Jr.

    2013-01-01

    This paper describes an instrument designed for assessing learning outcomes in data management. In addition to assessment of student learning and ABET outcomes, we have also found the instrument to be effective for determining database placement of incoming information systems (IS) graduate students. Each of these three uses is discussed in this…

  8. Configuration Management Process Assessment Strategy

    Science.gov (United States)

    Henry, Thad

    2014-01-01

    Purpose: To propose a strategy for assessing the development and effectiveness of configuration management systems within Programs, Projects, and Design Activities performed by technical organizations and their supporting development contractors. Scope: Various entities CM Systems will be assessed dependent on Project Scope (DDT&E), Support Services and Acquisition Agreements. Approach: Model based structured against assessing organizations CM requirements including best practices maturity criteria. The model is tailored to the entity being assessed dependent on their CM system. The assessment approach provides objective feedback to Engineering and Project Management of the observed CM system maturity state versus the ideal state of the configuration management processes and outcomes(system). center dot Identifies strengths and risks versus audit gotcha's (findings/observations). center dot Used "recursively and iteratively" throughout program lifecycle at select points of need. (Typical assessments timing is Post PDR/Post CDR) center dot Ideal state criteria and maturity targets are reviewed with the assessed entity prior to an assessment (Tailoring) and is dependent on the assessed phase of the CM system. center dot Supports exit success criteria for Preliminary and Critical Design Reviews. center dot Gives a comprehensive CM system assessment which ultimately supports configuration verification activities.*

  9. Assessing the efficacy of the SWAT auto-irrigation function to simulate Irrigation, evapotranspiration and crop response to irrigation management strategies of the Texas High Plains

    Science.gov (United States)

    The Soil and Water Assessment Tool (SWAT) model is widely used for simulation of hydrologic processes at various temporal and spatial scales. Less common are long-term simulation analyses of water balance components including agricultural management practices such as irrigation management. In the se...

  10. Assessing waste management systems using reginalt software

    International Nuclear Information System (INIS)

    Meshkov, N.K.; Camasta, S.F.; Gilbert, T.L.

    1988-03-01

    A method for assessing management systems for low-level radioactive waste is being developed for US Department of Energy. The method is based on benefit-cost-risk analysis. Waste management is broken down into its component steps, which are generation, treatment, packaging, storage, transportation, and disposal. Several different alternatives available for each waste management step are described. A particular waste management system consists of a feasible combination of alternatives for each step. Selecting an optimal waste management system would generally proceed as follows: (1) qualitative considerations are used to narrow down the choice of waste management system alternatives to a manageable number; (2) the costs and risks for each of these system alternatives are evaluated; (3) the number of alternatives is further reduced by eliminating alternatives with similar risks but higher costs, or those with similar costs but higher risks; (4) a trade-off factor between cost and risk is chosen and used to compute the objective function (sum of the cost and risk); and (5) the selection of the optimal waste management system among the remaining alternatives is made by choosing the alternative with the smallest value for the objective function. The authors propose that the REGINALT software system, developed by EG and G Idaho, Inc., as an acid for managers of low-level commerical waste, be augmented for application to the managment of DOE-generated waste. Specific recommendations for modification of the REGINALT system are made. 51 refs., 3 figs., 2 tabs

  11. Assessing Functional Vision Using Microcomputers.

    Science.gov (United States)

    Spencer, Simon; Ross, Malcolm

    1989-01-01

    The paper describes a software system which uses microcomputers to aid in the assessment of functional vision in visually impaired students. The software also aims to be visually stimulating and to develop hand-eye coordination, visual memory, and cognitive abilities. (DB)

  12. Quick Assessment of Family Functioning.

    Science.gov (United States)

    Golden, Larry B.

    1988-01-01

    Describes five criteria (parental resources, chronicity communication between family members, parental authority, and rapport with professional helpers) of family functioning of an assessment model which can be used to determine which families could benefit from brief interventions by a school counselor. Provides results of 20 case studies with…

  13. Functional and real-time requirements of a multisensor data fusion (MSDF) situation and threat assessment (STA) resource management (RM) system

    Science.gov (United States)

    Duquet, Jean Remi; Bergeron, Pierre; Blodgett, Dale E.; Couture, Jean; Macieszczak, Maciej; Mayrand, Michel; Chalmers, Bruce A.; Paradis, Stephane

    1998-03-01

    The Research and Development group at Lockheed Martin Canada, in collaboration with the Defence Research Establishment Valcartier, has undertaken a research project in order to capture and analyze the real-time and functional requirements of a next generation Command and Control System (CCS) for the Canadian Patrol Frigates, integrating Multi- Sensor Data Fusion (MSDF), Situation and Threat Assessment (STA) and Resource Management (RM). One important aspect of the project is to define how the use of Artificial Intelligence may optimize the performance of an integrated, real-time MSDF/STA/RM system. A closed-loop simulation environment is being developed to facilitate the evaluation of MSDF/STA/RM concepts, algorithms and architectures. This environment comprises (1) a scenario generator, (2) complex sensor, hardkill and softkill weapon models, (3) a real-time monitoring tool, (4) a distributed Knowledge-Base System (KBS) shell. The latter is being completely redesigned and implemented in-house since no commercial KBS shell could adequately satisfy all the project requirements. The closed- loop capability of the simulation environment, together with its `simulated real-time' capability, allows the interaction between the MSDF/STA/RM system and the environment targets during the execution of a scenario. This capability is essential to measure the performance of many STA and RM functionalities. Some benchmark scenarios have been selected to demonstrate quantitatively the capabilities of the selected MSDF/STA/RM algorithms. The paper describes the simulation environment and discusses the MSDF/STA/RM functionalities currently implemented and their performance as an automatic CCS.

  14. FUNCTION of MANAGEMENT IN SPORT

    Directory of Open Access Journals (Sweden)

    Srećko Novaković

    2011-03-01

    Full Text Available In the sport management coordination represents the basic deposit of management, and terms through numerous activities. Brother-in-law activity in sport has the specific management so speak about the management of sport event, management of sports facilities, management of management to the human activities, financial management in sport etc. The sportively management has presumed the specific management related to sports activities whose basic task of coordinations of sports activities. Management of sport organisations have been confided sport managers of special profile which differs towards the type of sport, rank of contest etc. The sport managers could utter survived the statement that in sport have not been educated special diameters manager, besides sport coaches. Specifically, in the role of manager in sport prevails almost all diameters of professional in professional or the volunteer relationship.

  15. RISK MANAGEMENT: AN INTEGRATED APPROACH TO RISK MANAGEMENT AND ASSESSMENT

    Directory of Open Access Journals (Sweden)

    Szabo Alina

    2012-12-01

    Full Text Available Purpose: The objective of this paper is to offer an overview over risk management cycle by focusing on prioritization and treatment, in order to ensure an integrated approach to risk management and assessment, and establish the ‘top 8-12’ risks report within the organization. The interface with Internal Audit is ensured by the implementation of the scoring method to prioritize risks collected from previous generated risk report. Methodology/approach: Using evidence from other research in the area and the professional expertise, this article outlines an integrated approach to risk assessment and risk management reporting processes, by separating the risk in two main categories: strategic and operational risks. The focus is on risk prioritization and scoring; the final output will comprise a mix of strategic and operational (‘top 8-12’ risks, which should be used to establish the annual Internal Audit plan. Originality/value: By using an integrated approach to risk assessment and risk management will eliminate the need for a separate Internal Audit risk assessment over prevailing risks. It will reduce the level of risk assessment overlap by different functions (Tax, Treasury, Information System over the same risk categories as a single methodology, is used and will align timings of risk assessment exercises. The risk prioritization by usage of risk and control scoring criteria highlights the combination between financial and non-financial impact criteria allowing risks that do not naturally lend themselves to a financial amount to be also assessed consistently. It is emphasized the usage of score method to prioritize the risks included in the annual audit plan in order to increase accuracy and timelines.

  16. Transient management using the safety function approach

    International Nuclear Information System (INIS)

    Corcoran, W.R.; Barrow, J.H.; Bischoff, G.C.; Callaghan, V.M.; Pearce, R.T.

    1984-01-01

    The safety function approach is described. Its use in the development of a transient management procedures system includes optimal recovery procedures tailored to specific, anticipated symptom sets and a functional recovery procedure which is more general. Simulator evaluations are described

  17. Assessment of groundwater management at Hanford

    International Nuclear Information System (INIS)

    Deju, R.A.

    1975-01-01

    A comprehensive review of the groundwater management and environmental monitoring programs at the Hanford reservation was initiated in 1973. A large number of recommendations made as a result of this review are summarized. The purpose of the Hanford Hydrology Program is to maintain a groundwater surveillance network to assess contamination of the natural water system. Potential groundwater contamination is primarily a function of waste management decisions. The review revealed that although the hydrology program would greatly benefit from additional improvements, it is adequate to predict levels of contaminants present in the groundwater system. Studies are presently underway to refine advanced mathematical models to use results of the hydrologic investigation in forecasting the response of the system to different long-term management decisions. No information was found which indicates that a hazard through the groundwater pathway presently exists as a result of waste operations at Hanford. (CH)

  18. Maintenance and Outage Management Assessment (MOMA)

    International Nuclear Information System (INIS)

    2005-01-01

    The competitive environment has significant implications for nuclear power plant (NPP) operations, which include, inter alia, the need for efficient use of resources and effective management of plant activities of maintenance and outages. The purpose of NPP maintenance and outages is to allow NPPs to use all those functions necessary for safe and reliable power production by keeping them available and adequate maintenance programme is essential. The maintenance programme covers all preventive and remedial measures, both administrative and technical, necessary to identify and mitigate degradation of a functioning system, structure or component, or restore the design functions of a failed system, structure or component to an acceptable level. In response to the needs of MSs, NPES (Nuclear Power Section, Division of Nuclear Power, IAEA) plans to strengthen its services. NPES services will not only continue to provide its 'traditional' products of publications of nuclear industrial best practices and technical implementation of TC projects on plant maintenance and outage management, but also be expanded to deliver, in a timely manner, technical support missions as requested by MSs for NPPs. One of many services is Maintenance and Outage Management Assessment (MOMA). The NPP can obtain support and assistance in assessment and optimisation of its maintenance program and/or outage management. It aims to help the NPP improve its performance of maintenance and outage in a competitive nuclear power business environment. The specific benefits of the assessment are as follows: a) disseminate nuclear industrial best practices on maintenance program and outage management in the world, b) benchmark, evaluate and optimise the approach of maintenance program and outage management and c) identify solutions to known problems at nuclear power plants, if any. MOMA is conducted at the request of NPPs of any IAEA Member States. MOMA consists in a technical mission/visit for 1-3 weeks by

  19. Risks in hospitals. Assessment and Management

    Directory of Open Access Journals (Sweden)

    Bradea Ioana-Alexandra

    2014-12-01

    Full Text Available In a complex world, characterized by a multitude of risks, managers need to manage the risks they encounter, in an efficient way and in the shortest time possible. In the current economic crisis, the concept of hospital risk management, as the process in which is identified, analyzed, reduced, or avoided a risk that may affect the hospital, gained great importance. The Romanian health system, distinguished by: lack of transparency, poor funding, the loss of the valuable medical staff, lack of hospitals in villages and small towns, inability to engage patients due to the old and poor equipment, lack of research and problems in information privacy and cyber-security, requires an appropriate management, enabling risk managers to take decisions in order to avoid the occurrence of risks. Important for the functioning of every hospital is the perception of patients and their degree of satisfaction, regarding the quality of services, which depend largely on the quality of human resources. But what are the human resources weaknesses and risks from the patient point of view? What are the risk indicators which must be monitored to avoid risks? And also, which is the most useful method for measurement and assessment of risk?

  20. CEA - 2014 risk management assessment

    International Nuclear Information System (INIS)

    Bonnevie, Edwige; Verwaerde, Daniel; Maillot, Bernard

    2015-06-01

    After introducing presentations of CEA managers in charge of risk management and controls, this document presents and comments the actions undertaken by the CEA and the obtained results in terms of risk management in different fields: protection and control of the environment, installation safety, health, safety and radiation protection, transport of hazardous materials, waste management, protection of sites, installations and heritage, management of emergency situations, management of legal risks, internal audits and controls. Other topics are addressed like the presentation of the risk management department, and the role of the CEA in the relationship between research and industry

  1. CEA: risk management assessment 2011

    International Nuclear Information System (INIS)

    Bigot, Bernard; Bonnevie, Edwige; Maillot, Bernard

    2012-01-01

    This report proposes a qualitative and quantitative overview of CEA activities in the field of risk management during 2011. These activities concerned the impact on the environment, the safety of installations, the management of professional risks (safety and health at work), the radiological protection of workers, the transports of hazardous materials, waste management, protection of sites, installations and heritage, the management of emergency situations, the management of law risks, controls and audits

  2. Assessing the outcome of Strengthening Laboratory Management ...

    African Journals Online (AJOL)

    SLMTA) is a competency-based management training programme designed to bring about immediate and measurable laboratory improvement. The aim of this study is to assess the outcome of SLMTA on laboratory quality management system in ...

  3. Assessment of the implementation of environmental management ...

    African Journals Online (AJOL)

    Assessment of the implementation of environmental management system in the construction ... Journal of Fundamental and Applied Sciences ... The Environmental Management System (EMS) illustrates a possible solution to reduce the ...

  4. Business managers turn to risk assessment

    International Nuclear Information System (INIS)

    Allen, Frank

    1993-01-01

    Risk assessments have evolved to help technical managers in nuclear and other industries to design and operate plant with safety in mind. However, they are now developing into the area of business management. (author)

  5. Grazing management that regenerates ecosystem function and ...

    African Journals Online (AJOL)

    Grazing management that regenerates ecosystem function and grazingland ... in ecosystem improvement, productivity, soil carbon and fertility, water-holding ... for sufficient time to produce resource improvement, sound animal production, and ...

  6. Assessing elders using the functional health pattern assessment model.

    Science.gov (United States)

    Beyea, S; Matzo, M

    1989-01-01

    The impact of older Americans on the health care system requires we increase our students' awareness of their unique needs. The authors discuss strategies to develop skills using Gordon's Functional Health Patterns Assessment for assessing older clients.

  7. Functional Turnover: An Empirical Assessment.

    Science.gov (United States)

    1981-08-01

    ci40L 0 4-J -)i c LA 4J 9- 0- to >- o 4 ’ L to0 00 0 w L L 4-) U0I l I . C 0) 0 -1, -4 co ) CD Ln ’ -. :3 LL0 0 L 41 4- 41 L I~ W- ire 0r_ M. 4C ...52-883 30 May 1981 LIST 7 HRM Officer in Charge Human Resource Management Detachment Naval Air Station Alameda, CA 94591 Officer in Charge Human

  8. Functional Heterogeneity and Senior Management Team Effectiveness

    Science.gov (United States)

    Benoliel, Pascale; Somech, Anit

    2016-01-01

    Purpose: There has been an increasing trend toward the creation of senior management teams (SMTs) which are characterized by a high degree of functional heterogeneity. Although such teams may create better linkages to information, along with the benefits of functional heterogeneity comes the potential for conflicts that stem from the value…

  9. Assessment of time management attitudes among health managers.

    Science.gov (United States)

    Sarp, Nilgun; Yarpuzlu, Aysegul Akbay; Mostame, Fariba

    2005-01-01

    These days, working people are finding it difficult to manage their time, get more done at work, and find some balance in their work and personal lives. Successful time management is often suggested to be a product of organizing skills, however, what works for one person may not work for others. Context current competence assessment formats for physicians, health professionals, and managers during their training years reliably test core knowledge and basic skills. However, they may underemphasize some important domains of professional medical practice. Thus, in addition to assessments of basic skills, new formats that assess clinical reasoning, expert judgment, management of ambiguity, professionalism, time management, learning strategies, and teamwork to promise a multidimensional assessment while maintaining adequate reliability and validity in classic health education and health care institutional settings are needed to be worked on. It should be kept in mind that institutional support, reflection, and mentoring must accompany the development of assessment programs. This study was designed to describe the main factors that consume time, effective hours of work, time management opportunities, and attitudes and behaviors of health professionals and managers on time management concept through assessment by the assessment tool Time Management Inquiry Form (TMIQ-F). The study was conducted at the State Hospital, Social Security Hospital, and University Hospital at Kirikkale, Turkey between October 1999 and January 2000, including 143 subjects defined as medical managers and medical specialists. According to the results, a manager should give priority to the concept of planning, which may be counted among the efficient time management techniques, and educate him/herself on time management.

  10. Implementing Management Systems-Based Assessments

    International Nuclear Information System (INIS)

    Campisi, John A.; Reese, Robert T.

    1999-01-01

    A management system approach for evaluating environment, safety, health, and quality is in use at Sandia National Laboratories (SNL). Sandia is a multiprogram laboratory operated by Sandia Corporation, a Lockheed Martin Company, for the United States Department of Energy under contract DE-AC04-94AL85000. As a multi-program national laboratory, SNL has many diverse operations including research, engineering development and applications, production, and central services supporting all activities and operations. Basic research examples include fusion power generation, nuclear reactor experiments, and investigation of combustion processes. Engineering development examples are design, testing, and prototype developments of micro-mechanical systems for safe'arding computer systems, air bags for automobiles, satellite systems, design of transportation systems for nuclear materials, and systems for use in medical applications such as diagnostics and surgery. Production operations include manufacture of instrumented detection devices, radioisotopes, and replacement parts for previously produced engineered systems. Support services include facilities engineering, construction, and site management, site security, packaging and transportation of hazardous materials wastes, ES ampersand H functional programs to establish requirements and guidance to comply with federal, state, local, and contractual requirements and work safety. In this diverse environment, unlike more traditional single function business units, an integrated consistent management system is not typical. Instead, each type of diverse activity has its own management system designed and distributed around the operations, personnel, customers, and facilities (e.g., hazards involved, security, regulatory requirements, and locations). Laboratory managers are not likely to have experience in the more traditional hierarchical or command and control structures and thus do not share oversight expectations found in

  11. Implementing Management Systems-Based Assessments

    Energy Technology Data Exchange (ETDEWEB)

    Campisi, John A.; Reese, Robert T.

    1999-05-03

    A management system approach for evaluating environment, safety, health, and quality is in use at Sandia National Laboratories (SNL). Sandia is a multiprogram laboratory operated by Sandia Corporation, a Lockheed Martin Company, for the United States Department of Energy under contract DE-AC04-94AL85000. As a multi-program national laboratory, SNL has many diverse operations including research, engineering development and applications, production, and central services supporting all activities and operations. Basic research examples include fusion power generation, nuclear reactor experiments, and investigation of combustion processes. Engineering development examples are design, testing, and prototype developments of micro-mechanical systems for safe'~arding computer systems, air bags for automobiles, satellite systems, design of transportation systems for nuclear materials, and systems for use in medical applications such as diagnostics and surgery. Production operations include manufacture of instrumented detection devices, radioisotopes, and replacement parts for previously produced engineered systems. Support services include facilities engineering, construction, and site management, site security, packaging and transportation of hazardous materials wastes, ES&H functional programs to establish requirements and guidance to comply with federal, state, local, and contractual requirements and work safety. In this diverse environment, unlike more traditional single function business units, an integrated consistent management system is not typical. Instead, each type of diverse activity has its own management system designed and distributed around the operations, personnel, customers, and facilities (e.g., hazards involved, security, regulatory requirements, and locations). Laboratory managers are not likely to have experience in the more traditional hierarchical or command and control structures and thus do not share oversight expectations found in

  12. Assessing the Performance of Business Unit Managers

    NARCIS (Netherlands)

    Bouwens, J.F.M.G.; van Lent, L.A.G.M.

    2006-01-01

    Using a sample of 140 managers, we investigate the use of various performance metrics in determining the periodic assessment, bonus decisions, and career paths of business unit managers.We show that the weight on accounting return measures is associated with the authority of these managers, and we

  13. Method of assessing severe accident management strategies

    International Nuclear Information System (INIS)

    Kastenberg, W.E.; Apostolakis, G.; Dhir, V.K.; Okrent, D.; Jae, M.; Lim, H.; Milici, T.; Park, H.; Swider, J.; Xing, L.; Yu, D.

    1991-01-01

    Accident management can be defined as the innovative use of existing and or alternative resources, systems, and actions to prevent or mitigate a severe accident. A significant number of probabilistic safety assessments (PSAs) have been completed that yield the principal plant vulnerabilities. These vulnerabilities can be categorized as (1) dominant sequences with respect to core-melt frequency. (2) dominant sequences with respect to various risk measures. (3) dominant threats that challenge safety functions. (4) dominant threats with respect to failure of safety systems. For each sequence/threat and each combination of strategy, there may be several options available to the operator. Each strategy/option involves phenomenological and operational considerations regarding uncertainty. These considerations include uncertainties in key phenomena, operator behavior, system availability and behavior, and available information. This paper presents a methodology for assessing severe accident management strategies given the key uncertainties delineated at two workshops held at the University of California, Los Angeles. Based on decision trees and influence diagrams, the methodology is currently being applied to two case studies: cavity flooding in a pressurized water reactor (PWR) to prevent vessel penetration or failure, and drywell flooding in a boiling water reactor to prevent vessel and/or containment failure

  14. Functions of the computer management games

    OpenAIRE

    Kočí, Josef

    2016-01-01

    This thesis discusses the possibilities of using managerial games, their purpose, meaning, functions and focuses specifically on the management computer games, how it differs from classic games and what are their advantages and disadvantages. The theoretical part of thesis is also focused on why are these games discussed, why are they accepted or sometimes rejected and why they have become so popular for some managers and public gamers. This will serve me a survey conducted in the 11 April 20...

  15. Water Quality Assessment and Management

    Science.gov (United States)

    Overview of Clean Water Act (CWA) restoration framework including; water quality standards, monitoring/assessment, reporting water quality status, TMDL development, TMDL implementation (point & nonpoint source control)

  16. Environmental Management Assessment of the Fernald Environmental Management Project (FEMP)

    Energy Technology Data Exchange (ETDEWEB)

    1993-04-01

    This report documents the results of the Environmental Management Assessment performed at the Fernald Environmental Management Project (FEMP) in Fernald, Ohio. During this assessment, the activities conducted by the assessment team included review of internal documents and reports from previous audits and assessments; interviews with US Department of Energy (DOE) and FEMP contractor personnel; and inspection and observation of selected facilities and operations. The onsite portion of the assessment was conducted from March 15 through April 1, 1993, by DOE`s Office of Environmental Audit (EH-24) located within the Office of the Assistant Secretary for Environment, Safety, and Health (EH-1). EH-24 carries out independent assessments of DOE facilities and activities as part of the EH-1 Environment, Safety, and Health (ES&H) Oversight Audit Program. The EH-24 program is designed to evaluate the status of DOE facilities and activities with respect to compliance with Federal, state, and local environmental laws and regulations; compliance with DOE Orders, Guidance and Directives; conformance with accepted industry practices and standards of performance; and the status and adequacy of management systems developed to address environmental requirements. The Environmental Management Assessment of FEMP focused on the adequacy of environmental management systems. Further, in response to requests by the Office of Environmental Restoration and Waste Management (EM) and Fernald Field Office (FN), Quality Assurance and Environmental Radiation activities at FEMP were evaluated from a programmatic standpoint. The results of the evaluation of these areas are contained in the Environmental Protection Programs section in this report.

  17. Environmental Management Assessment of the Fernald Environmental Management Project (FEMP)

    International Nuclear Information System (INIS)

    1993-04-01

    This report documents the results of the Environmental Management Assessment performed at the Fernald Environmental Management Project (FEMP) in Fernald, Ohio. During this assessment, the activities conducted by the assessment team included review of internal documents and reports from previous audits and assessments; interviews with US Department of Energy (DOE) and FEMP contractor personnel; and inspection and observation of selected facilities and operations. The onsite portion of the assessment was conducted from March 15 through April 1, 1993, by DOE's Office of Environmental Audit (EH-24) located within the Office of the Assistant Secretary for Environment, Safety, and Health (EH-1). EH-24 carries out independent assessments of DOE facilities and activities as part of the EH-1 Environment, Safety, and Health (ES ampersand H) Oversight Audit Program. The EH-24 program is designed to evaluate the status of DOE facilities and activities with respect to compliance with Federal, state, and local environmental laws and regulations; compliance with DOE Orders, Guidance and Directives; conformance with accepted industry practices and standards of performance; and the status and adequacy of management systems developed to address environmental requirements. The Environmental Management Assessment of FEMP focused on the adequacy of environmental management systems. Further, in response to requests by the Office of Environmental Restoration and Waste Management (EM) and Fernald Field Office (FN), Quality Assurance and Environmental Radiation activities at FEMP were evaluated from a programmatic standpoint. The results of the evaluation of these areas are contained in the Environmental Protection Programs section in this report

  18. Risk assessment and risk management in managed aquifer recharge

    CSIR Research Space (South Africa)

    Page, D

    2012-06-01

    Full Text Available This chapter presents the methodologies used for risk assessment and risk management in MAR in Australia and the European Union, qualitative and quantitative approaches adopted within the RECLAIM Water project and case studies where the outcomes...

  19. Assessment of right atrial function analysis

    International Nuclear Information System (INIS)

    Shohgase, Takashi; Miyamoto, Atsushi; Kanamori, Katsushi; Kobayashi, Takeshi; Yasuda, Hisakazu

    1988-01-01

    To assess the potential utility of right atrial function analysis in cardiac disease, reservoir function, pump function, and right atrial peak emptying rate (RAPER) were compared in 10 normal subjects, 32 patients with coronary artery disease, and 4 patients with primary pulmonary hypertension. Right atrial volume curves were obtained using cardiac radionuclide method with Kr-81m. In normal subjects, reservoir function index was 0.41+-0.05; pump function index was 0.25+-0.05. Both types of patients has decreased reservoir funcion and increased pump function. Pump function tended to decrease with an increase of right ventricular end-diastolic pressure. RAPER correlated well with right ventricular peak filling rate, probably reflecting right ventricular diastolic function. Analysis of right atrial function seemed to be of value in evaluating factors regulating right ventricular contraction and diastolic function, and cardiac output. (Namekawa, K)

  20. Behavior Management: Examining the Functions of Behavior

    Science.gov (United States)

    Alstot, Andrew E.; Alstot, Crystal D.

    2015-01-01

    Appropriate student behavior is essential for the success of a physical education lesson. Despite using effective proactive management strategies, teachers may need to also use reactive techniques to reduce problem behaviors by applying suitable consequences. For these consequences to be effective, they must be aligned with the function, or cause,…

  1. Forest Landscape Assessment Tool (FLAT): rapid assessment for land management

    Science.gov (United States)

    Lisa Ciecko; David Kimmett; Jesse Saunders; Rachael Katz; Kathleen L. Wolf; Oliver Bazinet; Jeffrey Richardson; Weston Brinkley; Dale J. Blahna

    2016-01-01

    The Forest Landscape Assessment Tool (FLAT) is a set of procedures and tools used to rapidly determine forest ecological conditions and potential threats. FLAT enables planners and managers to understand baseline conditions, determine and prioritize restoration needs across a landscape system, and conduct ongoing monitoring to achieve land management goals. The rapid...

  2. The assessment of executive functioning in children

    OpenAIRE

    Henry, L.; Bettenay, C.

    2010-01-01

    Background: Executive functioning is increasingly seen as incorporating several component sub-skills and clinical assessments should reflect this complexity. \\ud \\ud Method: Tools for assessing executive functioning in children are reviewed within five key areas, across verbal and visuospatial abilities, with emphasis on batteries of tests. \\ud \\ud Results: There are many appropriate tests for children, although the choice is more limited for those under the age of 8 years. \\ud \\ud Conclusion...

  3. Safety management system needs assessment.

    Science.gov (United States)

    2016-04-01

    The safety of the traveling public is critical as each year there are approximately 200 highway fatalities in Nebraska and numerous crash injuries. The objective of this research was to conduct a needs assessment to identify the requirements of a sta...

  4. Use of Microcomputer to Manage Assessment Data.

    Science.gov (United States)

    Vance, Booney; Hayden, David

    1982-01-01

    Examples are provided of a computerized special education management system used to manage assessment data for exceptional students. The system is designed to provide a simple yet efficient method of tracking data from educational and psychological evaluations (specifically the Wechsler Intelligence Scale for Children--Revised scores). (CL)

  5. Assessment of laboratory logistics management information system ...

    African Journals Online (AJOL)

    Introduction: Logistics management information system for health commodities remained poorly implemented in most of developing countries. To assess the status of laboratory logistics management information system for HIV/AIDS and tuberculosis laboratory commodities in public health facilities in Addis Ababa. Methods: ...

  6. Assessing the Utility of a Demand Assessment for Functional Analysis

    Science.gov (United States)

    Roscoe, Eileen M.; Rooker, Griffin W.; Pence, Sacha T.; Longworth, Lynlea J.

    2009-01-01

    We evaluated the utility of an assessment for identifying tasks for the functional analysis demand condition with 4 individuals who had been diagnosed with autism. During the demand assessment, a therapist presented a variety of tasks, and observers measured problem behavior and compliance to identify demands associated with low levels of…

  7. Imaging and assessment of placental function.

    LENUS (Irish Health Repository)

    Moran, Mary

    2011-09-01

    The placenta is the vital support organ for the developing fetus. This article reviews current ultrasound (US) methods of assessing placental function. The ability of ultrasound to detect placental pathology is discussed. Doppler technology to investigate the fetal, placental, and maternal circulations in both high-risk and uncomplicated pregnancies is discussed and the current literature on the value of three-dimensional power Doppler studies to assess placental volume and vascularization is also evaluated. The article highlights the need for further research into three-dimensional ultrasound and alternative methods of placental evaluation if progress is to be made in optimizing placental function assessment.

  8. Probabilistic assessment of SGTR management

    International Nuclear Information System (INIS)

    Champ, M.; Cornille, Y.; Lanore, J.M.

    1989-04-01

    In case of steam generator tube rupture (SGTR) event, in France, the mitigation of accident relies on operator intervention, by applying a specific accidental procedure. A detailed probabilistic analysis has been conducted which required the assessment of the failure probability of the operator actions, and for that purpose it was necessary to estimate the time available for the operator to apply the adequate procedure for various sequences. The results indicate that by taking into account the delays and the existence of adequate accidental procedures, the risk is reduced to a reasonably low level

  9. Exploring Academics' Approaches to Managing Team Assessment

    Science.gov (United States)

    Augar, Naomi; Woodley, Carolyn J.; Whitefield, Despina; Winchester, Maxwell

    2016-01-01

    Purpose: The purpose of this paper is to develop an understanding of academics' approaches to managing team assessment at an Australian University with a view to informing policy development and assessment design. Design/methodology/approach: The research was conducted using a single exploratory case study approach focussing on the team assessment…

  10. A functional approach for managing ITER operations

    International Nuclear Information System (INIS)

    Houtte, Didier van; Sagot, François; Okayama, Katsumi; Blackler, Kenneth

    2012-01-01

    Highlights: ► A function-oriented approach for defining and organizing all the functions required to perform the mission has been developed. ► A Functional Breakdown Structure providing a complete hierarchy of functions on multiple levels is presented. ► The FBS is used for giving a good visibility of ITER project needs and requirements. ► Reliability (R) and Inherent Availability (A I ) of basic functions are calculated from data on the structures, systems and components (failure rate and time to repair) for obtaining the Availability objectives of the ITER project. - Abstract: ITER is currently the most ambitious project on nuclear fusion research. Its objective is to demonstrate the feasibility of fusion as an energy source for the future. The complexity of the systems required to meet this challenge present many opportunities for omissions or incorrect assumptions. System engineering allows the engineer to deal with such a complexity by developing a Functional Breakdown Structure (FBS). Unlike a Plant Breakdown Structure (PBS), the FBS is a function-oriented tree, not a product-oriented tree. It details operations or activities that have to be performed as needed functions of the architecture, allowing identification of any missing elements, defining the personnel skills required to operate the architecture and managing the machine availability.

  11. Assessing gene function in the ruminant placenta.

    Science.gov (United States)

    Anthony, R V; Cantlon, J D; Gates, K C; Purcell, S H; Clay, C M

    2010-01-01

    The placenta provides the means for nutrient transfer from the mother to the fetus, waste transfer from the fetus to the mother, protection of the fetus from the maternal immune system, and is an active endocrine organ. While many placental functions have been defined and investigated, assessing the function of specific genes expressed by the placenta has been problematic, since classical ablation-replacement methods are not feasible with the placenta. The pregnant sheep has been a long-standing animal model for assessing in vivo physiology during pregnancy, since surgical placement of indwelling catheters into both maternal and fetal vasculature has allowed the assessment of placental nutrient transfer and utilization, as well as placental hormone secretion, under unanesthetized-unstressed steady state sampling conditions. However, in ruminants the lack of well-characterized trophoblast cell lines and the inefficiency of creating transgenic pregnancies in ruminants have inhibited our ability to assess specific gene function. Recently, sheep and cattle primary trophoblast cell lines have been reported, and may further our ability to investigate trophoblast function and transcriptional regulation of genes expressed by the placenta. Furthermore, viral infection of the trophoectoderm layer of hatched blastocysts, as a means for placenta-specific transgenesis, holds considerable potential to assess gene function in the ruminant placenta. This approach has been used successfully to "knockdown" gene expression in the developing sheep conceptus, and has the potential for gain-of-function experiments as well. While this technology is still being developed, it may provide an efficient approach to assess specific gene function in the ruminant placenta.

  12. Quality function and the quality manager

    Directory of Open Access Journals (Sweden)

    Dr.Sc. Miraç Hani

    2012-12-01

    Full Text Available In many organizations, management systems are viewed in terms of the internal dynamics between marketing, design, production, distribution, and accounting. A change is required from this to a larger system which also encompasses and integrates the business interests of customers and   suppliers. Management needs to develop an in-depth understanding of these relationships and how they may be used to cement the partnership concept. The quality function should be the organization’s focal point in this respect and should be equipped to gauge internal and external customers, expectations and degree of satisfaction. It should also identify quality deficiencies in all business functions and promote improvements. The role of the quality function is to make quality become an inseparable aspect of every employee’s performance and responsibility. The transition in many companies from quality departments with line functions will require careful planning, direction and monitoring. Quality professionals have developed numerous techniques and skills focused on product or service quality.

  13. Routine functional assessment for hip fracture patients

    DEFF Research Database (Denmark)

    Pedersen, Tonny J; Lauritsen, Jens M

    2016-01-01

    Background and purpose - Pre-fracture functional level has been shown to be a consistent predictor of rehabilitation outcomes in older hip fracture patients. We validated 4 overall pre-fracture functional level assessment instruments in patients aged 65 or more, used the prediction of outcome at 4...... months post-fracture, and assessed cutoff values for decision making in treatment and rehabilitation. Patients and methods - 165 consecutive patients with acute primary hip fracture were prospectively included in the study. Pre-fracture Barthel-20, Barthel-100, cumulated ambulation score, and new...... investigation of usage for guidance of clinical and rehabilitation decisions concerning hip fracture patients is warranted....

  14. Life Cycle Assessment of Slurry Management Technologies

    DEFF Research Database (Denmark)

    Wesnæs, Marianne; Wenzel, Henrik; Petersen, Bjørn Molt

    This report contains the results of Life Cycle Assessments of two slurry management technologies - acidification and decentred incineration. The LCA foundation can be used by the contributing companies for evaluating the environmental sustainability of a specific technology from a holistic Life...... Cycle perspective. Through this the companies can evaluate the environmental benefits and disadvantages of introducing a specific technology for slurry management. From a societal perspective the results can contribute to a clarification of which slurry management technologies (or combination...... of technologies) having the largest potential for reducing the overall environmental impacts....

  15. Renal function assessment in heart failure.

    Science.gov (United States)

    Pérez Calvo, J I; Josa Laorden, C; Giménez López, I

    Renal function is one of the most consistent prognostic determinants in heart failure. The prognostic information it provides is independent of the ejection fraction and functional status. This article reviews the various renal function assessment measures, with special emphasis on the fact that the patient's clinical situation and response to the heart failure treatment should be considered for the correct interpretation of the results. Finally, we review the literature on the performance of tubular damage biomarkers. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

  16. The regulatory function in radioactive waste management

    International Nuclear Information System (INIS)

    Duncan, A.; Pescatore, C.

    2008-01-01

    Allan Duncan, expert to NEA and former Chief Inspector for Pollution (United Kingdom), elaborated on the regulatory function in the domain of radioactive waste management. The preparation of a document and a brochure on the subject has been one of the main tasks of the Regulators' Forum since its creation in 2001. He stressed that management of NORM waste was generally subject to different standards than similar radioactive waste from a nuclear source, for no obvious reason than that of public perception. He also pointed out the large number of 'regulatory bodies' involved in the regulation of radioactive waste management facilities and particularly geological disposal facilities, and their links to the Government. He gave the example of the United Kingdom. He stressed the fact that, since there will not be continuous control, licensing of geological disposal is an act of trust in the regulatory system. A. Duncan gave the position of two Commissions in England on deep geological disposal. The UK Sustainable Development Commission says, 'it is impossible to guarantee safety over long-term disposal of (nuclear) waste' which implies that nuclear fission power should be shut down; CoRWM, the Committee on Radioactive Waste Management, recommends instead geological disposal for existing wastes as a broadly acceptable solution. As a concluding remark A. Duncan focused the attention on the general question of what current society needs to do in order to meet its obligations to future generations with respect to disposal of long-lived wastes. (authors)

  17. Functional, Structural, and Neurotoxicity Biomarkers in Integrative Assessment of Concussions

    Directory of Open Access Journals (Sweden)

    Svetlana A Dambinova

    2016-10-01

    Full Text Available Concussion is a complex, heterogenous process affecting the brain. Accurate assessment and diagnosis and appropriate management of concussion are essential to ensure athletes do not prematurely return to play or others to work or active military duty, risking re-injury. To date, clinical diagnosis relies primarily on evaluating subjects for functional impairment using instruments that include neurocognitive testing, subjective symptom report, and neurobehavioral assessments, such as balance and vestibular-ocular reflex testing. Structural biomarkers, defined as advanced neuroimaging techniques and biomarkers assessing neurotoxicity and immunoexcitotoxicity may complement the use of functional biomarkers. We hypothesize that neurotoxicity AMPA, NMDA, and kainite receptor biomarkers might be utilized as a part of comprehensive approach to concussion evaluations, with the goal of increasing diagnostic accuracy and facilitating treatment planning and prognostic assessment.

  18. Mechanisms and management of functional abdominal pain.

    Science.gov (United States)

    Farmer, Adam D; Aziz, Qasim

    2014-09-01

    Functional abdominal pain syndrome is characterised by frequent or continuous abdominal pain associated with a degree of loss of daily activity. It has a reported population prevalence of between 0.5% and 1.7%, with a female preponderance. The pathophysiology of functional abdominal pain is incompletely understood although it has been postulated that peripheral sensitisation of visceral afferents, central sensitisation of the spinal dorsal horn and aberrancies within descending modulatory systems may have an important role. The management of patients with functional abdominal pain requires a tailored multidisciplinary approach in a supportive and empathetic environment in order to develop an effective therapeutic relationship. Patient education directed towards an explanation of the pathophysiology of functional abdominal pain is in our opinion a prerequisite step and provides the rationale for the introduction of interventions. Interventions can usefully be categorised into general measures, pharmacotherapy, psychological interventions and 'step-up' treatments. Pharmacotherapeutic/step-up options include tricyclic antidepressants, serotonin noradrenergic reuptake inhibitors and the gabapentinoids. Psychological treatments include cognitive behavioural therapy and hypnotherapy. However, the objective evidence base for these interventions is largely derived from other chronic pain syndrome, and further research is warranted in adult patients with functional abdominal pain. © The Royal Society of Medicine.

  19. Functional Behavioral Assessment in Early Education Settings

    Science.gov (United States)

    Neilsen, Shelley; McEvoy, Mary

    2004-01-01

    Functional behavioral assessment (FBA) is the process of identifying the events in the environment that consistently precede and follow challenging behavior. The use of FBA has increased significantly following the reauthorization of the Individuals with Disabilities Education Act in 1997, which mandated FBAs be conducted when children with…

  20. Effects of Training in Functional Behavior Assessment

    Science.gov (United States)

    Dukes, Charles; Rosenberg, Howard; Brady, Michael

    2008-01-01

    The purpose of this study was to investigate the effectiveness of training special education teachers in the process of functional behavioral assessment (FBA) and subsequent development of recommendations to promote behavior change. An original evaluation instrument was developed that included measures of special education teachers' knowledge of…

  1. Fun cube based brain gym cognitive function assessment system.

    Science.gov (United States)

    Zhang, Tao; Lin, Chung-Chih; Yu, Tsang-Chu; Sun, Jing; Hsu, Wen-Chuin; Wong, Alice May-Kuen

    2017-05-01

    The aim of this study is to design and develop a fun cube (FC) based brain gym (BG) cognitive function assessment system using the wireless sensor network and multimedia technologies. The system comprised (1) interaction devices, FCs and a workstation used as interactive tools for collecting and transferring data to the server, (2) a BG information management system responsible for managing the cognitive games and storing test results, and (3) a feedback system used for conducting the analysis of cognitive functions to assist caregivers in screening high risk groups with mild cognitive impairment. Three kinds of experiments were performed to evaluate the developed FC-based BG cognitive function assessment system. The experimental results showed that the Pearson correlation coefficient between the system's evaluation outcomes and the traditional Montreal Cognitive Assessment scores was 0.83. The average Technology Acceptance Model 2 score was close to six for 31 elderly subjects. Most subjects considered that the brain games are interesting and the FC human-machine interface is easy to learn and operate. The control group and the cognitive impairment group had statistically significant difference with respect to the accuracy of and the time taken for the brain cognitive function assessment games, including Animal Naming, Color Search, Trail Making Test, Change Blindness, and Forward / Backward Digit Span. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Functional Security Model: Managers Engineers Working Together

    Science.gov (United States)

    Guillen, Edward Paul; Quintero, Rulfo

    2008-05-01

    Information security has a wide variety of solutions including security policies, network architectures and technological applications, they are usually designed and implemented by security architects, but in its own complexity this solutions are difficult to understand by company managers and they are who finally fund the security project. The main goal of the functional security model is to achieve a solid security platform reliable and understandable in the whole company without leaving of side the rigor of the recommendations and the laws compliance in a single frame. This paper shows a general scheme of the model with the use of important standards and tries to give an integrated solution.

  3. Environmental Management Assessment of the Stanford Linear Accelerator Center

    International Nuclear Information System (INIS)

    1994-01-01

    This report documents the results of the Environmental Management Assessment of the Stanford Linear Accelerator Center (SLAC), Menlo Park, California. During this assessment, the activities conducted by the assessment team included reviews of internal documents and reports from previous assessments; interviews with the US Department of Energy (DOE), US Environmental Protection Agency, State Water Resources Board, California Regional Water Quality Control Board, and SLAC contractor personnel; and inspections and observations of selected facilities and operations. Onsite portion of the assessment was conducted from January 18 through January 31, 1994, by the DOE Office of Environmental Audit (EH-24), located within the Office of Environment, Safety and Health (EH), and the Environment and Safety Support Division (ESS), located within the Oakland Operations Office (OAK). The EH-24 environmental management assessment and the OAK functional appraisal were combined to minimize disruptions to the site. The management disciplines and three technical areas (air quality, groundwater, and inactive waste sites) were evaluated by EH-24, and four other technical areas (surface water, waste management, toxic and chemical materials, and environmental radiation) were assessed by ESS

  4. Improvement of the Model of Enterprise Management Process on the Basis of General Management Functions

    Directory of Open Access Journals (Sweden)

    Ruslan Skrynkovskyy

    2017-12-01

    Full Text Available The purpose of the article is to improve the model of the enterprise (institution, organization management process on the basis of general management functions. The graphic model of the process of management according to the process-structured management is presented. It has been established that in today's business environment, the model of the management process should include such general management functions as: 1 controlling the achievement of results; 2 planning based on the main goal; 3 coordination and corrective actions (in the system of organization of work and production; 4 action as a form of act (conscious, volitional, directed; 5 accounting system (accounting, statistical, operational-technical and managerial; 6 diagnosis (economic, legal with such subfunctions as: identification of the state and capabilities; analysis (economic, legal, systemic with argumentation; assessment of the state, trends and prospects of development. The prospect of further research in this direction is: 1 the formation of a system of interrelation of functions and management methods, taking into account the presented research results; 2 development of the model of effective and efficient communication business process of the enterprise.

  5. Assessment of functional vision and its rehabilitation.

    Science.gov (United States)

    Colenbrander, August

    2010-03-01

    This article, based on a report prepared for the International Council of Ophthalmology (ICO) and the International Society for Low Vision Research and Rehabilitation (ISLRR), explores the assessment of various aspects of visual functioning as needed to document the outcomes of vision rehabilitation. Documenting patient abilities and functional vision (how the person functions) is distinct from the measurement of visual functions (how the eye functions) and also from the assessment of quality of life. All three areas are important, but their assessment should not be mixed. Observation of task performance offers the most objective measure of functional vision, but it is time-consuming and not feasible for many tasks. Where possible, timing and error rates provide an easy score. Patient response questionnaires provide an alternative. They may save time and can cover a wider area, but the responses are subjective and proper scoring presents problems. Simple Likert scoring still predominates but Rasch analysis, needed to provide better result scales, is gaining ground. Selection of questions is another problem. If the range of difficulties does not match the range of patient abilities, and if the difficulties are not distributed evenly, the results are not optimal. This may be an argument to use different outcome questions for different conditions. Generic questionnaires are appropriate for the assessment of generic quality of life, but not for specific rehabilitation outcomes. Different questionnaires are also needed for screening, intake and outcomes. Intake questions must be relevant to actual needs to allow prioritization of rehabilitation goals; the activity inventory presents a prototype. Outcome questions should be targeted at predefined rehabilitation goals. The Appendix cites some promising examples. The Low Vision Intervention Trial (LOVIT) is an example of a properly designed randomized control study, and has demonstrated the remarkable effectiveness of

  6. Methodology of environmental risk assessment management

    Directory of Open Access Journals (Sweden)

    Saša T. Bakrač

    2012-04-01

    Full Text Available Successful protection of environment is mostly based on high-quality assessment of potential and present risks. Environmental risk management is a complex process which includes: identification, assessment and control of risk, namely taking measures in order to minimize the risk to an acceptable level. Environmental risk management methodology: In addition to these phases in the management of environmental risk, appropriate measures that affect the reduction of risk occurrence should be implemented: - normative and legal regulations (laws and regulations, - appropriate organizational structures in society, and - establishing quality monitoring of environment. The emphasis is placed on the application of assessment methodologies (three-model concept, as the most important aspect of successful management of environmental risk. Risk assessment methodology - European concept: The first concept of ecological risk assessment methodology is based on the so-called European model-concept. In order to better understand this ecological risk assessment methodology, two concepts - hazard and risk - are introduced. The European concept of environmental risk assessment has the following phases in its implementation: identification of hazard (danger, identification of consequences (if there is hazard, estimate of the scale of consequences, estimate of consequence probability and risk assessment (also called risk characterization. The European concept is often used to assess risk in the environment as a model for addressing the distribution of stressors along the source - path - receptor line. Risk assessment methodology - Canadian concept: The second concept of the methodology of environmental risk assessment is based on the so-called Canadian model-concept. The assessment of ecological risk includes risk arising from natural events (floods, extreme weather conditions, etc., technological processes and products, agents (chemical, biological, radiological, etc

  7. Life cycle assessment of shredder residue management

    DEFF Research Database (Denmark)

    Boldrin, Alessio; Damgaard, Anders; Brogaard, Line Kai-Sørensen

    wood waste, wood waste for recycling and district heating pipes. The LCA was conducted using the EASETECH LCA model developed by DTU Environment for the environmental assessment of waste management systems and environmental technologies. The LCA was conducted in accordance with the LCA principles...

  8. Assessing economic tradeoffs in forest management.

    Science.gov (United States)

    Ernie Niemi; Ed. Whitelaw

    1999-01-01

    Method is described for assessing the competing demands for forest resources in a forest management plan by addressing economics values, economic impacts, and perceptions of fairness around each demand. Economics trends and forces that shape the dynamic ecosystem-economy relation are developed. The method is demonstrated through an illustrative analysis of a forest-...

  9. Sustainability assessment of stormwater management systems

    DEFF Research Database (Denmark)

    Brudler, Sarah; Arnbjerg-Nielsen, Karsten; Ammitsøe, Christian

    We quantify ecotoxicity impacts caused by different solutions to manage stormwater using life cycle assessment. As a novelty, we include emissions of a wide range of pollutants present in runoff. These emissions turn out to be of great importance, especially in decentralized, above surface systems....

  10. RISK MANAGEMENT: AN INTEGRATED APPROACH TO RISK MANAGEMENT AND ASSESSMENT

    OpenAIRE

    Szabo Alina

    2012-01-01

    Purpose: The objective of this paper is to offer an overview over risk management cycle by focusing on prioritization and treatment, in order to ensure an integrated approach to risk management and assessment, and establish the ‘top 8-12’ risks report within the organization. The interface with Internal Audit is ensured by the implementation of the scoring method to prioritize risks collected from previous generated risk report. Methodology/approach: Using evidence from other research in ...

  11. From Fayol's Mechanistic to Today's Organic Functions of Management

    Science.gov (United States)

    McNamara, Daniel E.

    2009-01-01

    This paper reviews Fayol's original five managerial functions, demonstrates that they are still being taught in today's management courses, and offers a new set of organic management functions more applicable to today's turbulent business environment.

  12. Assessment of left atrial volume and function

    DEFF Research Database (Denmark)

    Kühl, J Tobias; Lønborg, Jacob; Fuchs, Andreas

    2012-01-01

    dynamic LA volume changes. Conversely, cardiac magnetic resonance imaging (CMR) and multi-slice computed tomography (MSCT) appears more appropriate for such measures. We sought to determine the relationship between LA size assessed with TTE and LA size and function assessed with CMR and MSCT. Fifty......-four patients were examined 3 months post myocardial infarction with echocardiography, CMR and MSCT. Left atrial volumes and LA reservoir function were assessed by TTE. LA time-volume curves were determined and LA reservoir function (cyclic change and fractional change), passive emptying function (reservoir...... between CMR and MSCT, with a small to moderate bias in LA(max) (4.9 ± 10.4 ml), CC (3.1 ± 9.1 ml) and reservoir volume (3.4 ± 9.1 ml). TTE underestimates LA(max) with up to 32% compared with CMR and MSCT (P ...

  13. Shift manager workload assessment - A case study

    International Nuclear Information System (INIS)

    Berntson, K.; Kozak, A.; Malcolm, J. S.

    2006-01-01

    In early 2003, Bruce Power restarted two of its previously laid up units in the Bruce A generating station, Units 3 and 4. However, due to challenges relating to the availability of personnel with active Shift Manager licenses, an alternate shift structure was proposed to ensure the safe operation of the station. This alternate structure resulted in a redistribution of responsibility, and a need to assess the resulting changes in workload. Atomic Energy of Canada Limited was contracted to perform a workload assessment based on the new shift structure, and to provide recommendations, if necessary, to ensure Shift Managers had sufficient resources available to perform their required duties. This paper discusses the performance of that assessment, and lessons learned as a result of the work performed during the Restart project. (authors)

  14. Water Resources Assessment and Management in Drylands

    Directory of Open Access Journals (Sweden)

    Magaly Koch

    2016-06-01

    Full Text Available Drylands regions of the world face difficult issues in maintaining water resources to meet current demands which will intensify in the future with population increases, infrastructure development, increased agricultural water demands, and climate change impacts on the hydrologic system. New water resources evaluation and management methods will be needed to assure that water resources in drylands are optimally managed in a sustainable manner. Development of water management and conservation methods is a multi-disciplinary endeavor. Scientists and engineers must collaborate and cooperate with water managers, planners, and politicians to successfully adopt new strategies to manage water not only for humans, but to maintain all aspects of the environment. This particularly applies to drylands regions where resources are already limited and conflicts over water are occurring. Every aspect of the hydrologic cycle needs to be assessed to be able to quantify the available water resources, to monitor natural and anthropogenic changes, and to develop flexible policies and management strategies that can change as conditions dictate. Optimal, sustainable water management is achieved by cooperation and not conflict, thereby necessitating the need for high quality scientific research and input into the process.

  15. UPPER LIMB FUNCTIONAL ASSESSMENT USING HAPTIC INTERFACE

    Directory of Open Access Journals (Sweden)

    Aleš Bardorfer

    2004-12-01

    Full Text Available A new method for the assessment of the upper limb (UL functional state, using a haptic interface is presented. A haptic interface is used as a measuring device, capable of providing objective, repeatable and quantitative data of the UL motion. A patient is presented with a virtual environment, both graphically via a computer screen and haptically via the Phantom Premium 1.5 haptic interface. The setup allows the patient to explore and feel the virtual environment with three of his/her senses; sight, hearing, and most important, touch. Specially designed virtual environments are used to assess the patient’s UL movement capabilities. The tests range from tracking tasks – to assess the accuracy of movement – tracking tasks with added disturbances in a form of random forces – to assess the patient’s control abilities, a labyrinth test – to assess both speed and accuracy, to the last test for measuring the maximal force capacity of the UL.A new method for the assessment of the upper limb (UL functional state, using a haptic interface is presented. A haptic interface is used as a measuring device, capable of providing objective, repeatable and quantitative data of the UL motion. A patient is presented with a virtual environment, both graphically via a computer screen and haptically via the Phantom Premium 1.5 haptic interface. The setup allows the patient to explore and feel the virtual environment with three of his/her senses; sight, hearing, and most important, touch. Specially designed virtual environments are used to assess the patient’s UL movement capabilities. The tests range from tracking tasks–to assess the accuracy of movement-tracking tasks with added disturbances in a form of random forces-to assess the patient’s control abilities, a labyrinth test-to assess both speed and accuracy, to the last test for measuring the maximal force capacity of the UL.A comprehensive study, using the developed measurement setup within the

  16. Assessing functional diversity by program slicing

    International Nuclear Information System (INIS)

    Wallace, D.R.; Lyle, J.R.; Gallagher, K.B.; Ippolito, L.M.

    1994-01-01

    A responsibility of the Nuclear Regulatory Commission auditors is to provide assessments of the quality of the safety systems. For software, the audit process as currently implemented is a slow, tedious, manual process prone to human errors. While auditors cannot possibly examine all components of the system in complete detail, they do check for implementation of specific principles like functional diversity. This paper describes an experimental prototype Computer Aided Software Engineering (CASE) tool, UNRAVEL, designed to enable auditors to check for functional diversity and aid an auditor in examining software by extracting all code relevant to a computation identified for detailed inspection

  17. Life cycle assessment of waste management systems: Assessing technical externalities

    DEFF Research Database (Denmark)

    Brogaard, Line Kai-Sørensen

    The life cycle assessment (LCA) of a waste management system relies on many internal characteristics such as pollution control systems and recovery efficiencies. It also relies on technical externalities supporting the waste management system in terms of capital goods and energy and material...... for the primary and secondary production of materials, 366 datasets were gathered. The materials in focus were: paper, newsprint, cardboard, corrugated board, glass, aluminium, steel and plastics (HDPE, LDPE, LLDPE, PET, PS, PVC). Only one quarter of these data concerned secondary production, thus underlining...

  18. Risk assessment and management logistics chains

    Directory of Open Access Journals (Sweden)

    Vladimir Vikulov

    2014-03-01

    Full Text Available Background: In the context of economic globalization and increasing complexity of economic relations enterprises need methods and techniques to improve and sustain their position on the global market. Integration processes offer business new opportunities, but at the same time present new challenges for the management, including the key objectives of the risk management. Method: On the basis of analysis tools known from the pertinent literature (Supply Chain Management and Supply Chain Risk Management methods, methods of probability theory, methods of risk management, methods of statistics the authors of this paper proposed their own risk assessment method and the method of management of logistics chains. The proposed tool is a specific hybrid of solutions known from the literature. Results: The presented method has been successfully used within the frames of economic-mathematical model of industrial enterprises. Indicators of supply chain risks, including risks caused by supplier are considered in this paper. Authors formed a method of optimizing the level of supply chain risk in the integration with suppliers and customers. Conclusion: Every organization, which starting the process of integration with supplier and customers, needs to use tools, methodologies and techniques for identification of "weak links" in the supply chain. The proposed method allows to fix risk origin places in various links of the supply chain and to identify "weak links" of a logistic chain that may occur in the future. The method is a useful tool for managing not only risks and risk situations, but also to improve the efficiency of current assets management by providing the ability to optimize the level of risk in the current assets management of the industrial enterprise.

  19. [Assessment of cognitive functions in internal medicine].

    Science.gov (United States)

    Capron, J

    2015-12-01

    The evaluation of cognitive functions can be performed using two approaches: a quantitative one, based on screening tools; a qualitative one, based on the examination of specific cognitive functions. The quantitative approach offers a pragmatic process: to screen rapidly for a cognitive dysfunction that may require assistance or treatments. We will present three screening tools and their diagnostic value: the clock test, the Mini Mental State Examination and the Montreal Cognitive Assessment. They help select patients who require a more detailed examination to precisely diagnose their cognitive dysfunction. We propose a way to perform a detailed cognitive examination at the bedside, including the examination of alertness, attention, memory, language, frontal functions, praxis and hemi-neglect. This simple examination indicates the location of the cerebral lesion and sometimes suggests the underlying disease. Copyright © 2015. Published by Elsevier SAS.

  20. COMPLEX FUNCTIONAL ASSESSMENT OF THE HIP JOINT.

    Directory of Open Access Journals (Sweden)

    Maya S. Krastanova

    2015-09-01

    Full Text Available Introduction: In relation to the study reporting the effects of applying phased complex rehabilitation in patients with total hip arthroplasty, it has been concluded that the everyday clinical practice in Bulgaria does not apply complex examination, giving an objective picture about the extent of functional status of patients with trauma and diseases of the hip. Aim: The main goal of this report is to present a test which incorporates all known and routine research and in which the total number of points determines the functional status of patients with trauma and diseases of the hip. Material and Methods: Based on the Hip dysfunction and Osteoarthritis Outcome Score, the Harris Hip Score modified test, scale D’Aubigne and Postel and Iowa’s test for complex functional evaluation of the hip joint, we have developed a test including information about the degree of pain; goniometry and manual muscle testing of the hip; locomotor test – type of gait and adjuvants; test for Daily Activities of Life. The test has been developed on the basis of expert assessment by doctors and physiotherapists of the proposed indicators for evaluation and determination of the weighting factors’ contribution to the general condition of the patient. Conclusion: The developed and tested method of complex functional assessment of the hip joint enables our colleagues, dealing with trauma and diseases of the hip, to use it in various research and scientific projects, as well as in general medical practice.

  1. Managing epilepsy well: self-management needs assessment.

    Science.gov (United States)

    Fraser, Robert T; Johnson, Erica K; Miller, John W; Temkin, Nancy; Barber, Jason; Caylor, Lisa; Ciechanowski, Paul; Chaytor, Naomi

    2011-02-01

    Epilepsy self-management interventions have been investigated with respect to health care needs, medical adherence, depression, anxiety, employment, and sleep problems. Studies have been limited in terms of representative samples and inconsistent or restricted findings. The direct needs assessment of patients with epilepsy as a basis for program design has not been well used as an approach to improving program participation and outcomes. This study investigated the perceived medical and psychosocial problems of adults with epilepsy, as well as their preferences for self-management program design and delivery format. Results indicated a more psychosocially challenged subgroup of individuals with significant depressive and cognitive complaints. A self-management program that involves face-to-face individual or group meetings led by an epilepsy professional and trained peer leader for 60 minutes weekly was preferred. Six to eight sessions focused on diverse education sessions (e.g., managing disability and medical care, socializing on a budget, and leading a healthy lifestyle) and emotional coping strategies delivered on weeknights or Saturday afternoons were most highly endorsed. Emotional self-management and cognitive compensatory strategies require special emphasis given the challenges of a large subgroup. Copyright © 2010 Elsevier Inc. All rights reserved.

  2. Assessing XML Data Management with XMark

    OpenAIRE

    Schmidt, A.R.; Waas, F.; Kersten, Martin; Carey, M.J.; Manolescu, I.; Busse, R.

    2002-01-01

    textabstractWe discuss some of the experiences we gathered during the development and deployment of XMark, a tool to assess the infrastructure and performance of XML Data Management Systems. Since the appearance of the first XML database prototypes in research institutions and development labs, topics like validation, performance evaluation and optimization of XML query processors have received significant interest. The XMark benchmark follows a tradition in database research and provides a f...

  3. Assessment of adrenal function in liver diseases

    Directory of Open Access Journals (Sweden)

    Sandeep Kharb

    2013-01-01

    Full Text Available Background: In recent times, there are reports of adrenal dysfunction in whole spectrum of liver disease. Adrenal insufficiency (AI has been shown to correlate with progression of liver disease. Hence this study was conducted to assess adrenal function in subjects with acute liver disease (ALD, chronic liver disease (CLD and post liver transplantation (LT. Material and Methods: This study included 25 healthy controls, 25 patients of ALD, 20 subjects of CLD with Child-Pugh stage A (CLD-1 and 30 with Child-Pugh stage B or C (CLD-2, and 10 subjects with LT. All subjects were assessed clinically, biochemically and for adrenal functions. Results: AI was present in 9 (34.6% patients with ALD, 20 (40% patients with CLD and 4 (40% in subjects with LT. AI was more common in CLD-2 (18 patients - 60% than CLD-1 (2 patients - 10%. All patients with chronic liver disease had significantly lower basal cortisol (8.8±4.8, P=0.01, stimulated cortisol (18.2±6.3, P <0.00001 and incremental cortisol (9.4±4.6, P <0.00001 as compared to controls. There was increase in percentage of subjects with adrenal dysfunction with progression of liver disease as assessed by Child-Pugh staging. AI was predicted by lower levels of serum protein, serum albumin, total cholesterol and HDL cholesterol and higher levels of serum bilirubin and INR. Adrenal functions showed recovery following liver transplantation. Conclusions: AI forms important part of spectrum of acute and chronic liver disease. Deterioration of synthetic functions of liver disease predicts presence of AI, and these patients should be evaluated for adrenal dysfunction periodically.

  4. 24 CFR 902.40 - Management operations assessment.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Management operations assessment... URBAN DEVELOPMENT PUBLIC HOUSING ASSESSMENT SYSTEM PHAS Indicator #3: Management Operations § 902.40 Management operations assessment. (a) Objective. The objective of the Management Operations Indicator is to...

  5. Risk assessment and risk management of mycotoxins.

    Science.gov (United States)

    2012-01-01

    Risk assessment is the process of quantifying the magnitude and exposure, or probability, of a harmful effect to individuals or populations from certain agents or activities. Here, we summarize the four steps of risk assessment: hazard identification, dose-response assessment, exposure assessment, and risk characterization. Risk assessments using these principles have been conducted on the major mycotoxins (aflatoxins, fumonisins, ochratoxin A, deoxynivalenol, and zearalenone) by various regulatory agencies for the purpose of setting food safety guidelines. We critically evaluate the impact of these risk assessment parameters on the estimated global burden of the associated diseases as well as the impact of regulatory measures on food supply and international trade. Apart from the well-established risk posed by aflatoxins, many uncertainties still exist about risk assessments for the other major mycotoxins, often reflecting a lack of epidemiological data. Differences exist in the risk management strategies and in the ways different governments impose regulations and technologies to reduce levels of mycotoxins in the food-chain. Regulatory measures have very little impact on remote rural and subsistence farming communities in developing countries, in contrast to developed countries, where regulations are strictly enforced to reduce and/or remove mycotoxin contamination. However, in the absence of the relevant technologies or the necessary infrastructure, we highlight simple intervention practices to reduce mycotoxin contamination in the field and/or prevent mycotoxin formation during storage.

  6. Life cycle assessment of construction and demolition waste management

    DEFF Research Database (Denmark)

    Butera, Stefania; Christensen, Thomas Højlund; Astrup, Thomas Fruergaard

    2015-01-01

    Life cycle assessment (LCA) modelling of construction and demolition waste (C&DW) management was carried out. The functional unit was management of 1 Mg mineral, source separated C&DW, which is either utilised in road construction as a substitute for natural aggregates, or landfilled. The assessed...... of the use of C&DW. Typical uncertainties related to contaminant leaching were addressed. For most impact categories, utilisation of C&DW in road construction was preferable to landfilling; however, for most categories, utilisation resulted in net environmental burdens. Transportation represented the most...... of the impact assessment was critical for modelling the leaching impacts. Compared with the overall life cycle of building and construction materials, leaching emissions were shown to be potentially significant for toxicity impacts, compared with contributions from production of the same materials, showing...

  7. Assessment of soil contamination--a functional perspective.

    Science.gov (United States)

    van Straalen, Nico M

    2002-01-01

    In many industrialized countries the use of land is impeded by soil pollution from a variety of sources. Decisions on clean-up, management or set-aside of contaminated land are based on various considerations, including human health risks, but ecological arguments do not have a strong position in such assessments. This paper analyses why this should be so, and what ecotoxicology and theoretical ecology can improve on the situation. It seems that soil assessment suffers from a fundamental weakness, which relates to the absence of a commonly accepted framework that may act as a reference. Soil contamination can be assessed both from a functional perspective and a structural perspective. The relationship between structure and function in ecosystems is a fundamental question of ecology which receives a lot of attention in recent literature, however, a general concept that may guide ecotoxicological assessments has not yet arisen. On the experimental side, a good deal of progress has been made in the development and standardized use of terrestrial model ecosystems (TME). In such systems, usually consisting of intact soil columns incubated in the laboratory under conditions allowing plant growth and drainage of water, a compromise is sought between field relevance and experimental manageability. A great variety of measurements can be made on such systems, including microbiological processes and activities, but also activities of the decomposer soil fauna. I propose that these TMEs can be useful instruments in ecological soil quality assessments. In addition a "bioinformatics approach" to the analysis of data obtained in TME experiments is proposed. Soil function should be considered as a multidimensional concept and the various measurements can be considered as indicators, whose combined values define the "normal operating range" of the system. Deviations from the normal operating range indicate that the system is in a condition of stress. It is hoped that more work

  8. Quality Management Plan for the Environmental Assessment and Innovation Division

    Science.gov (United States)

    Quality management plan (QMP) which identifies the mission, roles, responsibilities of personnel with regard to quality assurance and quality management for the environmental assessment and innovation division.

  9. Imbalanced Learning for Functional State Assessment

    Science.gov (United States)

    Li, Feng; McKenzie, Frederick; Li, Jiang; Zhang, Guangfan; Xu, Roger; Richey, Carl; Schnell, Tom

    2011-01-01

    This paper presents results of several imbalanced learning techniques applied to operator functional state assessment where the data is highly imbalanced, i.e., some function states (majority classes) have much more training samples than other states (minority classes). Conventional machine learning techniques usually tend to classify all data samples into majority classes and perform poorly for minority classes. In this study, we implemented five imbalanced learning techniques, including random undersampling, random over-sampling, synthetic minority over-sampling technique (SMOTE), borderline-SMOTE and adaptive synthetic sampling (ADASYN) to solve this problem. Experimental results on a benchmark driving lest dataset show thai accuracies for minority classes could be improved dramatically with a cost of slight performance degradations for majority classes,

  10. COPD management: role of symptom assessment in routine clinical practice

    Science.gov (United States)

    van der Molen, Thys; Miravitlles, Marc; Kocks, Janwillem WH

    2013-01-01

    Patients with chronic obstructive pulmonary disease (COPD) present with a variety of symptoms that significantly impair health-related quality of life. Despite this, COPD treatment and its management are mainly based on lung function assessments. There is increasing evidence that conventional lung function measures alone do not correlate well with COPD symptoms and their associated impact on patients’ everyday lives. Instead, symptoms should be assessed routinely, preferably by using patient-centered questionnaires that provide a more accurate guide to the actual burden of COPD. Numerous questionnaires have been developed in an attempt to find a simple and reliable tool to use in everyday clinical practice. In this paper, we review three such patient-reported questionnaires recommended by the latest Global Initiative for Chronic Obstructive Lung Disease guidelines, ie, the modified Medical Research Council questionnaire, the clinical COPD questionnaire, and the COPD Assessment Test, as well as other symptom-specific questionnaires that are currently being developed. PMID:24143085

  11. Assessment of hospital emergency management in the Beijing area.

    Science.gov (United States)

    Yantao, Xin

    2011-06-01

    In recent years, the number of public health emergencies has increased. Improving hospital emergency management is an important challenge. This is a pilot study intended to assess hospital emergency management in the Beijing area, make recommendations to government health authorities and hospital managers, and offer references for similar studies. This was an observational, cross-sectional survey. Forty-five hospitals in the Beijing area were selected randomly. A self-administered questionnaire was used as a data collection tool. It comprised of three sections: (1) Section A was the introduction; (2) Section B asked for the respondent's personal information; and (3) Section C comprised the major part of the questionnaire and was intended to gather information regarding the hospital's general emergency management situation. The survey response rate was 44%, accounting for 29% of total hospitals that the study targeted. No hospital had an established emergency management department or full-time staff for emergency management. A total of 15-45% of the hospitals had established a hospital emergency management committee, performed a vulnerability analysis, or evaluated emergency management regularly. Twenty-five percent of respondents thought that the local government health authority had established an integrated hospital incident command system. A total of 40%-55% of hospitals contracted with outside institutions for supplements, backup of key functional systems and professional support. After the occurrence of the 2003 severe acute respiratory syndrome (SARS) epidemic, Chinese hospital managers took many measures to improve hospital resilience. However, most of these efforts lacked the guidance of theories, concepts, principles, and methods. An integrated, standardized, operational hospital emergency management model has not been established. Although the survey response rate was relatively low, some clues for further study were discovered, and suggestions to the

  12. Risk assessment and radioactive waste management

    International Nuclear Information System (INIS)

    Cohen, J.J.

    1979-01-01

    Problems of radioactive waste management, both real and apparent, have provided a serious constraint in the development of nuclear power. Several studies have been conducted in an attempt to evaluate the actual (quantifiable) risks of radioactive waste management and place them in a reasonable perspective. These studies are reviewed and discussed. Generally, the studies indicate the risks to be of a level of seriousness which might normally be considered acceptable in current society. However, it is apparent that this acceptability has not been attained and public apprehension prevails. To understand the reasons for this apprehension requires an assessment of those factors of ''perceived'' risks which play a major role in determining public attitudes toward radioactive waste management programs and nuclear power, in general. Such factors might include the spector of legacies of harm to future generations, genetic effects, nuclear garbage dumps, proliferation of plutonium inventories, nuclear terrorism, etc. A major problem in development of acceptable waste management policies and programs requires not only the recognition of the importance of perceived risk factors but development of a methodology for their incorporation in planning and conduct of such activities. Some approaches to the development of this methodology are discussed

  13. Cardiorespiratory functional assessment after pediatric heart transplantation.

    Science.gov (United States)

    Pastore, E; Turchetta, A; Attias, L; Calzolari, A; Giordano, U; Squitieri, C; Parisi, F

    2001-12-01

    Limited data are available on the exercise capacity of young heart transplant recipients. The aim of this study was therefore to assess cardiorespiratory responses to exercise in this group of patients. Fourteen consecutive heart transplant recipients (six girls and eight boys, age-range 5-15 yr) and 14 healthy matched controls underwent a Bruce treadmill test to determine: duration of test; resting and maximum heart rates; maximum systolic blood pressure; peak oxygen consumption (VO2 peak); and cardiac output. Duration of test and heart rate increase were then compared with: time since transplantation, rejections per year, and immunosuppressive drugs received. The recipients also underwent the following lung function tests: forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1). When compared with healthy controls, transplant recipients had tachycardia at rest (126 +/- 3.7 beats/min; p physical activity, possibly owing to over-protective parents and teachers and to a lack of suitable supervised facilities. The authors stress the importance of a cardiorespiratory functional evaluation for assessment of health status and to encourage recipients, if possible, to undertake regular physical activity.

  14. Health risk assessment for program managers

    International Nuclear Information System (INIS)

    Jump, R.A.; Williamson, D.S.

    1994-01-01

    This paper presents the findings of a sensitivity analysis into the independent variables that determine the levels of health risks posed by buried plutonium and americium at a typical contaminated site in an arid region. Environmental Restoration Program Managers often must make decisions concerning cleanup levels, remediation alternatives, schedules, cost estimates, etc. based upon extraordinarily safe assumptions about risk assessment calculation inputs. This study reveals to the Program Manager which variables are major drivers to the calculated levels of risk posed by transuranic radionuclides and which ones have second order effects or less. The findings of this study should indicate which inputs should be the focus of attention during negotiations with regulators and of further empirical investigation

  15. Bonneville - Hood River Vegetation Management Environmental Assessment

    Energy Technology Data Exchange (ETDEWEB)

    N/A

    1998-08-01

    To maintain the reliability of its electrical system, BPA, in cooperation with the U.S. Forest Service, needs to expand the range of vegetation management options used to clear unwanted vegetation on about 20 miles of BPA transmission line right-of-way between Bonneville Dam and Hood River; Oregon, within the Columbia Gorge National Scenic Area (NSA). We propose to continue controlling undesirable vegetation using a program of Integrated Vegetation Management (IVM) which includes manual, biological and chemical treatment methods. BPA has prepared an Environmental Assessment (EA) (DOE/EA-1257) evaluating the proposed project. Based on the analysis in the EA, BPA has determined that the proposed action is not a major Federal action significantly affecting the quality of the human environment, within the meaning of the National Environmental Policy Act (NEPA) of 1969. Therefore, the preparation of an Environmental Impact Statement (EIS) is not required and BPA is issuing this FONSI.

  16. Models for assessing and managing credit risk

    Directory of Open Access Journals (Sweden)

    Neogradi Slađana

    2014-01-01

    Full Text Available This essay deals with the definition of a model for assessing and managing credit risk. Risk is an inseparable component of any average and normal credit transaction. Looking at the different aspects of the identification and classification of risk in the banking industry as well as representation of the key components of modern risk management. In the first part of the essay will analyze how the impact of credit risk on bank and empirical models for determining the financial difficulties in which the company can be found. Bank on the basis of these models can reduce number of approved risk assets. In the second part, we consider models for improving credit risk with emphasis on Basel I, II and III, and the third part, we conclude that the most appropriate model and gives the best effect for measuring credit risk in domestic banks.

  17. Sarcopenia in daily practice: assessment and management.

    Science.gov (United States)

    Beaudart, Charlotte; McCloskey, Eugène; Bruyère, Olivier; Cesari, Matteo; Rolland, Yves; Rizzoli, René; Araujo de Carvalho, Islène; Amuthavalli Thiyagarajan, Jotheeswaran; Bautmans, Ivan; Bertière, Marie-Claude; Brandi, Maria Luisa; Al-Daghri, Nasser M; Burlet, Nansa; Cavalier, Etienne; Cerreta, Francesca; Cherubini, Antonio; Fielding, Roger; Gielen, Evelien; Landi, Francesco; Petermans, Jean; Reginster, Jean-Yves; Visser, Marjolein; Kanis, John; Cooper, Cyrus

    2016-10-05

    Sarcopenia is increasingly recognized as a correlate of ageing and is associated with increased likelihood of adverse outcomes including falls, fractures, frailty and mortality. Several tools have been recommended to assess muscle mass, muscle strength and physical performance in clinical trials. Whilst these tools have proven to be accurate and reliable in investigational settings, many are not easily applied to daily practice. This paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were afterwards organized for the whole group to make amendments and discuss further recommendations. This paper proposes some user-friendly and inexpensive methods that can be used to assess sarcopenia in real-life settings. Healthcare providers, particularly in primary care, should consider an assessment of sarcopenia in individuals at increased risk; suggested tools for assessing risk include the Red Flag Method, the SARC-F questionnaire, the SMI method or different prediction equations. Management of sarcopenia should primarily be patient centered and involve the combination of both resistance and endurance based activity programmes with or without dietary interventions. Development of a number of pharmacological interventions is also in progress. Assessment of sarcopenia in individuals with risk factors, symptoms and/or conditions exposing them to the risk of disability will become particularly important in the near future.

  18. Functional assessment of cutaneous microvasculature after radiation

    International Nuclear Information System (INIS)

    Doll, C.; Durand, R.; Grulkey, W.; Sayer, S.; Olivotto, I.

    1999-01-01

    Background and purpose: To determine if laser Doppler flowmetry could be used to non-invasively evaluate microvasculature function after radiation therapy (RT), we assessed blood flow response to heating in women following RT after breast conservation.Materials and methods: Forty women with unilateral stage I/II breast cancer treated with conservative surgery and RT were evaluated at varying intervals post RT. Ten patients were retested after an interval of 55 to 57 months to assess reproducibility of the control data. A laser Doppler probe fitted into a heat source was used to non-invasively measure blood flow in a small area of skin on the treated breast and a matched area on the untreated side. The heating element increased skin surface temperature to 40C, permitting assessment of heat stress induced changes in blood flow.Results36 months post RT, there was no significant difference seen in relative blood flow between the irradiated and non-irradiated sides. Cutaneous blood flow response to the heat stress was very reproducible when women were reassessed 55 to 57 months after initial testing.Conclusions 36 months post RT. (Copyright (c) 1999 Elsevier Science B.V., Amsterdam. All rights reserved.)

  19. Cognitive, functional and behavioral assessment: Alzheimer's disease

    Directory of Open Access Journals (Sweden)

    Márcia L.F. Chaves

    Full Text Available Abstract A review of the evidence on cognitive, functional and behavioral assessment for the diagnosis of dementia due to Alzheimer's disease (AD is presented with revision and broadening of the recommendations on the use of tests and batteries in Brazil for the diagnosis of dementia due to AD. A systematic review of the literature (MEDLINE, LILACS and SCIELO database was carried out by a panel of experts. Studies on the validation and/or adaptation of tests, scales and batteries for the Brazilian population were analyzed and classified according to level of evidence. There were sufficient data to recommend the IQCODE, DAFS-R, DAD, ADL-Q and Bayer scale for the evaluation of instrumental activities of daily living, and the Katz scale for the assessment of basic activities of daily living. For the evaluation of neuropsychiatric symptoms, the Neuropsychiatric Inventory (NPI and the CAMDEX were found to be useful, as was the Cornell scale for depression in dementia. The Mini-Mental State Examination has clinical utility as a screening test, as do the multifunctional batteries (CAMCOG-R, ADAS-COG, CERAD and MDRS for brief evaluations of several cognitive domains. There was sufficient evidence to recommend the CDR scale for clinical and severity assessment of dementia. Tests for Brazilian Portuguese are recommended by cognitive domain based on available data.

  20. Risk assessment and management in IOR projects

    International Nuclear Information System (INIS)

    Goodyear, S.G.; Gregory, A.T.

    1994-01-01

    The application of IOR techniques is one of the investment opportunities open to Exploration and Production companies. A project will only go forward if the perceived balance between the rewards and the risks is acceptable. IOR projects may be ruled out because they are considered to involve significantly higher risks than conventional developments. Therefore, some means of evaluating the actual level of risk may be required if the full economic benefits from IOR techniques are to be realized. Risk assessment is a key element in safety cases, where a well-established methodology for quantifying risk exists. This paper discusses the extension of these methods to IOR project risk assessment. Combining reservoir and IOR technique uncertainties with their impact on project performance allows project risk to be better quantified. The results of the risk assessment are presented in terms of a risk-reward diagram that plots the probability surface for possible project outcomes as a function of NPV (reward) and exposure (risk)

  1. Radioactive Waste Management Complex performance assessment: Draft

    Energy Technology Data Exchange (ETDEWEB)

    Case, M.J.; Maheras, S.J.; McKenzie-Carter, M.A.; Sussman, M.E.; Voilleque, P.

    1990-06-01

    A radiological performance assessment of the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory was conducted to demonstrate compliance with appropriate radiological criteria of the US Department of Energy and the US Environmental Protection Agency for protection of the general public. The calculations involved modeling the transport of radionuclides from buried waste, to surface soil and subsurface media, and eventually to members of the general public via air, ground water, and food chain pathways. Projections of doses were made for both offsite receptors and individuals intruding onto the site after closure. In addition, uncertainty analyses were performed. Results of calculations made using nominal data indicate that the radiological doses will be below appropriate radiological criteria throughout operations and after closure of the facility. Recommendations were made for future performance assessment calculations.

  2. Radioactive Waste Management Complex performance assessment: Draft

    International Nuclear Information System (INIS)

    Case, M.J.; Maheras, S.J.; McKenzie-Carter, M.A.; Sussman, M.E.; Voilleque, P.

    1990-06-01

    A radiological performance assessment of the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory was conducted to demonstrate compliance with appropriate radiological criteria of the US Department of Energy and the US Environmental Protection Agency for protection of the general public. The calculations involved modeling the transport of radionuclides from buried waste, to surface soil and subsurface media, and eventually to members of the general public via air, ground water, and food chain pathways. Projections of doses were made for both offsite receptors and individuals intruding onto the site after closure. In addition, uncertainty analyses were performed. Results of calculations made using nominal data indicate that the radiological doses will be below appropriate radiological criteria throughout operations and after closure of the facility. Recommendations were made for future performance assessment calculations

  3. Balance assessment in the management of sport-related concussion.

    Science.gov (United States)

    Guskiewicz, Kevin M

    2011-01-01

    Although neuropsychological testing has proven to be a valuable tool in concussion management, it is most useful when administered as part of a comprehensive assessment battery that includes grading of symptoms and clinical balance tests. A thorough sideline and clinical examination by the certified athletic trainer and team physician is considered an important first step in the management of concussion. The evaluation should be conducted in a systematic manner, whether on the field or in the clinical setting. The evaluation should include obtaining a history for specific details about the injury (eg, mechanism, symptomatology, concussion history), followed by assessing neurocognitive function and balance, which is the focus of this article. The objective measures from balance testing can provide clinicians with an additional piece of the concussion puzzle, remove some of the guesswork in uncovering less obvious symptoms, and assist in determining readiness to return safely to participation. Copyright © 2011 Elsevier Inc. All rights reserved.

  4. Natural-technological risk assessment and management

    Science.gov (United States)

    Burova, Valentina; Frolova, Nina

    2016-04-01

    EM-DAT statistical data on human impact and economic damages in the 1st semester 2015 are the highest since 2011: 41% of disasters were floods, responsible for 39% of economic damage and 7% of events were earthquakes responsible for 59% of total death toll. This suggests that disaster risk assessment and management still need to be improved and stay the principle issue in national and international related programs. The paper investigates the risk assessment and management practice in the Russian Federation at different levels. The method is proposed to identify the territories characterized by integrated natural-technological hazard. The maps of the Russian Federation zoning according to the integrated natural-technological hazard level are presented, as well as the procedure of updating the integrated hazard level taking into account the activity of separate processes. Special attention is paid to data bases on past natural and technological processes consequences, which are used for verification of current hazard estimation. The examples of natural-technological risk zoning for the country and some regions territory are presented. Different output risk indexes: both social and economic, are estimated taking into account requirements of end-users. In order to increase the safety of population of the Russian Federation the trans-boundaries hazards are also taken into account.

  5. Assessment of Malaysia Institutional radioactive waste management

    International Nuclear Information System (INIS)

    Syed Hakimi Sakuma; Nik Marzukee; Ibrahim Martibi

    1996-01-01

    A complete inventory of radioactive wastes from different source bas been set up in Malaysia. Wastes from external agencies were sent to the National Radioactive Waste Management Center at MINT for final disposal. MINT has been collecting information on the accumulated wastes received since 1982. Assessment of radioactive waste management in Malaysia has been conducted based on the inventory record. The information in the inventory include description of users, type volume, characteristics of the wastes; and the current and accumulated activities of the radioisotopes in the wastes forms while storing. The records indicate that there is a significant increase in the volume of wastes from medical and industrial applications. The category of users varies; there are about 270 industrial users, about 60 in medical fields and 13 in research institutes and universities. Major users generating sealed source wastes for the industrial sector are services, manufacturing and consumer companies; including government department and universities. It is estimated that by the year 2005, approximately a total accumulated processed waste package volume for disposal will be between 210-215 m sup 3. This estimate includes low level and intermediate level wastes. From this study, future waste management activities in Malaysia can be planned with proper policy decision, treatment conditioning, storage and disposal facilities. This will enable radioactive wastes to be kept under control and their potential impact on man and the environment to be minimal

  6. Functional Analysis for an Integrated Capability of Arrival/Departure/Surface Management with Tactical Runway Management

    Science.gov (United States)

    Phojanamongkolkij, Nipa; Okuniek, Nikolai; Lohr, Gary W.; Schaper, Meilin; Christoffels, Lothar; Latorella, Kara A.

    2014-01-01

    The runway is a critical resource of any air transport system. It is used for arrivals, departures, and for taxiing aircraft and is universally acknowledged as a constraining factor to capacity for both surface and airspace operations. It follows that investigation of the effective use of runways, both in terms of selection and assignment as well as the timing and sequencing of the traffic is paramount to the efficient traffic flows. Both the German Aerospace Center (DLR) and NASA have developed concepts and tools to improve atomic aspects of coordinated arrival/departure/surface management operations and runway configuration management. In December 2012, NASA entered into a Collaborative Agreement with DLR. Four collaborative work areas were identified, one of which is called "Runway Management." As part of collaborative research in the "Runway Management" area, which is conducted with the DLR Institute of Flight Guidance, located in Braunschweig, the goal is to develop an integrated system comprised of the three DLR tools - arrival, departure, and surface management (collectively referred to as A/D/S-MAN) - and NASA's tactical runway configuration management (TRCM) tool. To achieve this goal, it is critical to prepare a concept of operations (ConOps) detailing how the NASA runway management and DLR arrival, departure, and surface management tools will function together to the benefit of each. To assist with the preparation of the ConOps, the integrated NASA and DLR tools are assessed through a functional analysis method described in this report. The report first provides the highlevel operational environments for air traffic management (ATM) in Germany and in the U.S., and the descriptions of the DLR's A/D/S-MAN and NASA's TRCM tools at the level of details necessary to compliment the purpose of the study. Functional analyses of each tool and a completed functional analysis of an integrated system design are presented next in the report. Future efforts to fully

  7. Assessment of two BWR accident management strategies

    International Nuclear Information System (INIS)

    Hodge, S.A.; Petek, M.

    1991-01-01

    Candidate mitigative strategies for management of in-vessel events during the late phase (after core degradation has occurred) of postulated BWR severe accidents were considered at Oak Ridge National Laboratory (ORNL) during 1990. The identification of new strategies was subject to the constraint that they should, to the maximum extent possible, make use of the existing equipment and water resources of the BWR facilities and not require major equipment modifications or additions. As a result of this effort, two of these candidate strategies were recommended for additional assessment. The first is a strategy for containment flooding to maintain the core and structural debris within the reactor vessel in the event that vessel injection cannot be restored to terminate a severe accident sequence. The second strategy pertains to the opposite case, for which vessel injection would be restored after control blade melting had begun; its purpose is to provide an injection source of borated water at the concentration necessary to preclude criticality upon recovering a damaged BWR core. Assessments of these two strategies have been performed during 1991 under the auspices of the Detailed Assessment of BWR In-Vessel Strategies Program. This paper provides a discussion of the motivation for and purpose of these strategies and the potential for their success. 33 refs., 9 figs

  8. Cryptographic Key Management and Critical Risk Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Abercrombie, Robert K [ORNL

    2014-05-01

    The Department of Energy Office of Electricity Delivery and Energy Reliability (DOE-OE) CyberSecurity for Energy Delivery Systems (CSEDS) industry led program (DE-FOA-0000359) entitled "Innovation for Increasing CyberSecurity for Energy Delivery Systems (12CSEDS)," awarded a contract to Sypris Electronics LLC to develop a Cryptographic Key Management System for the smart grid (Scalable Key Management Solutions for Critical Infrastructure Protection). Oak Ridge National Laboratory (ORNL) and Sypris Electronics, LLC as a result of that award entered into a CRADA (NFE-11-03562) between ORNL and Sypris Electronics, LLC. ORNL provided its Cyber Security Econometrics System (CSES) as a tool to be modified and used as a metric to address risks and vulnerabilities in the management of cryptographic keys within the Advanced Metering Infrastructure (AMI) domain of the electric sector. ORNL concentrated our analysis on the AMI domain of which the National Electric Sector Cyber security Organization Resource (NESCOR) Working Group 1 (WG1) has documented 29 failure scenarios. The computational infrastructure of this metric involves system stakeholders, security requirements, system components and security threats. To compute this metric, we estimated the stakes that each stakeholder associates with each security requirement, as well as stochastic matrices that represent the probability of a threat to cause a component failure and the probability of a component failure to cause a security requirement violation. We applied this model to estimate the security of the AMI, by leveraging the recently established National Institute of Standards and Technology Interagency Report (NISTIR) 7628 guidelines for smart grid security and the International Electrotechnical Commission (IEC) 63351, Part 9 to identify the life cycle for cryptographic key management, resulting in a vector that assigned to each stakeholder an estimate of their average loss in terms of dollars per day of system

  9. Functional Behavior Assessment in Schools: Current Status and Future Directions

    Science.gov (United States)

    Anderson, Cynthia M.; Rodriguez, Billie Jo; Campbell, Amy

    2015-01-01

    Functional behavior assessment is becoming a commonly used practice in school settings. Accompanying this growth has been an increase in research on functional behavior assessment. We reviewed the extant literature on documenting indirect and direct methods of functional behavior assessment in school settings. To discern best practice guidelines…

  10. Assessing and Managing Knowledge Loss Risk

    International Nuclear Information System (INIS)

    Dermarkar, Fred

    2013-01-01

    Summary: • Sustaining Design Basis Knowledge is a strategic need for long term safe and reliable operation; • Utilities need to manage knowledge in a systematic manner, based on identifying areas of risk, developing and implementing plans to mitigate the risk, and exercising oversight of those plans; • Approaches will differ depending upon organizational functions and needs; • Individual utility efforts are not sufficient: they need to be complemented by a larger scale infrastructure in the academic and research communities; • The Canadian nuclear industry has been collaborating to actively support and expand the academic infrastructure to sustain design basis knowledge; • KM initiatives require constant nurturing for sustainability; • Internationally recognized guidance on Characteristics, Attributes and Best Practices for governmental, industrial and academic contributions to KM is important to sustainability

  11. Assessment of LANL beryllium waste management documentation

    International Nuclear Information System (INIS)

    Danna, J.G.; Jennrich, E.A.; Lund, D.M.; Davis, K.D.; Hoevemeyer, S.S.

    1991-04-01

    The objective of this report is to determine present status of the preparation and implementation of the various high priority documents required to properly manage the beryllium waste generated at the Laboratory. The documents being assessed are: Waste Acceptance Criteria, Waste Characterization Plan, Waste Certification Plan, Waste Acceptance Procedures, Waste Characterization Procedures, Waste Certification Procedures, Waste Training Procedures and Waste Recordkeeping Procedures. Beryllium is regulated (as a dust) under 40 CFR 261.33 as ''Discarded commercial chemical products, off specification species, container residues and spill residues thereof.'' Beryllium is also identified in the 3rd thirds ruling of June 1, 1990 as being restricted from land disposal (as a dust). The beryllium waste generated at the Laboratory is handled separately because beryllium has been identified as a highly toxic carcinogenic material

  12. Mechanomyogram for muscle function assessment: a review.

    Directory of Open Access Journals (Sweden)

    Md Anamul Islam

    Full Text Available Mechanomyography (MMG has been extensively applied in clinical and experimental practice to examine muscle characteristics including muscle function (MF, prosthesis and/or switch control, signal processing, physiological exercise, and medical rehabilitation. Despite several existing MMG studies of MF, there has not yet been a review of these. This study aimed to determine the current status on the use of MMG in measuring the conditions of MFs.Five electronic databases were extensively searched for potentially eligible studies published between 2003 and 2012. Two authors independently assessed selected articles using an MS-Word based form created for this review. Several domains (name of muscle, study type, sensor type, subject's types, muscle contraction, measured parameters, frequency range, hardware and software, signal processing and statistical analysis, results, applications, authors' conclusions and recommendations for future work were extracted for further analysis. From a total of 2184 citations 119 were selected for full-text evaluation and 36 studies of MFs were identified. The systematic results find sufficient evidence that MMG may be used for assessing muscle fatigue, strength, and balance. This review also provides reason to believe that MMG may be used to examine muscle actions during movements and for monitoring muscle activities under various types of exercise paradigms.Overall judging from the increasing number of articles in recent years, this review reports sufficient evidence that MMG is increasingly being used in different aspects of MF. Thus, MMG may be applied as a useful tool to examine diverse conditions of muscle activity. However, the existing studies which examined MMG for MFs were confined to a small sample size of healthy population. Therefore, future work is needed to investigate MMG, in examining MFs between a sufficient number of healthy subjects and neuromuscular patients.

  13. Estimation, assessment and management of risks

    International Nuclear Information System (INIS)

    Reinoehl-Kompa, S.

    2005-01-01

    After the introductory lectures the closed conference divided into sessions on the estimation, assessment and management of risks. This review article summarises some of the central issues which were addressed in the discussions held during the closed conference and which may be of significance for the future work of the ''Radiation Risk'' Committee within the Radiation Protection Commission. Fundamental difficulties still persist in the implementation of risk quantities within the concepts of radiation protection (lectures by Breckow and Kiefer). Some of these difficulties have to do with the definition of dose quantities, in particular with the one most central to radiation protection, the effective dose. In the field of sparsely ionizing radiation attention was focused on two main topics, namely the risk of acquiring thyroid cancer in association with the Chernobyl desaster and analyses of new mortality data on the survivors of the nuclear bomb attacks on Hiroshima and Nagasaki. In the area of lung cancer risk from radon exposure, attention was focused on indoor exposure and the cohort study on bismuth miners. The body of knowledge that has accumulated on the risk of acquiring cancer through UV radiation takes a special position within the wider field of risks associated with nonionizing radiation, since much has already been achieved towards identifying the action mechanisms involved here. Since skin cancer shows the highest increments in incidence of all types of cancer, estimating the risk of acquiring skin cancer through UV radiation will be an important issue in future. One of the tasks of risk management is to translate the results of risk assessment into action. One task of particular importance in this regard is ''risk communication'', the problems surrounding which were illuminated from different perspectives in various contributions

  14. Assessment of methodologies for radioactive waste management

    International Nuclear Information System (INIS)

    Hoos, I.R.

    1978-01-01

    No quantitative methodology is adequate to encompass and assess all the risks, no risk/benefit calculation is fine-tuned enough to supply decision-makers with the full range and all of the dimensions. Quality assurance cannot be conceived in terms of systems design alone, but must be maintained vigilantly and with integrity throughout the process. The responsibility of the NRC is fairly well established with respect to overall reactor safety. With respect to the management of radioactive wastes, its mission is not yet so clearly delineated. Herein lies a challenge and an opportunity. Where the known quantitative methodologies are restrictive and likely to have negative feedback effect on authority and public support, the broader lens and the bolder thrust are called for. The cozy cocoon of figures ultimately protects no one. The Commission, having acknowledged that the management of radioactive wastes is not merely a technological matter can now take the socially responsible position of exploring as fully and confronting as candidly as possible the total range of dimensions involved. Paradoxically, it is Charles J. Hitch, intellectual progenitor of the methodology, who observes that we may be missing the meaning of his message by relying too heavily on quantitative analysis and thus defining our task too narrowly. We live in a closed system, in which science and technology, politics and economics, and, above all, social and human elements interact, sometimes to create the problems, sometimes to articulate the questions, and sometimes to find viable solutions

  15. The family receiving home care: functional health pattern assessment.

    Science.gov (United States)

    Hooper, J I

    1996-01-01

    The winds of change in health care make assessment of the family more important than ever as a tool for health care providers seeking to assist the family move themselves toward high-level wellness. Limited medical care and imposed self-responsibility for health promotion and illness prevention, which are natural consequences of these changes, move the locus of control for health management back to the family. The family's teachings, modeling, and interactions are greater influences than ever on the health of the patient. Gordon's functional health patterns provide a holistic model for assessment of the family because assessment data are classified under 11 headings: health perception and health management, nutritional-metabolic, elimination, activity and exercise, sleep and rest, cognition and perception, self-perception and self-concept, roles and relationships, sexuality and reproduction, coping and stress tolerance, and values and beliefs. Questions posed under each of the health patterns can be varied to reflect the uniqueness of the individual family as well as to inquire about family strengths and weaknesses in all patterns. Data using this model provide a comprehensive base for including the family in designing a plan of care.

  16. CEA: assessment of risk management 2011

    International Nuclear Information System (INIS)

    2012-06-01

    This report proposes an overview of CEA activities in the field of risk management in different areas: impact on the environment, installation safety, management of occupational risks (occupational health and safety), radiological protection of workers, transportation of hazardous materials, waste management, protection of sites, installations and heritage, management of emergency situations, management of law risks, controls and audits. It finally presents the risk management department

  17. Assessment of two BWR accident management strategies

    International Nuclear Information System (INIS)

    Hodge, S.A.; Petek, M.

    1994-01-01

    Candidate mitigative strategies for the management of in-vessel events during the late phase (after-core degradation has occurred) of postulated boiling water reactor (BWR) severe accidents were considered at Oak Ridge National Laboratory (ORNL) during 1990. The identification of new strategies was subject to the constraint that they should, to the maximum extent possible, make use of the existing equipment and water resources of the BWR facilities, and not require major equipment modifications or additions. As a result of this effort, two of these candidate strategies were recommended for further assessment. The first was a strategy for containment flooding to maintain the core and structural debris within the reactor vessel in the event that vessel injection cannot be restored to terminate a severe accident sequence. The second strategy pertained to the opposite case, for which vessel injection would be restored after control blade melting had begun; its purpose was to provide an injection source of borated water at the concentration necessary to preclude criticality upon recovering a damaged BWR core. Assessments of these two strategies were performed during 1991 and this paper provides a discussion of the motivation for and purpose of these strategies, and the potential for their success. ((orig.))

  18. Functional Thinking for Managing Challenging Behavior

    Science.gov (United States)

    Allday, R. Allan

    2018-01-01

    Challenging student behavior remains one of the biggest trials for classroom teachers. Understanding why a student performs a specific behavior is important in determining how to develop an intervention that targets the function of the behavior. This column focuses on how thinking functionally about behavior can help teachers understand why…

  19. Scope Management of Non-Functional Requirements

    NARCIS (Netherlands)

    Kassab, M.; Daneva, Maia; Ormandjieva, O.; Mueller, P.; Lyggesmeyer, P.; Maehle, E.

    2007-01-01

    In order to meet commitments in software projects, a realistic assessment must be made of project scope. Such an assessment relies on the availability of knowledge on the user-defined project requirements and their effort estimates and priorities, as well as their risk. This knowledge enables

  20. Incorporating Function Points into Earned Value Management

    Science.gov (United States)

    2011-05-01

    th th t b t it it t dorgan za on s ou  use  ose  a   es  su   s  managemen  nee s. – 3.7.2 Apportioned Effort • Apportioned effort is work for which...Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202...of  management and technology issues.  He is an experienced project manager, managing over 50 projects during  hi M R t h i ll id d t i ht i t f t j

  1. Assessment of functional and musculoskeletal problems, and ...

    African Journals Online (AJOL)

    Generally, the participants were mostly independent in carrying out activities of daily living (ADL), such as feeding (92.5%), grooming (85.7%), money management (84.9%) and management of medication (83.9%). The results also showed that a few of the participants were dependent in bathing (10.2%), walking (9.9%) and ...

  2. Rabeto plus: a valuable drug for managing functional dyspepsia.

    Science.gov (United States)

    Ghosh, Asim; Halder, Susanta; Mandal, Sanjoy; Mandal, Arpan; Basu, Mitali; Dabholkar, Pareen

    2008-11-01

    The aim of the study was to evaluate and document the efficacy and tolerability of rabeto plus (FDC of rabeprazole and itopride) in management of functional dyspepsia. It was an open, prospective, non-comparative, multidose study. The patients with functional dyspepsia (NERD or non-erosive reflux disease) attending OPD of a leading, tertiary care, teaching hospital in West Bengal (BS Medical College, Bankura) were inducted in the study. A total of 46 adult patients of either sex with functional dyspepsia and a clinical diagnosis of NERD were given 1 capsule of rabeto plus before breakfast, for up to 4 weeks. Primary efficacy variables were relief from symptoms of heartburn, nausea, vomiting, waterbrash and fullness. Secondary efficacy variables were global assessment of efficacy and toleration by patients and treating physicians. The tolerability was assessed on the basis of record of spontaneously reported adverse events with their nature, intensity and outcome. Out of 55 patients enrolled in the study, 46 completed the study as planned, while 9 patients were lost to follow-up (dropped). Most patients reported near total symptom relief by the end of study. Total symptom score showed remarkable and significant improvement from baseline to end of the study. Importantly, none of the patients reported any side-effect. All participants tolerated the drug well. Moreover, response to study drug was rated as excellent or good by over 93% patients and their treating physicians. This means that 9 out 10 patients receiving rabeto plus reported desired symptom relief from dyspepsia. Thus it was concluded that rabeto plus is a valuable drug for treatment of functional dyspepsia or NERD.

  3. CEA - Assessment of risk management 2013

    International Nuclear Information System (INIS)

    Bigot, Bernard; Bonnevie, Edwige; Maillot, Bernard

    2014-06-01

    After some introducing texts by CEA managers, this report proposes a rather detailed overview and presentation of CEA activities, objectives and obtained results in different fields: protection and control of the environment, installation safety, health, safety and radiation protection, transports of hazardous materials, waste management, protection of sites, installations and heritage, management of emergency situations, management of legal risks, internal controls and audits, activity of the risk management department, CEA activities from research to industry

  4. Specific Features of Functioning of the Corporate Tax Management

    Directory of Open Access Journals (Sweden)

    Tkachyk Lesya P.

    2013-12-01

    Full Text Available The article identifies and reveals the essence of functional elements of corporate tax management, which are tax planning, tax analysis, tax accounting and reporting, tax control and tax monitoring. The article builds a functional model of corporate tax management that reflects interaction of its functional elements in the process of realisation of tax activity of economic subjects. Pursuant to this model, the corporate tax management is conducted in several stages, namely: development of alternative variants of tax activity, analysis of alternative variants of tax activity, selection of the optimal variant of tax activity, realisation of tax activity, control over realisation of tax activity and development of measures of increase of efficiency of tax management. Application of the functional model of corporate tax management, which envisages use of all instruments, allows optimisation of tax payments of economic subjects.

  5. Assessing Executive Functioning: A Pragmatic Review

    Science.gov (United States)

    Hass, Michael R.; Patterson, Ashlea; Sukraw, Jocelyn; Sullivan, Brianna M.

    2014-01-01

    Despite the common usage of the term "executive functioning" in neuropsychology, several aspects of this concept remain unsettled. In this paper, we will address some of the issues surrounding the notion of executive functioning and how an understanding of executive functioning and its components might assist school-based practitioners…

  6. Mechanisms and management of functional abdominal pain

    OpenAIRE

    Farmer, Adam D; Aziz, Qasim

    2014-01-01

    Functional abdominal pain syndrome is characterised by frequent or continuous abdominal pain associated with a degree of loss of daily activity. It has a reported population prevalence of between 0.5% and 1.7%, with a female preponderance. The pathophysiology of functional abdominal pain is incompletely understood although it has been postulated that peripheral sensitisation of visceral afferents, central sensitisation of the spinal dorsal horn and aberrancies within descending modulatory sys...

  7. Assessment of learning components of management training course ...

    African Journals Online (AJOL)

    Assessment of learning components of any training course provides a benchmark through which training institutions or organizers could assess the effectiveness of the training. The study assessed learning components of agricultural research management training course organized for senior research managers in Nigeria.

  8. Assessment and management of ecological integrity: Chapter 12

    Science.gov (United States)

    Kwak, Thomas J.; Freeman, Mary C.

    2010-01-01

    Assessing and understanding the impacts of human activities on aquatic ecosystems has long been a focus of ecologists, water resources managers, and fisheries scientists. While traditional fisheries management focused on single-species approaches to enhance fish stocks, there is a growing emphasis on management approaches at community and ecosystem levels. Of course, as fisheries managers shift their attention from narrow (e.g., populations) to broad organizational scales (e.g., communities or ecosystems), ecological processes and management objectives become more complex. At the community level, fisheries managers may strive for a fish assemblage that is complex, persistent, and resilient to disturbance. Aquatic ecosystem level objectives may focus on management for habitat quality and ecological processes, such as nutrient dynamics, productivity, or trophic interactions, but a long-term goal of ecosystem management may be to maintain ecological integrity. However, human users and social, economic, and political demands of fisheries management often result in a reduction of ecological integrity in managed systems, and this conflict presents a principal challenge for the modern fisheries manager. The concepts of biotic integrity and ecological integrity are being applied in fisheries science, natural resource management, and environmental legislation, but explicit definitions of these terms are elusive. Biotic integrity of an ecosystem may be defined as the capability of supporting and maintaining an integrated, adaptive community of organisms having a species composition, diversity, and functional organization comparable to that of a natural habitat of the region (Karr and Dudley 1981). Following that, ecological integrity is the summation of chemical, physical, and biological integrity. Thus, the concept of ecological integrity extends beyond fish and represents a holistic approach for ecosystem management that is especially applicable to aquatic systems. The

  9. Assessment of solid waste management systems in Ibadan North ...

    African Journals Online (AJOL)

    Assessment of solid waste management systems in Ibadan North, Oyo State using geo-spatial ... Ethiopian Journal of Environmental Studies and Management ... Keywords: GIS, Median, Nearest Neighbour Analysis (NNA), Skip Bins ...

  10. Assessment of supply chain management and its impact on the ...

    African Journals Online (AJOL)

    GBK

    This study assessed the status of supply chain management of laboratory ... Methods: The study was conducted in 39 health facilities (HFs) from eight districts in four ... avoid frequent stock-out of laboratory supplies, logistics management ...

  11. Air Traffic Management Cost Assessment Tool, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — The Robust Analytics Air Traffic Management Cost Assessment Tool (ACAT) provides the comprehensive capability to analyze the impacts of NASA air traffic management...

  12. Assessment of LANL waste management site plan

    International Nuclear Information System (INIS)

    Black, R.L.; Davis, K.D.; Hoevemeyer, S.S.; Jennrich, E.A.; Lund, D.M.

    1991-04-01

    The objective of this report is to present findings from evaluating the Los Alamos National Laboratory (LANL) Waste Management Plan to determine if it meets applicable DOE requirements. DOE Order 5820.2A, Radioactive Waste Management, sets forth requirements and guidelines for the establishment of a Waste Management Plan. The primary purpose of a Waste Management Plan is to describe how waste operations are conducted, what facilities are being used to manage wastes, what forces are acting to change current waste management systems, and what plans are in store for the coming year

  13. Methodology of Economic Assessment of Corporate Finance Management Effectiveness

    OpenAIRE

    Juscu Nicolae Cristian

    2011-01-01

    “The methodology of economic assessment of corporate finance management effectiveness” deals with the analysis of the basic issues of economic aspects of corporate finance management effectiveness; the paper presents the essential issues of the existing methods for establishing the economic effectiveness of corporate finance management and control; it also proposes the improvement of the approach regarding the assessment of finance management effectiveness of a company.

  14. CEA - Assessment of risk management for 2012

    International Nuclear Information System (INIS)

    Bonnevie, Edwige

    2013-06-01

    This report proposes an overview of the main events, actions performed by the CEA, and facts for 2012 regarding protection and monitoring of the environment, installation safety, occupational health and safety, radiological protection of workers, transportation of hazardous materials, waste management, protection of sites, installations and heritage, emergency situation management, legal risk management, internal controls and audits. It also presents the organisation and action of the risk management department within the CEA

  15. [Risk Assessment and Risk Management of Chemicals in China].

    Science.gov (United States)

    Wang, Tie-yu; Zhou, Yun-qiao; Li, Qi-feng; Lü, Yong-long

    2016-02-15

    Risk assessment and risk management have been increasingly approved as an effective approach for appropriate disposal and scientific management of chemicals. This study systematically analyzed the risk assessment methods of chemicals from three aspects including health risk, ecological risk and regional risk. Based on the current situation of classification and management towards chemicals in China, a specific framework of risk management on chemicals was proposed by selecting target chemicals, predominant industries and related stakeholders as the objects. The results of the present study will provide scientific support for improving risk assessment and reasonable management of chemicals in China.

  16. FUNCTIONAL MANAGER SUBSYSTEM OF THE ORGANIZATION END MANAGEMENT BY BJECTIVES OF THE ORGANIZATION

    Directory of Open Access Journals (Sweden)

    Munteanu Stolojanu Victoria-Ileana

    2011-06-01

    Full Text Available Continuous process of asset management and communication between higher and subordinate employee evaluation method that allows determining, measuring, monitoring and performance objectives and eliminating deviaţionismului functional organizations, management by objectives continue to encourage researchers. The innovative character of the paper is that it shows how the functional manager solved using management by objective and organizational subsystem of the organization, problems arising from the dynamic nature of the functions (research and development, production, trade, finance and accounting staff, activities and powers of organizations and individual tasks to the workers to realize programs of action. Scientific challenge we have been made by an actual problem functions, activities and functions of organizations: the statutory concentration behavior of the functional compartments of their targets. The consequences are serious: neglect of the general interests of the organization, functioning deviaţionism appearance, failure to achieve the management contracts. The involvement of functional managers in implementing their strategies involves functional common goals. The efficiency with which social work is spent is given by the organizing resources of the organizations At the same time researchers recognize it as an element that prevents the proper organization, lack of methodological elements in practice, absolutely mandatory to any use management methods and techniques, a situation that nourishes and enhances the dilettantism in performing the management processes. Management by objectives solves these deficiencies. Management by objectives has components (detailed items necessary to achieve the organizations objectives: categorical system of objectives, action programs (true functional strategies, calendars, timelines, directories of methods, guidelines, tool kit, which makes profesional the manager job,not letting him with his bare

  17. Understanding and Managing the Assessment Process

    Science.gov (United States)

    Gene Lessard; Scott Archer; John R. Probst; Sandra Clark

    1999-01-01

    Taking an ecological approach to management, or ecosystem management, is a developing approach for managing natural resources within the context of large geogaphic scales and over multiple time frames. Recently, the Council on Environmental Quality (CEQ) (IEMTF 1995) defined an ecosystem as "...an interconnected community of living things, including humans, and...

  18. Selection, competency development and assessment of nuclear power plant managers

    International Nuclear Information System (INIS)

    1998-06-01

    This publication provides information on proven methods and good practices with respect to the selection, development and assessment of nuclear power plant (NPP) managers. The report is organized into four sections, a glossary, two appendices, and several annexes. The Introduction (Section 1) provides the framework for the report. Section 2 describes how appropriate management competencies can be used for the selection, development and assessment of NPP managers, including: -Selection which includes recruitment, promotion and succession management. -Management development programmes including formal training, job rotation, on the job training, mentoring, and outside assignments. -Assessment of individual performance. Section 3 describes a systematic process for identifying the competencies needed by NPP managers. This section culminates in a set of suggested core competencies for NPP managers which are further expanded in Appendix A. The annexes included provide specific examples of competency-based management selection, development, and assessment programmes in several Member States. -Annex A is one method to organize and display competencies. -Annex B is an example of using competencies for selection of first line managers. -Annex C is an example of using management competencies for succession management. -Annexes -H are examples of management development programmes. -Annexes I and J are examples of management assessment programmes. A glossary of terms is provided at the end of the report to explain the use of some key terms explain the use of some key terms

  19. Managing Post-Disaster Needs Assessments (PDNA)

    OpenAIRE

    Jones, Brett

    2010-01-01

    This knowledge note provides an overview of the post-disaster assessment process, extracting lessons learned in the East Asia Pacific Region (EAP) and presenting best practices from recent assessments. The note explains the Post-Disaster Needs Assessment (PDNA) methodology, and outlines: (i) the assessment triggers, (ii) key steps in assessment planning, and (iii) dos and don'ts in assessm...

  20. Analysis of Management Behavior Assessments and Affect on Productivity

    National Research Council Canada - National Science Library

    Shipley, Jr, Steven E

    2005-01-01

    ... (Virtual Military Health Institute, 2003). The need exists for constructing a reliable behavior assessment instrument that captures data operationalized into correlational relationships between hospital management and employee beliefs...

  1. Road Maintenance and Rehabilitation Program Using Functional and Structural Assessment

    Science.gov (United States)

    Setianingsih, A. I.; Sangaji, S.; Setyawan, A.

    2017-02-01

    Road sector development policy in Bangka Belitung emphasis on equitable development, which is opening up new areas for industrial development zones of potential marine and coastal tourism, so that having an impact on the budget priority to build a new road. This led to a minimal budget provided for the maintenance of the existing road. This study aimed to evaluate the condition of the pavement both functionally and structurally, the growth of traffic density and the availability of existing road maintenance costs. Then, to analyze the influence of existing road conditions, traffic density and road maintenance costs to the type of road maintenance management. The results are compared with the results of the existing maintenance conducted by the Public Works Department of Bangka Belitung province. Evaluation of pavement conditions consists of visual assessment of pavement condition using IRI, pavement condition assessment functionally with deflection method using test data tool Benkelman Beam (BB) and the actual traffic load. IRI value, deflections and traffic growth gained from years 2011-2015 subsequently created regression models to obtain the relationship and the correlation coefficient. The analysis showed that using the same relative magnitude of the budget from 2011 to 2015, giving priority to the maintenance of the road with good conditions capable of providing the road with a steady state of 100%. Recommendations can be given that maintain the road with good conditions reflecting that preservation provide maximum results with the more efficient maintenance cost.

  2. Functional heartburn: definition and management strategies.

    Science.gov (United States)

    Zerbib, Frank; Bruley des Varannes, Stanislas; Simon, Mireille; Galmiche, Jean Paul

    2012-06-01

    Functional heartburn (FH) is a functional gastro-intestinal disorder characterized by symptoms of heartburn not related to gastro-esophageal reflux. The absence of evidence of reflux-related symptoms relies on absence of esophagitis at endoscopy (including biopsies to exclude eosinophilic esophagitis), a normal esophageal acid exposure during esophageal pH-monitoring together with a negative symptom-reflux association analysis and an unsatisfactory response to proton pump inhibitor therapy. Addition of impedance measurement to pH-monitoring is likely to increase the number of patients with recognized reflux-related symptoms. The pathophysiology of functional heartburn remains largely unknown but involves disturbed esophageal perception and psychological factors such as depression, anxiety and somatization. The treatment of FH remains largely empirical and an individual approach is therefore recommended. The clinician should provide reassurance and refrain from performing too many invasive tests or therapeutic procedures. The use of pain modulators is recommended by most experts despite the lack of appropriate clinical trials to support it.

  3. Assessing and managing multiple risks in a changing world ...

    Science.gov (United States)

    Roskilde University (Denmark) hosted a November 2015 workshop, Environmental Risk—Assessing and Managing Multiple Risks in a Changing World. This Focus article presents the consensus recommendations of 30 attendees from 9 countries regarding implementation of a common currency (ecosystem services) for holistic environmental risk assessment and management; improvements to risk assessment and management in a complex, human-modified, and changing world; appropriate development of protection goals in a 2-stage process; dealing with societal issues; risk-management information needs; conducting risk assessment of risk management; and development of adaptive and flexible regulatory systems. The authors encourage both cross-disciplinary and interdisciplinary approaches to address their 10 recommendations: 1) adopt ecosystem services as a common currency for risk assessment and management; 2) consider cumulative stressors (chemical and nonchemical) and determine which dominate to best manage and restore ecosystem services; 3) fully integrate risk managers and communities of interest into the risk-assessment process; 4) fully integrate risk assessors and communities of interest into the risk-management process; 5) consider socioeconomics and increased transparency in both risk assessment and risk management; 6) recognize the ethical rights of humans and ecosystems to an adequate level of protection; 7) determine relevant reference conditions and the proper ecological c

  4. Department of Energy Emergency Management Functional Requirements Study

    International Nuclear Information System (INIS)

    1987-05-01

    This Study, the Emergency Management Functional Requirements Study (EMFRS), identifies the physical environment, information resources, and equipment required in the DOE Headquarters Emergency Operations Center (EOC) to support the DOE staff in managing an emergency. It is the first step toward converting the present Forrestal EOC into a practical facility that will function well in each of the highly diverse types of emergencies in which the Department could be involved. 2 figs

  5. The specificity of functions and principles of fiscal management

    OpenAIRE

    Comaniciu, Carmen

    2007-01-01

    The multiple changes which take place in the public sector due to the economical social and political processes and phenomenon impose the development and the perfecting of public management in order to assure efficiency and efficacy. Although in the specialty literature, the concept of fiscal management or management of fiscal activity is not very well defined, we will try to define this concept, to identify the fundamental and specific objectives, to specify the content of specific functions...

  6. Riparian ecosystems and buffers - multiscale structure, function, and management: introduction

    Science.gov (United States)

    Kathleen A. Dwire; Richard R. Lowrance

    2006-01-01

    Given the importance of issues related to improved understanding and management of riparian ecosystems and buffers, the American Water Resources Association (AWRA) sponsored a Summer Specialty Conference in June 2004 at Olympic Valley, California, entitled 'Riparian Ecosystems and Buffers: Multiscale Structure, Function, and Management.' The primary objective...

  7. The integration of quality management functions within a university ...

    African Journals Online (AJOL)

    According to a recent study, institutions of higher learning in South Africa fail to a great extent to integrate the key management functions that are fundamental to effective quality management. This article argues that the effective promotion of quality of a university's core business depends to a large extent on the ability of an ...

  8. HUMAN RESOURCE MANAGEMENT - FROM FUNCTION TO STRATEGIC PARTNER

    Directory of Open Access Journals (Sweden)

    Todericiu Ramona

    2013-07-01

    The purpose of this article is to present the current research state in the field of strategic human resource management. In order to achieve this, the factors that underline the importance of human resource management are assessed. The study has been accomplished using the methodology of bibliographic study and qualitative research.

  9. COPD management: role of symptom assessment in routine clinical practice

    Directory of Open Access Journals (Sweden)

    van der Molen T

    2013-10-01

    Full Text Available Thys van der Molen,1,2 Marc Miravitlles,3 Janwillem WH Kocks1,21Department of General Practice, 2GRIAC (Groningen Research Institute for Asthma and COPD, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; 3Pneumology Department, Hospital Universitari Vall d'Hebron, Biomedical Research Networking Centre in Respiratory Diseases (CIBERES, Barcelona, SpainAbstract: Patients with chronic obstructive pulmonary disease (COPD present with a variety of symptoms that significantly impair health-related quality of life. Despite this, COPD treatment and its management are mainly based on lung function assessments. There is increasing evidence that conventional lung function measures alone do not correlate well with COPD symptoms and their associated impact on patients' everyday lives. Instead, symptoms should be assessed routinely, preferably by using patient-centered questionnaires that provide a more accurate guide to the actual burden of COPD. Numerous questionnaires have been developed in an attempt to find a simple and reliable tool to use in everyday clinical practice. In this paper, we review three such patient-reported questionnaires recommended by the latest Global Initiative for Chronic Obstructive Lung Disease guidelines, ie, the modified Medical Research Council questionnaire, the clinical COPD questionnaire, and the COPD Assessment Test, as well as other symptom-specific questionnaires that are currently being developed.Keywords: chronic obstructive pulmonary disease, symptoms, questionnaires

  10. Water chemistry management during hot functional test

    International Nuclear Information System (INIS)

    Yokoyama, Jiro; Kanda, Tomio; Kagawa, Masaru

    1988-01-01

    To reduce radiation exposure in light water reactor, it is important decrease radioactive corrosion product which is a radiation source. One of the countermeasures is to improve water quality during plant trial operation to form a stable oxide film and to minimize metal release to the coolant at the beginning of commercial operation. This study reviews the optimum water quality conditions to form a chromium rich oxide film during hot functional test (HFT) that is thought to be stable under the PWR condition and reduce the release of Ni that is the source of Co-58, the main radiation source of exposure. (author)

  11. Functional-Based Assessment of Social Behavior: Introduction and Overview.

    Science.gov (United States)

    Lewis, Timothy J.; Sugai, George

    1994-01-01

    This introduction to and overview of a special issue on social behavior assessment within schools discusses the impact of function-based methodologies on assessment and intervention practices in identification and remediation of challenging social behaviors. (JDD)

  12. Information management applications for the compliance function: a utility perspective

    International Nuclear Information System (INIS)

    Savoie, R.A.

    1986-01-01

    Today's complex and changing regulatory environment presents many challenges to those involved in the nuclear power industry. This is particularly true of technical personnel and managers involved in serving the compliance function for nuclear utilities. Adequately supporting the construction, startup, and operations of a nuclear power plant while simultaneously satisfying each regulatory requirement requires the meshing of thousands of individual regulatory tasks with each possible implementation option. The compliance function acts as a screen or filter between the regulatory bodies and the utility nuclear staff. Many varied approaches are taken by utilities in performing this compliance function, both from an organizational and information management perspective. The purpose of this paper is to describe the experiences of Louisiana Power and Light (LP and L) in developing its compliance function and to describe the innovative information management techniques LP and L has developed to serve this function

  13. Developing drought impact functions for drought risk management

    Directory of Open Access Journals (Sweden)

    S. Bachmair

    2017-11-01

    Full Text Available Drought management frameworks are dependent on methods for monitoring and prediction, but quantifying the hazard alone is arguably not sufficient; the negative consequences that may arise from a lack of precipitation must also be predicted if droughts are to be better managed. However, the link between drought intensity, expressed by some hydrometeorological indicator, and the occurrence of drought impacts has only recently begun to be addressed. One challenge is the paucity of information on ecological and socioeconomic consequences of drought. This study tests the potential for developing empirical drought impact functions based on drought indicators (Standardized Precipitation and Standardized Precipitation Evaporation Index as predictors and text-based reports on drought impacts as a surrogate variable for drought damage. While there have been studies exploiting textual evidence of drought impacts, a systematic assessment of the effect of impact quantification method and different functional relationships for modeling drought impacts is missing. Using Southeast England as a case study we tested the potential of three different data-driven models for predicting drought impacts quantified from text-based reports: logistic regression, zero-altered negative binomial regression (hurdle model, and an ensemble regression tree approach (random forest. The logistic regression model can only be applied to a binary impact/no impact time series, whereas the other two models can additionally predict the full counts of impact occurrence at each time point. While modeling binary data results in the lowest prediction uncertainty, modeling the full counts has the advantage of also providing a measure of impact severity, and the counts were found to be reasonably predictable. However, there were noticeable differences in skill between modeling methodologies. For binary data the logistic regression and the random forest model performed similarly well based on

  14. Diagnosis and Management of Functional Heartburn.

    Science.gov (United States)

    Hachem, Christine; Shaheen, Nicholas J

    2016-01-01

    Heartburn is among the most common gastrointestinal symptoms presenting to both generalist physicians and gastroenterologists. Heartburn that does not respond to traditional acid suppression is a diagnostic and therapeutic dilemma. In the era of high utilization of proton pump inhibitors, a substantial proportion of patients presenting to the gastroenterologist with chronic symptoms of heartburn do not have a reflux-mediated disease. Subjects without objective evidence of reflux as a cause of their symptoms have "functional heartburn". The diagnostic role of endoscopy, reflux and motility testing in functional heartburn (FH) patients is discussed. Lifestyle modifications, pharmacological interventions, and alternative therapies for FH are also presented. Recognition of patients with FH allows earlier assignment of these patients to different treatment algorithms, which may allow greater likelihood of success of treatment, diminished resource utilization and improved quality of life. Further data on this large and understudied group of patients is necessary to allow improvement in treatment algorithms and a more evidence-based approach to care of these patients.

  15. Parent knowledge of disease management in cystic fibrosis: Assessing behavioral treatment management.

    Science.gov (United States)

    Nicolais, Christina J; Bernstein, Ruth; Riekert, Kristin A; Quittner, Alexandra L

    2018-02-01

    Cystic fibrosis (CF) is a life-shortening, burdensome disease requiring complex knowledge to manage the disease. Significant gaps in knowledge have been documented for parents, which may lead to unintentionally poor adherence and insufficient transfer of treatment responsibility from parents to adolescents. There are no current, validated measures of parent knowledge for this population and there are no measures that assess the knowledge required for day-to-day behavioral management of CF. We assessed the psychometric properties of the parent version of the Knowledge of Disease Management-Cystic Fibrosis measure (KDM-CF-P) using data from iCARE (I Change Adherence and Raise Expectations), a randomized control adherence intervention trial. A total of 196 parents in the iCARE standard care/control arm completed 35 items assessing their knowledge of disease management at their 12-month study visit, prior to beginning the intervention. Items were eliminated from the measure if they met the threshold for ceiling effects, were deemed clinically irrelevant, or did not correlate well with their intended scale. Item-to-total correlations, confirmatory factor analysis, discriminant function, reliability, and convergent validity were calculated. The KDM-CF-P (19 items) demonstrated internal consistency of KR20 = 0.60 on each scale and a two-scale structure. Convergent validity for knowledge scores was found with maternal education, family income, and type of medical insurance. Parents correctly answered approximately 85% of items on the KDM-CF-P. The KDM-CF-P psychometrics support a two-scale measure with clinical utility. It is useful for assessing gaps in knowledge that can be remediated through individualized, tailored interventions. © 2017 Wiley Periodicals, Inc.

  16. MRI to assess renal structure and function.

    Science.gov (United States)

    Artunc, Ferruh; Rossi, Cristina; Boss, Andreas

    2011-11-01

    In addition to excellent anatomical depiction, MRI techniques have expanded to study functional aspects of renal physiology, such as renal perfusion, glomerular filtration rate (GFR) or tissue oxygenation. This review will focus on current developments with an emphasis on clinical applicability. The method of GFR determination is largely heterogeneous and still has weaknesses. However, the technique of employing liver disappearance curves has been shown to be accurate in healthy persons and patients with chronic kidney disease. In potential kidney donors, complete evaluation of kidney anatomy and function can be accomplished in a single-stop investigation. Techniques without contrast media can be utilized to measure renal tissue oxygenation (blood oxygen level-dependent MRI) or perfusion (arterial spin labeling) and could aid in the diagnosis and treatment of ischemic renal diseases, such as renal artery stenosis. Diffusion imaging techniques may provide information on spatially restricted water diffusion and tumor cellularity. Functional MRI opens new horizons in studying renal physiology and pathophysiology in vivo. Although extensively utilized in research, labor-intensive postprocessing and lack of standardization currently limit the clinical applicability of functional MRI. Further studies are necessary to evaluate the clinical value of functional magnetic resonance techniques for early discovery and characterization of kidney disease.

  17. Assessment of implementation of the health management ...

    African Journals Online (AJOL)

    Background Despite Malawi's introduction of a health management information system (HMIS) in 1999, the country's health sector still lacks accurate, reliable, complete, consistent and timely health data to inform effective planning and resource management. Methods A cross-sectional survey was conducted wherein ...

  18. Assessment of Navy Contract Management Processes

    Science.gov (United States)

    2016-04-30

    capability? • 85% of quality problems are related to processes, while only 15% of problems are controlled by individual workers ( Deming , 1986...eligible participants: 369 • Total surveys completed: 185 • Response rate: 50% CONTRACT MANAGEMENT MATURITY MODEL© MATURITY LEVEL 5...Measurement – Organizations systematically use performance metrics to measure the quality and evaluate the effectiveness of the contract management

  19. Management assessment using draft ANSI/ASQC-E4

    International Nuclear Information System (INIS)

    Hampton, E. Jr.

    1992-01-01

    Presented herein is a description of the process, methods, and techniques employed to conduct a comprehensive environmental management assessment of environmental waste management activities conducted by the Waste Management Department of Reynolds Electrical ampersand Engineering Co., Inc. (REECo) at the Nevada Test Site (NTS) using the draft ANSI/ASQC-E4 standard

  20. FUNCTIONING OF SUSTAINABLE EDUCATIONAL ECONOMIC MANAGEMENT IN THE ENTERPRISE

    Directory of Open Access Journals (Sweden)

    Ileana (BADULESCU ANASTASE

    2014-06-01

    Full Text Available The paper addresses issues related to education management operation that determines the principles and requires an interdisciplinary approach, studying events that occur in the decision to organize a determined pedagogical activity and the management of educational programs. Managerial leadership involves emphasis on ideas, on a systematic approach, on change, innovation strategy, proposing a method of analyzing the functioning of sustainable educational management and positive effects. In this context, the article provides the principles, functions, methods and rules that a school must comply in order to ensure a sustainable future.The teaching staff represents an inexhaustible managerial resource valued at its social ladder of the system and education program.In the content of the paper are highlighted prominent school organization management functions as steps preceding decision making of their training where are presented applied studies on financial issues facing directors of schools who seek solutions to them.

  1. Assessing functional ability in older patients

    DEFF Research Database (Denmark)

    Nielsen, Louise Møldrup; Maribo, Thomas; Nielsen, Hanne Grethe

    2014-01-01

    from the hospital expressed a need for a fast and simple screening tool to identify those in need of further rehabilitation and care after discharge. Participants from the municipality expressed a need for a more detailed assessment tool to capture information about patients’ ability to perform daily...

  2. Patterns of Resistance in Managing Assessment Change

    Science.gov (United States)

    Deneen, Christopher; Boud, David

    2014-01-01

    Achieving change in assessment practices in higher education is difficult. One of the reasons for this is resistance among those responsible for teaching and assessing. This paper seeks to explore this resistance through an analysis of staff dialogue during a major attempt to change the assessment practices at one institution. An institution-wide…

  3. Assessing the impact of Solvency Assessment and Management on ...

    African Journals Online (AJOL)

    kirstam

    of risk-based capital aligned to the insurer's inherent business risks, the purpose being broader than ... implement sound risk management strategies and reporting of results (FSB 2006). ..... Drzik (2005) is also of the opinion that leaders in.

  4. Critical Zone Experimental Design to Assess Soil Processes and Function

    Science.gov (United States)

    Banwart, Steve

    2010-05-01

    Through unsustainable land use practices, mining, deforestation, urbanisation and degradation by industrial pollution, soil losses are now hypothesized to be much faster (100 times or more) than soil formation - with the consequence that soil has become a finite resource. The crucial challenge for the international research community is to understand the rates of processes that dictate soil mass stocks and their function within Earth's Critical Zone (CZ). The CZ is the environment where soils are formed, degrade and provide their essential ecosystem services. Key among these ecosystem services are food and fibre production, filtering, buffering and transformation of water, nutrients and contaminants, storage of carbon and maintaining biological habitat and genetic diversity. We have initiated a new research project to address the priority research areas identified in the European Union Soil Thematic Strategy and to contribute to the development of a global network of Critical Zone Observatories (CZO) committed to soil research. Our hypothesis is that the combined physical-chemical-biological structure of soil can be assessed from first-principles and the resulting soil functions can be quantified in process models that couple the formation and loss of soil stocks with descriptions of biodiversity and nutrient dynamics. The objectives of this research are to 1. Describe from 1st principles how soil structure influences processes and functions of soils, 2. Establish 4 European Critical Zone Observatories to link with established CZOs, 3. Develop a CZ Integrated Model of soil processes and function, 4. Create a GIS-based modelling framework to assess soil threats and mitigation at EU scale, 5. Quantify impacts of changing land use, climate and biodiversity on soil function and its value and 6. Form with international partners a global network of CZOs for soil research and deliver a programme of public outreach and research transfer on soil sustainability. The

  5. Assessment of left ventricular global function

    International Nuclear Information System (INIS)

    Breuel, H.-P.; Baehre, M.

    1985-01-01

    Radionuclide ventriculography (RNV), i.e. noninvasive evaluation of left venticular performance following the application of radionuclides has had a major impact on many aspects of cardiology and has proven its clinical value and reliability in the last few years. This article deals mainly with the changes in global left ventricular function. The clinical applications of RNV for coronary artery diseases and valvular heart diseases are described. (Auth.)

  6. Assessment of management effectiveness of Lekki conservation ...

    African Journals Online (AJOL)

    This study was carried out in the Lekki Conservation Centre (LCC), a private ... questionnaires for three categories of respondents – tourists, NCF and LCC ... awareness education and resource management are some of the strengths of LCC.

  7. AN ASSESSMENT OF THE INTEGRATED PEST MANAGEMENT ...

    African Journals Online (AJOL)

    Integrated Pest Management Collaborative Research Support Program) has been applying a farmer participatory IPM strategy at on-farm research sites in eastern Uganda since 1995. Following five years of project implementation an evaluation ...

  8. International assessment of functional computer abilities

    OpenAIRE

    Anderson, Ronald E.; Collis, Betty

    1993-01-01

    After delineating the major rationale for computer education, data are presented from Stage 1 of the IEA Computers in Education Study showing international comparisons that may reflect differential priorities. Rapid technological change and the lack of consensus on goals of computer education impedes the establishment of stable curricula for ¿general computer education¿ or computer literacy. In this context the construction of instruments for student assessment remains a challenge. Seeking to...

  9. Probabilistic risk assessment as an aid to risk management

    International Nuclear Information System (INIS)

    Garrick, B.J.

    1982-01-01

    Probabilistic risk assessments are providing important insights into nuclear power plant safety. Their value is two-fold: first as a means of quantifying nuclear plant risk including contributors to risk, and second as an aid to risk management. A risk assessment provides an analytical plant model that can be the basis for performing meaningful decision analyses for controlling safety. It is the aspect of quantitative risk management that makes probabilistic risk assessment an important technical discipline of the future

  10. Assessing management of raptor predation management for snowy plover recovery

    Science.gov (United States)

    Bruce G. Marcot; Daniel C. Elbert

    2015-01-01

    On February 4, 2014, a seven-member expert panel provided objective technical information on the potential effectiveness and feasibility of activities to manage raptors (northern harriers and great horned owls) to aid the recovery of western snowy plovers. The panel discussed and scored the 26 raptor control techniques in nine main categories of habitat modification,...

  11. Development of Management Quality Assessment Methodology in the Public Sector: Problems and Contradictions

    Directory of Open Access Journals (Sweden)

    Olga Vladimirovna Kozhevina

    2015-09-01

    Full Text Available The development management quality assessment methodology in the public sector is relevant scientific and practical problem of economic research. The utilization of the results of the assessment on the basis of the authors’ methodology allows us to rate the public sector organizations, to justify decisions on the reorganization and privatization, and to monitor changes in the level of the management quality of the public sector organizations. The study determined the place of the quality of the control processes of the public sector organization in the system of “Quality of public administration — the effective operation of the public sector organization,” the contradictions associated with the assessment of management quality are revealed, the conditions for effective functioning of the public sector organizations are proved, a mechanism of comprehensive assessment and algorithm for constructing and evaluating the control models of management quality are developed, the criteria for assessing the management quality in the public sector organizations, including economic, budgetary, social and public, informational, innovation and institutional criteria are empirically grounded. By utilizing the proposed algorithm, the assessment model of quality management in the public sector organizations, including the financial, economic, social, innovation, informational and institutional indicators is developed. For each indicator of quality management, the coefficients of importance in the management quality assessment model, as well as comprehensive and partial evaluation indicators are determined on the basis of the expert evaluations. The main conclusion of the article is that management quality assessment for the public sector organizations should be based not only on the indicators achieved in the dynamics and utilized for analyzing the effectiveness of management, but also should take into account the reference levels for the values of these

  12. Basic Management Functions in Culture and Arts Organisations

    Directory of Open Access Journals (Sweden)

    Dragoljub Raduški

    2016-04-01

    Full Text Available In the last fifty years management has become a significant factor in the development of sectors that have no profit characteristics. The culture and arts organisations are aware of the need for management. However, various specific aspects of the artistic practice are the key issue regarding the implementation of management in culture and arts. The main problem in obtaining positive outcomes is the correct adjustment of management and art functions having in mind the relationship between the two. The management functions need to be implemented and applied in such a manner that art activities should not be compromised. Due to project orientation, lack of funding and environment changes, entrepreneurship has assumed a significant role in achieving the goals of culture and arts organisations. In less developed countries, the functions of management are not implemented in arts and culture to their full potential. One reason is the importance a given society assigns to arts and culture. Still, implementation of management is the fundamental assumption of faster development of artistic, organisational and technical modernization and financial stabilisation of culture and arts organisations.

  13. Integrating Flow, Form, and Function for Improved Environmental Water Management

    Science.gov (United States)

    Albin Lane, Belize Arela

    Rivers are complex, dynamic natural systems. The performance of river ecosystem functions, such as habitat availability and sediment transport, depends on the interplay of hydrologic dynamics (flow) and geomorphic settings (form). However, most river restoration studies evaluate the role of either flow or form without regard for their dynamic interactions. Despite substantial recent interest in quantifying environmental water requirements to support integrated water management efforts, the absence of quantitative, transferable relationships between river flow, form, and ecosystem functions remains a major limitation. This research proposes a novel, process-driven methodology for evaluating river flow-form-function linkages in support of basin-scale environmental water management. This methodology utilizes publically available geospatial and time-series data and targeted field data collection to improve basic understanding of river systems with limited data and resource requirements. First, a hydrologic classification system is developed to characterize natural hydrologic variability across a highly altered, physio-climatically diverse landscape. Next, a statistical analysis is used to characterize reach-scale geomorphic variability and to investigate the utility of topographic variability attributes (TVAs, subreach-scale undulations in channel width and depth), alongside traditional reach-averaged attributes, for distinguishing dominant geomorphic forms and processes across a hydroscape. Finally, the interacting roles of flow (hydrologic regime, water year type, and hydrologic impairment) and form (channel morphology) are quantitatively evaluated with respect to ecosystem functions related to hydrogeomorphic processes, aquatic habitat, and riparian habitat. Synthetic river corridor generation is used to evaluate and isolate the role of distinct geomorphic attributes without the need for intensive topographic surveying. This three-part methodology was successfully

  14. Principles for assessing disease management outcomes.

    Science.gov (United States)

    Fitzner, Karen; Sidorov, Jaan; Fetterolf, Don; Wennberg, David; Eisenberg, Edward; Cousins, Michael; Hoffman, Joel; Haughton, John; Charlton, Warwick; Krause, David; Woolf, Allen; Mcdonough, Kenneth; Todd, Warren; Fox, Kathe; Plocher, David; Juster, Iver; Stiefel, Matt; Villagra, Victor; Duncan, Ian

    2004-01-01

    Disease management (DM) is rapidly becoming an important force in the late 20th and early 21st century as a strategy for managing the chronic illness of large populations. Given the increasing visibility of DM programs, the clinical, economic and financial impact of this support are vital to DM program accountability and its acceptance as a solution to the twin challenges of achieving affordable, quality health care. Measuring and reporting outcomes in DM is difficult. DM programs must adapt to local market conditions and customer desires, which in turn limits generalizability, and still account for the overlapping/interlocking/multifaceted nature of the interventions included in any DM program. The Disease Management Association of America convened a Steering Committee to suggest a preferred approach, not a mandated or standardized approach for DM program evaluation. This paper presents the Steering Committee's "Consensus Statement" and "Guiding Principles" for robust evaluation.

  15. Influence of personality and neuropsychological ability on social functioning and self-management in bipolar disorder.

    Science.gov (United States)

    Vierck, Esther; Joyce, Peter R

    2015-10-30

    A majority of bipolar patients (BD) show functional difficulties even in remission. In recent years cognitive functions and personality characteristics have been associated with occupational and psychosocial outcomes, but findings are not consistent. We assessed personality and cognitive functioning through a range of tests in BD and control participants. Three cognitive domains-verbal memory, facial-executive, and spatial memory-were extracted by principal component analysis. These factors and selected personality dimensions were included in hierarchical regression analysis to predict psychosocial functioning and the use of self-management strategies while controlling for mood status. The best determinants of good psychosocial functioning were good verbal memory and high self-directedness. The use of self-management techniques was associated with a low level of harm-avoidance. Our findings indicate that strategies to improve memory and self-directedness may be useful for increasing functioning in individuals with bipolar disorder. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  16. Blunt splenic trauma: Assessment, management and outcomes.

    Science.gov (United States)

    El-Matbouly, Moamena; Jabbour, Gaby; El-Menyar, Ayman; Peralta, Ruben; Abdelrahman, Husham; Zarour, Ahmad; Al-Hassani, Ammar; Al-Thani, Hassan

    2016-02-01

    The approach for diagnosis and management of blunt splenic injury (BSI) has been considerably shifted towards non-operative management (NOM). We aimed to review the current practice for the evaluation, diagnosis and management of BSI. A traditional narrative literature review was carried out using PubMed, MEDLINE and Google scholar search engines. We used the keywords "Traumatic Splenic injury", "Blunt splenic trauma", "management" between December 1954 and November 2014. Most of the current guidelines support the NOM or minimally approaches in hemodynamically stable patients. Improvement in the diagnostic modalities guide the surgeons to decide the timely management pathway Though, there is an increasing shift from operative management (OM) to NOM of BSI; NOM of high grade injury is associated with a greater rate of failure, prolonged hospital stay, risk of delayed hemorrhage and transfusion-associated infections. Some cases with high grade BSI could be successfully treated conservatively, if clinically feasible, while some patients with lower grade injury might end-up with delayed splenic rupture. Therefore, the selection of treatment modalities for BSI should be governed by patient clinical presentation, surgeon's experience in addition to radiographic findings. About one-fourth of the blunt abdominal trauma accounted for BSI. A high index of clinical suspicion along with radiological diagnosis helps to identify and characterize splenic injuries with high accuracy and is useful for timely decision-making to choose between OM or NOM. Careful selection of NOM is associated with high success rate with a lower rate of morbidity and mortality. Copyright © 2015 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

  17. Laryngeal Dysfunction: Assessment and Management for the Clinician.

    Science.gov (United States)

    Hull, James H; Backer, Vibeke; Gibson, Peter G; Fowler, Stephen J

    2016-11-01

    The larynx is one of the most highly innervated organs in humans and serves a number of vitally important, complex, and highly evolved biological functions. On a day-to-day basis, the larynx functions autonomously, addressing several roles including airway protection, swallowing, and phonation. In some situations the larynx appears to adopt a functional state that could be considered maladaptive or "dysfunctional." This laryngeal dysfunction can underpin and account for a number of respiratory symptoms that otherwise appear incongruous with a clinical disease state and/or contribute to the development of symptoms that appear "refractory" to treatment. These include conditions associated with a heightened tendency for inappropriate laryngeal closure (e.g., inducible laryngeal obstruction), voice disturbance, and chronic cough. Recognition of laryngeal dysfunction is important to deliver targeted treatment and failure to recognize the condition can lead to repeated use of inappropriate treatment. Diagnosis is not straightforward, however, and many patients appear to present with symptoms attributable to laryngeal dysfunction, but in whom the diagnosis has been overlooked in clinical work-up for some time. This review provides an overview of the current state of knowledge in the field of laryngeal dysfunction, with a focus on pragmatic clinical assessment and management.

  18. Assessment of smoothed spectra using autocorrelation function

    International Nuclear Information System (INIS)

    Urbanski, P.; Kowalska, E.

    2006-01-01

    Recently, data and signal smoothing became almost standard procedures in the spectrometric and chromatographic methods. In radiometry, the main purpose to apply smoothing is minimisation of the statistical fluctuation and avoid distortion. The aim of the work was to find a qualitative parameter, which could be used, as a figure of merit for detecting distortion of the smoothed spectra, based on the linear model. It is assumed that as long as the part of the raw spectrum removed by the smoothing procedure (v s ) will be of random nature, the smoothed spectrum can be considered as undistorted. Thanks to this feature of the autocorrelation function, drifts of the mean value in the removed noise vs as well as its periodicity can be more easily detected from the autocorrelogram than from the original data

  19. ADMINISTRATIVE INSTRUMENTS IN IMPLEMENTING FUNCTIONAL STRATEGIES COMPETITIVENESS MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Iryna Stankovska

    2017-03-01

    Full Text Available The article explores the use of  аdministrative instruments in implementing functional strategies competitiveness management. Due to providing strategic financial management competitiveness the use of administrative levers of control in the formulation and implementation of financial strategies were investigated. System of financial policies forming by individual policies of  general financial strategy, which is an administrative levers of influence on implementation strategies, was proposed. Structure strategic alternatives of financial and investment strategy implementation based on the decomposition and decision tree was formed. To select strategic alternatives, to identify strategic gaps and evaluate deviations from specified target markers in the implementation of financial policies using GAP-analysis that is a tool of management analysis was proposed. Key words: functional strategy, financial strategy, competitiveness management, financial policy, administrative instruments, GAP-analysis.

  20. Dynamic Sensor Management Algorithm Based on Improved Efficacy Function

    Directory of Open Access Journals (Sweden)

    TANG Shujuan

    2016-01-01

    Full Text Available A dynamic sensor management algorithm based on improved efficacy function is proposed to solve the multi-target and multi-sensory management problem. The tracking task precision requirements (TPR, target priority and sensor use cost were considered to establish the efficacy function by weighted sum the normalized value of the three factors. The dynamic sensor management algorithm was accomplished through control the diversities of the desired covariance matrix (DCM and the filtering covariance matrix (FCM. The DCM was preassigned in terms of TPR and the FCM was obtained by the centralized sequential Kalman filtering algorithm. The simulation results prove that the proposed method could meet the requirements of desired tracking precision and adjust sensor selection according to target priority and cost of sensor source usage. This makes sensor management scheme more reasonable and effective.

  1. The Functions of Sourcing Intermediaries in Global Supply Risk Management

    DEFF Research Database (Denmark)

    Vedel, Mette; Ellegaard, Chris

    The aim of this work-in-progress paper is to uncover the supply risk management functions performed by sourcing intermediaries. The purchasing and supply chain management literature, including the part of it concerned with supply risk, pays little attention to sourcing intermediaries....... But the fields of marketing and international business have investigated the intermediary including its high supply risk reducing potentials, suggesting that this supply chain entity may be highly relevant to supply risk management. In order to get a better understanding of the supply risk reducing properties...... of sourcing intermediaries, we perform a study of the Danish clothing industry. The study incorporate interviews across a range of functions and companies in this industry including retailers, producers, suppliers, and various types of intermediaries. We contribute by coupling the supply risk management...

  2. The Effects of Function-Based Self-Management Interventions on Student Behavior

    Science.gov (United States)

    Hansen, Blake D.; Wills, Howard P.; Kamps, Debra M.; Greenwood, Charles R.

    2014-01-01

    Children with emotional and behavioral disorders (E/BD) struggle to achieve social and academic outcomes. Many studies have demonstrated self-management interventions to be effective at reducing problem behavior and increasing positive social and academic behaviors. Functional behavior assessment (FBA) information may be used in designing…

  3. An Assessment of Integrated Health Management (IHM) Frameworks

    International Nuclear Information System (INIS)

    Lybeck, N.; Tawfik, M.; Coble, J.; Bond, L.J.

    2012-01-01

    In order to meet the ever increasing demand for energy, the United States (U.S.) nuclear industry is turning to life extension of existing nuclear power plants (NPPs). Economically ensuring the safe, secure, and reliable operation of aging nuclear power plants presents many challenges. The 2009 Light Water Reactor Sustainability Workshop identified online monitoring of active and structural components as essential to the better understanding and management of the challenges posed by aging nuclear power plants. Additionally, there is increasing adoption of condition-based maintenance (CBM) for active components in NPPs. These techniques provide a foundation upon which a variety of advanced online surveillance, diagnostic, and prognostic techniques can be deployed to continuously monitor and assess the health of NPP systems and components. The next step in the development of advanced online monitoring is to move beyond CBM to estimating the remaining useful life of active components using prognostic tools. Deployment of prognostic health management (PHM) on the scale of a NPP requires the use of an integrated health management (IHM) framework-a software product (or suite of products) used to manage the necessary elements needed for a complete implementation of online monitoring and prognostics. This paper provides a thoughtful look at the desirable functions and features of IHM architectures. A full PHM system involves several modules, including data acquisition, system modeling, fault detection, fault diagnostics, system prognostics, and advisory generation (operations and maintenance planning). The standards applicable to PHM applications are indentified and summarized. A list of evaluation criteria for PHM software products, developed to ensure scalability of the toolset to an environment with the complexity of a NPP, is presented. Fourteen commercially available PHM software products are identified and classified into four groups: research tools, PHM system

  4. An Assessment of Integrated Health Management (IHM) Frameworks

    International Nuclear Information System (INIS)

    Lybeck, N.; Tawfik, M.; Bond, L.; Coble, J.

    2012-01-01

    In order to meet the ever increasing demand for energy, the United States nuclear industry is turning to life extension of existing nuclear power plants (NPPs). Economically ensuring the safe, secure, and reliable operation of aging nuclear power plants presents many challenges. The 2009 Light Water Reactor Sustainability Workshop identified online monitoring of active and structural components as essential to the better understanding and management of the challenges posed by aging nuclear power plants. Additionally, there is increasing adoption of condition-based maintenance (CBM) for active components in NPPs. These techniques provide a foundation upon which a variety of advanced online surveillance, diagnostic, and prognostic techniques can be deployed to continuously monitor and assess the health of NPP systems and components. The next step in the development of advanced online monitoring is to move beyond CBM to estimating the remaining useful life of active components using prognostic tools. Deployment of prognostic health management (PHM) on the scale of a NPP requires the use of an integrated health management (IHM) framework - a software product (or suite of products) used to manage the necessary elements needed for a complete implementation of online monitoring and prognostics. This paper provides a thoughtful look at the desirable functions and features of IHM architectures. A full PHM system involves several modules, including data acquisition, system modeling, fault detection, fault diagnostics, system prognostics, and advisory generation (operations and maintenance planning). The standards applicable to PHM applications are indentified and summarized. A list of evaluation criteria for PHM software products, developed to ensure scalability of the toolset to an environment with the complexity of a NPP, is presented. Fourteen commercially available PHM software products are identified and classified into four groups: research tools, PHM system

  5. Assessment, authorization and access to medicaid managed mental health care.

    Science.gov (United States)

    Masland, Mary C; Snowden, Lonnie R; Wallace, Neal T

    2007-11-01

    Examined were effects on access of managed care assessment and authorization processes in California's 57 county mental health plans. Primary data on managed care implementation were collected from surveys of county plan administrators; secondary data were from Medicaid claims and enrollment files. Using multivariate fixed effects regression, we found that following implementation of managed care, greater access occurred in county plans where assessments and treatment were performed by the same clinician, and where service authorizations were made more rapidly. Lower access occurred in county plans where treating clinicians authorized services themselves. Results confirm the significant effects of managed care processes on outcomes and highlight the importance of system capacity.

  6. Assessment of uncertainties in severe accident management strategies

    International Nuclear Information System (INIS)

    Kastenberg, W.E.; Apostolakis, G.; Catton, I.; Dhir, V.K.; Okrent, D.

    1990-01-01

    Recent progress on the development of Probabilistic Risk Assessment (PRA) as a tool for qualifying nuclear reactor safety and on research devoted to severe accident phenomena has made severe accident management an achievable goal. Severe accident management strategies may involve operational changes, modification and/or addition of hardware, and institutional changes. In order to achieve the goal of managing severe accidents, a method for assessment of strategies must be developed which integrates PRA methodology and our current knowledge concerning severe accident phenomena, including uncertainty. The research project presented in this paper is aimed at delineating uncertainties in severe accident progression and their impact on severe accident management strategies

  7. ADMINISTRATIVE INSTRUMENTS IN IMPLEMENTING FUNCTIONAL STRATEGIES COMPETITIVENESS MANAGEMENT

    OpenAIRE

    Stankovska, Iryna

    2017-01-01

    The article explores the use of  аdministrative instruments in implementing functional strategies competitiveness management. Due to providing strategic financial management competitiveness the use of administrative levers of control in the formulation and implementation of financial strategies were investigated. System of financial policies forming by individual policies of  general financial strategy, which is an administrative levers of influence on implementation strategies, was proposed...

  8. Development of integrated accident management assessment technology

    International Nuclear Information System (INIS)

    Jung, Won Dea; Ha, Jae Joo; Jin, Young Ho

    2002-04-01

    This project aims to develop critical technologies for accident management through securing evaluation frameworks and supporting tools, in order to enhance capabilities coping with severe accidents. For the research goal, firstly under the viewpoint of accident prevention, on-line risk monitoring system and the analysis framework for human error have been developed. Secondly, the training/supporting systems including the training simulator and the off-site risk evaluation system have been developed to enhance capabilities coping with severe accidents. Four kinds of research results have been obtained from this project. Firstly, the framework and taxonomy for human error analysis has been developed for accident management. As the second, the supporting system for accident managements has been developed. Using data that are obtained through the evaluation of off-site risk for Younggwang site, the risk database as well as the methodology for optimizing emergency responses has been constructed. As the third, a training support system, SAMAT, has been developed, which can be used as a training simulator for severe accident management. Finally, on-line risk monitoring system, DynaRM, has been developed for Ulchin 3 and 4 unit

  9. Managing Athletic Liability: An Assessment Guide.

    Science.gov (United States)

    Burling, Philip; And Others

    1992-01-01

    A comprehensive risk-management program associated with athletic activities contains the following essential components: (1) policies and procedures; (2) training; (3) supervision; (4) corrective action; (5) review and revision; (6) legal counsel and support. Action steps follow each of these major areas. (29 case references) (MLF)

  10. Social Media in Emergency Management: Capability Assessment

    Science.gov (United States)

    2014-05-01

    pushed to them; and partnering with citizen groups, NGOs, industry and local businesses to: recruit and manage volunteers; bridge expertise and capacity...innovative mesh network solutions [48]. The partnerships that FEMA has built with the private sector also played an important role. Cisco Systems, for

  11. Total Quality Management: Implications for Educational Assessment.

    Science.gov (United States)

    Rankin, Stuart C.

    1992-01-01

    Deming's "System of Profound Knowledge" is even more fundamental than his 14-principle system transformation guide and is based on 4 elements: systems theory, statistical variation, a theory of knowledge, and psychology. Management should revamp total system processes so that quality of product is continually improved. Implications for…

  12. Advanced Inverter Functions and Communication Protocols for Distribution Management

    Energy Technology Data Exchange (ETDEWEB)

    Nagarajan, Adarsh; Palmintier, Bryan; Baggu, Murali

    2016-05-05

    This paper aims at identifying the advanced features required by distribution management systems (DMS) service providers to bring inverter-connected distributed energy resources into use as an intelligent grid resource. This work explores the standard functions needed in the future DMS for enterprise integration of distributed energy resources (DER). The important DMS functionalities such as DER management in aggregate groups, including the discovery of capabilities, status monitoring, and dispatch of real and reactive power are addressed in this paper. It is intended to provide the industry with a point of reference for DER integration with other utility applications and to provide guidance to research and standards development organizations.

  13. Real-time multi-function entry / exit management system

    International Nuclear Information System (INIS)

    Hiyama, Kazuhisa; Kurosawa, Akihiko; Asano, Norikazu; Onoue, Ryuji; Eguchi, Shohei; Hanawa, Nobuhiro; Hori, Naohiko; Ueda, Hisao; Kanda, Hiroaki

    2012-01-01

    In order to prevent radiation accident and its expansion, more integrated management system is required to safety management for radiation workers in the nuclear facilities. Therefore, JAEA (Japan Atomic Energy Agency) and HAM (Hitachi Aloka Medical, Ltd) have developed innovative real-time multi-function entry/exit management system which managed worker's exposed dose and position under the joint developed patent. This system is sharing worker's data among workers and server manager who is inside of or outside of building, such as worker's positing, health condition and exposed dose. It consists of mobile equipments, receivers, LAN, and servers system. This report summarizes the system to be installed in the JMTR. (author)

  14. [Certification assessment and quality and risk management].

    Science.gov (United States)

    Papin-Morardet, Maud

    2018-03-01

    Organised by the French National Health Authority (HAS), certification is an external assessment process which is obligatory for all public and private health facilities, whatever their size or activity. The aim is to independently evaluate the quality of the health care provision of hospitals and clinics in France. This article looks at the investigation methods and the procedure used during the certification assessment of Henri Mondor University Hospitals in 2016. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

  15. Assessing the effect of increased managed care on hospitals.

    Science.gov (United States)

    Mowll, C A

    1998-01-01

    This study uses a new relative risk methodology developed by the author to assess and compare certain performance indicators to determine a hospital's relative degree of financial vulnerability, based on its location, to the effects of increased managed care market penetration. The study also compares nine financial measures to determine whether hospital in states with a high degree of managed-care market penetration experience lower levels of profitability, liquidity, debt service, and overall viability than hospitals in low managed care states. A Managed Care Relative Financial Risk Assessment methodology composed of nine measures of hospital financial and utilization performance is used to develop a high managed care state Composite Index and to determine the Relative Financial Risk and the Overall Risk Ratio for hospitals in a particular state. Additionally, financial performance of hospitals in the five highest managed care states is compared to hospitals in the five lowest states. While data from Colorado and Massachusetts indicates that hospital profitability diminishes as the level of managed care market penetration increases, the overall study results indicate that hospitals in high managed care states demonstrate a better cash position and higher profitability than hospitals in low managed care states. Hospitals in high managed care states are, however, more heavily indebted in relation to equity and have a weaker debt service coverage capacity. Moreover, the overall financial health and viability of hospitals in high managed care states is superior to that of hospitals in low managed care states.

  16. Life cycle assessment of construction and demolition waste management

    International Nuclear Information System (INIS)

    Butera, Stefania; Christensen, Thomas H.; Astrup, Thomas F.

    2015-01-01

    Highlights: • LCA of C&DW utilisation in road vs. C&DW landfilling. • C&DW utilisation in road better than landfilling for most categories. • Transportation is the most important process in non-toxic impact categories. • Leaching of oxyanions is the critical process in toxic impact categories. • Modelling of Cr fate in the subsoil is highly influential to the results. - Abstract: Life cycle assessment (LCA) modelling of construction and demolition waste (C&DW) management was carried out. The functional unit was management of 1 Mg mineral, source separated C&DW, which is either utilised in road construction as a substitute for natural aggregates, or landfilled. The assessed environmental impacts included both non-toxic and toxic impact categories. The scenarios comprised all stages of the end-of-life management of C&DW, until final disposal of all residues. Leaching of inorganic contaminants was included, as was the production of natural aggregates, which was avoided because of the use of C&DW. Typical uncertainties related to contaminant leaching were addressed. For most impact categories, utilisation of C&DW in road construction was preferable to landfilling; however, for most categories, utilisation resulted in net environmental burdens. Transportation represented the most important contribution for most nontoxic impacts, accounting for 60–95 per cent of these impacts. Capital goods contributed with negligible impacts. Leaching played a critical role for the toxic categories, where landfilling had lower impacts than utilisation because of the lower levels of leachate per ton of C&DW reaching the groundwater over a 100-year perspective. Leaching of oxyanions (As, V and Sb) was critical with respect to leaching. Typical experimental uncertainties in leaching data did not have a pivotal influence on the results; however, accounting for Cr immobilisation in soils as part of the impact assessment was critical for modelling the leaching impacts. Compared

  17. Life cycle assessment of construction and demolition waste management

    Energy Technology Data Exchange (ETDEWEB)

    Butera, Stefania, E-mail: stbu@teknologisk.dk; Christensen, Thomas H.; Astrup, Thomas F.

    2015-10-15

    Highlights: • LCA of C&DW utilisation in road vs. C&DW landfilling. • C&DW utilisation in road better than landfilling for most categories. • Transportation is the most important process in non-toxic impact categories. • Leaching of oxyanions is the critical process in toxic impact categories. • Modelling of Cr fate in the subsoil is highly influential to the results. - Abstract: Life cycle assessment (LCA) modelling of construction and demolition waste (C&DW) management was carried out. The functional unit was management of 1 Mg mineral, source separated C&DW, which is either utilised in road construction as a substitute for natural aggregates, or landfilled. The assessed environmental impacts included both non-toxic and toxic impact categories. The scenarios comprised all stages of the end-of-life management of C&DW, until final disposal of all residues. Leaching of inorganic contaminants was included, as was the production of natural aggregates, which was avoided because of the use of C&DW. Typical uncertainties related to contaminant leaching were addressed. For most impact categories, utilisation of C&DW in road construction was preferable to landfilling; however, for most categories, utilisation resulted in net environmental burdens. Transportation represented the most important contribution for most nontoxic impacts, accounting for 60–95 per cent of these impacts. Capital goods contributed with negligible impacts. Leaching played a critical role for the toxic categories, where landfilling had lower impacts than utilisation because of the lower levels of leachate per ton of C&DW reaching the groundwater over a 100-year perspective. Leaching of oxyanions (As, V and Sb) was critical with respect to leaching. Typical experimental uncertainties in leaching data did not have a pivotal influence on the results; however, accounting for Cr immobilisation in soils as part of the impact assessment was critical for modelling the leaching impacts. Compared

  18. Life cycle assessment of construction and demolition waste management.

    Science.gov (United States)

    Butera, Stefania; Christensen, Thomas H; Astrup, Thomas F

    2015-10-01

    Life cycle assessment (LCA) modelling of construction and demolition waste (C&DW) management was carried out. The functional unit was management of 1 Mg mineral, source separated C&DW, which is either utilised in road construction as a substitute for natural aggregates, or landfilled. The assessed environmental impacts included both non-toxic and toxic impact categories. The scenarios comprised all stages of the end-of-life management of C&DW, until final disposal of all residues. Leaching of inorganic contaminants was included, as was the production of natural aggregates, which was avoided because of the use of C&DW. Typical uncertainties related to contaminant leaching were addressed. For most impact categories, utilisation of C&DW in road construction was preferable to landfilling; however, for most categories, utilisation resulted in net environmental burdens. Transportation represented the most important contribution for most nontoxic impacts, accounting for 60-95 per cent of these impacts. Capital goods contributed with negligible impacts. Leaching played a critical role for the toxic categories, where landfilling had lower impacts than utilisation because of the lower levels of leachate per ton of C&DW reaching the groundwater over a 100-year perspective. Leaching of oxyanions (As, V and Sb) was critical with respect to leaching. Typical experimental uncertainties in leaching data did not have a pivotal influence on the results; however, accounting for Cr immobilisation in soils as part of the impact assessment was critical for modelling the leaching impacts. Compared with the overall life cycle of building and construction materials, leaching emissions were shown to be potentially significant for toxicity impacts, compared with contributions from production of the same materials, showing that end-of-life impacts and leaching should not be disregarded when assessing environmental impacts from construction products and materials. CO2 uptake in the C

  19. Diagnostic Assessment and Management of Dysphagia in Patients with Alzheimer's Disease.

    Science.gov (United States)

    Boccardi, Virginia; Ruggiero, Carmelinda; Patriti, Alberto; Marano, Luigi

    2016-01-01

    A growing concern in patients affected by Alzheimer's disease (AD) is dysphagia, or swallowing impairment, which leads to malnutrition, dehydration, weight loss, functional decline and fear of eating and drinking, as well as a decrease in the quality of life. Thus the diagnostic assessment of dysphagia in patients with AD is imperative to ensure that they receive effective management, avoiding complications, and reducing comorbidity and mortality in such a growing population. Dysphagia management requires a multidisciplinary approach considering that no single strategy is appropriate for all patients. However, evidence for clinical diagnostic assessment, interventions, and medical management of dysphagia in these patients are still limited: few studies are reporting the evaluation and the management among this group of patients. Here we analyzed the most recent findings in diagnostic assessment and management of swallowing impairment in patients affected by AD.

  20. An assessment of customer satisfaction management practices

    OpenAIRE

    2014-01-01

    M.Phil. (Engineering Management) For over a decade, customer satisfaction has received increasing attention in marketing. Customer satisfaction is related to loyalty, which in tum is linked to increased profitability, market share, growth, and decreased costs.8 During the 1980s, Japanese firms won major market shares with their product quality and speed. As most leading western companies caught up with their Japanese competitors on quality, most Japanese firms were focusing on a new strate...

  1. Overview assessment of nuclear-waste management

    International Nuclear Information System (INIS)

    Burton, B.W.; Gutschick, V.P.; Perkins, B.A.

    1982-08-01

    After reviewing the environmental control technologies associated with Department of Energy nuclear waste management programs, we have identified the most urgent problems requiring further action or follow-up. They are in order of decreasing importance: (1) shallow land disposal technology development; (2) active uranium mill tailings piles; (3) uranium mine dewatering; (4) site decommissioning; (5) exhumation/treatment of transuranic waste at Idaho National Engineering Laboratory; (6) uranium mine spoils; and (7) medical/institutional wastes. 7 figures, 33 tables

  2. Assessment of LANL hazardous waste management documentation

    International Nuclear Information System (INIS)

    Davis, K.D.; Hoevemeyer, S.S.; Stirrup, T.S.; Jennrich, E.A.; Lund, D.M.

    1991-04-01

    The objective of this report is to present findings from evaluating the Los Alamos National Laboratory (LANL) ''Hazardous Waste Acceptance Criteria Receipt at TA-54, Area L'' to determine if it meets applicable DOE requirements. The guidelines and requirements for the establishment of a Hazardous Waste Acceptance Criteria (HW-WAC) are found in 40 CFR 260 to 270 and DOE Order 5820.2A. Neither set of requirements specifically require a WAC for the management of hazardous waste; however, the use of such documentation is logical and is consistent with the approach required for the management of radioactive waste. The primary purpose of a HW-WAC is to provide generators and waste management with established criteria that must be met before hazardous waste can be acceptable for treatment, storage and/or disposal. An annotated outline for a generic waste acceptance criteria was developed based on the requirements of 40 CFR 260 to 270 and DOE Order 5820.2A. The outline contains only requirements for hazardous waste, it does not address the radiological components of low-level mixed waste. The outline generated from the regulations was used for comparison to the LANL WAC For Chemical and Low-level Mixed Waste Receipt at TA-54, Area L. The major elements that should be addressed by a hazardous waste WAC were determined to be as follows: Waste Package/Container Requirements, Waste Forms, Land Disposal Restrictions, and Data Package-Certification ampersand Documentation

  3. Current guidelines for management of children with functional constipation

    Directory of Open Access Journals (Sweden)

    V. P. Bulatov

    2015-01-01

    Full Text Available Despite the fact that functional constipations are a common and hence relevant problem of pediatrics, there are difficulties in managing this category of patients. The paper presents the current guidelines for the diagnosis and treatment of functional constipation in children, which rely on the principles of evidence-based medicine. Particular attention is given to the age-related aspects of constipation in childhood.

  4. Bridging probabilistic safety assessment studies with information Management System

    International Nuclear Information System (INIS)

    Luanco, E. M.

    2010-01-01

    Probabilistic Safety Assessment (PSA) is a critical business often known in conjunction with either new build or life extension of nuclear power plant. However, it is not so often referred to the operation phase of the plant, although it could bring a lot of long term benefits to the operator. The purpose of this paper is to discuss the potential contribution of PSA with day to day operation in bridging the deficiencies and specific failures characteristics of critical Structure System and Component (SSC) with the results of PSA studies. From and Information System prospective, the use of Information Management system (IMS) -also known as EAM solution -widely used by the majority of nuclear operators- is the potential vehicle to bridge the 2 worlds of PSA and daily operation. Most EAM solution get reliability management functionalities which are not really integrated with PSA tools and data and thus cannot provide the anticipated benefits of addressing typical aging phenomena beyond the only predictive models used by the PSA studies. The paper will also discuss potential integration scenario between PSA tools and EAM solutions. (authors)

  5. 3rd International Conference on Ecosystem Assessment Management

    CERN Document Server

    Ma, Sheng-Quan; Cao, Hu-hua; Ecosystem Assessment and Fuzzy Systems Management

    2014-01-01

    “Ecosystem Assessment and Fuzzy Systems Management” is the edited outcome of the 3rd International Conference on Ecosystem Assessment Management (ICEAM) and the Workshop on the Construction of an Early Warning Platform for Eco-tourism (WCEWPE) in Hainan on May 5-12, 2013, Haikou, China. The 3rd ICEAM and the WCEWPE, built on the success of previous conferences, are major Symposiums for scientists, engineers and logistic management researchers presenting their the latest achievements, developments and applications in all areas of Ecosystem Assessment Management, Early Warning Platform for Eco-tourism and fuzziology. It aims to strengthen relations between industry research laboratories and universities, and to create a primary symposium for world scientists. The book, containing 47 papers, is divided into five parts: “Ecosystem Assessment, Management and Information”; “Intelligent Algorithm, Fuzzy Optimization and Engineering Application”; “Spatial Data Analysis and Intelligent Information Proces...

  6. Assessment and management of patients with varicose veins.

    Science.gov (United States)

    Allen, Louise

    Varicose veins are enlarged superficial veins found in the legs. This article explores the anatomy and physiology of the venous system to assist nurses to assess, manage and treat patients with varicose veins.

  7. Aging management assessment of type B transportation packages

    International Nuclear Information System (INIS)

    Sullivan, G.J.; Stahmer, U.; Freeman, E.L.

    2004-01-01

    The condition of a physical system such as a radioactive materials transportation package can change as it ages. The degree to which aging effects are identified, prevented or mitigated will depend on the types of inspections and maintenance performed on the critical components of the system. Routine inspections and maintenance may not address degradation mechanisms that are difficult to observe and can act over long periods of time. Aging management is a systematic effort to ensure that the system performs as designed over its entire service life and that degradation mechanisms do not prematurely end the service life. The Nuclear Waste Management Division (NWMD) of Ontario Power Generation (OPG) has developed an Aging Management Procedure and began performing aging management assessments on its Type B(U) packages. This paper discusses the Procedure and briefly describes the aging management assessment performed on the Roadrunner Transportation Package to demonstrate a practical application of the aging management process

  8. Developing and assessing accident management plans for nuclear power plants

    International Nuclear Information System (INIS)

    Hanson, D.J.; Johnson, S.P.; Blackman, H.S.; Stewart, M.A.

    1992-07-01

    This document is the second of a two-volume NUREG/CR that discusses development of accident management plans for nuclear power plants. The first volume (a) describes a four-phase approach for developing criteria that could be used for assessing the adequacy of accident management plans, (b) identifies the general attributes of accident management plans (Phase 1), (c) presents a prototype process for developing and implementing severe accident management plans (Phase 2), and (d) presents criteria that can be used to assess the adequacy of accident management plans. This volume (a) describes results from an evaluation of the capabilities of the prototype process to produce an accident management plan (Phase 3) and (b), based on these results and preliminary criteria included in NUREG/CR-5543, presents modifications to the criteria where appropriate

  9. Assessment for Exemplary Schools: Productive School Management

    Science.gov (United States)

    Johnson, William L.; Johnson, Annabel M.

    2009-01-01

    The 2001 reauthorization of the Elementary and Secondary Education Act (ESEA), also known as the No Child Left Behind (NCLB) legislation, has been called the most far-reaching federal education bill in nearly four decades. The law's comprehensive assessment provisions address areas from school choice to low-performing schools and increased…

  10. Ecological Risk Assessment in Water Resource Management ...

    African Journals Online (AJOL)

    The US EPA published guidelines for the application of ecological risk assessment (ERA) in the USA in 1998 (US EPA 1998). The process diagram derived by Murray and Claassen (1999) in an evaluation of the US EPA framework is discussed in the context of the South African National Water Act. The evaluation discusses ...

  11. Assessing framing of uncertainties in water management practice

    NARCIS (Netherlands)

    Isendahl, N.; Dewulf, A.; Brugnach, M.; Francois, G.; Möllenkamp, S.; Pahl-Wostl, C.

    2009-01-01

    Dealing with uncertainties in water management is an important issue and is one which will only increase in light of global changes, particularly climate change. So far, uncertainties in water management have mostly been assessed from a scientific point of view, and in quantitative terms. In this

  12. Assessing natural hazards in forestry for risk management: a review

    Science.gov (United States)

    Marc Hanewinkel; Susan Hummel; Axel Albrecht

    2011-01-01

    We address the problem of how to integrate risk assessment into forest management and therefore provide a comprehensive review of recent and past literature on risk analysis and modeling and, moreover, an evaluation and summary on these papers. We provide a general scheme on how to integrate concepts of risk into forest management decisions. After an overview of the...

  13. Strategic Environmental Assessment: Integrated environmental management

    CSIR Research Space (South Africa)

    Department of Environmental Affairs and Tourism

    2004-01-01

    Full Text Available stream_source_info Department of Environmental Affairs and Tourism_2004.pdf.txt stream_content_type text/plain stream_size 70155 Content-Encoding ISO-8859-1 stream_name Department of Environmental Affairs and Tourism_2004.pdf... and Tourism Other topics in the series of overview information documents on the concepts of, and approaches to, integrated environmental management are listed below. Further titles in this series are being prepared and will be made available periodically...

  14. Assessment of LANL asbestos waste management documentation

    International Nuclear Information System (INIS)

    Davis, K.D.; Hoevemeyer, S.S.; Stirrup, T.S.; Jennrich, E.A.; Lund, D.M.

    1991-04-01

    The intent of this effort is to evaluate the Los Alamos National Laboratory (LANL) Waste Acceptance Criteria (WAC) for asbestos to determine if it meets applicable DOE, EPA, and OSHA requirements. There are numerous regulations that provide specific guidelines on the management of asbestos waste. An annotated outline for a generic asbestos WAC was developed using the type of information specified by 5820.2A. The outline itself is included in Appendix A. The major elements that should be addressed by the WAC were determined to be as follows: Waste Forms; Waste Content/Concentration; Waste Packaging; and Waste Documentation/Certification

  15. [Recurrent vulvovaginitis: diagnostic assessment and therapeutic management].

    Science.gov (United States)

    Ramírez-Santos, A; Pereiro, M; Toribio, J

    2008-04-01

    Recurrent vulvovaginitis is a common problem in clinical practice. Management is often complicated by a long history of inappropriate treatments based on tentative diagnoses after an incomplete diagnostic workup. We review the most common causes of recurrent vulvovaginitis; the appropriate steps with which to establish a diagnosis, from the medical history through to the additional tests needed; and, finally, the best therapeutic options. We will focus on infectious, irritant, allergic, and hormonal causes as the ones of most interest to the dermatologist. Given that infection is the most frequent cause of these processes and also a common reason for inopportune treatment, we will pay particular attention to infectious etiologies and their differential diagnosis.

  16. Assessment of waste management of volatile radionuclides

    International Nuclear Information System (INIS)

    Altomare, P.M.; Barbier, M.; Lord, N.; Nainan, D.

    1979-05-01

    This document presents a review of the Technologies for Waste Management of the Volatile Radionuclides of iodine-129, krypton-85, tritium, and carbon-14. The report presents an estimate of the quantities of these volatile radionuclides as are produced in the nuclear power industry. The various technologies as may be used, or which are under investigation, to immobilize these nuclides and to contain them during storage and in disposal are discussed. Also, the alternative disposal options as may be applied to isolate these radioactive wastes from the human environment are presented. The report contains information which was available through approximately January 1978

  17. Requirements for VICTORIA Class Fire Control System: Contact Management Function

    Science.gov (United States)

    2014-07-01

    Requirements for VICTORIA Class Fire Control System Contact Management Function Tab Lamoureux CAE Integrated Enterprise Solutions...Contract Report DRDC-RDDC-2014-C190 July 2014 © Her Majesty the Queen in Right of Canada, as represented by the...i Abstract …….. The VICTORIA Class Submarines (VCS) are subject to a continuing program of technical upgrades. One such program is

  18. A Function-Based Framework for Stream Assessment & Restoration Projects

    Science.gov (United States)

    This report lays out a framework for approaching stream assessment and restoration projects that focuses on understanding the suite of stream functions at a site in the context of what is happening in the watershed.

  19. Accountability for Early Childhood Education (Assessing Global Functioning).

    Science.gov (United States)

    Cassel, Russell N.

    1995-01-01

    Discusses the pacing of learning activity, knowledge of progress in student learning, teacher role, accountability in learning, feedback on knowledge of success, the global functioning assessment concept, and the mother surrogate. (RS)

  20. Public meetings on nuclear waste management: their function and organization

    Energy Technology Data Exchange (ETDEWEB)

    Duvernoy, E.G.; Marcus, A.A.; Overcast, T.; Schilling, A.H.

    1981-05-01

    This report focuses on public meetings as a vehicle for public participation in nuclear waste management. The nature of public meetings is reviewed and the functions served by meetings highlighted. The range of participants and their concerns are addressed, including a review of the participants from past nuclear waste management meetings. A sound understanding of the expected participants allows DOE to tailor elements of the meeting, such as notification, format, and agenda to accommodate the attendees. Finally, the report discusses the organization of public meetings on nuclear waste management in order to enhance the DOE's functions for such meetings. Possible structures are suggested for a variety of elements that are relevant prior to, during and after the public meeting. These suggestions are intended to supplement the DOE Public Participation Manual.

  1. Management of functional disturbances of the stomatognathic system

    International Nuclear Information System (INIS)

    Piehslinger, E.

    2001-01-01

    In the management of functional disturbances of the stomatognathic system symptomatic and causal therapeutic methods can be distinguished. Symptomatic therapy encompasses medication, physical methods (heat, cold, radiation, TENS) in combination with physiotherapy and emergency splint. After one or two weeks of symptomatic therapy the patient should be free of pain allowing precise diagnostic procedures followed by causal therapy managing muscular problems, joint pathology and occlusal disturbances. Splint therapy is used to establish a therapeutic joint position according to articulator mounting. After splint therapy prosthodontic and/or orthodontic treatment is needed to restore occlusion. Interdisciplinary management in the therapy of functional disturbances of the stomatognathic system is of utmost importance due to the relationship between chewing muscles, neck muscles and body posture. In addition to splint therapy, physiotherapy, logopedic therapy, myofunctional therapy, psychologic and psychiatric intervention is performed. (orig.) [de

  2. Public meetings on nuclear waste management: their function and organization

    International Nuclear Information System (INIS)

    Duvernoy, E.G.; Marcus, A.A.; Overcast, T.; Schilling, A.H.

    1981-05-01

    This report focuses on public meetings as a vehicle for public participation in nuclear waste management. The nature of public meetings is reviewed and the functions served by meetings highlighted. The range of participants and their concerns are addressed, including a review of the participants from past nuclear waste management meetings. A sound understanding of the expected participants allows DOE to tailor elements of the meeting, such as notification, format, and agenda to accommodate the attendees. Finally, the report discusses the organization of public meetings on nuclear waste management in order to enhance the DOE's functions for such meetings. Possible structures are suggested for a variety of elements that are relevant prior to, during and after the public meeting. These suggestions are intended to supplement the DOE Public Participation Manual

  3. [Case managers experience improved trajectories for cancer patients after implementation of the case manager function].

    Science.gov (United States)

    Axelsen, Karina Rahbek; Nafei, Hanne; Jakobsen, Stine Finne; Gandrup, Per; Knudsen, Janne Lehmann

    2015-06-08

    Case managers are increasingly used to optimize trajectories for patients. This study is based on a questionnaire among case managers in cancer care, aiming at the clarification of the func­tion and its impact on especially patient safety, when handing over the responsibility. The results show a major variation in how the function is organized, the level of competence and the task to be handled. The responsibility has in general been nar­rowed to department level. Overall, the case managers believe that the function has optimized pathways for cancer patients and improved safety, but barriers persist.

  4. Management plan -- Multi-Function Waste Tank Facility. Revision 1

    International Nuclear Information System (INIS)

    Fritz, R.L.

    1995-01-01

    This Westinghouse Hanford Company (WHC) Multi-Function Waste Tank Facility (MWTF) Management Plan provides guidance for execution WHC MWTF Project activities related to design, procurement, construction, testing, and turnover. This Management Plan provides a discussion of organizational responsibilities, work planning, project management systems, quality assurance (QA), regulatory compliance, personnel qualifications and training, and testing and evaluations. Classified by the US Department of Energy (DOE) as a major systems acquisition (MSA), the MWTF mission is to provide a safe, cost-effective, and environmentally sound method for interim storage of Hanford Site high-level wastes. This Management Plan provides policy guidance and direction to the Project Office for execution of the project activities

  5. Management plan -- Multi-Function Waste Tank Facility. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Fritz, R.L.

    1995-01-11

    This Westinghouse Hanford Company (WHC) Multi-Function Waste Tank Facility (MWTF) Management Plan provides guidance for execution WHC MWTF Project activities related to design, procurement, construction, testing, and turnover. This Management Plan provides a discussion of organizational responsibilities, work planning, project management systems, quality assurance (QA), regulatory compliance, personnel qualifications and training, and testing and evaluations. Classified by the US Department of Energy (DOE) as a major systems acquisition (MSA), the MWTF mission is to provide a safe, cost-effective, and environmentally sound method for interim storage of Hanford Site high-level wastes. This Management Plan provides policy guidance and direction to the Project Office for execution of the project activities.

  6. Assessing the Added Value of information systems supporting facilities management business processes

    DEFF Research Database (Denmark)

    Ebbesen, Poul; Jensen, Per Anker

    2017-01-01

    Purpose: To present a method for assessing the added value of Information Systems (IS), which are implemented to support the business processes in Facilities Management (FM). Theory: The method is based on a supply chain management model of FM, general value dimensions such as efficiency...... illustrates that implementing IS includes both organisational and technological changes and demonstrates that the proposed assessment method is applicable to practice. Originality/value: This is the first paper using a supply chain management model of FM, general value dimensions, VAM and Functional...... and effectiveness and the concepts of Value Adding Management (VAM) and Functional Affordances of IS. Design/methodology/approach: From case studies of IS implementation processes in FM in different countries, a general picture of the expressed added value of IS in FM was established. Based on this insight a method...

  7. Assessing intellectual capital management by fuzzy TOPSIS

    Directory of Open Access Journals (Sweden)

    Hossein Jannatifar

    2012-10-01

    Full Text Available Intellectual capital is a type of asset measuring ability of economic agency in order tomake wealth. These assets do not have physical and objective nature and are intangible assets being achieved through utilization of relative assets with human resources, organizational operation and foreign relations from economic agency. Measuring this issue is important from intra-organizational and extra-organizational views. In this paper, we present survey based on Fuzzy TOPSIS to find important factors influencing intellectual capital management. The proposed model of this paper considers different factors, which exist in the literature and prioritize them based on different criteria. The results of our survey identified seven items as the most influencing factors.

  8. Assessment of LANL PCB waste management documentation

    International Nuclear Information System (INIS)

    David, K.D.; Hoevemeyer, S.S.; Stirrup, T.S.; Jennrich, E.A.; Lund, D.M.

    1991-04-01

    The objective of this report is to present findings from evaluating the Los Alamos National Laboratory (LANL) Polychlorinated Biphenyls (PCB) Waste Acceptance Criteria (WAC) to determine if it meets applicable DOE and Code of Federal Regulation (CFR) requirements. DOE Order 5820.2A and 40 CFR 761 (Polychlorinated Biphenyls Manufacturing, Processing, Distribution in Commerce, and Use Prohibitions) set forth requirements and guidelines for the establishment of Waste Acceptance Criteria. The primary purpose of a PCB WAC is to provide generators and waste management with established criteria that must be met before PCB wastes can be accepted for treatment, storage, and/or disposal. An annotated outline for a generic PCB WAC was developed based on the requirements of 5820.2A and 40 CFR 761. The major elements that should be addressed by a PCB WAC were determined to be as follows: Waste Package/Container, Waste Forms, PCB Concentrations, Labeling, and Data Package Certification

  9. Assessment of obesity management in medical examination

    Directory of Open Access Journals (Sweden)

    Treyzon Leo

    2005-03-01

    Full Text Available Abstract Obesity is a growing international health problem that has already reached epidemic proportions, particularly within the United States where a majority of the population is overweight or obese. Effective methods of treatment are needed, and should be taught to physicians by efficient means. There exists a disconnect between the rising obesity prevalence with its high toll on medical resources, and the lack of obesity education provided to practitioners in the course of their training. One particular shortfall is the lack of representation of obesity on standardized medical examinations. Physician attitudes toward obesity are influenced by their lack of familiarity with the management of the disease. This may include dietary restriction, increasing physical activity, behavior modification, pharmacotherapy, and surgical interventions. Thus, curricular changes in the medical education of obesity could help reduce morbidity and mortality associated with this disease.

  10. Assessment, management and treatment of acute fingertip injuries.

    Science.gov (United States)

    Kearney, Anthony; Canty, Louise

    2016-06-01

    Fingertip injuries with nail bed trauma can require specialist hand surgery, depending on severity. However, most of these injuries can be managed in well-equipped emergency departments by emergency nurses with an in-depth knowledge and understanding of the anatomy and physiology of the fingernail and surrounding structures, assessment and examination, pain management and treatment. This article describes the surface and underlying anatomy and physiology of the nail, the most common mechanisms of injury, relevant diagnostic investigations, and initial assessment and management. It also discusses treatment options, referral pathways, and patient discharge advice.

  11. Risk assessment and management of radiofrequency radiation exposure

    Energy Technology Data Exchange (ETDEWEB)

    Dabala, Dana [Railways Medical Clinic Cluj-Napoca, Occupational Medicine Department, 16-20 Bilascu Gheorghe St., 400015 Cluj-Napoca (Romania); Surducan, Emanoil; Surducan, Vasile; Neamtu, Camelia [National Institute for Research and Development of Isotopic and Molecular Technologies, 65-103 Donath St., 400293 Cluj-Napoca (Romania)

    2013-11-13

    Radiofrequency radiation (RFR) industry managers, occupational physicians, security department, and other practitioners must be advised on the basic of biophysics and the health effects of RF electromagnetic fields so as to guide the management of exposure. Information on biophysics of RFR and biological/heath effects is derived from standard texts, literature and clinical experiences. Emergency treatment and ongoing care is outlined, with clinical approach integrating the circumstances of exposure and the patient's symptoms. Experimental risk assessment model in RFR chronic exposure is proposed. Planning for assessment and monitoring exposure, ongoing care, safety measures and work protection are outlining the proper management.

  12. Risk assessment and management of radiofrequency radiation exposure

    International Nuclear Information System (INIS)

    Dabala, Dana; Surducan, Emanoil; Surducan, Vasile; Neamtu, Camelia

    2013-01-01

    Radiofrequency radiation (RFR) industry managers, occupational physicians, security department, and other practitioners must be advised on the basic of biophysics and the health effects of RF electromagnetic fields so as to guide the management of exposure. Information on biophysics of RFR and biological/heath effects is derived from standard texts, literature and clinical experiences. Emergency treatment and ongoing care is outlined, with clinical approach integrating the circumstances of exposure and the patient's symptoms. Experimental risk assessment model in RFR chronic exposure is proposed. Planning for assessment and monitoring exposure, ongoing care, safety measures and work protection are outlining the proper management

  13. Nondestructive radioassay for waste management: an assessment

    Energy Technology Data Exchange (ETDEWEB)

    Lehmkuhl, G.D.

    1981-06-01

    Nondestructive Assay (NDA) for Transuranic Waste Management is used to mean determining the amount of transuranic (TRU) isotopes in crates, drums, boxes, cans, or other containers without having to open the container. It also means determining the amount of TRU in soil, bore holes, and other environmental testing areas without having to go through extensive laboratory wet chemistry analyses. it refers to radioassay techniques used to check for contamination on objects after decontamination and to determine amounts of TRU in waste processing streams without taking samples to a laboratory. Gednerally, NDA instrumentation in this context refers to all use of radioassay which does not involve taking samples and using wet chemistry techniques. NDA instruments have been used for waste assay at some sites for over 10 years and other sites are just beginning to consider assay of wastes. The instrumentation used at several sites is discussed in this report. Almost all these instruments in use today were developed for special nuclear materials safeguards purposes and assay TRU waste down to the 500 nCi/g range. The need for instruments to assay alpha particle emitters at 10 nCi/g or less has risen from the wish to distinguish between Low Level Waste (LLW) and TRU Waste at the defined interface of 10 nCi/g. Wastes have historically been handled as TRU wastes if they were just suspected to be transuranically contaminated but their exact status was unknown. Economic and political considerations make this practice undesirable since it is easier and less costly to handle LLW. This prompted waste generators to want better instrumentation and led the Transuranic Waste Management Program to develop and test instrumentation capable of assaying many types of waste at the 10 nCi/g level. These instruments are discussed.

  14. Assessment of two BWR accident management strategies

    International Nuclear Information System (INIS)

    Hodge, S.A.; Petek, M.

    1991-01-01

    A recently completed Oak Ridge effort proposes two management strategies for mitigation of the events that might occur in-vessel after the onset of significant core damage in a BWR severe accident. While the probability of such an accident is low, there may be effective yet inexpensive mitigation measures that could be implemented employing the existing plant equipment and requiring only additions to the plant emergency procedures. In this spirit, accident management strategies have been proposed for use of a borated solution for reactor vessel refill should control blade damage occur during a period of temporary core dryout and for containment flooding to maintain the core debris within the reactor vessel if injection systems cannot be restored. The proposed strategy for poisoning of the water used for vessel reflood should injection systems be restored after control blade damage has occurred has great promise, using only the existing plant equipment but employing a different chemical form for the boron poison. The dominant BWR severe accident sequence is Station Blackout and without means for mechanical stirring or heating of the storage tank, the question of being able to form the poisoned solution under accident conditions becomes of supreme importance. On the other hand, the proposed strategy for drywell flooding to cool the reactor vessel bottom head and prevent the core and structure debris from escaping to the drywell holds less promise. This strategy does, however, have potential for future plant designs in which passive methods might be employed to completely submerge the reactor vessel under severe accident conditions without the need for containment venting

  15. Establishing functional requirements for emergency management information systems

    Energy Technology Data Exchange (ETDEWEB)

    Reed, J.H.; Rogers, G.O.; Sorensen, J.H.

    1991-01-01

    The advancement of computer technologies has led to the development of a number of emergency management information systems (e.g., EIS, CAMEO, IEMIS). The design of these systems has tended to be technologically driven rather than oriented to meeting information management needs during an emergency. Of course, emergency management needs vary depending on the characteristics of the emergency. For example, in hurricanes, onset is typically slow enough to allow emergency managers to simulate evacuations dynamically while in chemical disasters onset may be sufficiently rapid to preclude such simulation(s). This paper describes a system design process in which the analysis of widely recognized emergency management functions was used to identify information requirements and the requisite software and hardware capabilities to deal with rapid onset, low probability, high consequence events. These requirements were then implemented as a prototype emergency management system using existing hardware and software to assure feasibility. Data, hardware, and software requirements were further developed, refined, and made more concrete through an iterative prototyping effort. This approach focuses attention directly on meeting emergency management information needs while avoiding unneeded technological innovations. 10 refs., 4 figs., 1 tab.

  16. Scintigraphic assessment of liver function in patients requiring liver surgery

    NARCIS (Netherlands)

    Cieślak, K.P.

    2018-01-01

    This thesis addresses various aspects of assessment of liver function using a quantitative liver function test, 99mTc-mebrofenin hepatobiliary scintigraphy (HBS). HBS enables direct measurement of at least one of the liver’s true processes with minimal external interference and offers the

  17. A Comparison of Functional Behavioral Assessment and Functional Analysis Methodology among Students with Mild Disabilities

    Science.gov (United States)

    Lewis, Timothy J.; Mitchell, Barbara S.; Harvey, Kristin; Green, Ambra; McKenzie, Jennifer

    2015-01-01

    Functional behavioral assessment (FBA) and functional analyses (FA) are grounded in the applied behavior analysis principle that posits problem behavior is functionally related to the environment in which it occurs and is maintained by either providing access to reinforcing outcomes or allowing the individual to avoid or escape that which they…

  18. A Balanced Scorecard Approach to Public Relations Management Assessment.

    Science.gov (United States)

    Fleisher, Craig S.; Mahaffy, Darren

    1997-01-01

    Describes a new managerial approach to assessing public relations/communications (PR/C) performance using a "balanced scorecard." Reviews the current state of PR/C management assessment; illustrates the balanced scorecard framework; highlights its strengths and weaknesses; describes the process of applying the scorecard to PR/C units;…

  19. Rural electrification in Bangladesh: management, engineering, and financial assessment

    Energy Technology Data Exchange (ETDEWEB)

    Deverick, B.; Gellerson, M.; Stovall, J.; Shelton, R.

    1986-07-01

    This report represents the partial findings of a five-member, multidisciplinary team requested by USAID to assess the progress of the Rural Electrification Program in Bangladesh. Four areas are assessed in this report: the effectiveness of the management system; the system planning and engineering capabilities; RE tariffs and energy sector pricing policies; and the effectiveness of technical assistance.

  20. Outcomes Assessment in Accredited Health Information Management Programs

    Science.gov (United States)

    Bennett, Dorine

    2010-01-01

    The purpose of this study was to determine the use and perceived usefulness of outcomes assessment methods in health information management programs. Additional characteristics of the outcomes assessment practices were recognized. The findings were evaluated for significant differences in results based on age of the program, type of institution,…

  1. Sustainability assessment in forest management based on individual preferences.

    Science.gov (United States)

    Martín-Fernández, Susana; Martinez-Falero, Eugenio

    2018-01-15

    This paper presents a methodology to elicit the preferences of any individual in the assessment of sustainable forest management at the stand level. The elicitation procedure was based on the comparison of the sustainability of pairs of forest locations. A sustainability map of the whole territory was obtained according to the individual's preferences. Three forest sustainability indicators were pre-calculated for each point in a study area in a Scots pine forest in the National Park of Sierra de Guadarrama in the Madrid Region in Spain to obtain the best management plan with the sustainability map. We followed a participatory process involving fifty people to assess the sustainability of the forest management and the methodology. The results highlighted the demand for conservative forest management, the usefulness of the methodology for managers, and the importance and necessity of incorporating stakeholders into forestry decision-making processes. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Concept for a Satellite-Based Advanced Air Traffic Management System : Volume 4. Operational Description and Qualitative Assessment.

    Science.gov (United States)

    1974-02-01

    The volume presents a description of how the Satellite-Based Advanced Air Traffic Management System (SAATMS) operates and a qualitative assessment of the system. The operational description includes the services, functions, and tasks performed by the...

  3. Assessment of Brine Management for Geologic Carbon Sequestration

    Energy Technology Data Exchange (ETDEWEB)

    Breunig, Hanna M. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Birkholzer, Jens T. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Borgia, Andrea [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Price, Phillip N. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Oldenburg, Curtis M. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; McKone, Thomas E. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division

    2013-06-13

    reluctant to invest in capital intensive, high risk GCS projects; early technical, economic, and environmental assessments of brine management are extremely valuable for determining the potential role of GCS in the US. We performed a first order feasibility and economic assessment, at three different locations in the US, of twelve GCS extracted-­water management options, including: geothermal energy extraction, desalination, salt and mineral harvesting, rare-­earth element harvesting, aquaculture, algae biodiesel production, road de-­icing, enhanced geothermal system (EGS) recharge, underground reinjection, landfill disposal, ocean disposal, and evaporation pond disposal. Three saline aquifers from different regions of the US were selected as hypothetical GCS project sites to encompass variation in parameters that are relevant to the feasibility and economics of brine disposal. The three aquifers are the southern Mt. Simon Sandstone Formation in the Illinois Basin, IL; the Vedder Formation in the southern San Joaquin Basin, CA; and the Jasper Interval in the eastern Texas Gulf Basin, TX. These aquifers are candidates for GCS due to their physical characteristics and their close proximity to large CO2 emission sources. Feasibility and impacts were calculated using one mt-­CO2 injected as the functional unit of brine management. Scenarios were performed for typical 1000MW coal-­fired power plants (CFPP) that incurred an assumed 24 percent carbon capture energy penalty (EP), injected 90 percent of CO2 emissions (~9 million mt-­ CO2 injected annually), and treated extracted water onsite. Net present value (NPV), land requirements, laws and regulations, and technological limits were determined for each stage of disposal, and used to estimate feasibility. The boundary of the assessment began once extracted water was brought to the surface, and ended once the water evaporated, was injected underground, or was discharged into

  4. 75 FR 39036 - Public Housing Assessment System (PHAS): Management Operations Certification

    Science.gov (United States)

    2010-07-07

    ... System (PHAS): Management Operations Certification AGENCY: Office of the Chief Information Officer, HUD... management operations. The information is used to assess the management performance of PHAs. DATES: Comments... following information: Title of Proposal: Public Housing Assessment System (PHAS): Management Operations...

  5. Environmental Assessment : Squawfish Management Program : Final.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1992-05-01

    Bonneville Power Administration (BPA) proposes to decrease the number of northern squawfish (Ptychocheilus oregonensis) in reservoirs in the Columbia River system. The goal of the Squawfish Management Program is to reduce losses of outmigrating juvenile salmon and steelhead (salmonids) to northern squawfish predation. The objective is to reduce the number of northern squawfish that feed on juvenile salmonids (smolts) by 10 to 20 percent to alter the age and size structure of the northern squawfish population. The hypothesis, based on computer modeling, indicates that sustained northern squawfish harvest (5 to 10 years) and the resultant population restructuring may reduce losses of juvenile salmonids to predation by up to 50 percent or more within 10 years. The proposed action would target northern squawfish 11 inches and longer, the size in which northern squawfish being preying significantly on juvenile salmonids. BPA proposes to fund three types of fisheries to harvest northern squawfish. BPA also proposes to fund monitoring activities of these fisheries to determine whether desired or other results occur. The three fisheries methods proposed are: (1) commercial Tribal fishing; (2) sport reward fishing; and (3) fishing from restricted areas of each dam ( dam angling''). These fisheries were tested in 1990 and 1991.

  6. Functional Foods and Lifestyle Approaches for Diabetes Prevention and Management

    Directory of Open Access Journals (Sweden)

    Ahmad Alkhatib

    2017-12-01

    Full Text Available Functional foods contain biologically active ingredients associated with physiological health benefits for preventing and managing chronic diseases, such as type 2 diabetes mellitus (T2DM. A regular consumption of functional foods may be associated with enhanced anti-oxidant, anti-inflammatory, insulin sensitivity, and anti-cholesterol functions, which are considered integral to prevent and manage T2DM. Components of the Mediterranean diet (MD—such as fruits, vegetables, oily fish, olive oil, and tree nuts—serve as a model for functional foods based on their natural contents of nutraceuticals, including polyphenols, terpenoids, flavonoids, alkaloids, sterols, pigments, and unsaturated fatty acids. Polyphenols within MD and polyphenol-rich herbs—such as coffee, green tea, black tea, and yerba maté—have shown clinically-meaningful benefits on metabolic and microvascular activities, cholesterol and fasting glucose lowering, and anti-inflammation and anti-oxidation in high-risk and T2DM patients. However, combining exercise with functional food consumption can trigger and augment several metabolic and cardiovascular protective benefits, but it is under-investigated in people with T2DM and bariatric surgery patients. Detecting functional food benefits can now rely on an “omics” biological profiling of individuals’ molecular, genetics, transcriptomics, proteomics, and metabolomics, but is under-investigated in multi-component interventions. A personalized approach for preventing and managing T2DM should consider biological and behavioral models, and embed nutrition education as part of lifestyle diabetes prevention studies. Functional foods may provide additional benefits in such an approach.

  7. Assess program: Interactive data management systems for airborne research

    Science.gov (United States)

    Munoz, R. M.; Reller, J. O., Jr.

    1974-01-01

    Two data systems were developed for use in airborne research. Both have distributed intelligence and are programmed for interactive support among computers and with human operators. The C-141 system (ADAMS) performs flight planning and telescope control functions in addition to its primary role of data acquisition; the CV-990 system (ADDAS) performs data management functions in support of many research experiments operating concurrently. Each system is arranged for maximum reliability in the first priority function, precision data acquisition.

  8. Cognitive functioning and behaviour of epileptic children in parents' assessment.

    Science.gov (United States)

    Talarska, Dorota; Steinborn, Barbara; Michalak, Michał

    2011-01-01

    Cognitive functioning and behaviour of chronically ill children are affected by many factors, including anxiety due to hospitalization, persistent symptoms of sickness and adverse side effects of medications. The aim of this work was to seek out parents' opinion concerning cognitive functioning and behaviour of children with epilepsy. The study comprised 156 children with epilepsy aged 7-18 and treated in the Department of Developmental Neurology at Karol Marcinkowski Poznan University of Medical Sciences and in an outpatient clinic. The research tool used was the questionnaire Quality of Life in Childhood Epilepsy (QOLCE) completed by parents. Assessment of cognitive functioning and behaviour was based on the analysis of the areas V (cognitive processes) and VII (behaviour). Parents assessed children's functioning in the areas of cognitive processes and behaviour at a similar level - 55 points. In the area of cognitive processes, concentration while performing some tasks and reading was assessed as the worst. A significant difference in caregivers' assessment was found according to age, frequency of seizures and duration of disease. In the area analysing the child's behaviour, parents indicated getting angry easily and not being upset by other people's opinions. The display of aggression towards others got the lowest number of comments. The children's functioning was assessed by parents as rather poor in both analysed areas. Parents of children treated with polytherapy noticed more difficulties in cognitive functioning and behaviour than parents of children treated with one medication.

  9. Reliability of the Hazelbaker Assessment Tool for Lingual Frenulum Function

    Directory of Open Access Journals (Sweden)

    James Jennifer P

    2006-03-01

    Full Text Available Abstract Background About 3% of infants are born with a tongue-tie which may lead to breastfeeding problems such as ineffective latch, painful attachment or poor weight gain. The Hazelbaker Assessment Tool for Lingual Frenulum Function (HATLFF has been developed to give a quantitative assessment of the tongue-tie and recommendation about frenotomy (release of the frenulum. The aim of this study was to assess the inter-rater reliability of the HATLFF. Methods Fifty-eight infants referred to the Breastfeeding Education and Support Services (BESS at The Royal Women's Hospital for assessment of tongue-tie and 25 control infants were assessed by two clinicians independently. Results The Appearance items received kappas between about 0.4 to 0.6, which represents "moderate" reliability. The first three Function items (lateralization, lift and extension of tongue had kappa values over 0.65 which indicates "substantial" agreement. The four Function items relating to infant sucking (spread, cupping, peristalsis and snapback received low kappa values with insignificant p values. There was 96% agreement between the two assessors on the recommendation for frenotomy (kappa 0.92, excellent agreement. The study found that the Function Score can be more simply assessed using only the first three function items (ie not scoring the sucking items, with a cut-off of ≤4 for recommendation of frenotomy. Conclusion We found that the HATLFF has a high reliability in a study of infants with tongue-tie and control infants

  10. Risk assessment and management approaches on mental health units.

    Science.gov (United States)

    Woods, P

    2013-11-01

    This exploratory and descriptive study took place in one Canadian province. The study aimed to: (1) to identify and describe the nature and extent of current risk assessment and management approaches used in the adult inpatient mental health and forensic units; and (2) to identify good practice and shortfalls in the nature and extent of the approaches currently utilized. Data were collected from 48 participants through nine focus groups. Participants reported that they used a clinical approach to risk assessment. They had also not considered risk assessment and management as a proactive structured process. Education and training was also limited and skills were developed over time through practice. Five keys issues are discussed as important: reliance on clinical judgement alone is not the best choice to make; the need to consider risk as a whole concept; risk management being more reactive than proactive; education and training; and client involvement in risk assessment. © 2012 John Wiley & Sons Ltd.

  11. Life cycle assessment of waste paper management

    DEFF Research Database (Denmark)

    Merrild, Hanna Kristina; Damgaard, Anders; Christensen, Thomas Højlund

    2008-01-01

    The significance of technical data, as well as the significance of system boundary choices, when modelling the environmental impact from recycling and incineration of waste paper has been studied by a life cycle assessment focusing oil global warming potentials. The consequence of choosing...... results. The modelling showed that recycling of paper, from a life cycle point of view, is environmentally equal or better than incineration with energy recovery only when the recycling technology is at a high environmental performance level. However, the modelling also showed that expanding the system...... a specific set of data for the reprocessing technology, the virgin paper manufacturing technology and the incineration technology, as well as the importance of the recycling rate Was Studied. Furthermore, the system was expanded to include forestry and to include fossil fuel energy substitution from saved...

  12. Probabilistic safety assessment in nuclear power plant management

    International Nuclear Information System (INIS)

    Holloway, N.J.

    1989-06-01

    Probabilistic Safety Assessment (PSA) techniques have been widely used over the past few years to assist in understanding how engineered systems respond to abnormal conditions, particularly during a severe accident. The use of PSAs in the design and operation of such systems thus contributes to the safety of nuclear power plants. Probabilistic safety assessments can be maintained to provide a continuous up-to-date assessment (Living PSA), supporting the management of plant operations and modifications

  13. Measurement Properties of Indirect Assessment Methods for Functional Behavioral Assessment: A Review of Research

    Science.gov (United States)

    Floyd, Randy G.; Phaneuf, Robin L.; Wilczynski, Susan M.

    2005-01-01

    Indirect assessment instruments used during functional behavioral assessment, such as rating scales, interviews, and self-report instruments, represent the least intrusive techniques for acquiring information about the function of problem behavior. This article provides criteria for examining the measurement properties of these instruments…

  14. Risk assessment by client and case manager for shared decision making in outpatient forensic psychiatry

    NARCIS (Netherlands)

    van den Brink, Rob H. S.; Troquete, Nadine A. C.; Beintema, Harry; Mulder, Tamara; van Os, Titus W. D. P.; Schoevers, Robert A.; Wiersma, Durk

    2015-01-01

    Background: In outpatient forensic psychiatry, assessment of re-offending risk and treatment needs by case managers may be hampered by an incomplete view of client functioning. The client's appreciation of his own problem behaviour is not systematically used for these purposes. The current study

  15. Assessing physical function and physical activity in patients with CKD.

    Science.gov (United States)

    Painter, Patricia; Marcus, Robin L

    2013-05-01

    Patients with CKD are characterized by low levels of physical functioning, which, along with low physical activity, predict poor outcomes in those treated with dialysis. The hallmark of clinical care in geriatric practice and geriatric research is the orientation to and assessment of physical function and functional limitations. Although there is increasing interest in physical function and physical activity in patients with CKD, the nephrology field has not focused on this aspect of care. This paper provides an in-depth review of the measurement of physical function and physical activity. It focuses on physiologic impairments and physical performance limitations (impaired mobility and functional limitations). The review is based on established frameworks of physical impairment and functional limitations that have guided research in physical function in the aging population. Definitions and measures for physiologic impairments, physical performance limitations, self-reported function, and physical activity are presented. On the basis of the information presented, recommendations for incorporating routine assessment of physical function and encouragement for physical activity in clinical care are provided.

  16. Risk and Work Configuration Management as a Function of Integrated Safety Management

    International Nuclear Information System (INIS)

    Lana Buehrer; Michele Kelly; Fran Lemieux; Fred Williams

    2007-01-01

    National Security Technologies, LLC (NSTec), has established a work management program and corresponding electronic Facilities and Operations Management Information System (e-FOM) to implement Integrated Safety Management (ISM). The management of work scopes, the identification of hazards, and the establishment of implementing controls are reviewed and approved through electronic signatures. Through the execution of the program and the implementation of the electronic system, NSTec staff work within controls and utilize feedback and improvement process. The Integrated Work Control Manual further implements the five functions of ISM at the Activity level. By adding the Risk and Work Configuration Management program, NSTec establishes risk acceptance (business and physical) for liabilities within the performance direction and work management processes. Requirements, roles, and responsibilities are specifically identified in the program while e-FOM provides the interface and establishes the flowdown from the Safety Chain to work and facilities management processes to company work-related directives, and finally to Subject Matter Expert concurrence. The Program establishes, within the defined management structure, management levels for risk identification, risk mitigation (controls), and risk acceptance (business and physical) within the Safety Chain of Responsibility. The Program also implements Integrated Safeguards and Security Management within the NSTec Safety Chain of Responsibility. Once all information has been entered into e-FOM, approved, and captured as data, the information becomes searchable and sortable by hazard, location, organization, mitigating controls, etc

  17. Questionnaire-based assessment of executive functioning: Case studies.

    Science.gov (United States)

    Kronenberger, William G; Castellanos, Irina; Pisoni, David B

    2018-01-01

    Delays in the development of executive functioning skills are frequently observed in pediatric neuropsychology populations and can have a broad and significant impact on quality of life. As a result, assessment of executive functioning is often relevant for the development of formulations and recommendations in pediatric neuropsychology clinical work. Questionnaire-based measures of executive functioning behaviors in everyday life have unique advantages and complement traditional neuropsychological measures of executive functioning. Two case studies of children with spina bifida are presented to illustrate the clinical use of a new questionnaire measure of executive and learning-related functioning, the Learning, Executive, and Attention Functioning Scale (LEAF). The LEAF emphasizes clinical utility in assessment by incorporating four characteristics: brevity in administration, breadth of additional relevant content, efficiency of scoring and interpretation, and ease of availability for use. LEAF results were consistent with another executive functioning checklist in documenting everyday behavior problems related to working memory, planning, and organization while offering additional breadth of assessment of domains such as attention, processing speed, and novel problem-solving. These case study results demonstrate the clinical utility of questionnaire-based measurement of executive functioning in pediatric neuropsychology and provide a new measure for accomplishing this goal.

  18. Careful assessment key in managing prostatitis.

    Science.gov (United States)

    Gujadhur, Rahul; Aning, Jonathan

    2015-04-01

    Prostatitis is a common condition estimated to affect up to 30% of men in their lifetime, it is most prevalent in men aged between 35 and 50. Prostatitis is subclassified into: acute bacterial prostatitis, chronic bacterial prostatitis, chronic pelvic pain and asymptomatic inflammatory prostatitis. Acute bacterial prostatitis presents with acute onset pelvic pain which may or may not be related to voiding, lower urinary tract symptoms, sometimes haematuria or haematospermia and systemic symptoms such as fever and rigors. A documented history of recurrent urinary tract infections is the key feature of chronic bacterial prostatitis. Duration of symptoms > 3 months defines chronicity. The key symptom of chronic pelvic pain syndrome is pain. Patients may describe pain during or after ejaculation as their predominant symptom. Clinical assessment includes a thorough history and examination. A digital rectal examination should be performed after a midstream urine (MSU) sample has been collected for urine dipstick, microscopy and culture. The prostate should be checked for nodules. In acute bacterial prostatitis the MSU is the only laboratory investigation required. Chronic pelvic pain syndrome may be multifactorial and part of a more generalised pain disorder. Pelvic floor muscle abnormalities, altered neuroendocrine pathways, chemically induced inflammation, bacterial infection, autoimmune processes, dysfunctional voiding as well intraprostatic ductal reflux mechanisms have all been identified in men with chronic pelvic pain syndrome.

  19. EPA Scientific Knowledge Management Assessment and ...

    Science.gov (United States)

    A series of activities have been conducted by a core group of EPA scientists from across the Agency. The activities were initiated in 2012 and the focus was to increase the reuse and interoperability of science software at EPA. The need for increased reuse and interoperability is linked to the increased complexity of environmental assessments in the 21st century. This complexity is manifest in the form of problems that require integrated multi-disciplinary solutions. To enable the means to develop these solutions (i.e., science software systems) it is necessary to integrate software developed by disparate groups representing a variety of science domains. Thus, reuse and interoperability becomes imperative. This report briefly describes the chronology of activities conducted by the group of scientists to provide context for the primary purpose of this report, that is, to describe the proceedings and outcomes of the latest activity, a workshop entitled “Workshop on Advancing US EPA integration of environmental and information sciences”. The EPA has been lagging in digital maturity relative to the private sector and even other government agencies. This report helps begin the process of improving the agency’s use of digital technologies, especially in the areas of efficiency and transparency. This report contributes to SHC 1.61.2.

  20. Methodology for assessing performance of waste management systems

    International Nuclear Information System (INIS)

    Meshkov, N.K.; Herzenberg, C.L.; Camasta, S.F.

    1988-01-01

    The newly revised draft DOE Order 5820.2, Chapter 3, requires that DOE low-level waste shall be managed on a systematic basis using the most appropriate combination of waste generation reduction, segregation, treatment, and disposal practices so that the radioactive components are contained and the overall cost effectiveness is minimized. This order expects each site to prepare and maintain an overall waste management systems performance assessment supporting the combination of waste management practices used in generation reduction segregation, treatment, packaging, storage, and disposal. A document prepared by EG and G Idaho, Inc. for the Department of Energy called Guidance for Conduct of Waste Management Systems Performance Assessment is specifically intended to provide the approach necessary to meet the systems performance assessment requirement of DOE Order 5820.2, Chapter 3, and other applicable state regulations dealing with LLW (low-level radioactive wastes). Methods and procedures are needed for assessing the performance of a waste management system. This report addresses this need. The purpose of the methodology provided in this report is to select the optimal way to manage particular sets of waste streams from generation to disposal in a safe and cost-effective manner, and thereby assist the DOE LLW mangers in complying with the DOE Order 5820.2, Chapter 3, and the associated guidance document

  1. Disease-management partnership functioning, synergy and effectiveness in delivering chronic-illness care.

    Science.gov (United States)

    Cramm, Jane Murray; Nieboer, Anna Petra

    2012-06-01

    This study explored associations among disease-management partnership functioning, synergy and effectiveness in the delivery of chronic-illness care. This study had a cross-sectional design. The study sample consists of 218 professionals (out of 393) participating in 22 disease-management partnerships in various regions of the Netherlands. We assessed the relationships among partnership functioning, synergy and effectiveness in the delivery of chronic-illness care. Partnership functioning was assessed through leadership, resources, administration and efficiency. Synergy was considered the proximal outcome of partnership functioning, which, in turn, influenced the effectiveness of disease-management partnerships [measured with the Assessment of Chronic Illness Care (ACIC) survey instrument]. Overall ACIC scores ranged from 3 to 10, indicating basic/intermediate to optimal/comprehensive delivery of chronic-illness care. The results of the regression analysis demonstrate that partnership effectiveness was positively associated with leadership (β = 0.25; P≤ 0.01), and resources (β = 0.31; P≤ 0.001). No significant relationship was found between administration, efficiency and partnership effectiveness. Partnership synergy acted as a mediator for partnership functioning and was statistically significantly associated with partnership effectiveness (β = 0.25; P≤ 0.001). Disease-management partnerships seemed better able to deliver higher levels of chronic-illness care when synergy is created between partners. Synergy was more likely to emerge with boundary-spanning leaders who understood and appreciated partners' different perspectives, could bridge their diverse cultures and were comfortable sharing ideas, resources and power. In addition, the acknowledgement of and ability to use members' resources are valuable in engaging partners' involvement and achieving synergy in disease-management partnerships.

  2. RW management safety assessment in Armenia

    International Nuclear Information System (INIS)

    Avetisyan, A.

    2003-01-01

    The paper presents: the legislation in respect of radioactive waste management; various types of radioactive waste generators; waste streams and inventory; existing storage and disposal facilities; plans and strategies for evaluation of existing facilities and waste acceptance criteria for Radon type facility. Armenian NPP generates solid radioactive wastes per year: low level wastes - approx. 107 m 3 ; medium level wastes - approx. 0.3 m 3 ; high level wastes - approx. 0.24 m 3 . Isotopic inventory of solid wastes are as follows; Cs-137, Cs-134, Co-60 , Mn-54, Ag-110m, Sr-90. Medical, industrial and other wastes are from approximately 10 ionizing sources per year. The inventory of municipal type of radioactive wastes disposed in RADON type facility is as follows: H-3, Cs-137, Co-60, Am-241, C-14, Pu-238,239, Sr-90, Tc-99. The amount of total activity of disposed and stored wastes are 20.1 TBq. Storage for low level solid wastes in the Armenian NPP is in a typical near surface disposal facility, with engineered barriers, below the ground surface 10 m. The Radon type facility is a near surface disposal facility, with engineered barriers, below the ground surface 3 m. The design volume capacity is 2520 m 3 with 3 separate disposal facilities each one with 840 m 3 volume. For the spend sources are foreseen 2 boreholes, made by rotary drilling devices. Due to absence of mechanical manipulators, the high level spend sources are stored in the ANPP high level waste storage facility. For the waste treatment, the cementation device has been installed during construction, but due to mistake in device design, it never had been operated. The waste acceptance criteria for the facility are: regarding the origin of waste - non-nuclear wastes (medical, industrial, research and etc); permissible mass activity and volume activity of entered wastes must not exit 3.7 E+6Bq/(l, kg); permissible total activity of disposed disused sources must not exit (for 2 bore halls ) 40.000 g

  3. Depression in Schizophrenia: Associations With Cognition, Functional Capacity, Everyday Functioning, and Self-Assessment.

    Science.gov (United States)

    Harvey, Philip D; Twamley, Elizabeth W; Pinkham, Amy E; Depp, Colin A; Patterson, Thomas L

    2017-05-01

    Depressed mood has a complex relationship with self-evaluation of personal competence in multiple populations. The absence of depression may be associated with overestimation of abilities, while mild depression seems to lead to accurate self-assessment. Significant depression may lead to underestimation of functioning. In this study, we expand on our previous work by directly comparing the association between different levels of depression, everyday functioning, cognitive and functional capacity performance, and self-assessment of everyday functioning in a large (n = 406) sample of outpatients with schizophrenia. Participants with very low self-reported depression overestimated their everyday functioning compared with informant reports. Higher levels of depression were associated with more accurate self-assessment, but no subgroup of patients underestimated their functioning. Depressive symptom severity was associated with poorer informant-rated social functioning, but there were no differences in vocational functioning, everyday activities, cognitive performance, and functional capacity associated with the severity of self-reported depression. There was minimal evidence of impact of depression on most aspects of everyday functioning and objective test performance and a substantial relationship between depression and accuracy of self-assessment. © The Author 2016. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  4. Mental Health Professionals' Suicide Risk Assessment and Management Practices.

    Science.gov (United States)

    Roush, Jared F; Brown, Sarah L; Jahn, Danielle R; Mitchell, Sean M; Taylor, Nathanael J; Quinnett, Paul; Ries, Richard

    2018-01-01

    Approximately 20% of suicide decedents have had contact with a mental health professional within 1 month prior to their death, and the majority of mental health professionals have treated suicidal individuals. Despite limited evidence-based training, mental health professionals make important clinical decisions related to suicide risk assessment and management. The current study aimed to determine the frequency of suicide risk assessment and management practices and the association between fear of suicide-related outcomes or comfort working with suicidal individuals and adequacy of suicide risk management decisions among mental health professionals. Mental health professionals completed self-report assessments of fear, comfort, and suicide risk assessment and management practices. Approximately one third of mental health professionals did not ask every patient about current or previous suicidal thoughts or behaviors. Further, comfort, but not fear, was positively associated with greater odds of conducting evidence-based suicide risk assessments at first appointments and adequacy of suicide risk management practices with patients reporting suicide ideation and a recent suicide attempt. The study utilized a cross-sectional design and self-report questionnaires. Although the majority of mental health professionals report using evidenced-based practices, there appears to be variability in utilization of evidence-based practices.

  5. A novel approach to the assessment of vascular endothelial function

    International Nuclear Information System (INIS)

    Sathasivam, S; Siddiqui, Z; Greenwald, S; Phababpha, S; Sengmeuan, P; Detchaporn, P; Kukongviriyapan, U

    2011-01-01

    Impaired endothelial function (EF) is associated with atherogenesis, and its quantitative assessment has prognostic value. Currently, methods based on assessing flow-mediated dilation (FMD) are technically difficult and expensive. We tested a novel way of assessing EF by measuring the time difference between pulses arriving at the middle fingers of each hand (f-fΔT), whilst FMD is induced in one arm. We compared f-fΔT with standard methods in healthy and diseased subjects. Our findings suggest that the proposed simple and inexpensive technique gives comparable results and has the potential to qualitatively assess EF in the clinical setting, although further work is required.

  6. Development of bilingual tools to assess functional health patterns.

    Science.gov (United States)

    Krozy, R E; McCarthy, N C

    1999-01-01

    The theory and process of developing bilingual assessment tools based on Gordon's 11 functional health patterns. To facilitate assessing the individual, family, and community in a student clinical practicum in a Spanish-speaking country. Multiple family and community health promotion theories; translation theories, Gordon's Manual of Nursing Diagnosis (1982); translation/back-translation involving Ecuadorian faculty and students; student community assessments; faculty and staff workshops in Ecuador. Bilingual, culturally sensitive health assessment tools facilitate history taking, establish nursing diagnoses and interventions, and promote mutual learning. These outcomes demonstrate potential application to other systems in the international nursing community.

  7. Development of safety function assessment trees for pressurized heavy water reactor LP/SD operations

    International Nuclear Information System (INIS)

    Yang, Hui Chang; Chung, Chang Hyun; Kim, Ki Yong; Jee, Moon Hak; Sung, Chang Kyoung

    2003-01-01

    The objective of Configuration Risk Management Program(CRMP) is to maintain the safety level by assuring the defense-in-depth of nuclear power plant while the configurations are changed during plant operations, especially for the LP/SD. Such a safety purpose can be achieved by establishing the risk monitoring programs with both quantitative and qualitative features. Generally, the quantitative risk evaluation models, i.e., PRA models are used for the risk evaluation during full power operation, and the qualitative risk evaluation models such as safety function assessment trees are used. Through this study, safety function assessment trees were developed

  8. The Gompertz Function And Its Applications In Management

    Directory of Open Access Journals (Sweden)

    Rządkowski Grzegorz

    2015-06-01

    Full Text Available In the present paper, we investigate the Gompertz function, which is commonly used, mostly as diffusion model, in economics and management. Our approach is based on indicating in a given time series, presumably with a Gompertz trend, some characteristic points corresponding to zeroes of successive derivatives of this function. This allows us to predict the saturation level of a phenomenon under investigation, by using only the early values of the time series. We also give an example of applications of this method.

  9. Objective Integrated Assessment of Functional Outcomes in Reduction Mammaplasty

    Science.gov (United States)

    Passaro, Ilaria; Malovini, Alberto; Faga, Angela; Toffola, Elena Dalla

    2013-01-01

    Background: The aim of our study was an objective integrated assessment of the functional outcomes of reduction mammaplasty. Methods: The study involved 17 women undergoing reduction mammaplasty from March 2009 to June 2011. Each patient was assessed before surgery and 2 months postoperatively with the original association of 4 subjective and objective assessment methods: a physiatric clinical examination, the Roland Morris Disability Questionnaire, the Berg Balance Scale, and a static force platform analysis. Results: All of the tests proved multiple statistically significant associated outcomes demonstrating a significant improvement in the functional status following reduction mammaplasty. Surgical correction of breast hypertrophy could achieve both spinal pain relief and recovery of performance status in everyday life tasks, owing to a muscular postural functional rearrangement with a consistent antigravity muscle activity sparing. Pain reduction in turn could reduce the antalgic stiffness and improved the spinal range of motion. In our sample, the improvement of the spinal range of motion in flexion matched a similar improvement in extension. Recovery of a more favorable postural pattern with reduction of the anterior imbalance was demonstrated by the static force stabilometry. Therefore, postoperatively, all of our patients narrowed the gap between the actual body barycenter and the ideal one. The static force platform assessment also consistently confirmed the effectiveness of an accurate clinical examination of functional impairment from breast hypertrophy. Conclusions: The static force platform assessment might help the clinician to support the diagnosis of functional impairment from a breast hypertrophy with objectively based data. PMID:25289256

  10. Platelet function testing: methods of assessment and clinical utility.

    LENUS (Irish Health Repository)

    Mylotte, Darren

    2012-02-01

    Platelets play a central role in the regulation of both thrombosis and haemostasis yet tests of platelet function have, until recently, been exclusively used in the diagnosis and management of bleeding disorders. Recent advances have demonstrated the clinical utility of platelet function testing in patients with cardiovascular disease. The ex vivo measurement of response to antiplatelet therapies (aspirin and clopidogrel), by an ever-increasing array of platelet function tests, is with some assays, predictive of adverse clinical events and thus, represents an emerging area of interest for both the clinician and basic scientist. This review article will describe the advantages and disadvantages of the currently available methods of measuring platelet function and discuss both the limitations and emerging data supporting the role of platelet function studies in clinical practice.

  11. Platelet function testing: methods of assessment and clinical utility.

    LENUS (Irish Health Repository)

    Mylotte, Darren

    2011-01-01

    Platelets play a central role in the regulation of both thrombosis and haemostasis yet tests of platelet function have, until recently, been exclusively used in the diagnosis and management of bleeding disorders. Recent advances have demonstrated the clinical utility of platelet function testing in patients with cardiovascular disease. The ex vivo measurement of response to antiplatelet therapies (aspirin and clopidogrel), by an ever-increasing array of platelet function tests, is with some assays, predictive of adverse clinical events and thus, represents an emerging area of interest for both the clinician and basic scientist. This review article will describe the advantages and disadvantages of the currently available methods of measuring platelet function and discuss both the limitations and emerging data supporting the role of platelet function studies in clinical practice.

  12. Biodiversity, ecosystem function and forest management. Part I

    International Nuclear Information System (INIS)

    Le Tacon, F.; Selosse, M-A.; Gosselin, F.

    2000-01-01

    In part one, the authors dealt first with the foundations of biodiversity and its role in forest ecosystems. They then go on to the problems relating to its level of expression and the measurements and indicators for assessing it. Following a section on ethical considerations, the authors explore the possible impact of factors involving human activities other than forest management on biodiversity - fragmentation and structuring of space, forest occupancy, picking, disappearance of carnivorous species, depositions and pollution, global warming and forest fires. (authors)

  13. The Assessment Of The Level Of Management Control Standards Completion In Treasury Sector

    Directory of Open Access Journals (Sweden)

    Kulińska Ewa

    2015-06-01

    Full Text Available This paper concerns the rules of the functioning of management control standards used in the Treasury Control Office. Its purpose is to present research results conducted in the years 2013–2014 in Polish Treasury Control Offices. Obtained results are the effect of applying author’s model of the assessment of management control implementation. The research was conducted for management personnel and the rest of offices employees separately. Significant discrepancies between these two groups of respondents were indicated. Based on the results, the areas of deviation from expected level of management control standards were established and the areas where implementation of control mechanisms relying on increasing the supervision of board of directors over managers were indicated, providing permanent and efficient elements of managers supervision over subordinate employees and making purposes and tasks put on the Treasury Control Office for given year more precise and familiarization of employees and carrying out trainings and series of other corrective measures.

  14. Assessment of the psychometric properties of the Family Management Measure.

    Science.gov (United States)

    Knafl, Kathleen; Deatrick, Janet A; Gallo, Agatha; Dixon, Jane; Grey, Margaret; Knafl, George; O'Malley, Jean

    2011-06-01

    This paper reports development of the Family Management Measure (FaMM) of parental perceptions of family management of chronic conditions. By telephone interview, 579 parents of children age 3 to 19 with a chronic condition (349 partnered mothers, 165 partners, 65 single mothers) completed the FaMM and measures of child functional status and behavioral problems and family functioning. Analyses addressed reliability, factor structure, and construct validity. Exploratory factor analysis yielded six scales: Child's Daily Life, Condition Management Ability, Condition Management Effort, Family Life Difficulty, Parental Mutuality, and View of Condition Impact. Internal consistency reliability ranged from .72 to .91, and test-retest reliability from .71 to .94. Construct validity was supported by significant correlations in hypothesized directions between FaMM scales and established measures. Results support FaMM's; reliability and validity, indicating it performs in a theoretically meaningful way and taps distinct aspects of family response to childhood chronic conditions.

  15. Swedish REGULATORY APPROACH TO SAFETY Assessment AND SEVERE ACCIDENT MANAGEMENT

    International Nuclear Information System (INIS)

    Frid, W.; Sandervaag, O.

    1997-01-01

    The Swedish regulatory approach to safety assessment and severe accident management is briefly described. The safety assessment program, which focuses on prevention of incidents and accidents, has three main components: periodic safety reviews, probabilistic safety analysis, and analysis of postulated disturbances and accident progression sequences. Management and man-technology-organisation issues, as well as inspections, play a key role in safety assessment. Basis for severe accident management were established by the Government decisions in 1981 and 1986. By the end of 1988, the severe accident mitigation systems and emergency operating procedures were implemented at all Swedish reactors. The severe accident research has continued after 1988 for further verification of the protection provided by the systems and reduction of remaining uncertainties in risk dominant phenomena

  16. ASSESSMENT OF GREEN SUPPLY CHAIN MANAGEMENT IN AN INDIAN INDUSTRY

    OpenAIRE

    Er. Bhura Singh*1, Er. Nikhlesh N. Singh2 & Dr. Prabhat Sinha3

    2017-01-01

    In the present scenario, there is a growing need for integrating environmentally sound choices into supply chain management research and practices among the organization. The main objective of this study is to assess the recent literatures of the Green Supply Chain management (GSCM) and also determine the environment concern of this emerging field. The study is focused on development of GSCM strategies which also includes that all the researchers from this review is focused on environmental a...

  17. Management assessments of Quality Assurance Program implementation effectiveness

    International Nuclear Information System (INIS)

    Snyder, D.A.

    1984-01-01

    This paper describes a method currently being used by UNC Nuclear Industries, Richland, Washington, to help assure the effectiveness of Quality Assurance (QA) Program implementation. Assessments are conducted annually by management in each department, and the results summarized to the president and his staff. The purpose of these assessments is to review the adequacy of the department's implementing procedures, training/instruction on implementing procedures, and procedure implementation effectiveness. The primary purpose is to assess effectiveness and take improvement action where the need is indicated. The QA organization provides only general guidance in conducting the assessments

  18. Brazilian adaptation of the Hotel Task: A tool for the ecological assessment of executive functions

    Science.gov (United States)

    Cardoso, Caroline de Oliveira; Zimmermann, Nicolle; Paraná, Camila Borges; Gindri, Gigiane; de Pereira, Ana Paula Almeida; Fonseca, Rochele Paz

    2015-01-01

    Over recent years, neuropsychological research has been increasingly concerned with the need to develop more ecologically valid instruments for the assessment of executive functions. The Hotel Task is one of the most widely used ecological measures of executive functioning, and provides an assessment of planning, organization, self-monitoring and cognitive flexibility. Objective The goal of this study was to adapt the Hotel Task for use in the Brazilian population. Methods The sample comprised 27 participants (three translators, six expert judges, seven healthy adults, ten patients with traumatic brain injuries and one hotel manager). The adaptation process consisted of five steps, which were repeated until a satisfactory version of the task was produced. The steps were as follows: (1) Translation; (2) Development of new stimuli and brainstorming among the authors; (3) Analysis by expert judges; (4) Pilot studies; (5) Assessment by an expert in business administration and hotel management. Results The adapted version proved adequate and valid for the assessment of executive functions. However, further research must be conducted to obtain evidence of the reliability, as well as the construct and criterion validity, sensitivity and specificity, of the Hotel Task. Conclusion Many neurological and/or psychiatric populations may benefit from the adapted task, since it may make significant contributions to the assessment of dysexecutive syndromes and their impact on patient functioning. PMID:29213957

  19. Brazilian adaptation of the Hotel Task: A tool for the ecological assessment of executive functions.

    Science.gov (United States)

    Cardoso, Caroline de Oliveira; Zimmermann, Nicolle; Paraná, Camila Borges; Gindri, Gigiane; de Pereira, Ana Paula Almeida; Fonseca, Rochele Paz

    2015-01-01

    Over recent years, neuropsychological research has been increasingly concerned with the need to develop more ecologically valid instruments for the assessment of executive functions. The Hotel Task is one of the most widely used ecological measures of executive functioning, and provides an assessment of planning, organization, self-monitoring and cognitive flexibility. The goal of this study was to adapt the Hotel Task for use in the Brazilian population. The sample comprised 27 participants (three translators, six expert judges, seven healthy adults, ten patients with traumatic brain injuries and one hotel manager). The adaptation process consisted of five steps, which were repeated until a satisfactory version of the task was produced. The steps were as follows:(1) Translation;(2) Development of new stimuli and brainstorming among the authors;(3) Analysis by expert judges;(4) Pilot studies;(5) Assessment by an expert in business administration and hotel management. The adapted version proved adequate and valid for the assessment of executive functions. However, further research must be conducted to obtain evidence of the reliability, as well as the construct and criterion validity, sensitivity and specificity, of the Hotel Task. Many neurological and/or psychiatric populations may benefit from the adapted task, since it may make significant contributions to the assessment of dysexecutive syndromes and their impact on patient functioning.

  20. Assessment of the Tourism Function in Region Development

    Directory of Open Access Journals (Sweden)

    Nataliia Zigern-Korn

    2014-07-01

    Full Text Available This article represents methodical approaches to estimation of tourism value and function in Russian regions development and contains some results of the carried-out assessment. The reasons about tourism mission for different types of territory exploitation and level of social and economic development, the idea of methods of tourist development of regions space are the core lines of the assessment framework. Selection of model regions due to their development types formed information basis for assessment. We determined specific Indicators and algorithm of an assessment to each model region. Results of the carried-out assessment allow rethinking the category of tourist and recreational potential of the territory from the standpoint of prospects and principles of a sustainable development. The technique of such impact assessment of tourism on regional development opens opportunity for public authorities to adopt correct strategic decisions according to the principles of Smart Development.

  1. A Functional Analysis of DOD Implementation of Seat Management

    National Research Council Canada - National Science Library

    Rasmussen, David

    1999-01-01

    .... Seat management, also known as desktop outsourcing, involves the acquisition and management of all hardware and software, desktop and network management, operations management, support services...

  2. A systematic process for developing and assessing accident management plans

    International Nuclear Information System (INIS)

    Hanson, D.J.; Blackman, H.S.; Meyer, O.R.; Ward, L.W.

    1991-04-01

    This document describes a four-phase approach for developing criteria recommended for use in assessing the adequacy of nuclear power plant accident management plans. Two phases of the approach have been completed and provide a prototype process that could be used to develop an accident management plan. Based on this process, a preliminary set of assessment criteria are derived. These preliminary criteria will be refined and improved when the remaining steps of the approach are completed, that is, after the prototype process is validated through application. 9 refs., 10 figs., 7 tabs

  3. Ultrasonographic Assessment of Diaphragm Function in Critically Ill Subjects.

    Science.gov (United States)

    Umbrello, Michele; Formenti, Paolo

    2016-04-01

    The majority of patients admitted to the ICU require mechanical ventilation as a part of their process of care. However, mechanical ventilation itself or the underlying disease can lead to dysfunction of the diaphragm, a condition that may contribute to the failure of weaning from mechanical ventilation. However, extended time on the ventilator increases health-care costs and greatly increases patient morbidity and mortality. Nevertheless, symptoms and signs of muscle disease in a bedridden (or bed rest-only) ICU patient are often difficult to assess because of concomitant confounding factors. Conventional assessment of diaphragm function lacks specific, noninvasive, time-saving, and easily performed bedside tools or requires patient cooperation. Recently, the use of ultrasound has raised great interest as a simple, noninvasive method of quantification of diaphragm contractile activity. In this review, we discuss the physiology and the relevant pathophysiology of diaphragm function, and we summarize the recent findings concerning the evaluation of its (dys)function in critically ill patients, with a special focus on the role of ultrasounds. We describe how to assess diaphragm excursion and diaphragm thickening during breathing and the meaning of these measurements under spontaneous or mechanical ventilation as well as the reference values in health and disease. The spread of ultrasonographic assessment of diaphragm function may possibly result in timely identification of patients with diaphragm dysfunction and to a potential improvement in the assessment of recovery from diaphragm weakness. Copyright © 2016 by Daedalus Enterprises.

  4. Guidelines for assessing the knowledge management maturity of organizations

    Directory of Open Access Journals (Sweden)

    C. J. Kruger

    2007-11-01

    Full Text Available In a recent article Kruger and Snyman hypothesized that progressions in knowledge management maturity (from a strategic perspective are directly related to an increased ability to speed up the strategic cycle of imitation, consolidation and innovation. The arguments proposed, however, neglected to supply the reader with a practical toolkit or even a roadmap (a time-related matrix, or questionnaire to successfully measure succession in knowledge management maturity. This article builds on the previous one and proposes a questionnaire consisting of six sections, containing 101 descriptive questions, to enable organizations to test and assess their knowledge management maturity empirically. The development of an instrument to measure knowledge management maturity required adhering to a research design that combined theoretical propositions with practical experimentation. As a point of departure, a knowledge management maturity matrix consisting of seven maturity levels was formulated. All questions contained within the matrix were benchmarked against a survey questionnaire developed by the public management service of the OECD (PUMA and were also pre-tested and validated. This process of refinement led to the formulation of the Knowledge Management Maturity Questionnaire. To avoid any taint of this research being based only on theoretical propositions, the questionnaire was tested by 178 master students of the University of Pretoria, South Africa, in nine different industries. The proposed questionnaire provides a bridge between theoretical propositions and practical usability, not only enabling knowledge management practitioners to assess the level of knowledge management maturity reached successfully but, more importantly, also serving as a guideline to institutionalize further and future knowledge management endeavours.

  5. Assessing local knowledge use in agroforestry management with cognitive maps.

    Science.gov (United States)

    Isaac, Marney E; Dawoe, Evans; Sieciechowicz, Krystyna

    2009-06-01

    Small-holder farmers often develop adaptable agroforestry management techniques to improve and diversify crop production. In the cocoa growing region of Ghana, local knowledge on such farm management holds a noteworthy role in the overall farm development. The documentation and analysis of such knowledge use in cocoa agroforests may afford an applicable framework to determine mechanisms driving farmer preference and indicators in farm management. This study employed 12 in-depth farmer interviews regarding variables in farm management as a unit of analysis and utilized cognitive mapping as a qualitative method of analysis. Our objectives were (1) to illustrate and describe agroforestry management variables and associated farm practices, (2) to determine the scope of decision making of individual farmers, and (3) to investigate the suitability of cognitive mapping as a tool for assessing local knowledge use. Results from the cognitive maps revealed an average of 16 +/- 3 variables and 19 +/- 3 links between management variables in the farmer cognitive maps. Farmer use of advantageous ecological processes was highly central to farm management (48% of all variables), particularly manipulation of organic matter, shade and food crop establishment, and maintenance of a tree stratum as the most common, highly linked variables. Over 85% of variables included bidirectional arrows, interpreted as farm management practices dominated by controllable factors, insofar as farmers indicated an ability to alter most farm characteristics. Local knowledge use on cocoa production revealed detailed indicators for site evaluation, thus affecting farm preparation and management. Our findings suggest that amid multisourced information under conditions of uncertainty, strategies for adaptable agroforestry management should integrate existing and localized management frameworks and that cognitive mapping provides a tool-based approach to advance such a management support system.

  6. Assessing Local Knowledge Use in Agroforestry Management with Cognitive Maps

    Science.gov (United States)

    Isaac, Marney E.; Dawoe, Evans; Sieciechowicz, Krystyna

    2009-06-01

    Small-holder farmers often develop adaptable agroforestry management techniques to improve and diversify crop production. In the cocoa growing region of Ghana, local knowledge on such farm management holds a noteworthy role in the overall farm development. The documentation and analysis of such knowledge use in cocoa agroforests may afford an applicable framework to determine mechanisms driving farmer preference and indicators in farm management. This study employed 12 in-depth farmer interviews regarding variables in farm management as a unit of analysis and utilized cognitive mapping as a qualitative method of analysis. Our objectives were (1) to illustrate and describe agroforestry management variables and associated farm practices, (2) to determine the scope of decision making of individual farmers, and (3) to investigate the suitability of cognitive mapping as a tool for assessing local knowledge use. Results from the cognitive maps revealed an average of 16 ± 3 variables and 19 ± 3 links between management variables in the farmer cognitive maps. Farmer use of advantageous ecological processes was highly central to farm management (48% of all variables), particularly manipulation of organic matter, shade and food crop establishment, and maintenance of a tree stratum as the most common, highly linked variables. Over 85% of variables included bidirectional arrows, interpreted as farm management practices dominated by controllable factors, insofar as farmers indicated an ability to alter most farm characteristics. Local knowledge use on cocoa production revealed detailed indicators for site evaluation, thus affecting farm preparation and management. Our findings suggest that amid multisourced information under conditions of uncertainty, strategies for adaptable agroforestry management should integrate existing and localized management frameworks and that cognitive mapping provides a tool-based approach to advance such a management support system.

  7. Modelling the Impact of Soil Management on Soil Functions

    Science.gov (United States)

    Vogel, H. J.; Weller, U.; Rabot, E.; Stößel, B.; Lang, B.; Wiesmeier, M.; Urbanski, L.; Wollschläger, U.

    2017-12-01

    Due to an increasing soil loss and an increasing demand for food and energy there is an enormous pressure on soils as the central resource for agricultural production. Besides the importance of soils for biomass production there are other essential soil functions, i.e. filter and buffer for water, carbon sequestration, provision and recycling of nutrients, and habitat for biological activity. All these functions have a direct feed back to biogeochemical cycles and climate. To render agricultural production efficient and sustainable we need to develop model tools that are capable to predict quantitatively the impact of a multitude of management measures on these soil functions. These functions are considered as emergent properties produced by soils as complex systems. The major challenge is to handle the multitude of physical, chemical and biological processes interacting in a non-linear manner. A large number of validated models for specific soil processes are available. However, it is not possible to simulate soil functions by coupling all the relevant processes at the detailed (i.e. molecular) level where they are well understood. A new systems perspective is required to evaluate the ensemble of soil functions and their sensitivity to external forcing. Another challenge is that soils are spatially heterogeneous systems by nature. Soil processes are highly dependent on the local soil properties and, hence, any model to predict soil functions needs to account for the site-specific conditions. For upscaling towards regional scales the spatial distribution of functional soil types need to be taken into account. We propose a new systemic model approach based on a thorough analysis of the interactions between physical, chemical and biological processes considering their site-specific characteristics. It is demonstrated for the example of soil compaction and the recovery of soil structure, water capacity and carbon stocks as a result of plant growth and biological

  8. Functions and values of hunting and its management in Spain: scientific studies on the hunting community

    Directory of Open Access Journals (Sweden)

    Miguel Delibes-Mateos

    2018-01-01

    Full Text Available We summarize information provided by some recent scientific studies in relation to the opinions, views and attitudes of Spanish hunters regarding hunting and its management. In particular, we discuss the different functions (economic, ecological and social that hunters attribute to hunting, as well as their moral judgements associated with the different motives for hunting. In addition, we explore how hunters value different game management tools (including predator control, releases of farm-reared animals and the regulation of hunting pressure, and we discuss how such valuations affect their decision-making. Finally, we assess potential future trends of hunting, as expressed by the hunters themselves.

  9. Methods for assessing the effects of dehydration on cognitive function.

    Science.gov (United States)

    Lieberman, Harris R

    2012-11-01

    Studying the effects of dehydration on cognitive function presents a variety of unique and difficult challenges to investigators. These challenges, which are addressed in this article, can be divided into three general categories: 1) choosing an appropriate method of generating a consistent level of dehydration; 2) determining and effectively employing appropriate and sensitive measures of cognitive state; and 3) adequately controlling the many confounding factors that interfere with assessment of cognitive function. The design and conduct of studies on the effects of dehydration on cognitive function should carefully consider various methodological issues, and investigators should carefully weigh the benefits and disadvantages of particular methods and procedures. © 2012 International Life Sciences Institute.

  10. Objective function for the environmental assessment of waste

    International Nuclear Information System (INIS)

    Toy, A.J.; Boegel, J.; Cohen, J.J.

    1976-01-01

    Various waste management systems were examined in order to determine what the environmental impacts might be and to rank the relative importance of those impacts. This examination determined that radiation dose to man was the most significant, and probably overriding, impact. This report describes methods of providing an objective function for dose to man. The search for an objective function began with a reading of Federal Regulations and the output of various standard setting councils and committees. Ample guidance was found on maximum allowable doses to individuals but no guidance on dose to large populations or criteria by which systems could be compared or optimized. Several other ways were postulated by which waste management systems could be evaluated besides maximum allowable dose to individuals. 0.1 man-rem per MW(e)-year was selected as the measure of system performance. This unit compares a rational estimate of population dose commitment with the concurrent benefit

  11. Assessing executive functions in preschoolers using Shape School Task

    Directory of Open Access Journals (Sweden)

    Marta Nieto

    2016-09-01

    Full Text Available Over the last two decades, there has been a growing interest in the study of the development of executive functions in preschool children due to their relationship with different cognitive, psychological, social and academic domains. Early detection of individual differences in executive functioning can have major implications for basic and applied research. Consequently, there is a key need for assessment tools adapted to preschool skills: Shape School has been shown to be a suitable task for this purpose. Our study uses Shape School as the main task to analyze development of inhibition, task-switching and working memory in a sample of 304 preschoolers (age range 3.25-6.50 years. Additionally, we include cognitive tasks for the evaluation of verbal variables (vocabulary, word reasoning and short-term memory and performance variables (picture completion and symbol search, so as to analyze their relationship with executive functions. Our results show age-associated improvements in executive functions and the cognitive variables assessed. Furthermore, correlation analyses reveal positive relationships between executive functions and the other cognitive variables. More specifically, using structural equation modeling and including age direct and indirect effects, our results suggest that executive functions explain to a greater extent performance on verbal and performance tasks. These findings provide further information to support research that considers preschool age to be a crucial period for the development of executive functions and their relationship with other cognitive processes

  12. Questionnaire-based assessment of executive functioning: Psychometrics.

    Science.gov (United States)

    Castellanos, Irina; Kronenberger, William G; Pisoni, David B

    2018-01-01

    The psychometric properties of the Learning, Executive, and Attention Functioning (LEAF) scale were investigated in an outpatient clinical pediatric sample. As a part of clinical testing, the LEAF scale, which broadly measures neuropsychological abilities related to executive functioning and learning, was administered to parents of 118 children and adolescents referred for psychological testing at a pediatric psychology clinic; 85 teachers also completed LEAF scales to assess reliability across different raters and settings. Scores on neuropsychological tests of executive functioning and academic achievement were abstracted from charts. Psychometric analyses of the LEAF scale demonstrated satisfactory internal consistency, parent-teacher inter-rater reliability in the small to large effect size range, and test-retest reliability in the large effect size range, similar to values for other executive functioning checklists. Correlations between corresponding subscales on the LEAF and other behavior checklists were large, while most correlations with neuropsychological tests of executive functioning and achievement were significant but in the small to medium range. Results support the utility of the LEAF as a reliable and valid questionnaire-based assessment of delays and disturbances in executive functioning and learning. Applications and advantages of the LEAF and other questionnaire measures of executive functioning in clinical neuropsychology settings are discussed.

  13. Validating the JobFit system functional assessment method

    Energy Technology Data Exchange (ETDEWEB)

    Jenny Legge; Robin Burgess-Limerick

    2007-05-15

    Workplace injuries are costing the Australian coal mining industry and its communities $410 Million a year. This ACARP study aims to meet those demands by developing a safe, reliable and valid pre-employment functional assessment tool. All JobFit System Pre-Employment Functional Assessments (PEFAs) consist of a musculoskeletal screen, balance test, aerobic fitness test and job-specific postural tolerances and material handling tasks. The results of each component are compared to the applicant's job demands and an overall PEFA score between 1 and 4 is given with 1 being the better score. The reliability study and validity study were conducted concurrently. The reliability study examined test-retest, intra-tester and inter-tester reliability of the JobFit System Functional Assessment Method. Overall, good to excellent reliability was found, which was sufficient to be used for comparison with injury data for determining the validity of the assessment. The overall assessment score and material handling tasks had the greatest reliability. The validity study compared the assessment results of 336 records from a Queensland underground and open cut coal mine with their injury records. A predictive relationship was found between PEFA score and the risk of a back/trunk/shoulder injury from manual handling. An association was also found between PEFA score of 1 and increased length of employment. Lower aerobic fitness test results had an inverse relationship with injury rates. The study found that underground workers, regardless of PEFA score, were more likely to have an injury when compared to other departments. No relationship was found between age and risk of injury. These results confirm the validity of the JobFit System Functional Assessment method.

  14. Conflict management, Part 1. Conflict management checklist: a diagnostic tool for assessing conflict in organizations.

    Science.gov (United States)

    Siders, C T; Aschenbrener, C A

    1999-01-01

    Complex interpersonal conflicts are inevitable in the high speed, high stakes, pressured work of health care. Poorly managed, conflict saps productivity, erodes trust, and spawns additional disputes. Well managed, conflict can enhance the self-confidence and self-esteem of the parties, build relationships, and engender creative solutions beyond expectations. Just as thoughtful differential diagnosis precedes optimum treatment in the doctor-patient relationship, management of conflict is greatly enhanced when preceded by careful assessment. In the first of two articles, the authors present a diagnostic approach, the Conflict Management Checklist, to increase self-awareness and decrease anxiety around conflict.

  15. Improving the Assessment of the Level of Regional Resources Management

    Directory of Open Access Journals (Sweden)

    Taraday Vladimir N.

    2017-12-01

    Full Text Available The work improves the assessment of the level of managing development resources by regions of Ukraine, which is based on the use of a comprehensive assessment — multidimensional comparative analysis (namely the rank-sum test and allows comparing the effectiveness of managing resource development in regions of Ukraine using the available data, on their status on the basis of a unified system of indicators, as well as comparing the level of managing development resources by each region of Ukraine in time. The uneven development of regions of the country is investigated, the growth of inter-regional socio-economic disproportions is revealed. It is determined that, having a fundamentally different composition and volume of natural, human, financial resources, the state and effectiveness of managing development resources by regions of Ukraine is significantly different. The level of managing development resources by regions of Ukraine is proposed to be assessed by the aggregate indicators characterizing the increase in the productivity of the regional economy, profitability of local business, and level of incomes of the population; general increase in social standards, quality of life and business environment.

  16. Multicriteria Decision Framework for Cybersecurity Risk Assessment and Management.

    Science.gov (United States)

    Ganin, Alexander A; Quach, Phuoc; Panwar, Mahesh; Collier, Zachary A; Keisler, Jeffrey M; Marchese, Dayton; Linkov, Igor

    2017-09-05

    Risk assessors and managers face many difficult challenges related to novel cyber systems. Among these challenges are the constantly changing nature of cyber systems caused by technical advances, their distribution across the physical, information, and sociocognitive domains, and the complex network structures often including thousands of nodes. Here, we review probabilistic and risk-based decision-making techniques applied to cyber systems and conclude that existing approaches typically do not address all components of the risk assessment triplet (threat, vulnerability, consequence) and lack the ability to integrate across multiple domains of cyber systems to provide guidance for enhancing cybersecurity. We present a decision-analysis-based approach that quantifies threat, vulnerability, and consequences through a set of criteria designed to assess the overall utility of cybersecurity management alternatives. The proposed framework bridges the gap between risk assessment and risk management, allowing an analyst to ensure a structured and transparent process of selecting risk management alternatives. The use of this technique is illustrated for a hypothetical, but realistic, case study exemplifying the process of evaluating and ranking five cybersecurity enhancement strategies. The approach presented does not necessarily eliminate biases and subjectivity necessary for selecting countermeasures, but provides justifiable methods for selecting risk management actions consistent with stakeholder and decisionmaker values and technical data. Published 2017. This article is a U.S. Government work and is in the public domain in the U.S.A.

  17. Functional Assessment-Based Intervention for Selective Mutism

    Science.gov (United States)

    Kern, Lee; Starosta, Kristin M.; Bambara, Linda M.; Cook, Clayton R.; Gresham, Frank R.

    2007-01-01

    The process of functional assessment has emerged as an essential component for intervention development. Applications across divergent types of problem behavior, however, remain limited. This study evaluated the applicability of this promising approach to students with selective mutism. Two middle school students served as participants. The…

  18. Functional assessment of patients after total knee replacement

    Directory of Open Access Journals (Sweden)

    Matla Joanna

    2017-06-01

    Full Text Available Introduction: In the society of the 21st century, osteoarthritis is considered one of the primary causes of the occurrence of pain and disability. Arthroplasty is the treatment of choice for advanced degenerative changes. The aim of the study was to carry out a functional assessment of patients at early stages of rehabilitation after total knee replacement.

  19. MIMIC Methods for Assessing Differential Item Functioning in Polytomous Items

    Science.gov (United States)

    Wang, Wen-Chung; Shih, Ching-Lin

    2010-01-01

    Three multiple indicators-multiple causes (MIMIC) methods, namely, the standard MIMIC method (M-ST), the MIMIC method with scale purification (M-SP), and the MIMIC method with a pure anchor (M-PA), were developed to assess differential item functioning (DIF) in polytomous items. In a series of simulations, it appeared that all three methods…

  20. Imaging in the assessment and management of athletic pubalgia.

    Science.gov (United States)

    Robinson, Philip; Bhat, Vineet; English, Bryan

    2011-02-01

    This article reviews the clinical, anatomical, and biomechanical basis of pubalgia and relates it to the potential imaging findings and subsequent management. Although the magnetic resonance imaging features typically seen in symptomatic athletes are emphasized, this condition remains a complex clinical problem, and treatment addressing the functional rehabilitation of the entire region is highlighted. © Thieme Medical Publishers.

  1. Assessment of supply chain management in Nigerian construction ...

    African Journals Online (AJOL)

    This paper on assessment of supply Chain Management (SCM) in Effective Project ... in Imo state focused on identifying the challenges of construction supply chain ... and diverse objective were ranked highest whereas unfair risk allocation and poor ... The study recommends that construction stakeholders should embrace ...

  2. Assessing the Army’s Software Patch Management Process

    Science.gov (United States)

    2016-03-04

    software maker or to antivirus vendors (Zetter, 2014). Fixing such a vulnerability within the zero-day period requires teamwork across multiple...Assessing the Army’s Software Patch Management Process Benjamin Alan Pryor March 4, 2016 PUBLISHED...19 Commercial-Off-the-Shelf Software

  3. The costs assessment of the RENEL's programme for radwaste management

    International Nuclear Information System (INIS)

    Barariu, Gh.; Andreescu, N.

    1995-01-01

    The paper presents first economical assessment of the Radwaste Management Programme of the Romanian Electricity Authority - Nuclear Power Group (RENEL-GEN) until closing all foreseeable activities in the field of nuclear waste processing and disposal. (Author) 1 Tab., 7 Refs

  4. Assessing Educational Processes Using Total-Quality-Management Measurement Tools.

    Science.gov (United States)

    Macchia, Peter, Jr.

    1993-01-01

    Discussion of the use of Total Quality Management (TQM) assessment tools in educational settings highlights and gives examples of fishbone diagrams, or cause and effect charts; Pareto diagrams; control charts; histograms and check sheets; scatter diagrams; and flowcharts. Variation and quality are discussed in terms of continuous process…

  5. Assessing the Flipped Classroom in Operations Management: A Pilot Study

    Science.gov (United States)

    Prashar, Anupama

    2015-01-01

    The author delved into the results of a flipped classroom pilot conducted for an operations management course module. It assessed students' perception of a flipped learning environment after making them experience it in real time. The classroom environment was construed using a case research approach and students' perceptions were studied using…

  6. Assessment of the Quality Management Models in Higher Education

    Science.gov (United States)

    Basar, Gulsun; Altinay, Zehra; Dagli, Gokmen; Altinay, Fahriye

    2016-01-01

    This study involves the assessment of the quality management models in Higher Education by explaining the importance of quality in higher education and by examining the higher education quality assurance system practices in other countries. The qualitative study was carried out with the members of the Higher Education Planning, Evaluation,…

  7. Self-Assessment of Competences in Management Education

    Science.gov (United States)

    Hernández López, Lidia; de Saá Pérez, Petra; Ballesteros Rodríguez, Jose Luis; García Almeida, Desiderio

    2015-01-01

    Purpose: The purpose of this paper is to discuss the theoretical and practical need for research into the learning conditions that influence a student's self-assessment of their competences in management education. By means of a theoretical review, the paper introduces a model that integrates various learning conditions related to a student's…

  8. Ecological and financial assessment of late-successional reserve management.

    Science.gov (United States)

    Susan Stevens Hummel; R. James Barbour; Paul F. Hessburg; John F. Lehmkuhl

    2001-01-01

    This paper documents methods for assessing the potential effects of variable-intensity management in late-successional reserves (LSRs) and provides an example (the Gotchen LSR) from the Cascade Range in eastern Washington. The Gotchen LSR study investigates changes in forest vegetation associated with silvicultural treatments, and how different treatment combinations...

  9. Investors Assessment of the Credibility of Management Disclosures ...

    African Journals Online (AJOL)

    The objective of this study, is to examine the issue of the assessment of the credibility of management disclosures about a company from the perspective of the investors. It presents the results from a questionnaire survey of a sample of financial Analysts, accountants and other investor. The data were analyzed using the one ...

  10. Using faecal profiling to assess the effects of different management ...

    African Journals Online (AJOL)

    We used faecal profiling to assess diet quality of animals under three different management types in a semi-arid savanna, northwest of Kimberley, Northern Cape, South Africa. The levels of faecal crude protein (FCP) and faecal phosphorus (FP) of freeranging springbok (Antidorcas marsupialis) and blue wildebeest ...

  11. Assessment of the Business Administration and Business Management Programs.

    Science.gov (United States)

    Forestieri, Kathleen; Karlen, Janice; Coiro, Robert; Gabriel, Theodore; Leff, Elaine; Silverman, Barry; Wertheimer, David

    This document presents City University of New York LaGuardia Community College's Department of Accounting and Managerial Studies assessment of its business and administration and business management programs report, and includes the following items: (1) a description of the mission and goals of the Department of Accounting and Managerial Studies;…

  12. Collaborative assessment and management of suicidality method shows effect

    DEFF Research Database (Denmark)

    Nielsen, Ann Colleen; Alberdi Olano, Francisco Javier Lorenzo; Rosenbaum, Bent

    2011-01-01

    Previous studies confirm the effect of collaborative assessment and management of suicidality (CAMS) in an experimental setup, but there is a need to test CAMS with regard to its effectiveness and feasibility in a real-life clinical context. The purpose of this study was to investigate CAMS in a ...

  13. NTL Data Management Planning "Greenout" Bingo Self Assessment Tool

    Science.gov (United States)

    2016-08-11

    This tool is designed to help assess your current data management practices. Pick a dataset or research project, sit down with your data collection team, and discuss each prompt below. This tool can guide DMP improvement by revealing best practices t...

  14. Risk management and risk assessment of novel plant foods

    DEFF Research Database (Denmark)

    Knudsen, Ib; Søborg, Inge; Eriksen, Folmer Damsted

    2008-01-01

    and definitions to be used in determining novelty of a plant food and also propose a safety assessment approach for novel plant food with no or limited documented history of safe consumption. A 2-step management procedure is recommended for a smooth introduction of fruits and vegetables; first to establish...

  15. assessing the utilization of personnel in the management of ...

    African Journals Online (AJOL)

    LUCY

    MANAGEMENT OF TECHNICAL EDUCATION IN AKWA IBOM. STATE, NIGERIA. ALOYSIUS O. UMOSEN. (Received 19, April 2011; Revision Accepted 16, June 2011). ABSTRACT. The study assesses the utilization of technical teachers in Akwa Ibom State technical colleges. The study design was ex-post facto.

  16. Orthodontic management by functional activator treatment: a case report.

    Science.gov (United States)

    Aprile, Giuseppe; Ortu, Eleonora; Cattaneo, Ruggero; Pietropaoli, Davide; Giannoni, Mario; Monaco, Annalisa

    2017-12-02

    Managing orthodontic treatment is often very difficult for the orthodontist. Many devices are used during the orthopedic phase of orthodontic treatment, always with different functions. We describe a case of orthodontic management treated with the Equilibrator O.S.A. device (equilibrator designed by Ovidi, Santi, and Aprile for Eptamed SRL; Cesena, Italy; www.eptamed.com ). A healthy 10-year-old white boy presented with a skeletal class II, division 1 malocclusion, molar class II, exhibiting an overjet of 7 mm prior to treatment. For treatment, we only used the Equilibrator O.S.A. device. We successfully treated an orthopedic/orthodontic case with a particular device that we describe here.

  17. Process management using component thermal-hydraulic function classes

    Science.gov (United States)

    Morman, J.A.; Wei, T.Y.C.; Reifman, J.

    1999-07-27

    A process management expert system where following malfunctioning of a component, such as a pump, for determining system realignment procedures such as for by-passing the malfunctioning component with on-line speeds to maintain operation of the process at full or partial capacity or to provide safe shut down of the system while isolating the malfunctioning component. The expert system uses thermal-hydraulic function classes at the component level for analyzing unanticipated as well as anticipated component malfunctions to provide recommended sequences of operator actions. Each component is classified according to its thermal-hydraulic function, and the generic and component-specific characteristics for that function. Using the diagnosis of the malfunctioning component and its thermal hydraulic class, the expert system analysis is carried out using generic thermal-hydraulic first principles. One aspect of the invention employs a qualitative physics-based forward search directed primarily downstream from the malfunctioning component in combination with a subsequent backward search directed primarily upstream from the serviced component. Generic classes of components are defined in the knowledge base according to the three thermal-hydraulic functions of mass, momentum and energy transfer and are used to determine possible realignment of component configurations in response to thermal-hydraulic function imbalance caused by the malfunctioning component. Each realignment to a new configuration produces the accompanying sequence of recommended operator actions. All possible new configurations are examined and a prioritized list of acceptable solutions is produced. 5 figs.

  18. Process management using component thermal-hydraulic function classes

    Science.gov (United States)

    Morman, James A.; Wei, Thomas Y. C.; Reifman, Jaques

    1999-01-01

    A process management expert system where following malfunctioning of a component, such as a pump, for determining system realignment procedures such as for by-passing the malfunctioning component with on-line speeds to maintain operation of the process at full or partial capacity or to provide safe shut down of the system while isolating the malfunctioning component. The expert system uses thermal-hydraulic function classes at the component level for analyzing unanticipated as well as anticipated component malfunctions to provide recommended sequences of operator actions. Each component is classified according to its thermal-hydraulic function, and the generic and component-specific characteristics for that function. Using the diagnosis of the malfunctioning component and its thermal hydraulic class, the expert system analysis is carried out using generic thermal-hydraulic first principles. One aspect of the invention employs a qualitative physics-based forward search directed primarily downstream from the malfunctioning component in combination with a subsequent backward search directed primarily upstream from the serviced component. Generic classes of components are defined in the knowledge base according to the three thermal-hydraulic functions of mass, momentum and energy transfer and are used to determine possible realignment of component configurations in response to thermal-hydraulic function imbalance caused by the malfunctioning component. Each realignment to a new configuration produces the accompanying sequence of recommended operator actions. All possible new configurations are examined and a prioritized list of acceptable solutions is produced.

  19. ABOUT FORMS, EFFICIENCY AND ASSESSMENT OF ENVIRONMENTAL MANAGEMENT

    Directory of Open Access Journals (Sweden)

    H. Bachev

    2015-03-01

    Full Text Available We suggest a holistic framework for analyzing, assessment and improvement of environmental management using “agrariansector” as an example. It incorporates an interdisciplinary approach (Economics, Organization, Law, Sociology, Ecology, Technology, Behavioral and Political Sciences and includes: specification of managerial actors, needs and spectrum of governing modes (institutional environment; private, collective, market, public modes at different level of decision-making (individual, farm, eco-system, local, regional, national, transnational, global; specification of critical socio-economic, natural, technological, behavioral etc. factors of managerial choice, and feasible spectrum of managerial forms; defining and assessing comparative and absolute efficiency of eco-management forms and system; improvement of forms of public intervention in eco-management.

  20. Efficient Assessment of the Environment for Integral Urban Water Management

    Science.gov (United States)

    Rost, Grit; Londong, Jörg

    2015-04-01

    Introduction: Sustainable water supply and sanitation is fundamental, especially in countries that are also particularly vulnerable to water-related problems. The Integrated Water Resources Management (IWRM) approach makes sure that water management is organised in a transdisciplinary way taking into account the river basin, the hydrologic system and the appendant organisation like culture, law and economics. The main objective of IWRM is the sustainable organisation of water resources quality and quantity (GWP and INBO 2009). However there are more important targets in sustainable use of water resources. New sanitation systems are focussing on adding value and maintaining essential resources in circular flow. Focussing on material fluxes can contribute on water quality, food security, sustainable use of renewable energy, adaption on water scarcity and also on rising water and sanitation demand because of rapid urban and suburban growth (Price and Vojinović 2011; Rost et al 2013; Stäudel et al 2014). Problem: There are several planning tools for IWRM as well as for urban water management. But to complete the IWRM approach for the resource oriented concept a systematic assessment tool is missing. The assessment of crucial indicators obviously requires a lot of data from different subjects/disciplines, in different scales of detail and in different accuracy and in data acquisition (Karthe et al 2014). On the one hand there will be data abundance and on the other hand the data can be unavailable or unfeasible for example because of scale and specification(Rost et al 2013). Such a complex integrated concept requires a clearly worked out structure for the way of managing and priority setting. Purpose: To get systematic in the complex planning process the toolbox model is going to develop. The assessment of the environmental screening (one part of the toolbox) is going to be presented in this paper. The first step of assessment leans on the assertion that each of the

  1. Assessing and managing freshwater ecosystems vulnerable to global change

    Science.gov (United States)

    Angeler, David G.; Allen, Craig R.; Birge, Hannah E.; Drakare, Stina; McKie, Brendan G.; Johnson, Richard K.

    2014-01-01

    Freshwater ecosystems are important for global biodiversity and provide essential ecosystem services. There is consensus in the scientific literature that freshwater ecosystems are vulnerable to the impacts of environmental change, which may trigger irreversible regime shifts upon which biodiversity and ecosystem services may be lost. There are profound uncertainties regarding the management and assessment of the vulnerability of freshwater ecosystems to environmental change. Quantitative approaches are needed to reduce this uncertainty. We describe available statistical and modeling approaches along with case studies that demonstrate how resilience theory can be applied to aid decision-making in natural resources management. We highlight especially how long-term monitoring efforts combined with ecological theory can provide a novel nexus between ecological impact assessment and management, and the quantification of systemic vulnerability and thus the resilience of ecosystems to environmental change.

  2. Assessing Management Regimes in Transboundary River Basins: Do They Support Adaptive Management?

    Directory of Open Access Journals (Sweden)

    G.T. (Tom Raadgever

    2008-06-01

    Full Text Available River basin management is faced with complex problems that are characterized by uncertainty and change. In transboundary river basins, historical, legal, and cultural differences add to the complexity. The literature on adaptive management gives several suggestions for handling this complexity. It recognizes the importance of management regimes as enabling or limiting adaptive management, but there is no comprehensive overview of regime features that support adaptive management. This paper presents such an overview, focused on transboundary river basin management. It inventories the features that have been claimed to be central to effective transboundary river basin management and refines them using adaptive management literature. It then collates these features into a framework describing actor networks, policy processes, information management, and legal and financial aspects. Subsequently, this framework is applied to the Orange and Rhine basins. The paper concludes that the framework provides a consistent and comprehensive perspective on transboundary river basin management regimes, and can be used for assessing their capacity to support adaptive management.

  3. Beyond the global assessment of functioning: learning from Virginia Apgar.

    Science.gov (United States)

    Dimsdale, Joel E; Jeste, Dilip V; Patterson, Thomas L

    2010-01-01

    The Global Assessment of Functioning (GAF) scale is widely used in psychiatry, yet it has certain drawbacks. The authors seek to generate further discussion and research around developing an improved successor to the GAF. The authors used the Apgar scale as a template for constructing a possible successor to the GAF. Consulting with 16 colleagues, they selected 5 domains that were felt to be central to functioning in psychiatric patients. Psychiatrists in diverse clinical settings then completed both a GAF and a Psychiatric Apgar scale on 40 patients. The two scales were found to agree significantly. Use of the Psychiatric Apgar, however, provides clearer guidance about assessing functioning. The GAF was a brilliant addition to psychiatric practice. As we develop the next Diagnostic and Statistical Manual, it is pertinent to ask whether the GAF approach could be optimized even further by applying the lessons of Virginia Apgar.

  4. Spatial Assessment of Forest Ecosystem Functions and Services using Human Relating Factors for SDG

    Science.gov (United States)

    Song, C.; Lee, W. K.; Jeon, S. W.; Kim, T.; Lim, C. H.

    2015-12-01

    Application of ecosystem service concept in environmental related decision making could be numerical and objective standard for policy maker between preserving and developing perspective of environment. However, pursuing maximum benefit from natural capital through ecosystem services caused failure by losing ecosystem functions through its trade-offs. Therefore, difference between ecosystem functions and services were demonstrated and would apply human relating perspectives. Assessment results of ecosystem functions and services can be divided 3 parts. Tree growth per year set as the ecosystem function factor and indicated through so called pure function map. After that, relating functions can be driven such as water conservation, air pollutant purification, climate change regulation, and timber production. Overall process and amount are numerically quantified. These functional results can be transferred to ecosystem services by multiplying economic unit value, so function reflecting service maps can be generated. On the other hand, above services, to implement more reliable human demand, human reflecting service maps are also be developed. As the validation, quantified ecosystem functions are compared with former results through pixel based analysis. Three maps are compared, and through comparing difference between ecosystem function and services and inversed trends in function based and human based service are analysed. In this study, we could find differences in PF, FRS, and HRS in relation to based ecosystem conditions. This study suggests that the differences in PF, FRS, and HRS should be understood in the decision making process for sustainable management of ecosystem services. Although the analysis is based on in sort existing process separation, it is important to consider the possibility of different usage of ecosystem function assessment results and ecosystem service assessment results in SDG policy making. Furthermore, process based functional approach

  5. The Contribution of Project Environmental Assessment to Assessing and Managing Cumulative Effects: Individually and Collectively Insignificant?

    Science.gov (United States)

    Noble, Bram; Liu, Jialang; Hackett, Paul

    2017-04-01

    This paper explores the opportunities and constraints to project-based environmental assessment as a means to support the assessment and management of cumulative environmental effects. A case study of the hydroelectric sector is used to determine whether sufficient information is available over time through project-by-project assessments to support an adequate understanding of cumulative change. Results show inconsistency from one project to the next in terms of the components and indicators assessed, limited transfer of baseline information between project assessments over time, and the same issues and concerns being raised by review panels-even though the projects reviewed are operating in the same watershed and operated by the same proponent. Project environmental assessments must be managed, and coordinated, as part of a larger system of impact assessment, if project-by-project assessments are to provide a meaningful forum for learning and understanding cumulative change. The paper concludes with recommendations for improved project-based assessment practice in support of cumulative effects assessment and management.

  6. Transportation operations functions of the federal waste management system

    International Nuclear Information System (INIS)

    Shappert, L.B.; Klimas, M.J.

    1989-01-01

    This paper documents the functions that are necessary to operate the OCRWM transportation system. OCRWM's mission is to accept and transport spent fuel and high-level waste from waste generators to FWMS facilities. The emphasis is on transportation operations and assumes that all necessary facilities are in place and equipment designs and specifications are available to permit the system to operate properly. The information reported in this paper was developed for TOPO and is compatible with the draft revision of the Waste Management System Requirements and Description (SRD). 5 refs

  7. ASSESSMENT CRITERIA OF FUNCTIONALITY GEOTEXTILES USED IN ROAD CONSTRUCTION

    Directory of Open Access Journals (Sweden)

    LUCA Cristinel

    2016-05-01

    Full Text Available This work was performed in order to assess the functionality of geotextiles used in road construction. To increase the quality of road works requires the use of geotextiles in their structure. Depending on the role and the benefits they offer, geotextiles have a number of physical properties, hydraulic, endurance and optimal characteristics regarding their degradation. Geotextile properties were identified and divided according to their characteristics area. Thus, there were obtained textile properties oriented towards geotextiles and properties geared to the application field respectively reinforcement, drainage, and filtration. Value engineering works at the level of constructive product conception and production. The instrumentation is done by functional analysis, value functions and design or redesign of geotextile based on the necessary functions. Systematic research method allowed geotextiles dimensioning functions in order to obtain products in terms of quality, reliability and maximum operational performance. Functions obtained from the analysis are appropriate for a single property. After obtaining the set of decisions was possible functions geotextiles hierarchy after the significance of their use. Establishing the importance of the coefficients or characteristics hierarchy after their weight requires the comparison of the features between them and grading them in proportion to their degree of importance. The ranking of these functions is beneficial when designing or redesigning geotextiles.

  8. Qualitative risk assessment as a remediation management tool

    International Nuclear Information System (INIS)

    Knutson, D.E.

    1991-01-01

    The technique used to complete this thesis utilizes existing NRC and EPA guidance on health-based risk to qualitatively prioritize preliminary assessments and provide a tool for the direction and management of remediation activities. This method is intended as a decision making tool to aid in prioritizing the remediation effort and manage the remedial investigation and feasibility study (RI/FS) process. It is not a replacement for the RI/FS. The methodology for qualitative risk assessment utilizes data gathered in preliminary assessments and calculates the health-based hazards and consequences from contaminants found at each individual location. The health-based qualitative risk indicated that number-sign 6 fuel oil, carbon tetrachloride, depleted uranium, and enriched uranium were the contaminants of major concern, in that order. Plutonium ranked approximately sixth in the contaminant of concern priority. 38 refs., 1 fig., 9 tabs

  9. Using Risk Assessment Methodologies to Meet Management Objectives

    Science.gov (United States)

    DeMott, D. L.

    2015-01-01

    Corporate and program objectives focus on desired performance and results. ?Management decisions that affect how to meet these objectives now involve a complex mix of: technology, safety issues, operations, process considerations, employee considerations, regulatory requirements, financial concerns and legal issues. ?Risk Assessments are a tool for decision makers to understand potential consequences and be in a position to reduce, mitigate or eliminate costly mistakes or catastrophic failures. Using a risk assessment methodology is only a starting point. ?A risk assessment program provides management with important input in the decision making process. ?A pro-active organization looks to the future to avoid problems, a reactive organization can be blindsided by risks that could have been avoided. ?You get out what you put in, how useful your program is will be up to the individual organization.

  10. Assessment and management of refractory breathlessness in interstitial lung disease.

    Science.gov (United States)

    Speakman, Lucy; Walthall, Helen

    2017-09-02

    Interstitial lung disease (ILD) refers to a cluster of fibroinflammatory conditions. There are limited treatment options and most patients have severe dyspnoea. The prognosis is poor. This study aims to evaluate current literature on the assessment and management of refractory breathlessness in ILD. Few tools are available to assess dyspnoea in advanced respiratory disease. Holistic assessment requires a combination of tools but there are few disease specific tools. The role of opioids is well established in the reduction of breathlessness, but there is insufficient evidence that benzodiazepines are beneficial. Non-pharmcolological breathlessness intervention services can give patients mastery of their disease, reduced distress due to breathlessness and were more cost effective. More research on holistic interventions for use in advanced disease needs to be done. Patient-reported outcome measures could elicit valuable evidence to describe the benefit of breathlessness management services in advanced respiratory disease.

  11. Methods of assessment and management of enterprise risks

    Directory of Open Access Journals (Sweden)

    I. A. Kiseleva

    2017-01-01

    Full Text Available The article is devoted to the actual topic of our time – the management of business risks. An integral part of professional risk management is to identify the nature of the object of management in the sphere of economy. Since the domestic theory of risk management is under development, the problem of a clear comprehensive definition of risk becomes now of particular relevance. The article discusses the basic concepts of risk management; studied its components in the business activities; reflected system and risk management principles; The basic types of risks in business. A organizational and economic mechanism of enterprise risk assessment. Practical advice on risk management. Entrepreneurship without risk does not exist. With the development of market economy the specific entrepreneur determines the methods that will work, and they all lead to entrepreneurial risks. The level of threats on the market today, above the level of potential profits. It is concluded that it is impossible to increase revenue without increasing the risk or reduce risk without reducing income. The lower range of the probability distribution of expected returns relative to its mean value, the lower the risk associated with this operation. Avoid risk in business is almost impossible, but you can reduce this risk. And it depends on how professionally and correctly operates the entrepreneur, what kind of strategy he will choose to reduce the appearance of risk.

  12. Assessment of human resources management practices in Lebanese hospitals.

    Science.gov (United States)

    El-Jardali, Fadi; Tchaghchagian, Victoria; Jamal, Diana

    2010-01-01

    Sound human resources (HR) management practices are essential for retaining effective professionals in hospitals. Given the recruitment and retention reality of health workers in the twenty-first century, the role of HR managers in hospitals and those who combine the role of HR managers with other responsibilities should not be underestimated. The objective of this study is to assess the perception of HR managers about the challenges they face and the current strategies being adopted. The study also aims at assessing enabling factors including role, education, experience and HR training. A cross-sectional survey design of HR managers (and those who combine their role as HR manager with other duties) in Lebanese hospitals was utilized. The survey included a combination of open- and close-ended questions. Questions included educational background, work experience, and demographics, in addition to questions about perceived challenges and key strategies being used. Quantitative data analysis included uni-variate analysis, whereas thematic analysis was used for open-ended questions. A total of 96 respondents from 61 hospitals responded. Respondents had varying levels of expertise in the realm of HR management. Thematic analysis revealed that challenges varied across respondents and participating hospitals. The most frequently reported challenge was poor employee retention (56.7%), lack of qualified personnel (35.1%), and lack of a system for performance evaluation (28.9%). Some of the strategies used to mitigate the above challenges included offering continuing education and training for employees (19.6%), improving salaries (14.4%), and developing retention strategies (10.3%). Mismatch between reported challenges and strategies were observed. To enable hospitals to deliver good quality, safe healthcare, improving HR management is critical. There is a need for a cadre of competent HR managers who can fully assume these responsibilities and who can continuously improve

  13. Assessment of human resources management practices in Lebanese hospitals

    Directory of Open Access Journals (Sweden)

    Jamal Diana

    2009-11-01

    Full Text Available Abstract Background Sound human resources (HR management practices are essential for retaining effective professionals in hospitals. Given the recruitment and retention reality of health workers in the twenty-first century, the role of HR managers in hospitals and those who combine the role of HR managers with other responsibilities should not be underestimated. The objective of this study is to assess the perception of HR managers about the challenges they face and the current strategies being adopted. The study also aims at assessing enabling factors including role, education, experience and HR training. Methods A cross-sectional survey design of HR managers (and those who combine their role as HR manager with other duties in Lebanese hospitals was utilized. The survey included a combination of open- and close-ended questions. Questions included educational background, work experience, and demographics, in addition to questions about perceived challenges and key strategies being used. Quantitative data analysis included uni-variate analysis, whereas thematic analysis was used for open-ended questions. Results A total of 96 respondents from 61 hospitals responded. Respondents had varying levels of expertise in the realm of HR management. Thematic analysis revealed that challenges varied across respondents and participating hospitals. The most frequently reported challenge was poor employee retention (56.7%, lack of qualified personnel (35.1%, and lack of a system for performance evaluation (28.9%. Some of the strategies used to mitigate the above challenges included offering continuing education and training for employees (19.6%, improving salaries (14.4%, and developing retention strategies (10.3%. Mismatch between reported challenges and strategies were observed. Conclusion To enable hospitals to deliver good quality, safe healthcare, improving HR management is critical. There is a need for a cadre of competent HR managers who can fully

  14. Radioactive waste management: the contribution of expert assessments to the implementation of safe management channels

    International Nuclear Information System (INIS)

    Besnus, F.; Jouve, A.C.

    2011-01-01

    The national Radioactive Materials and Waste Management (PNGMDR) sets objectives and defines waste management channels for all radioactive wastes produced in France. Within this framework, IRSN (Institute for Radioprotection and Nuclear Safety) expertise aims at assessing the consistency and robustness of the technical solutions set in place by the plan. As a result of this assessment, the main safety issues and priorities for upgrading the safety of the various facilities that will receive and treat waste are identified on the one hand, while possible foreseen weaknesses in terms of storage or treatment capacities are put into light on the other hand. To carry out such assessment, IRSN backs on its 'in depth' knowledge of facilities, acquired through the examination of each major step of waste management facility life (creation, commissioning, re-examination of safety...). This knowledge feeds in turn the examination of the waste management strategies implemented by operators. In addition, special attention is given to the achievement of waste packages of favourable properties as well as to the conditions for their safe disposal, since these two aspects are most often key factors for optimizing the safety of the whole management channel. By its capacity to overlook all steps of waste management channels, from production to final disposal, IRSN intends to contribute to the objective of enhancing the global safety of the management of radioactive waste. (authors)

  15. Management functions, issues, and configuration alternatives: TO support a transportation management configuration study: [Final report

    International Nuclear Information System (INIS)

    1987-01-01

    The Office of Civilian Radioactive Waste Management (OCRWM) of the Department of Energy (DOE) is responsible for the safe transporation and disposal of spent nuclear fuel from utility-owned nuclear power generation reactors and high-level radioactive waste from both defense and civilian generators to long-term storage repositories. Given the volume, duration, and sensitivity of the operation, DOE is seeking not only the safest and best transportation system but also the most effective and resource-efficient management concept. Within the general guidelines of the Nuclear Waste Policy Act (NWPA) of 1982 calling for the fullest possible use of private industry contracts, this study examines the technical and administrative functions as well as the key issues to be addressed in the formation of a management structure. In order to stand alone as a comprehensive treatment of the total requirement, the material contained in many seperate and sometimes divergent DOE/OCRWM documents was evaluated and is compiled here. An attempt was made to succinctly define the nature of the problem, the objectives and scope of both the operating and management systems, and then to dissect the functions required in order to meet the objectives and operating functions are listed and described

  16. Application of Risk Assessment Tools in the Continuous Risk Management (CRM) Process

    Science.gov (United States)

    Ray, Paul S.

    2002-01-01

    Marshall Space Flight Center (MSFC) of the National Aeronautics and Space Administration (NASA) is currently implementing the Continuous Risk Management (CRM) Program developed by the Carnegie Mellon University and recommended by NASA as the Risk Management (RM) implementation approach. The four most frequently used risk assessment tools in the center are: (a) Failure Modes and Effects Analysis (FMEA), Hazard Analysis (HA), Fault Tree Analysis (FTA), and Probabilistic Risk Analysis (PRA). There are some guidelines for selecting the type of risk assessment tools during the project formulation phase of a project, but there is not enough guidance as to how to apply these tools in the Continuous Risk Management process (CRM). But the ways the safety and risk assessment tools are used make a significant difference in the effectiveness in the risk management function. Decisions regarding, what events are to be included in the analysis, to what level of details should the analysis be continued, make significant difference in the effectiveness of risk management program. Tools of risk analysis also depends on the phase of a project e.g. at the initial phase of a project, when not much data are available on hardware, standard FMEA cannot be applied; instead a functional FMEA may be appropriate. This study attempted to provide some directives to alleviate the difficulty in applying FTA, PRA, and FMEA in the CRM process. Hazard Analysis was not included in the scope of the study due to the short duration of the summer research project.

  17. Magnetic resonance in the assessment of renal function

    Energy Technology Data Exchange (ETDEWEB)

    Knesplova, L.; Krestin, G.P. [Department of Radiology, University Hospital Zurich (Switzerland)

    1998-03-01

    The kidneys are the most important organs to maintain homeostasis. In the assessment of renal functional disorders laboratory tests offer only indirect hints on location of the disease; radionuclide nephrography is hampered by low spatial resolution and radiologic methods provide only limited quantitative information. The MRI technique with fast pulse sequences and renally eliminated contrast agent has the capability of combining both anatomic and functional information. This article gives an overview on functional MRI of the kidneys with its possibilities and limitations. The clinical application of functional MRI allows a better understanding of some pathologic conditions such as urinary tract obstruction, renal insufficiency, effects of extracorporeal shock wave lithotripsy, different states of hydration, effects of drugs, vascular disorders, and effects of transplantation. (orig.) With 9 figs., 62 refs.

  18. Magnetic resonance in the assessment of renal function

    International Nuclear Information System (INIS)

    Knesplova, L.; Krestin, G.P.

    1998-01-01

    The kidneys are the most important organs to maintain homeostasis. In the assessment of renal functional disorders laboratory tests offer only indirect hints on location of the disease; radionuclide nephrography is hampered by low spatial resolution and radiologic methods provide only limited quantitative information. The MRI technique with fast pulse sequences and renally eliminated contrast agent has the capability of combining both anatomic and functional information. This article gives an overview on functional MRI of the kidneys with its possibilities and limitations. The clinical application of functional MRI allows a better understanding of some pathologic conditions such as urinary tract obstruction, renal insufficiency, effects of extracorporeal shock wave lithotripsy, different states of hydration, effects of drugs, vascular disorders, and effects of transplantation. (orig.)

  19. Use of the catena principle in geomorphological impact assessment: a functional approach

    NARCIS (Netherlands)

    Wolfert, H.P.

    1995-01-01

    An integral method for assessing geomorphological landscape qualities is presented, to be used in environmental impact assessments. Five groups of landform functions are distinguished in the Netherlands, an area of low relief: orientation functions, information functions, ordering functions,

  20. Modular life cycle assessment of municipal solid waste management.

    Science.gov (United States)

    Haupt, M; Kägi, T; Hellweg, S

    2018-05-31

    Life cycle assessment (LCA) is commonly applied to examine the environmental performance of waste management systems. The system boundaries are, however, often limited to either one tonne of material or to specific waste treatments and are, therefore, lacking a systems perspective. Here, a framework is proposed to assess complete waste management systems based on actual waste flows, assessed with a detailed material flow analysis (MFA) in a modular MFA/LCA approach. The transformation of the MFA into a product-process-matrix facilitates a direct link between MFA and LCA, therefore allowing for the assessment of variations in flows. To allow for an up-to-date and geographically specific assessment, 190 LCA modules were set up based on primary industrial data and the ecoinvent database. The LCA modules show where there have been improvements in different recycling processes over the past years (e.g. for paper recycling) and highlight that, from an environmental perspective, closed-loop recycling is not always preferable to open-loop recycling. In a case study, the Swiss municipal solid waste management system, of which there is already a detailed MFA, was modeled using the new LCA modules and applying the modular MFA/LCA approach. Five different mass flow distribution scenarios for the Swiss municipal solid waste management system were assessed to show the environmental impact of political measures and to test the sensitivity of the results to key parameters. The results of the case study highlight the importance of the dominant fractions in the overall environmental impacts assessment; while the metal fraction has the highest impact on a per kilogram basis, paper, cardboard, glass and mixed municipal solid waste were found to dominate the environmental impacts of the Swiss waste management system due to their mass. The scenarios also highlight the importance of the energy efficiency of municipal solid waste incineration plants and the credits from material

  1. Assessment of symbolic function in Mexican preschool children

    Directory of Open Access Journals (Sweden)

    N. R. Jiménez Barreto

    2013-04-01

    Full Text Available Development of symbolic function is an important psychological formation of pre-school age and reflects the possibility of the child to use signs and symbols in a conscious way. Assessment of symbolic function can be used as one of preparation for school indicators. The objective of the present study is to characterize the level of symbolic function development in Mexican pre-school children. 59 children were included in the study. The ages of the children were between 5 and 6 years and all of them belonged to sub-urban pre-school institution. All 59 children participated in this study for the first time. Our assessment consisted of specific tasks with symbolic means on materialized, perceptive and verbal levels. Each child was tested individually. Results showed an insufficient development of the symbolic function in all evaluated children. More than 78% of the children showed difficulties during performance in the tasks of assessment; their drawings were undifferentiated and had few essential characteristics. The obtained results show the necessity to implement developmental strategies in order to guarantee the formation of the ability of constant conscious sage of symbolic means at the end of pre-school age.

  2. An automated system for assessing cognitive function in any environment

    Science.gov (United States)

    Wesnes, Keith A.

    2005-05-01

    The Cognitive Drug Research (CDR) computerized assessment system has been in use in worldwide clinical trials for over 20 years. It is a computer based system which assesses core aspects of human cognitive function including attention, information, working memory and long-term memory. It has been extensively validated and can be performed by a wide range of clinical populations including patients with various types of dementia. It is currently in worldwide use in clinical trials to evaluate new medicines, as well as a variety of programs involving the effects of age, stressors illnesses and trauma upon human cognitive function. Besides being highly sensitive to drugs which will impair or improve function, its utility has been maintained over the last two decades by constantly increasing the number of platforms upon which it can operate. Besides notebook versions, the system can be used on a wrist worn device, PDA, via tht telephone and over the internet. It is the most widely used automated cognitive function assessment system in worldwide clinical research. It has dozens of parallel forms and requires little training to use or administer. The basic development of the system wil be identified, and the huge databases (normative, patient population, drug effects) which have been built up from hundreds of clinical trials will be described. The system is available for use in virtually any environment or type of trial.

  3. Development of an assessment of functioning scale for prison environments.

    Science.gov (United States)

    Shelton, Deborah; Wakai, Sara

    2015-01-01

    This paper reports the development of a global assessment of functioning (GAF), modified from the DSM Axis V GAF for the prison environment. Focus groups, which were conducted with 36 correctional officers and clinicians in two prisons, provided descriptions of behavior in prison settings to re-align the GAF scale. Face validity was established. It was found that Habitation/Behavior, Social, and Symptoms emerged as important domains of functioning in prison. Gender differences were noted with regard to cleanliness, relationships and coping strategies. The cut-off score was identified at a score where offenders were unable to participate in a disciplinary process due to their mental illness. The structure of prison alters human functioning, requiring different assessment language and ratings to measure perceived behavioral norms and/or expectations. Front-line staff need the ability to observe and communicate behavioral changes quickly and accurately in a prison environment without undue burden upon their workload. This assessment was modified by front-line staff specifically for the prison environment to document quick and frequent assessments of observed changes over time in the offender population.

  4. Educational needs assessment of Mashad University of Medical Sciences’ managers in management and leadership

    Directory of Open Access Journals (Sweden)

    Emad Zade A

    2004-01-01

    Full Text Available Background: The first step in human resource development is educational need assessment. A sound knowledge of managerial roles and skills is vital for a successful management in the educational system. Purpose: To determine the educational needs of managers and directors of Mashad Medical University in filed of educational management and leadership. Method: A survey of a 40-person sample of the university managers including deans and vice deans for education of the faculties and the heads of educational groups the data were analyzed with SPSS. Results: The mean age of the sample was 47.2(±7.5 and the mean duration of serving in managerial positions were 5.4(±3.6.The most needed items to be taught were identified as strategic planning in management, setting educational goals, deciding whether the ability to be a manager is inborn or must be acquired, main problems in educational planning and surveillance techniques, educational guidance, system analysis and educational evaluation. Characteristics of educational advisors were also of great importance. Conclusion: Our study showed that educational managers were aware of their need for further development of a sound basis of managerial knowledge. Key words: Need assessment, educational needs, educational managers

  5. Modeling the Connectedness Between best Management Practices and Vulnerability Assessments

    Science.gov (United States)

    Anandhi, A.; Bailey, N.; Thomas, M.; Bartnick, B.

    2015-12-01

    The overall goal of this study is to better understand the connectedness between Best management practices (BMPs) and vulnerability assessments (VA) in a changing landuse. Developing this connectedness will help understand key vulnerabilities and improve adaptive capacity important for ecosystem sustainability. BMPs are practical management practices or systems designed and installed in watersheds to provide a wide range of effects to protect or restore the physical, chemical, and biological condition of waterbodies (e.g. changing hydrology; improving vegetative habitat; mitigate adverse environmental change). VAs can be defined as "the degree to which the system is susceptible to and is unable to cope with adverse effects of change" and are often characterized as a function of exposure, sensitivity and adaptive capacity. There are many variables and factors used in calculating the impact of BMPs and VAs. The event mean concentration or load (e.g. nutrient, sediment,) associated with the specific landuse is an important variable. There is much data that predicts the loads associated with the major landuses (urban, agricultural). Loads greatly vary with region; rainfall characteristics (e.g. rainfall intensity, rainfall frequency); soil characteristics (e.g. soil type, hydrologic soil groups); hydrologic characteristics (e.g. runoff potential). A concern also exists that possibly all of the variables associated with changes in an individual land use have not been identified and distinguished for their impact on land use. For example, the loads associated with a high density residential with much green space may be more similar to medium density than loads associated with high rise apartment buildings. Other factors may include age of construction, % of families with children, % of families with pets, level of transiency, and construction activity The objective of our study is to develop an initial framework using multiple variables and factors to represent the

  6. Status of Neonatal Pain Assessment and Management in Jordan.

    Science.gov (United States)

    Abdel Razeq, Nadin M; Akuma, Akuma O; Jordan, Sue

    2016-08-01

    Current pain assessment and management in neonates need to be fully described before neonatal pain care can be optimized. This study's purpose was to report neonatal nurses' knowledge, existing pain assessment practice, and pharmacological pain management of neonates in Jordan. A cross-sectional descriptive study was conducted. Eighteen neonatal intensive care units in Jordan were included in the study. One hundred eighty-four neonatal nurses participated. Questionnaires were distributed by and returned to the neonatal intensive care units' managers between June and August 2014. Descriptive and inferential statistics were used to present study results. Of 240 questionnaires distributed, 184 useable responses were returned. Nurses' knowledge regarding neonates' neurological development, nociception, and need for neonatal pain management was suboptimal. The analgesics most commonly used to treat neonatal pain were acetaminophen (52%) and lidocaine (45%). Benzodiazepines, phenobarbitone, and muscles relaxants were also used. Most nurses (54%-97%) reported that pain emanating from most painful procedures was never or rarely treated. Circumcision, lumbar punctures, and chest tube insertion were assigned the highest pain scores (≥9), but were rarely accompanied by analgesia. Pain assessment scales were more likely to be used, and procedural pain was more likely to be treated, in private hospitals than public hospitals. Neonates who require special care still suffer unnecessary pain that could be avoided and managed by following best practice recommendations. Disparities between developed and developing countries in quality of neonatal pain care appear to exist. Resources for education and routine care are needed to address these discrepancies. Copyright © 2016 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  7. Assessing management effects on Oak forests in Austria

    Science.gov (United States)

    Gautam, Sishir; Pietsch, Stephan A.; Hasenauer, Hubert

    2010-05-01

    Historic land use as well as silvicultural management practices have changed the structures and species composition of central European forests. Such changes have effects on the growth of forests and contribute to global warming. As insufficient information on historic forest management is available it is hard to explain the effect of management on forests growth and its possible consequences to the environment. In this situation, the BIOME-BGC model, which integrates the main physical, biological and physiological processes based on current understanding of ecophysiology is an option for assessing the management effects through tracking the cycling of energy, water, carbon and nutrients within a given ecosystems. Such models are increasingly employed to simulate current and future forest dynamics. This study first compares observed standing tree volume, carbon and nitrogen content in soil in the high forests and coppice with standards stands of Oak forests in Austria. Biome BGC is then used to assess the effects of management on forest growth and to explain the differences with measured parameters. Close positive correlations and unbiased results and statistically insignificant differences between predicted and observed volumes indicates the application of the model as a diagnostic tool to assess management effects in oak forests. The observed data in 2006 and 2009 was further compared with the results of respective model runs. Further analysis on simulated data shows that thinning leads to an increase in growth efficiency (GE), nitrogen use efficiency (NUE) and water use efficiency (WUE), and to a decrease in the radiation use efficiency (RUE) in both forests. Among all studied growth parameters, only the difference in the NUE was statistically significant. This indicates that the difference in the yield of forests is mainly governed by the NUE difference in stands due to thinning. The coppice with standards system produces an equal amount of net primary

  8. Managing the GPS/GIS function in an electric utility

    International Nuclear Information System (INIS)

    Michelsen, M.W. Jr.

    1999-01-01

    A new period of higher significance has arrived for the GPS/GIS function at electric utilities such that to a degree never seen before, utility managers are looking to their GIS programs, filled with increasingly accurate data collected by GPS technology, before making many decisions. With this capability comes an expectation for GPS/GIS professionals to provide higher levels of planning and management of their data collection process. At Duke Power in Charlotte, North Carolina, managers rely on GPS mapping to fill their data collection equipment needs. When the city of Charlotte requested a more detailed billing system, Duke Power co-sponsored the street lighting inventory project, a comprehensive program implemented to fully account for street lighting facilities within the billing area. One of the key projects to be kept in mind was the creation of a common data base viewable by GIS from which a bill could be created and as well reveal data. A billing calculation routine can be run against the data base to generate a bill or use MapInfo to see a graphical picture. Prior to the creation of this data base capability, the difference between the data base as a display tool and billing system was a potential source of discrepancy, which is eliminated now. Creating the data base allows more than just creating a bill for the city, it allows Duke Power to work better with the city by improving its billing accountability and provides better service as well

  9. THE MANAGEMENT AND CONTENT OF MANAGERIAL FUNCTIONS IN ROMANIAN UNIVERSITIES

    Directory of Open Access Journals (Sweden)

    AVRAM MARIOARA

    2013-12-01

    Full Text Available Although pan-European universities became autonomous institutions, their governance structure is still organized under the laws of each state, which expressly states the functions and management structures together with their attributions. For the past two years, the Romanian academic environment experienced a consistent reform. The old ground of the educative system was reinforced by the new Law of National Education which represented, for our country, the starting of the modernization of the academic education. By modifying the regulation framework, certain key-objectives were envisaged, such as: the modernization of higher education institutions management, reinforcing university autonomy and the public liability, insuring quality in academic education, enforcing measures for stating university ethics, competition financing, supporting performant private education, developing trans-borders cooperation, both at the Community level and globally. In the university management, the changes followed: a review of governance structures and leaving behind the traditional self-governance model, focusing on the new models, which re-distribute the decision making power and responsibilities between stakeholders, internal and external. Now, Romanian academic education can be found in the middle of the crossroad since the reform is not completed but must go on in order to improve educational results.

  10. Natural risks assessment and management (project of monograph)

    International Nuclear Information System (INIS)

    Ragozin, A.L.

    1998-01-01

    Full text of publication follows: large-scale theoretic and practical works on the issue of natural risk assessment and management started in Russia in the end of the 80's. By now there has been made a considerable progress, which allowed for the preparation of a collective monograph on the subject mentioned in the title of this abstract. It is supposed to be published in 1999 in order to become a Russian contribution to the International Decade of Natural Disasters Reduction. The monograph included 6 chapters with the following titles: 1. Methodological foundations of natural risk analysis and assessment. 2. Investigating and forecasting natural hazards for the purpose of risk assessment. 3. Assessment of economic, social and ecological damage from natural hazards. 4, Theory of natural risk assessment. 5. Examples of natural risk assessment and mapping. 6. Natural risk management. In the report there is described the content of the monograph and unsolved questions are discussed. Executive editor offers all international experts to cooperate in the compilation of this monograph, which is to be completed by the end of 1998, especially of chapter 5 and 6. (author)

  11. System-functional approach in enterprise''s innovation activity management

    OpenAIRE

    Olikh, L.; Maslyukivska, А.

    2012-01-01

    The article is devoted to the problems of forming management system of enterprise innovation activity. The authors pick out the enterprise's innovation subsystem main parts and generalize management functions' realization in the context of its innovation activity management.

  12. Top Management Control Functions for Information Systems in Small and Medium Enterprises

    OpenAIRE

    Uma VIJAYAKUMAR

    2009-01-01

    This paper analyzes the Top Management Control functions for Information Systems (IS) in Small and Medium Enterprises (SMEs). SMEs extensively rely on information technology resources to enhance their competence in today’s global economy. They should have adequate top management control mechanisms in place for their efficient functioning. Top Management Controls determine how effectively the senior management manages the IS functions in a SME. The major tasks at this level consist of Planni...

  13. Management of functional dyspepsia: Unsolved problems and new perspectives.

    Science.gov (United States)

    Madisch, Ahmed; Miehlke, Stephan; Labenz, Joachim

    2005-11-14

    The common characteristic criteria of all functional gastrointestinal (GI) disorders are the persistence and recurrence of variable gastrointestinal symptoms that cannot be explained by any structural or biochemical abnormalities. Functional dyspepsia (FD) represents one of the important GI disorders in Western countries because of its remarkably high prevalence in general population and its impact on quality of life. Due to its dependence on both subjective determinants and diverse country-specific circumstances, the definition and management strategies of FD are still variably stated. Clinical trials with several drug classes (e.g., proton pump inhibitors, H2-blockers, prokinetic drugs) have been performed frequently without validated disease-specific test instruments for the outcome measurements. Therefore, the interpretation of such trials remains difficult and controversial with respect to comparability and evaluation of drug efficacy, and definite conclusions can be drawn neither for diagnostic management nor for efficacious drug therapy so far. In view of these unsolved problems, guidelines both on the clinical management of FD and on the performance of clinical trials are needed. In recent years, increasing research work has been done in this area. Clinical trials conducted in adequately diagnosed patients that provided validated outcome measurements may result in better insights leading to more effective treatment strategies. Encouraging perspectives have been recently performed by methodologically well-designed treatment studies with herbal drug preparations. Herbal drugs, given their proven efficacy in clinical trials, offer a safe therapeutic alternative in the treatment of FD which is often favored by both patients and physicians. A fixed combination of peppermint oil and caraway oil in patients suffering from FD could be proven effective by well-designed clinical trials.

  14. Management of functional dyspepsia: Unsolved problems and new perspectives

    Institute of Scientific and Technical Information of China (English)

    Ahmed Madisch; Stephan Miehlke; Joachim Labenz

    2005-01-01

    The common characteristic criteria of all functional gastrointestinal(GI)disorders are the persistence and recurrence of variable gastrointestinal symptoms that cannot be explained by any structural or biochemical abnormalities. Functional dyspepsia (FD) represents one of the important GI disorders in Western countries because of its remarkably high prevalence in general population and its impact on quality of life. Due to its dependence on both subjective determinants and diverse country-specific circumstances, the definition and management strategies of FD are still variably stated.Clinical trials with several drug classes (e.g., proton pump inhibitors, H2-blockers, prokinetic drugs) have been performed frequently without validated diseasespecific test instruments for the outcome measurements.Therefore, the interpretation of such trials remains difficult and controversial with respect to comparability and evaluation of drug efficacy, and definite conclusions can be drawn neither for diagnostic management nor for efficacious drug therapy so far. In view of these unsolved problems, guidelines both on the clinical management of FD and on the performance of clinical trials are needed. In recent years, increasing research work has been done in this area. Clinical trials conducted in adequately diagnosed patients that provided validated outcome measurements may result in better insights leading to more effective treatment strategies.Encouraging perspectives have been recently performed by methodologically well-designed treatment studies with herbal drug preparations. Herbal drugs, given their proven efficacy in clinical trials, offer a safe therapeutic alternative in the treatment of FD which is often favored by both patients and physicians. A fixed combination of peppermint oil and caraway oil in patients suffering from FD could be proven effective by well-designed clinical trials.

  15. Capabilities and Gaps Assessments of Urban Air Quality Manage-ment in Uganda

    OpenAIRE

    Amin Tamale Kiggundu

    2015-01-01

    Today, large cities across the globe are facing a pervasive problem of air pollution.  The purpose of this study is to assess the capabilities and gaps in urban air quality management in Uganda as well as proposing strategies for curbing air pollution. This study applied face to face interviews, targeting key informants such as the environmental experts, urbanization researchers and officials from the National Environment Management Authority (NEMA). Results show that rapid motorization, cont...

  16. Comparison of left ventricular function assessment between echocardiography and MRI in Duchenne muscular dystrophy

    Energy Technology Data Exchange (ETDEWEB)

    Buddhe, Sujatha; Lewin, Mark; Olson, Aaron; Soriano, Brian D. [University of Washington School of Medicine and Seattle Children' s Hospital, Division of Cardiology, Department of Pediatrics, Seattle, WA (United States); Ferguson, Mark [University of Washington School of Medicine and Seattle Children' s Hospital, Department of Radiology, Seattle, WA (United States)

    2016-09-15

    Cardiomyopathy in Duchenne muscular dystrophy (DMD) is associated with death in approximately 40% of patients. Echocardiography is routinely used to assess left ventricular (LV) function; however, it has limitations in these patients. We compared echocardiographic measures of cardiac function assessment to cardiac MRI. We included children and young adults with DMD who had MRI performed between January 2010 and July 2015. We measured echocardiographic and MRI parameters of function assessment, including strain. Presence of late gadolinium enhancement (LGE) was assessed by MRI. Subjects were divided into two groups based on MRI left ventricular ejection fraction (LVEF): group I, LVEF ≥55% and group II, LVEF <55%. We included 41 studies in 33 subjects, with 25 in group I and 16 in group II. Mean age of subjects was 13.6 ± 2.8 years and mean duration between echocardiogram and MRI was 7.6 ± 4.1 months. Only 8 of 16 (50%) patients in group II had diminished function on echocardiogram. Echocardiographic images were suboptimal in 16 subjects (39%). Overall, echocardiographic parameters had weak correlation with MRI-derived ejection fraction percentage. MRI-derived myocardial strain assessment has better correlation with MRI ejection fraction as compared to echocardiography-derived strain parameters. Echocardiography-based ventricular functional assessment has weak correlation with MRI parameters in children and young adults with Duchenne muscular dystrophy. While this correlation improves in the subset of subjects with adequate echocardiographic image quality, it remains modest and potentially suboptimal for clinical management. Accordingly, we conclude that MRI should be performed routinely and early in children with DMD, not only for LGE imaging but also for functional assessment. (orig.)

  17. Comparison of left ventricular function assessment between echocardiography and MRI in Duchenne muscular dystrophy

    International Nuclear Information System (INIS)

    Buddhe, Sujatha; Lewin, Mark; Olson, Aaron; Soriano, Brian D.; Ferguson, Mark

    2016-01-01

    Cardiomyopathy in Duchenne muscular dystrophy (DMD) is associated with death in approximately 40% of patients. Echocardiography is routinely used to assess left ventricular (LV) function; however, it has limitations in these patients. We compared echocardiographic measures of cardiac function assessment to cardiac MRI. We included children and young adults with DMD who had MRI performed between January 2010 and July 2015. We measured echocardiographic and MRI parameters of function assessment, including strain. Presence of late gadolinium enhancement (LGE) was assessed by MRI. Subjects were divided into two groups based on MRI left ventricular ejection fraction (LVEF): group I, LVEF ≥55% and group II, LVEF <55%. We included 41 studies in 33 subjects, with 25 in group I and 16 in group II. Mean age of subjects was 13.6 ± 2.8 years and mean duration between echocardiogram and MRI was 7.6 ± 4.1 months. Only 8 of 16 (50%) patients in group II had diminished function on echocardiogram. Echocardiographic images were suboptimal in 16 subjects (39%). Overall, echocardiographic parameters had weak correlation with MRI-derived ejection fraction percentage. MRI-derived myocardial strain assessment has better correlation with MRI ejection fraction as compared to echocardiography-derived strain parameters. Echocardiography-based ventricular functional assessment has weak correlation with MRI parameters in children and young adults with Duchenne muscular dystrophy. While this correlation improves in the subset of subjects with adequate echocardiographic image quality, it remains modest and potentially suboptimal for clinical management. Accordingly, we conclude that MRI should be performed routinely and early in children with DMD, not only for LGE imaging but also for functional assessment. (orig.)

  18. Assessment of the function of the nervus intermedius by means of functional salivary gland-scintigraphy

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, J.P.; Bertram, G.; Moedder, G.

    1982-01-01

    Using functional scintigraphy of the salivary glands, the function of the nervus intermedius can be assessed by estimating excretory quotients for both submandibular glands. This method is preferred to the standard salivation test method of Magielski and Blatt, despite a minimal exposure of the patient to radiation from the injected Natriumpertechnetat. The technical course of this investigation, along with the indications for its use, will be presented.

  19. Integrated Safeguards and Security Management Self-Assessment 2004

    Energy Technology Data Exchange (ETDEWEB)

    Lunford, Dan; Ramsey, Dwayne

    2005-04-01

    In 2002 Ernest Orlando Lawrence Berkeley National Laboratory deployed the first Integrated Safeguards and Security Management (ISSM) Self-Assessment process, designed to measure the effect of the Laboratory's ISSM efforts. This process was recognized by DOE as a best practice and model program for self-assessment and training. In 2004, the second Self-Assessment was launched. The cornerstone of this process was an employee survey that was designed to meet several objectives: (1) Ensure that Laboratory assets are protected. (2) Provide a measurement of the Laboratory's current security status that can be compared against the 2002 Self-Assessment baseline. (3) Educate all Laboratory staff about security responsibilities, tools, and practices. (4) Provide security staff with feedback on the effectiveness of security programs. (5) Provide line management with the information they need to make informed decisions about security. This 2004 Self Assessment process began in July 2004 with every employee receiving an information packet and instructions for completing the ISSM survey. The Laboratory-wide survey contained questions designed to measure awareness and conformance to policy and best practices. The survey response was excellent--90% of Berkeley Lab employees completed the questionnaire. ISSM liaisons from each division followed up on the initial survey results with individual employees to improve awareness and resolve ambiguities uncovered by the questionnaire. As with the 2002 survey, the Self-Assessment produced immediate positive results for the ISSM program and revealed opportunities for longer-term corrective actions. Results of the questionnaire provided information for organizational profiles and an institutional summary. The overall level of security protection and awareness was very high--often above 90%. Post-survey work by the ISSM liaisons and line management consistently led to improved awareness and metrics, as shown by a comparison of

  20. Integrated frameworks for assessing and managing health risks in the context of managed aquifer recharge with river water.

    Science.gov (United States)

    Assmuth, Timo; Simola, Antti; Pitkänen, Tarja; Lyytimäki, Jari; Huttula, Timo

    2016-01-01

    Integrated assessment and management of water resources for the supply of potable water is increasingly important in light of projected water scarcity in many parts of the world. This article develops frameworks for regional-level waterborne human health risk assessment of chemical and microbiological contamination to aid water management, incorporating economic aspects of health risks. Managed aquifer recharge with surface water from a river in Southern Finland is used as an illustrative case. With a starting point in watershed governance, stakeholder concerns, and value-at-risk concepts, we merge common methods for integrative health risk analysis of contaminants to describe risks and impacts dynamically and broadly. This involves structuring analyses along the risk chain: sources-releases-environmental transport and fate-exposures-health effects-socio-economic impacts-management responses. Risks attributed to contaminants are embedded in other risks, such as contaminants from other sources, and related to benefits from improved water quality. A set of models along this risk chain in the case is presented. Fundamental issues in the assessment are identified, including 1) framing of risks, scenarios, and choices; 2) interaction of models and empirical information; 3) time dimension; 4) distributions of risks and benefits; and 5) uncertainties about risks and controls. We find that all these combine objective and subjective aspects, and involve value judgments and policy choices. We conclude with proposals for overcoming conceptual and functional divides and lock-ins to improve modeling, assessment, and management of complex water supply schemes, especially by reflective solution-oriented interdisciplinary and multi-actor deliberation. © 2015 SETAC.

  1. Assessment and Management of Professionalism Issues in Pathology Residency Training

    Directory of Open Access Journals (Sweden)

    Ronald E. Domen MD

    2015-07-01

    Full Text Available Professionalism issues are common in residency training and can be very difficult to recognize and manage. Almost one-third of the milestones for pathology recently instituted by the Accreditation Council for Graduate Medical Education encompass aspects of professionalism. Program directors are often unsure of how and when to remediate residents for unprofessional behavior. We used a case-based educational approach in a workshop setting to assist program directors in the management of unprofessional behavior in residents. Eight case scenarios highlighting various aspects of unprofessional behavior by pathology residents were developed and presented in an open workshop forum at the annual pathology program director’s meeting. Prior to the workshop, 2 surveys were conducted: (1 to collect data on program directors’ experience with identifying, assessing, and managing unprofessional behavior in their residents and (2 to get feedback from workshop registrants on how they would manage each of the 8 case scenarios. A wide range of unprofessional behaviors have been observed by pathology program directors. Although there is occasionally general agreement on how to manage specific behaviors, there remains wide variation in how to manage many of the presented unprofessional behaviors. Remediation for unprofessional behavior in pathology residents remains a difficult and challenging process. Additional education and research in this area are warranted.

  2. INTEGRATING HEALTH TECHNOLOGY ASSESSMENT PRINCIPLES IN FORMULARY MANAGEMENT.

    Science.gov (United States)

    Teng, Monica; Khoo, Ai Leng; Zhao, Ying Jiao; Lin, Liang; Lim, Boon Peng

    2016-01-01

    Effective formulary management in healthcare institutions safeguards rational drug use and optimizes health outcomes. We implemented a formulary management program integrating the principles of health technology assessment (HTA) to improve the safe, appropriate, and cost-effective use of medicine in Singapore. A 3-year formulary management program was initiated in 2011 in five public healthcare institutions. This program was managed by a project team comprising HTA researchers. The project team worked with institutional pharmacy and therapeutics (P&T) committees to: (i) develop tools for formulary drug review and decision making; (ii) enhance the HTA knowledge and skills of formulary pharmacists and members of P&T committees; (iii) devise a prioritization framework to overcome resource constraints and time pressure; and (iv) conceptualize and implement a framework to review existing formulary. Tools that facilitate drug request submission, drug review, and decision making were developed for formulary drug inclusion. A systematic framework to review existing formulary was also developed and tested in selected institutions. A competency development plan was rolled out over 2 years to enhance formulary pharmacists' proficiency in systematic literature search and review, meta-analysis, and pharmacoeconomic evaluation. The plan comprised training workshops and on-the-job knowledge transfer between the project team and institutional formulary pharmacists through collaborating on selected drug reviews. A resource guide that consolidated the tools and templates was published to encourage the adoption of best practices in formulary management. Based on the concepts of HTA, we implemented an evidence-based approach to optimize formulary management.

  3. Online application of a risk management system for risk assessment and monitoring at NPPs

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Jun, E-mail: youngjun51@hotmail.com [Key Laboratory of Fundamental Science on Nuclear Safety and Simulation Technology, Harbin Engineering University (China); Yang, Ming, E-mail: yangming@hrbeu.edu.cn [Key Laboratory of Fundamental Science on Nuclear Safety and Simulation Technology, Harbin Engineering University (China); Wang, Wenlin, E-mail: wlwang0618@126.com [Key Laboratory of Fundamental Science on Nuclear Safety and Simulation Technology, Harbin Engineering University (China); Li, Fengjun, E-mail: leefengjun@163.com [China Nuclear Power Engineering Co. Ltd (China)

    2016-08-15

    Highlights: • A generic GO-FLOW modeling structure is proposed for easily Living PSA development and analysis. • Hierarchical and modularized scheme is applied in the development of Living PSA models and database. • A risk management system is developed by GO-FLOW method. • Functional testing is conducted on the risk management system for performance evaluation. • The fast solution time derived from Living PSA application is supportive in plant safety management. - Abstract: The paper presents a risk management system on the basis of Living PSA models which are developed under a proposed generic GO-FLOW modeling method with a hierarchical and modular structure. The design of the risk management system is aiming at assisting plant personnel to manage maintenance plan and system configuration, and conduct system reliability monitoring, risk monitoring and risk management quickly and conveniently through graphical user interfaces without going deep into the details of building, updating and analyzing reliability and risk models. The performance of the proposed risk management system was tested on a full-scale simulator of PWR nuclear power plant and demonstrated that the fast solution time derived from utilization of hierarchical and modularized Living PSA models is strongly supportive for instantaneous risk assessment as well as for daily risk management at NPPs.

  4. An International Assessment of Mangrove Management: Incorporation in Integrated Coastal Zone Management

    Directory of Open Access Journals (Sweden)

    Haille N. Carter

    2015-04-01

    Full Text Available Due to increasing recognition of the benefits provided by mangrove ecosystems, protection policies have emerged under both wetland and forestry programs. However, little consistency remains among these programs and inadequate coordination exists among sectors of government. With approximately 123 countries containing mangroves, the need for global management of these ecosystems is crucial to sustain the industries (i.e., fisheries, timber, and tourism and coastal communities that mangroves support and protect. To determine the most effective form of mangrove management, this review examines management guidelines, particularly those associated with Integrated Coastal Zone Management (ICZM. Five case studies were reviewed to further explore the fundamentals of mangrove management. The management methodologies of two developed nations as well as three developing nations were assessed to encompass comprehensive influences on mangrove management, such as socioeconomics, politics, and land-use regulations. Based on this review, successful mangrove management will require a blend of forestry, wetland, and ICZM programs in addition to the cooperation of all levels of government. Legally binding policies, particularly at the international level, will be essential to successful mangrove management, which must include the preservation of existing mangrove habitat and restoration of damaged mangroves.

  5. Design and practice of a comprehensively functional integrated management information system for major construction

    Science.gov (United States)

    Liu, Yuling; Wang, Xiaoping; Zhu, Yuhui; Fei, Lanlan

    2017-08-01

    This paper introduces a Comprehensively Functional Integrated Management Information System designed for the Optical Engineering Major by the College of Optical Science and Engineering, Zhejiang University, which combines the functions of teaching, students learning, educational assessment and management. The system consists of 5 modules, major overview, online curriculum, experiment teaching management, graduation project management and teaching quality feedback. The major overview module introduces the development history, training program, curriculums and experiment syllabus and teaching achievements of optical engineering major in Zhejiang University. The Management Information System is convenient for students to learn in a mobile and personalized way. The online curriculum module makes it very easy for teachers to setup a website for new curriculums. On the website, teachers can help students on their problems about the curriculums in time and collect their homework online. The experiment teaching management module and the graduation project management module enables the students to fulfill their experiment process and graduation thesis under the help of their supervisors. Before students take an experiment in the lab, they must pass the pre-experiment quiz on the corresponding module. After the experiment, students need to submit the experiment report to the web server. Moreover, the module contains experiment process video recordings, which are very helpful to improve the effect of the experiment education. The management of the entire process of a student's graduation program, including the project selection, mid-term inspection, progress report of every two weeks, final thesis, et al, is completed by the graduation project management module. The teaching quality feedback module is not only helpful for teachers to know whether the education effect of curriculum is good or not, but also helpful for the administrators of the college to know whether the

  6. Assessing Cognitive Function in Older Adults Using a Videoconference Approach

    OpenAIRE

    Teresa Costa Castanho; Liliana Amorim; Pedro Silva Moreira; José Mariz; Joana Almeida Palha; Nuno Sousa; Nadine Correia Santos

    2016-01-01

    Background: The use of communication technologies is an emerging trend in healthcare and research. Despite efficient, reliable and accurate neuropsychological batteries to evaluate cognitive performance in-person, more diverse and less expensive and time consuming solutions are needed. Here we conducted a pilot study to determine the applicability of a videoconference (VC, Skype (R)) approach to assess cognitive function in older adults, using The Telephone Interview for Cognitive Status-Modi...

  7. Uncertainties in life cycle assessment of waste management systems

    DEFF Research Database (Denmark)

    Clavreul, Julie; Christensen, Thomas Højlund

    2011-01-01

    Life cycle assessment has been used to assess environmental performances of waste management systems in many studies. The uncertainties inherent to its results are often pointed out but not always quantified, which should be the case to ensure a good decisionmaking process. This paper proposes...... a method to assess all parameter uncertainties and quantify the overall uncertainty of the assessment. The method is exemplified in a case study, where the goal is to determine if anaerobic digestion of organic waste is more beneficial than incineration in Denmark, considering only the impact on global...... warming. The sensitivity analysis pointed out ten parameters particularly highly influencing the result of the study. In the uncertainty analysis, the distributions of these ten parameters were used in a Monte Carlo analysis, which concluded that incineration appeared more favourable than anaerobic...

  8. The comparison of alternatives for nuclear spent fuel management using multi-attribute utility function

    International Nuclear Information System (INIS)

    Yang, J. W.; Kang, C. S.

    1999-01-01

    It is necessary to find a solution immediately to nuclear spent fuel management that is temporarily stored in on-site spent fuel storage before the saturation of the storage. However the choice of alternative for nuclear spent fuel management consists of complex process that are affected by economic, technical and social factors. And it is not easy to quantify these factors; public opinion, probability of diplomatic problem and contribution to development of nuclear technology. Therefore the analysis of the affecting factors and assessment of alternatives are required. This study performed the comparison of the alternatives for nuclear spent fuel management using MAU (Multi-Attribute Utility Function) and AHP(Analytic Hierarchy Process)

  9. Imagining flood futures: risk assessment and management in practice.

    Science.gov (United States)

    Lane, Stuart N; Landström, Catharina; Whatmore, Sarah J

    2011-05-13

    The mantra that policy and management should be 'evidence-based' is well established. Less so are the implications that follow from 'evidence' being predictions of the future (forecasts, scenarios, horizons) even though such futures define the actions taken today to make the future sustainable. Here, we consider the tension between 'evidence', reliable because it is observed, and predictions of the future, unobservable in conventional terms. For flood risk management in England and Wales, we show that futures are actively constituted, and so imagined, through 'suites of practices' entwining policy, management and scientific analysis. Management has to constrain analysis because of the many ways in which flood futures can be constructed, but also because of commitment to an accounting calculus, which requires risk to be expressed in monetary terms. It is grounded in numerical simulation, undertaken by scientific consultants who follow policy/management guidelines that define the futures to be considered. Historical evidence is needed to deal with process and parameter uncertainties and the futures imagined are tied to pasts experienced. Reliance on past events is a challenge for prediction, given changing probability (e.g. climate change) and consequence (e.g. development on floodplains). So, risk management allows some elements of risk analysis to become unstable (notably in relation to climate change) but forces others to remain stable (e.g. invoking regulation to prevent inappropriate floodplain development). We conclude that the assumed separation of risk assessment and management is false because the risk calculation has to be defined by management. Making this process accountable requires openness about the procedures that make flood risk analysis more (or less) reliable to those we entrust to produce and act upon them such that, unlike the 'pseudosciences', they can be put to the test of public interrogation by those who have to live with their consequences

  10. Development of an accident management expert system for containment assessment

    International Nuclear Information System (INIS)

    Nelson, W.R.; Sebo, D.E.; Haney, L.N.

    1987-01-01

    The United States Nuclear Regulatory Commission (USNRSC) is sponsoring a program at the Idaho National Engineering Laboratory (INEL) to develop an accident management expert system. The intended users of the system are the personnel of the NRC Operations Center in Washington, D.C. The expert system will be used to help NRC personnel monitor and evaluate the status and management of the containment during a severe reactor accident. The knowledge base will include severe accident knowledge regarding the maintenance of the critical safety functions, especially containment integrity, during an accident. This paper summarizes the concepts that have been developed for the accident management expert system, and the plans that have been developed for its implementation

  11. Life cycle assessment of stormwater management in the context of climate change adaptation

    DEFF Research Database (Denmark)

    Brudler, Sarah; Arnbjerg-Nielsen, Karsten; Hauschild, Michael Zwicky

    2016-01-01

    Expected increases in pluvial flooding, due to climatic changes, require large investments in the retrofitting of cities to keep damage at an acceptable level. Many cities have investigated the possibility of implementing stormwater management (SWM) systems which are multi-functional and consist...... of different elements interacting to achieve desired safety levels. Typically, an economic assessment is carried out in the planning phase, while environmental sustainability is given little or no attention. In this paper, life cycle assessment is used to quantify environmental impacts of climate change...... adaptation strategies. The approach is tested using a climate change adaptation strategy for a catchment in Copenhagen, Denmark. A stormwater management system, using green infrastructure and local retention measures in combination with planned routing of stormwater on the surfaces to manage runoff...

  12. Assessment and management of suicide risk in primary care.

    Science.gov (United States)

    Saini, Pooja; While, David; Chantler, Khatidja; Windfuhr, Kirsten; Kapur, Navneet

    2014-01-01

    Risk assessment and management of suicidal patients is emphasized as a key component of care in specialist mental health services, but these issues are relatively unexplored in primary care services. To examine risk assessment and management in primary and secondary care in a clinical sample of individuals who were in contact with mental health services and died by suicide. Data collection from clinical proformas, case records, and semistructured face-to-face interviews with general practitioners. Primary and secondary care data were available for 198 of the 336 cases (59%). The overall agreement in the rating of risk between services was poor (overall κ = .127, p = .10). Depression, care setting (after discharge), suicidal ideation at last contact, and a history of self-harm were associated with a rating of higher risk. Suicide prevention policies were available in 25% of primary care practices, and 33% of staff received training in suicide risk assessments. Risk is difficult to predict, but the variation in risk assessment between professional groups may reflect poor communication. Further research is required to understand this. There appears to be a relative lack of suicide risk assessment training in primary care.

  13. ASSESSMENT OF BANKING ASSETS ON FINANCIAL RISK MANAGEMENT - ALBANIAN CASE

    Directory of Open Access Journals (Sweden)

    ADRIATIK KOTORRI

    2014-02-01

    Full Text Available Recognizing the asset value dynamics volatility of the financial institutions and the importance of its recognition both for financial reporting purposes and risk management effect, this paper aims to provide a practical model for the assets and financial institutions evaluation especially banks. It also aims to present a model to measure the value of banking assets for the purposes of risk management as an opportunity to identify in an early moment the banking risks. The paper develops the bank assets assessment forms and the basis of mathematical modeling of this assessment in general. He identifies also the evaluation factors as for example time to maturity, interest rate market for the assets (YTM, the interest rate agreed, the early repayment of the loan, interest ceilings and floors, off-balance sheet treatment, etc..

  14. Assessing and managing stressors in a changing marine environment.

    Science.gov (United States)

    Chapman, Peter M

    2017-11-30

    We are facing a dynamic future in the face of multiple stressors acting individually and in combination: climate change; habitat change/loss; overfishing; invasive species; harmful algal blooms/eutrophication; and, chemical contaminants. Historic assessment and management approaches will be inadequate for addressing risks from climate change and other stressors. Wicked problems (non-linear, complex, competing risks and benefits, not easily solvable), will become increasingly common. We are facing irreversible changes to our planetary living conditions. Agreed protection goals and considering both the negatives (risks) and the positives (benefits) of all any and all actions are required, as is judicious and appropriate use of the Precautionary Principle. Researchers and managers need to focus on: determining tipping points (alternative stable points); maintaining ecosystem services; and, managing competing ecosystem services. Marine (and other) scientists are urged to focus their research on wicked problems to allow for informed decision-making on a planetary basis. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Life cycle assessment applied to nanomaterials in solid waste management

    DEFF Research Database (Denmark)

    Laurent, Alexis

    While the generation of solid waste is globally increasing, much effort is concentrated to minimise the environmental impacts related to their management. With respect to nanoproducts (products containing nanomaterials), a growing amount of ‘nanowaste’ can be expected to enter the waste streams...... on specific waste types and waste management systems, all primarily reflecting situations in economicallydeveloped countries. At the same time, methodological practice was found in many studies not to be compliant with current reference guidance, such as the ISO standards and the ILCD Handbook. Likewise......, thus potentially posing problems on human health, e.g. through occupational exposure to engineered nanoparticles. In that setting, through its holistic quantification of environmental impacts, life cycle assessment (LCA) can be a useful decisionsupport tool for managing environmental sustainability...

  16. Intensive Care Unit Nurses' Beliefs About Delirium Assessment and Management.

    Science.gov (United States)

    Oosterhouse, Kimberly J; Vincent, Catherine; Foreman, Marquis D; Gruss, Valerie A; Corte, Colleen; Berger, Barbara

    2016-10-01

    Delirium, the most frequent complication of hospitalized older adults, particularly in intensive care units (ICUs), can result in increased mortality rates and length of stay. Nurses are neither consistently identifying nor managing delirium in these patients. The purpose of this study was to explore ICU nurses' identification of delirium, actions they would take for patients with signs or symptoms of delirium, and beliefs about delirium assessment and management. In this cross-sectional study using qualitative descriptive methods guided by the theory of planned behavior, 30 ICU nurses' responses to patient vignettes depicting different delirium subtypes were explored. Descriptive and content analyses revealed that nurses did not consistently identify delirium; their actions varied in different vignettes. Nurses believed that they needed adequate staffing, balanced workload, interprofessional collaboration, and established policy and protocols to identify and manage delirium successfully. Research is needed to determine if implementing these changes increases recognition and decreases consequences of delirium. ©2016 American Association of Critical-Care Nurses.

  17. Environmental Assessment of Possible Future Waste Management Scenarios

    Directory of Open Access Journals (Sweden)

    Yevgeniya Arushanyan

    2017-02-01

    Full Text Available Waste management has developed in many countries and will continue to do so. Changes towards increased recovery of resources in order to meet climate targets and for society to transition to a circular economy are important driving forces. Scenarios are important tools for planning and assessing possible future developments and policies. This paper presents a comprehensive life cycle assessment (LCA model for environmental assessments of scenarios and waste management policy instruments. It is unique by including almost all waste flows in a country and also allow for including waste prevention. The results show that the environmental impacts from future waste management scenarios in Sweden can differ a lot. Waste management will continue to contribute with environmental benefits, but less so in the more sustainable future scenarios, since the surrounding energy and transportation systems will be less polluting and also because less waste will be produced. Valuation results indicate that climate change, human toxicity and resource depletion are the most important environmental impact categories for the Swedish waste management system. Emissions of fossil CO2 from waste incineration will continue to be a major source of environmental impacts in these scenarios. The model is used for analyzing environmental impacts of several policy instruments including weight based collection fee, incineration tax, a resource tax and inclusion of waste in a green electricity certification system. The effect of the studied policy instruments in isolation are in most cases limited, suggesting that stronger policy instruments as well as combinations are necessary to reach policy goals as set out in for example the EU action plan on circular economy.

  18. Business risks, functions, methods of assessment and ways to reduce risk

    Directory of Open Access Journals (Sweden)

    A.V. Mihalchuk

    2015-06-01

    Full Text Available For successful existence in a market economy entrepreneur have to take bold actions, and this increases the risk. The article describes the concept of entrepreneurship and business risk, positive and negative aspects of functions of risk in business. Therefore, it is necessary to assess the risk properly and be able to manage it to achieve the most effective results in the market. In market conditions the problem of assessing and accounting market becomes independent theoretical and practical significance as an important component of the theory and practice of management. Risk - a key element of business activities. Development of risk situations can lead to both the occurrence of adverse effects (losses, lost profits, and positive results for a company in the form of increased profit. This article describes: the concept of entrepreneurship, risk and business risks, characteristic of positive and negative aspects of risk functions in business, methods of assessment and risk reduction, shows formulae and examples you can use to assess risk in an enterprise. Analyzing already established methods of risk assessment a number of rules were proposed in order to reduce business risk.

  19. An ecologically valid performance-based social functioning assessment battery for schizophrenia.

    Science.gov (United States)

    Shi, Chuan; He, Yi; Cheung, Eric F C; Yu, Xin; Chan, Raymond C K

    2013-12-30

    Psychiatrists pay more attention to the social functioning outcome of schizophrenia nowadays. How to evaluate the real world function among schizophrenia is a challenging task due to culture difference, there is no such kind of instrument in terms of the Chinese setting. This study aimed to report the validation of an ecologically valid performance-based everyday functioning assessment for schizophrenia, namely the Beijing Performance-based Functional Ecological Test (BJ-PERFECT). Fifty community-dwelling adults with schizophrenia and 37 healthy controls were recruited. Fifteen of the healthy controls were re-tested one week later. All participants were administered the University of California, San Diego, Performance-based Skill Assessment-Brief version (UPSA-B) and the MATRICS Consensus Cognitive Battery (MCCB). The finalized assessment included three subdomains: transportation, financial management and work ability. The test-retest and inter-rater reliabilities were good. The total score significantly correlated with the UPSA-B. The performance of individuals with schizophrenia was significantly more impaired than healthy controls, especially in the domain of work ability. Among individuals with schizophrenia, functional outcome was influenced by premorbid functioning, negative symptoms and neurocognition such as processing speed, visual learning and attention/vigilance. © 2013 Elsevier Ireland Ltd. All rights reserved.

  20. Predictive assessment of models for dynamic functional connectivity

    DEFF Research Database (Denmark)

    Nielsen, Søren Føns Vind; Schmidt, Mikkel Nørgaard; Madsen, Kristoffer Hougaard

    2018-01-01

    represent functional brain networks as a meta-stable process with a discrete number of states; however, there is a lack of consensus on how to perform model selection and learn the number of states, as well as a lack of understanding of how different modeling assumptions influence the estimated state......In neuroimaging, it has become evident that models of dynamic functional connectivity (dFC), which characterize how intrinsic brain organization changes over time, can provide a more detailed representation of brain function than traditional static analyses. Many dFC models in the literature...... dynamics. To address these issues, we consider a predictive likelihood approach to model assessment, where models are evaluated based on their predictive performance on held-out test data. Examining several prominent models of dFC (in their probabilistic formulations) we demonstrate our framework...

  1. DMPTool 2: Expanding Functionality for Better Data Management Planning

    Directory of Open Access Journals (Sweden)

    Carly Strasser

    2014-07-01

    Full Text Available Scholarly researchers today are increasingly required to engage in a range of data management planning activities to comply with institutional policies, or as a precondition for publication or grant funding. The latter is especially true in the U.S. in light of the recent White House Office of Science and Technology Policy (OSTP mandate aimed at maximizing the availability of all outputs – data as well as the publications that summarize them – resulting from federally-funded research projects. To aid researchers in creating effective data management plans (DMPs, a group of organizations – California Digital Library, DataONE, Digital Curation Centre, Smithsonian Institution, University of Illinois Urbana-Champaign, and University of Virginia Library – collaborated on the development of the DMPTool, an online application that helps researchers create data management plans. The DMPTool provides detailed guidance, links to general and institutional resources, and walks a researcher through the process of generating a comprehensive plan tailored to specific DMP requirements. The uptake of the DMPTool has been positive: to date, it has been used by over 6,000 researchers from 800 institutions, making use of more than 20 requirements templates customized for funding bodies. With support from the Alfred P. Sloan Foundation, project partners are now engaged in enhancing the features of the DMPTool. The second version of the tool has enhanced functionality for plan creators and institutional administrators, as well as a redesigned user interface and an open RESTful application programming interface (API. New administrative functions provide the means for institutions to better support local research activities. New capabilities include support for plan co-ownership; workflow provisions for internal plan review; simplified maintenance and addition of DMP requirements templates; extensive capabilities for the customization of guidance and resources

  2. Assessment and management of dead-wood habitat

    Science.gov (United States)

    Hagar, Joan

    2007-01-01

    The Bureau of Land Management (BLM) is in the process of revising its resource management plans for six districts in western and southern Oregon as the result of the settlement of a lawsuit brought by the American Forest Resource Council. A range of management alternatives is being considered and evaluated including at least one that will minimize reserves on O&C lands. In order to develop the bases for evaluating management alternatives, the agency needs to derive a reasonable range of objectives for key issues and resources. Dead-wood habitat for wildlife has been identified as a key resource for which decision-making tools and techniques need to be refined and clarified. Under the Northwest Forest Plan, reserves were to play an important role in providing habitat for species associated with dead wood (U.S. Department of Agriculture Forest Service and U.S. Department of the Interior Bureau of Land Management, 1994). Thus, the BLM needs to: 1) address the question of how dead wood will be provided if reserves are not included as a management strategy in the revised Resource Management Plan, and 2) be able to evaluate the effects of alternative land management approaches. Dead wood has become an increasingly important conservation issue in managed forests, as awareness of its function in providing wildlife habitat and in basic ecological processes has dramatically increased over the last several decades (Laudenslayer et al., 2002). A major concern of forest managers is providing dead wood habitat for terrestrial wildlife. Wildlife in Pacific Northwest forests have evolved with disturbances that create large amounts of dead wood; so, it is not surprising that many species are closely associated with standing (snags) or down, dead wood. In general, the occurrence or abundance of one-quarter to one-third of forest-dwelling vertebrate wildlife species, is strongly associated with availability of suitable dead-wood habitat (Bunnell et al., 1999; Rose et al., 2001). In

  3. Assessment and management of patients with ankle injuries.

    Science.gov (United States)

    Walker, Jennie

    2014-08-19

    Foot and ankle injuries are common and can have a significant effect on an individual's daily activities. Nurses have an important role in the assessment, management, ongoing care and support of patients with ankle injuries. An understanding of the anatomy and physiology of the ankle enables nurses to identify significant injuries, which may result in serious complications, and communicate effectively with the multidisciplinary team to improve patient care and outcomes.

  4. Assessing biocomputational modelling in transforming clinical guidelines for osteoporosis management.

    Science.gov (United States)

    Thiel, Rainer; Viceconti, Marco; Stroetmann, Karl

    2011-01-01

    Biocomputational modelling as developed by the European Virtual Physiological Human (VPH) Initiative is the area of ICT most likely to revolutionise in the longer term the practice of medicine. Using the example of osteoporosis management, a socio-economic assessment framework is presented that captures how the transformation of clinical guidelines through VPH models can be evaluated. Applied to the Osteoporotic Virtual Physiological Human Project, a consequent benefit-cost analysis delivers promising results, both methodologically and substantially.

  5. ASSESSMENT OF LOGISTICS MANAGEMENT IN GHANA HEALTH SERVICE

    Directory of Open Access Journals (Sweden)

    john frimpong manso

    2013-08-01

    Full Text Available Ghana Public Health Sector runs a three-tier system of managing health commodities. Suppliers, the Central Medical Store, The Regional Medical Store, Service Delivery Points and the transportation system form the supply chain.  Ghana Health Service logistics system is centralized and the health care delivery system is decentralized. Logistics management in the health system is crucial. This is because there are instances where medicines and health commodities are not available at the Central Medical Stores and the Regional Medical Stores. Consequently, there is no commodity security at the service delivery points. Upon this backdrop the study seeks to assess the logistics management system in order to bring efficiency in the system. The study adopts a multi-case study approach to assess the practices of logistics management, the causes of inadequacy of logistics and the strengths and weaknesses in Ghana Health Service logistics system.  Two categories of participants that is, the key players of health logistics management and end-users were involved in the study.  Four variables; finance for procurement of health commodities, evenly distribution of health commodities, effective supervision and constant monitoring and evaluation were found crucial in effective and efficient logistics management. Moreover, it was found that poor procurement planning and budgeting, lack of financial resources for procurement, poor quantification and forecasting, delay in procurement process and order processing, and delay in receiving insurance claims are some of the causes of inadequacy of logistics in the health systems. It is recommended that Ghana Health Service logistics or supply system must receive constant monitoring and evaluation. Further, Ghana Health Service must ensure that there is effective top-down supervision in the system to bring up efficiency. Again, Ghana Health Service and Ministry of Health must ensure enough funds are secured from the

  6. Assessment of Solid Waste Management Strategies in Camarines Norte, Philippines

    Directory of Open Access Journals (Sweden)

    Maria Cristina C. Azuelo

    2016-11-01

    Full Text Available The Ecological Solid Waste Management Act of 2000 or RA 9003 mandates the local government units to take initiatives in managing their daunting problems on ecological solid waste disposal. Consequently, compliance of Camarines Norte, Philippines on this mandate needs assessment to determine the existing solid waste management (SWM strategies, the effectiveness and the possibility of adoption in each municipality. This study utilized the descriptive method using questionnaire as the main tool supplemented by interview. Results showed that the existing SWM strategies with the highest percentages of existence in the twelve (12 municipalities were provision of number of trucks in transporting solid wastes and knowledge on waste segregation conducted at every household/establishment. Varying levels were observed. However, high level of effectiveness is still required for significant impact, seeing that from the six areas assessed only four municipalities were identified to have more and highly effective SWM strategies. Generally, only availability of technology for composting was considered more effective and can be adopted in all municipalities. Better solid waste management may be fully attained through the involvement, political will and commitment of the implementers in the implementation of politically passed resolutions and undertaking of their initiatives that will stimulate active participation of the community. All these measures may bring change in health and environment in the province.

  7. A framework for assessing severe accident management strategies

    International Nuclear Information System (INIS)

    Kastenberg, W.E.; Apostolakis, G.; Dhir, V.K.; Okrent, D.; Jae, M.; Lim, H.; Milici, T.; Park, H.; Swider, J.; Xing, L.; Yu, D.

    1991-01-01

    Accident management can be defined as the innovative use of existing and or alternative resources, systems and actions to prevent or mitigate a severe accident. Together with risk management (changes in plant operation and/or addition of equipment) and emergency planning (off-site actions), accident management provides an extension of the defense-in-depth safety philosophy for severe accidents. A significant number of probabilistic safety assessments (PSA) have been completed which yield the principal plant vulnerabilities. For each sequence/threat and each combination of strategy there may be several options available to the operator. Each strategy/option involves phenomenological and operational considerations regarding uncertainty. These considerations include uncertainty in key phenomena, uncertainty in operator behavior, uncertainty in system availability and behavior, and uncertainty in available information (i.e., instrumentation). The objective of this project is to develop a methodology for assessing severe accident management strategies given the key uncertainties mentioned above. Based on Decision Trees and Influence Diagrams, the methodology is currently being applied to two case studies: cavity flooding in a PWR to prevent vessel penetration or failure, and drywell flooding in a BWR to prevent containment failure

  8. A framework for the assessment of severe accident management strategies

    International Nuclear Information System (INIS)

    Kastenberg, W.E.; Apostolakis, G.; Dhir, V.K.; Okrent, D.; Jae, M.; Lim, H.; Milici, T.; Park, H.; Swider, J.; Xing, L.; Yu, D.

    1992-01-01

    Accident management can be defined as the innovative use of existing and or alternative resources, systems and actions to prevent or mitigate a severe accident. Together with risk management (changes in plant operation and/or addition of equipment) and emergency planning (off-site actions), accident management provides an extension of the defense-in-depth safety philosophy for severe accidents. A significant number of probabilistic safety assessments (PSA) have been completed which yield the principal plant vulnerabilities. For each sequence/threat and each combination of strategy there may be several options available to the operator. Each strategy/option involves phenomenological and operational considerations regarding uncertainty. These considerations include uncertainty in key phenomena, uncertainty in operator behavior, uncertainty in system availability and behavior, and uncertainty in available information (i.e., instrumentation). The objective of this project is to develop a methodology for assessing severe accident management strategies given the key uncertainties mentioned above. Based on decision trees and influence diagrams, the methodology is currently being applied to two case studies: cavity flooding in a pressurized water reactor to prevent vessel penetration or failure, and drywell flooding in a boiling water reactor to prevent containment failure

  9. Nevada Risk Assessment/Management Program scientific peer review

    International Nuclear Information System (INIS)

    Bentz, E.J. Jr.; Bentz, C.B.; O'Hora, T.D.; Chen, S.Y.

    1997-01-01

    The 1,350 square-mile Nevada Test Site and additional sites in Nevada served as the continental sites for US nuclear weapons testing from 1951 to 1992. The Nevada Risk Assessment/Management Program (NRAMP) is a currently on-going effort of the Harry Reid Center for Environmental Studies at the University of Nevada, Las Vegas (UNLV) and the firm of E. J. Bentz and Associates, Inc., in cooperation with the US Department of Energy (DOE) Environmental Management Program. Argonne National Laboratory is one of several public and private organizations supporting personnel appointed by the NRAMP to the NRAMP Scientific Peer Review Panel. The NRAMP is part of a national effort by the DOE to develop new sources of information and approaches to risk assessment, risk management, risk communication, and public outreach relevant to the ecological and human health effects of radioactive and hazardous materials management and site remediation activities. This paper describes the development, conduct, and current results of the scientific peer review process which supports the goals of the NRAMP

  10. Toward an HRD Auditing Protocol: Assessing HRD Risk Management Practices

    Science.gov (United States)

    Clardy, Alan

    2004-01-01

    Even though HRD-related programs and activities carry risks that should be monitored and assessed, there is little literature on how auditing applies to the HRD function; the existing literature on the topic defines HRD auditing in widely different ways. The nature of risk for organizational process is discussed, followed by a review of the…

  11. Functional Land Management: Bridging the Think-Do-Gap using a multi-stakeholder science policy interface.

    Science.gov (United States)

    O'Sullivan, Lilian; Wall, David; Creamer, Rachel; Bampa, Francesca; Schulte, Rogier P O

    2018-03-01

    Functional Land Management (FLM) is proposed as an integrator for sustainability policies and assesses the functional capacity of the soil and land to deliver primary productivity, water purification and regulation, carbon cycling and storage, habitat for biodiversity and recycling of nutrients. This paper presents the catchment challenge as a method to bridge the gap between science, stakeholders and policy for the effective management of soils to deliver these functions. Two challenges were completed by a wide range of stakeholders focused around a physical catchment model-(1) to design an optimised catchment based on soil function targets, (2) identify gaps to implementation of the proposed design. In challenge 1, a high level of consensus between different stakeholders emerged on soil and management measures to be implemented to achieve soil function targets. Key gaps including knowledge, a mix of market and voluntary incentives and mandatory measures were identified in challenge 2.

  12. A Comparison of Functional Behavior Assessment Methodologies with Young Children: Descriptive Methods and Functional Analysis

    Science.gov (United States)

    Alter, Peter J.; Conroy, Maureen A.; Mancil, G. Rich; Haydon, Todd

    2008-01-01

    The use of functional behavior assessment (FBA) to guide the development of behavior intervention plans continues to increase since they were first mandated in IDEA (Individuals with Disabilities Education Act Amendments of 1997, 20 U.S.C. Section 1400 et seq, 1997). A variety of indirect and direct instruments have been developed to facilitate…

  13. Competencies development and self-assessment in maintenance management e-training

    Science.gov (United States)

    Papathanassiou, Nikos; Pistofidis, Petros; Emmanouilidis, Christos

    2013-10-01

    The maintenance management function requires staff to possess a truly multidisciplinary set of skills. This includes competencies from engineering and information technology to health and safety, management and finance, while also taking into account the normative and legislative issues. This body of knowledge is rarely readily available within a single university course. The potential of e-learning in this field is significant, as it is a flexible and less costly alternative to conventional training. Furthermore, trainees can follow their own pace, as their available time is often a commodity. This article discusses the development of tools to support competencies development and self-assessment in maintenance management. Based on requirements arising from professional bodies' guidelines and a user survey, the developed tools implement a dedicated maintenance management training curriculum. The results from pilot testing on academic and industrial user groups are discussed and user evaluations are linked with specific e-learning design issues.

  14. Assessing confidence in management adaptation approaches for climate-sensitive ecosystems

    International Nuclear Information System (INIS)

    West, J M; Julius, S H; Weaver, C P

    2012-01-01

    A number of options are available for adapting ecosystem management to improve resilience in the face of climatic changes. However, uncertainty exists as to the effectiveness of these options. A report prepared for the US Climate Change Science Program reviewed adaptation options for a range of federally managed systems in the United States. The report included a qualitative uncertainty analysis of conceptual approaches to adaptation derived from the review. The approaches included reducing anthropogenic stressors, protecting key ecosystem features, maintaining representation, replicating, restoring, identifying refugia and relocating organisms. The results showed that the expert teams had the greatest scientific confidence in adaptation options that reduce anthropogenic stresses. Confidence in other approaches was lower because of gaps in understanding of ecosystem function, climate change impacts on ecosystems, and management effectiveness. This letter discusses insights gained from the confidence exercise and proposes strategies for improving future assessments of confidence for management adaptations to climate change. (letter)

  15. Conceptualising and managing trade-offs in sustainability assessment

    International Nuclear Information System (INIS)

    Morrison-Saunders, Angus; Pope, Jenny

    2013-01-01

    One of the defining characteristics of sustainability assessment as a form of impact assessment is that it provides a forum for the explicit consideration of the trade-offs that are inherent in complex decision-making processes. Few sustainability assessments have achieved this goal though, and none has considered trade-offs in a holistic fashion throughout the process. Recent contributions such as the Gibson trade-off rules have significantly progressed thinking in this area by suggesting appropriate acceptability criteria for evaluating substantive trade-offs arising from proposed development, as well as process rules for how evaluations of acceptability should occur. However, there has been negligible uptake of these rules in practice. Overall, we argue that there is inadequate consideration of trade-offs, both process and substantive, throughout the sustainability assessment process, and insufficient considerations of how process decisions and compromises influence substantive outcomes. This paper presents a framework for understanding and managing both process and substantive trade-offs within each step of a typical sustainability assessment process. The framework draws together previously published literature and offers case studies that illustrate aspects of the practical application of the framework. The framing and design of sustainability assessment are vitally important, as process compromises or trade-offs can have substantive consequences in terms of sustainability outcomes delivered, with the choice of alternatives considered being a particularly significant determinant of substantive outcomes. The demarcation of acceptable from unacceptable impacts is a key aspect of managing trade-offs. Offsets can be considered as a form of trade-off within a category of sustainability that are utilised to enhance preferred alternatives once conditions of impact acceptability have been met. In this way they may enable net gains to be delivered; another imperative

  16. Conceptualising and managing trade-offs in sustainability assessment

    Energy Technology Data Exchange (ETDEWEB)

    Morrison-Saunders, Angus, E-mail: A.Morrison-Saunders@murdoch.edu.au [School of Geo and Spatial Sciences, North West University (South Africa); School of Environmental Science, Murdoch University (Australia); Pope, Jenny [School of Geo and Spatial Sciences, North West University (South Africa); Integral Sustainability (Australia); Curtin University (Australia)

    2013-01-15

    One of the defining characteristics of sustainability assessment as a form of impact assessment is that it provides a forum for the explicit consideration of the trade-offs that are inherent in complex decision-making processes. Few sustainability assessments have achieved this goal though, and none has considered trade-offs in a holistic fashion throughout the process. Recent contributions such as the Gibson trade-off rules have significantly progressed thinking in this area by suggesting appropriate acceptability criteria for evaluating substantive trade-offs arising from proposed development, as well as process rules for how evaluations of acceptability should occur. However, there has been negligible uptake of these rules in practice. Overall, we argue that there is inadequate consideration of trade-offs, both process and substantive, throughout the sustainability assessment process, and insufficient considerations of how process decisions and compromises influence substantive outcomes. This paper presents a framework for understanding and managing both process and substantive trade-offs within each step of a typical sustainability assessment process. The framework draws together previously published literature and offers case studies that illustrate aspects of the practical application of the framework. The framing and design of sustainability assessment are vitally important, as process compromises or trade-offs can have substantive consequences in terms of sustainability outcomes delivered, with the choice of alternatives considered being a particularly significant determinant of substantive outcomes. The demarcation of acceptable from unacceptable impacts is a key aspect of managing trade-offs. Offsets can be considered as a form of trade-off within a category of sustainability that are utilised to enhance preferred alternatives once conditions of impact acceptability have been met. In this way they may enable net gains to be delivered; another imperative

  17. Applying Functional Modeling for Accident Management of Nuclear Power Plant

    Energy Technology Data Exchange (ETDEWEB)

    Lind, Morten; Zhang Xinxin [Harbin Engineering University, Harbin (China)

    2014-08-15

    The paper investigate applications of functional modeling for accident management in complex industrial plant with special reference to nuclear power production. Main applications for information sharing among decision makers and decision support are identified. An overview of Multilevel Flow Modeling is given and a detailed presentation of the foundational means-end concepts is presented and the conditions for proper use in modelling accidents are identified. It is shown that Multilevel Flow Modeling can be used for modelling and reasoning about design basis accidents. Its possible role for information sharing and decision support in accidents beyond design basis is also indicated. A modelling example demonstrating the application of Multilevel Flow Modelling and reasoning for a PWR LOCA is presented.

  18. Assessing the management of healthcare waste in Hawassa city, Ethiopia.

    Science.gov (United States)

    Israel Deneke Haylamicheal; Mohamed Aqiel Dalvie; Biruck Desalegn Yirsaw; Hanibale Atsbeha Zegeye

    2011-08-01

    Inadequate management of healthcare waste is a serious concern in many developing countries due to the risks posed to human health and the environment. This study aimed to evaluate healthcare waste management in Hawassa city, Ethiopia. The study was conducted in nine healthcare facilities (HCFs) including hospitals (four), health centres (two) and higher clinics (three) in two phases, first to assess the waste management aspect and second to determine daily waste generation rate. The result showed that the median quantity of waste generated at the facilities was 3.46 kg bed(-1) day(-1) (range: 1.48-8.19 kg bed(-1) day(-1)). The quantity of waste per day generated at a HCF increased as occupancy increased (p waste generated at government HCFs was more than at private HCFs (p waste (20-63.1%) generated at the different HCFs was much higher than the WHO recommendation (10-25%). There was no waste segregation in most HCFs and only one used a complete color coding system. Solid waste and wastewater were stored, transported, treated and disposed inappropriately at all HCFs. Needle-stick injuries were prevalent in 25-100% of waste handlers employed at these HCFs. Additionally, low levels of training and awareness of waste legislation was prevalent amongst staff. The study showed that management of healthcare waste at HCFs to be poor. Waste management practices need to be improved through improved legislation and enforcement, and training of staff in the healthcare facilities in Hawassa.

  19. Assessment and management of obesity in childhood and adolescence.

    Science.gov (United States)

    Baur, Louise A; Hazelton, Briony; Shrewsbury, Vanessa A

    2011-10-04

    The increased prevalence of obesity in childhood and adolescence highlights the need for effective treatment approaches. Initial assessments of these patients should include taking a careful history (investigating comorbidities, family history and potentially modifiable behaviors) and physical examination with BMI plotted on a BMI-for-age chart. The degree of investigation is dependent on the patient's age and severity of obesity, the findings on history and physical examination, and associated familial risk factors. There are several broad principles of conventional management: management of comorbidities; family involvement; taking a developmentally appropriate approach; the use of a range of behavior change techniques; long-term dietary change; increased physical activity; and decreased sedentary behaviors. Orlistat can be useful as an adjunct to lifestyle changes in severely obese adolescents and metformin can be used in older children and adolescents with clinical insulin resistance. Bariatric surgery should be considered in those who are severely obese, with recognition of the need for management in centers with multidisciplinary weight management teams and for surgery to be performed in tertiary institutions experienced in bariatric surgery. Finally, given the high prevalence and chronic nature of obesity, coordinated models of care for health-service delivery for the management of pediatric obesity are needed.

  20. Informing conservation management about structural versus functional connectivity: a case-study of Cross River gorillas.

    Science.gov (United States)

    Imong, Inaoyom; Robbins, Martha M; Mundry, Roger; Bergl, Richard; Kühl, Hjalmar S

    2014-10-01

    Connectivity among subpopulations is vital for the persistence of small and fragmented populations. For management interventions to be effective conservation planners have to make the critical distinction between structural connectivity (based on landscape structure) and functional connectivity (which considers both landscape structure and organism-specific behavioral attributes) which can differ considerably within a given context. We assessed spatial and temporal changes in structural and functional connectivity of the Cross River gorilla Gorilla gorilla diehli (CRG) population in a 12,000 km(2) landscape in the Nigeria-Cameroon border region over a 23-year period, comparing two periods: 1987-2000 and 2000-2010. Despite substantial forest connections between occupied areas, genetic evidence shows that only limited dispersal occurs among CRG subpopulations. We used remotely sensed land-cover data and simulated human pressure (using a spatially explicit agent-based model) to assess human impact on connectivity of the CRG population. We calculated cost-weighted distances between areas occupied by gorillas as measures of connectivity (structural based on land-cover only, functional based on both land-cover and simulated human pressure). Whereas structural connectivity decreased by 5% over the 23-year period, functional connectivity decreased by 11%, with both decreasing more during the latter compared to the earlier period. Our results highlight the increasing threat of isolation of CRG subpopulations due to human disturbance, and provide insight into how increasing human influence may lead to functional isolation of wildlife populations despite habitat continuity, a pressing and common issue in tropical Africa often not accounted for when deciding management interventions. In addition to quantifying threats to connectivity, our study provides crucial evidence for management authorities to identify actions that are more likely to be effective for conservation of

  1. From Process Understanding Via Soil Functions to Sustainable Soil Management - A Systemic Approach

    Science.gov (United States)

    Wollschlaeger, U.; Bartke, S.; Bartkowski, B.; Daedlow, K.; Helming, K.; Kogel-Knabner, I.; Lang, B.; Rabot, E.; Russell, D.; Stößel, B.; Weller, U.; Wiesmeier, M.; Rabot, E.; Vogel, H. J.

    2017-12-01

    Fertile soils are central resources for the production of biomass and the provision of food and energy. A growing world population and latest climate targets lead to an increasing demand for both, food and bio-energy, which requires preserving and improving the long-term productivity of soils as a bio-economic resource. At the same time, other soil functions and ecosystem services need to be maintained: filter for clean water, carbon sequestration, provision and recycling of nutrients, and habitat for biological activity. All these soil functions result from the interaction of a multitude of physical, chemical and biological processes that are not yet sufficiently understood. In addition, we lack understanding about the interplay between the socio-economic system and the soil system and how soil functions benefit human wellbeing. Hence, a solid and integrated assessment of soil quality requires the consideration of the ensemble of soil functions and its relation to soil management to finally be able to develop site-specific options for sustainable soil management. We present an integrated modeling approach that investigates the influence of soil management on the ensemble of soil functions. It is based on the mechanistic relationships between soil functional attributes, each explained by a network of interacting processes as derived from scientific evidence. As the evidence base required for feeding the model is for the most part stored in the existing scientific literature, another central component of our work is to set up a public "knowledge-portal" providing the infrastructure for a community effort towards a comprehensive knowledge base on soil processes as a basis for model developments. The connection to the socio-economic system is established using the Drivers-Pressures-Impacts-States-Responses (DPSIR) framework where our improved understanding about soil ecosystem processes is linked to ecosystem services and resource efficiency via the soil functions.

  2. Radiation safety management in health care - The application of Quality Function Deployment

    Energy Technology Data Exchange (ETDEWEB)

    Moores, B.M. [Integrated Radiological Services Ltd., Century Building, Unit 188, Tower Street, Brunswick Park, Liverpool L3 4BJ (United Kingdom)]. E-mail: mikemoores@irs-limited.com

    2006-11-15

    The paper presents a study of the potential for applying the Quality Function Deployment (QFD) method to the analysis of the framework for safety management contained in the Ionising Radiation (Medical Exposure) Regulations (IRMER) of 2000. The QFD method has been successfully applied to many industrial and manufacturing processes in order to ensure that quality is built into products at the outset rather than tested for after their production. In this context, the term quality is used to describe the degree to which the needs and requirements of the customer are fulfilled. More frequently, now, the QFD approach is being applied to health care in order to engineer clinical processes that can best fulfil the needs of the patient. In the case of diagnostic radiology, safety management must not only be concerned with radiation protection but, more importantly, with the accuracy and consistency of any diagnostic outcome. Both are important patient needs. A first stage analysis of IRMER 2000 is presented that assesses how patients' needs are expressed by the individual IRMER components of justification, optimisation, clinical audit, expert advice, equipment and training. The analysis involved a QFD assessment by four radiation protection experts with over 100 man-years of experience. A second stage analysis assesses how the individual IRMER components have been engineered into a safety management framework through specific requirements embodied in IRMER 2000. The results of this assessment are discussed in terms of clinical, human, operational management and equipment related aspects of the radiological process. This study highlights how the QFD approach may be applied to engineer specific aspects of radiological practice that play a key role in ensuring that patients' needs are fully met. As an example, clinical audit requirements are analysed by means of the QFD method to indicate the design requirements of information and knowledge based systems that can

  3. Radiation safety management in health care - The application of Quality Function Deployment

    International Nuclear Information System (INIS)

    Moores, B.M.

    2006-01-01

    The paper presents a study of the potential for applying the Quality Function Deployment (QFD) method to the analysis of the framework for safety management contained in the Ionising Radiation (Medical Exposure) Regulations (IRMER) of 2000. The QFD method has been successfully applied to many industrial and manufacturing processes in order to ensure that quality is built into products at the outset rather than tested for after their production. In this context, the term quality is used to describe the degree to which the needs and requirements of the customer are fulfilled. More frequently, now, the QFD approach is being applied to health care in order to engineer clinical processes that can best fulfil the needs of the patient. In the case of diagnostic radiology, safety management must not only be concerned with radiation protection but, more importantly, with the accuracy and consistency of any diagnostic outcome. Both are important patient needs. A first stage analysis of IRMER 2000 is presented that assesses how patients' needs are expressed by the individual IRMER components of justification, optimisation, clinical audit, expert advice, equipment and training. The analysis involved a QFD assessment by four radiation protection experts with over 100 man-years of experience. A second stage analysis assesses how the individual IRMER components have been engineered into a safety management framework through specific requirements embodied in IRMER 2000. The results of this assessment are discussed in terms of clinical, human, operational management and equipment related aspects of the radiological process. This study highlights how the QFD approach may be applied to engineer specific aspects of radiological practice that play a key role in ensuring that patients' needs are fully met. As an example, clinical audit requirements are analysed by means of the QFD method to indicate the design requirements of information and knowledge based systems that can provide the

  4. Functional Assessment and Injury Risk in a Professional Soccer Team

    Directory of Open Access Journals (Sweden)

    Pedro Gómez-Piqueras

    2017-01-01

    Full Text Available At the last World Conference on Sport and Physical Therapy celebrated in Bern (Switzerland, 2015, it was confirmed that the functional skills of an athlete are a very important variable to be considered in the recovery of an injury. On the other hand, its use as a predictive risk tool still lacks solid evidence. The purpose of this study was to determine whether a battery of functional tests (FPT could be used as a preliminary measure for the season in order to identify the injury risk in a professional soccer team in the Spanish Second Division B League. Fifty-two soccer players (ages of 25.3 ± 4.6 years, 10.33% ± 0.9% fat were functionally assessed during two seasons (2012–2013 and 2013–2014 and analyzed from an injury perspective. A total of 125 injuries were recorded. The sample was grouped based on the number of injuries and the required absence days. Except for the bipodal vertical jump (CMJ, none of the functional tests revealed differences among the groups. The correlation study between the functional condition and the suffered injuries did not show any significant results.

  5. Assessing functional impairment in siblings living with children with disability.

    Science.gov (United States)

    Goudie, Anthony; Havercamp, Susan; Jamieson, Barry; Sahr, Timothy

    2013-08-01

    The purpose of this study was to empirically test if siblings of children with disability had higher levels of parent-reported behavioral and emotional functional impairment compared with a peer group of siblings residing with only typically developing children. This was a retrospective secondary analysis of data from the Medical Expenditure Panel Survey. We included only households with at least 2 children to ensure sibling relationships. Two groups of siblings were formed: 245 siblings resided in households with a child with disability and 6564 siblings resided in households with typically developing children. Parents responded to questions from the Columbia Impairment Scale to identify functional impairment in their children. On the basis of parent reports and after adjusting for sibling demographic characteristics and household background, siblings of children with disability were more likely than siblings residing with typically developing children to have problems with interpersonal relationships, psychopathological functioning, functioning at school, and use of leisure time (P siblings of children with disability classified with significant functional impairment was 16.0% at the first measurement period and 24.2% at the second (P siblings of typically developing children there was a smaller percentage increase from 9.5% to 10.3% (P mental health services and, as such, early assessment and interventions to limit increasing severity and short- to long-term consequences need to be addressed. Health care professionals need to consider a family-based health care approach for families raising children with disability.

  6. Improving Assessment of Work Related Mental Health Function Using the Work Disability Functional Assessment Battery (WD-FAB).

    Science.gov (United States)

    Marfeo, Elizabeth E; Ni, Pengsheng; McDonough, Christine; Peterik, Kara; Marino, Molly; Meterko, Mark; Rasch, Elizabeth K; Chan, Leighton; Brandt, Diane; Jette, Alan M

    2018-03-01

    Purpose To improve the mental health component of the Work Disability Functional Assessment Battery (WD-FAB), developed for the US Social Security Administration's (SSA) disability determination process. Specifically our goal was to expand the WD-FAB scales of mood & emotions, resilience, social interactions, and behavioral control to improve the depth and breadth of the current scales and expand the content coverage to include aspects of cognition & communication function. Methods Data were collected from a random, stratified sample of 1695 claimants applying for the SSA work disability benefits, and a general population sample of 2025 working age adults. 169 new items were developed to replenish the WD-FAB scales and analyzed using factor analysis and item response theory (IRT) analysis to construct unidimensional scales. We conducted computer adaptive test (CAT) simulations to examine the psychometric properties of the WD-FAB. Results Analyses supported the inclusion of four mental health subdomains: Cognition & Communication (68 items), Self-Regulation (34 items), Resilience & Sociability (29 items) and Mood & Emotions (34 items). All scales yielded acceptable psychometric properties. Conclusions IRT methods were effective in expanding the WD-FAB to assess mental health function. The WD-FAB has the potential to enhance work disability assessment both within the context of the SSA disability programs as well as other clinical and vocational rehabilitation settings.

  7. The effect of language on functional capacity assessment in middle-aged and older US Latinos with schizophrenia.

    Science.gov (United States)

    Bengoetxea, Eneritz; Burton, Cynthia Z; Mausbach, Brent T; Patterson, Thomas L; Twamley, Elizabeth W

    2014-08-15

    The U.S. Latino population is steadily increasing, prompting a need for cross-cultural outcome measures in schizophrenia research. This study examined the contribution of language to functional assessment in middle-aged Latino patients with schizophrenia by comparing 29 monolingual Spanish-speakers, 29 Latino English-speakers, and 29 non-Latino English-speakers who were matched on relevant demographic variables and who completed cognitive and functional assessments in their native language. There were no statistically significant differences between groups on the four everyday functioning variables (UCSD Performance-Based Skills Assessment [UPSA], Social Skills Performance Assessment [SSPA], Medication Management Ability Assessment [MMAA], and the Global Assessment of Functioning [GAF]). The results support the cross-linguistic and cross-cultural acceptability of these functional assessment instruments. It appears that demographic variables other than language (e.g., age, education) better explain differences in functional assessment among ethnically diverse subpopulations. Considering the influence of these other factors in addition to language on functional assessments will help ensure that measures can be appropriately interpreted among the diverse residents of the United States. Published by Elsevier Ireland Ltd.

  8. The effect of language on functional capacity assessment in middle-aged and older US Latinos with schizophrenia

    Science.gov (United States)

    Bengoetxea, Eneritz; Burton, Cynthia Z.; Mausbach, Brent T.; Patterson, Thomas L.; Twamley, Elizabeth W.

    2014-01-01

    The U.S. Latino population is steadily increasing, prompting a need for cross-cultural outcome measures in schizophrenia research. This study examined the contribution of language to functional assessment in middle-aged Latino patients with schizophrenia by comparing 29 monolingual Spanish-speakers, 29 Latino English-speakers, and 29 non-Latino English-speakers who were matched on relevant demographic variables and who completed cognitive and functional assessments in their native language. There were no statistically significant differences between groups on the four everyday functioning variables (UCSD Performance-Based Skills Assessment [UPSA], Social Skills Performance Assessment [SSPA], Medication Management Ability Assessment [MMAA], and the Global Assessment of Functioning [GAF]). The results support the cross-linguistic and cross-cultural acceptability of these functional assessment instruments. It appears that demographic variables other than language (e.g., age, education) better explain differences in functional assessment among ethnically diverse subpopulations. Considering the influence of these other factors in addition to language on functional assessments will help ensure that measures can be appropriately interpreted among the diverse residents of the United States. PMID:24751379

  9. The strategic function of quality in the management of innovation

    NARCIS (Netherlands)

    Bossink, B.A.G.

    2002-01-01

    Quality management can be used to support strategically the management of innovation. Tools in strategic quality management can be useful in: creating the organizational conditions in which innovations can be developed; supervising and initiating innovation processes; producing innovation content;

  10. Assessment and management of agitation in psychiatry: Expert consensus.

    Science.gov (United States)

    Garriga, Marina; Pacchiarotti, Isabella; Kasper, Siegfried; Zeller, Scott L; Allen, Michael H; Vázquez, Gustavo; Baldaçara, Leonardo; San, Luis; McAllister-Williams, R Hamish; Fountoulakis, Konstantinos N; Courtet, Philippe; Naber, Dieter; Chan, Esther W; Fagiolini, Andrea; Möller, Hans Jürgen; Grunze, Heinz; Llorca, Pierre Michel; Jaffe, Richard L; Yatham, Lakshmi N; Hidalgo-Mazzei, Diego; Passamar, Marc; Messer, Thomas; Bernardo, Miquel; Vieta, Eduard

    2016-01-01

    Psychomotor agitation is associated with different psychiatric conditions and represents an important issue in psychiatry. Current recommendations on agitation in psychiatry are not univocal. Actually, an improper assessment and management may result in unnecessary coercive or sedative treatments. A thorough and balanced review plus an expert consensus can guide assessment and treatment decisions. An expert task force iteratively developed consensus using the Delphi method. Initial survey items were based on systematic review of the literature. Subsequent surveys included new, re-worded or re-rated items. Out of 2175 papers assessing psychomotor agitation, 124 were included in the review. Each component was assigned a level of evidence. Integrating the evidence and the experience of the task force members, a consensus was reached on 22 statements on this topic. Recommendations on the assessment of agitation emphasise the importance of identifying any possible medical cause. For its management, experts agreed in considering verbal de-escalation and environmental modification techniques as first choice, considering physical restraint as a last resort strategy. Regarding pharmacological treatment, the "ideal" medication should calm without over-sedate. Generally, oral or inhaled formulations should be preferred over i.m. routes in mildly agitated patients. Intravenous treatments should be avoided.

  11. Graves’ Ophthalmopathy: VISA versus EUGOGO Classification, Assessment, and Management

    Directory of Open Access Journals (Sweden)

    Jesús Barrio-Barrio

    2015-01-01

    Full Text Available Graves’ ophthalmopathy (GO is an autoimmune inflammatory disorder associated with thyroid disease which affects ocular and orbital tissues. GO follows a biphasic course in which an initial active phase of progression is followed by a subsequent partial regression and a static inactive phase. Although the majority of GO patients have a mild, self-limiting, and nonprogressive ocular involvement, about 3–7% of GO patients exhibit a severe sight-threatening form of the disease due to corneal exposure or compressive optic neuropathy. An appropriate assessment of both severity and activity of the disease warrants an adequate treatment. The VISA (vision, inflammation, strabismus, and appearance, and the European Group of Graves’ Orbitopathy (EUGOGO classifications are the two widely used grading systems conceived to assess the activity and severity of GO and guide the therapeutic decision making. A critical analysis of classification, assessment, and management systems is reported. A simplified “GO activity assessment checklist” for routine clinical practice is proposed. Current treatments are reviewed and management guidelines according to the severity and activity of the disease are provided. New treatment modalities such as specific monoclonal antibodies, TSH-R antagonists, and other immunomodulatory agents show a promising outcome for GO patients.

  12. Hazard assessment and risk management of offshore production chemicals

    International Nuclear Information System (INIS)

    Schobben, H.P.M.; Scholten, M.C.T.; Vik, E.A.; Bakke, S.

    1994-01-01

    There is a clear need for harmonization of the regulations with regard to the use and discharge of drilling and production chemicals in the North Sea. Therefore the CHARM (Chemical Hazard Assessment and Risk Management) model was developed. Both government (of several countries) and industry (E and P and chemical suppliers) participated in the project. The CHARM model is discussed and accepted by OSPARCON. The CHARM model consists of several modules. The model starts with a prescreening on the basis of hazardous properties like persistency, accumulation potential and the appearance on black lists. The core of the model.consists of modules for hazard assessment and risk analysis. Hazard assessment covers a general environmental evaluation of a chemical on the basis of intrinsic properties of that chemical. Risk analysis covers a more specific evaluation of the environmental impact from the use of a production chemical, or a combination of chemicals, under actual conditions. In the risk management module the user is guided to reduce the total risk of all chemicals used on a platform by the definition of measures in the most cost-effective way. The model calculates the environmental impact for the marine environment. Thereto three parts are distinguished: pelagic, benthic and food chain. Both hazard assessment and risk analysis are based on a proportional comparison of an estimated PEC with an estimated NEC. The PEC is estimated from the use, release, dilution and fate of the chemical and the NEC is estimated from the available toxicity data of the chemicals

  13. Architecture Framework for Fault Management Assessment and Design (AFFMAD), Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — Architecture Framework for Fault Management Assessment And Design(AFFMAD) provides Fault Management (FM) trade space exploration and rigorous performance constraint...

  14. Subjective daytime functioning assessment in people with insomnia.

    Science.gov (United States)

    Grabowski, Karol; Nowicka-Sauer, Katarzyna; Zdrojewski, Tomasz; Rutkowski, Marcin; Bandosz, Piotr; Nowicki, Zbigniew

    2017-10-29

    The aim of this study was to assess the prevalence and severity of subjective daytime functioning impairment among people with insomnia complaints. Another goal was to establish its relationships with age, gender, type and duration of subjective insomnia. Study group consisted of NATPOL study participants - 2,413 people (1,245 women and 1,168 men) aged 18-79. We extracted group with declared insomnia complaints, consisting of 1,221 people (736 women and 485 men) aged 18-79. Data on insomnia symptoms characteristics, their duration and subjective functioning impairment were further analyzed. Functioning impairment was declared by 825 people (67.7% of those who declared subjective insomnia) and it was more common in women. It was most common among people with insomnia complaints lasting over two weeks - 72.4%. In people with symptoms lasting less than two weeks or for a few days it was 70.7% and 64.9% respectively. People with insomnia symptoms lasting over two weeks accounted for 20% of group with severe functioning impairment. For shorter duration of symptoms it was 8.6% and 6.9% respectively. Among people with mild functioning impairment, persons with symptoms lasting for a few days and less than two weeks were predominant - 32.5% and 35.3% respectively. In people aged 18-24 years mild functioning impairment was predominant (66.66%). Subjective daytime functioning impairment is common in people declaring insomnia symptoms. It is more common in women and its prevalence and intensity are greater in people with longer duration of sleep problems. Its prevalence is not correlated with age and it is the mildest in people aged 18-24.

  15. Assessment and Prognosis for Nuclear Emergency Management in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Seung-Young; Lee, Hyun-Ha; Lee, Young-Min; Park, Sang-Hyun; Nam, Kwang-Woo; Jeong, Sang-Houn; Jin, Sobeom; Kim, Dong-Il; Kim, Wan-Joo [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2015-05-15

    The nuclear accident of Fukushima, March 2011, raised public concerns over the safety of nuclear facilities and emergency preparedness in Korea. Therefore, KINS has enhanced the AtomCARE for assessment and prognosis and environmental monitoring system. The KINS has reinforced the radiological/radioactive environment monitoring system across the country to ensure prompt and effective protective measures for the public. Also, the act of radiological emergency management revised to adopt (PAZ) and the (UPZ) at 2014. All in all, Korea will give comprehensive effort to reflect the lessons learned from Fukushima accident for improvement of the assessment and prognosis system. This paper reviews the status of assessment and prognosis system for nuclear emergency response in Korea. The Korea Institute of Nuclear Safety (KINS) performs the regulation and radiological emergency preparedness of the nuclear facilities and radiation utilizations.

  16. Assessment and management of risk to wildlife from cadmium

    International Nuclear Information System (INIS)

    Burger, Joanna

    2008-01-01

    Cadmium, a nonessential heavy metal that comes from natural and anthropogenic sources, is a teratogen, carcinogen, and a possible mutagen. Assessment of potential risk from cadmium requires understanding environmental exposure, mainly from ingestion, although there is some local exposure through inhalation. Chronic exposure is more problematic than acute exposure for wildlife. There is evidence for bioaccumulation, particularly in freshwater organisms, but evidence for biomagnification up the food chain is inconsistent; in some bird studies, cadmium levels were higher in species that are higher on the food chain than those that are lower. Some freshwater and marine invertebrates are more adversely affected by cadmium exposure than are birds and mammals. There is very little experimental laboratory research on the effects of cadmium in amphibians, birds and reptiles, and almost no data from studies of wildlife in nature. Managing the risk from cadmium to wildlife involves assessment (including ecological risk assessment), biomonitoring, setting benchmarks of effects, regulations and enforcement, and source reduction

  17. Assessment and management of risk to wildlife from cadmium

    Energy Technology Data Exchange (ETDEWEB)

    Burger, Joanna [Division of Life Sciences, Environmental and Occupational Health Sciences Institute, Consortium for Risk Evaluation with Stakeholder Participation, Rutgers University, Piscataway, New Jersey, 08854-8082 (United States)], E-mail: burger@biology.rutgers.edu

    2008-01-15

    Cadmium, a nonessential heavy metal that comes from natural and anthropogenic sources, is a teratogen, carcinogen, and a possible mutagen. Assessment of potential risk from cadmium requires understanding environmental exposure, mainly from ingestion, although there is some local exposure through inhalation. Chronic exposure is more problematic than acute exposure for wildlife. There is evidence for bioaccumulation, particularly in freshwater organisms, but evidence for biomagnification up the food chain is inconsistent; in some bird studies, cadmium levels were higher in species that are higher on the food chain than those that are lower. Some freshwater and marine invertebrates are more adversely affected by cadmium exposure than are birds and mammals. There is very little experimental laboratory research on the effects of cadmium in amphibians, birds and reptiles, and almost no data from studies of wildlife in nature. Managing the risk from cadmium to wildlife involves assessment (including ecological risk assessment), biomonitoring, setting benchmarks of effects, regulations and enforcement, and source reduction.

  18. Proton magnetic resonance imaging for assessment of lung function and respiratory dynamics

    International Nuclear Information System (INIS)

    Eichinger, Monika; Tetzlaff, Ralf; Puderbach, Michael; Woodhouse, Neil; Kauczor, H.-U.

    2007-01-01

    Since many pulmonary diseases present with a variable regional involvement, modalities for assessment of regional lung function gained increasing attention over the last years. Together with lung perfusion and gas exchange, ventilation, as a result of the interaction of the respiratory pump and the lungs, is an indispensable component of lung function. So far, this complex mechanism is still mainly assessed indirectly and globally. A differentiation between the individual determining factors of ventilation would be crucial for precise diagnostics and adequate treatment. By dynamic imaging of the respiratory pump, the mechanical components of ventilation can be assessed regionally. Amongst imaging modalities applicable to this topic, magnetic resonance imaging (MRI), as a tool not relying on ionising radiation, is the most attractive. Recent advances in MRI technology have made it possible to assess diaphragmatic and chest wall motion, static and dynamic lung volumes, as well as regional lung function. Even though existing studies show large heterogeneity in design and applied methods, it becomes evident that MRI is capable to visualise pulmonary function as well as diaphragmatic and thoracic wall movement, providing new insights into lung physiology. Partly contradictory results and conclusions are most likely caused by technical limitations, limited number of studies and small sample size. Existing studies mainly evaluate possible imaging techniques and concentrate on normal physiology. The few studies in patients with lung cancer and emphysema already give a promising outlook for these techniques from which an increasing impact on improved and quantitative disease characterization as well as better patient management can be expected

  19. Strategic environmental assessment for UK LLW management - 16392

    International Nuclear Information System (INIS)

    Craze, Andrew; Clark, Matthew; Davis, Pete

    2009-01-01

    NDA is delivering a Strategic Environmental Assessment (SEA) to underpin the UK Nuclear Industry Low Level Waste Strategy. The purpose of this assessment is embed sustainability issues into our decision making and to fulfill our requirements under the European Union's Strategic Environmental Assessment (SEA) Directive (2004/42/EU) and transposing UK Regulations, and to underpin the development of the strategy. The outputs of the SEA have provided input into particular aspects of the strategy, leading to a more robust and better informed result. Development of options to be assessed under the SEA has looked at a number of factors, including: - what the strategy is aiming to achieve - expectation from stakeholders as to what should be addressed - consideration of tactical approaches to implementation of the strategy in addition to high level strategic issues - links to other projects and programmes (for example the Environmental Safety Case for the Low Level Waste Repository. The SEA aims to provide a robust assessment of the environmental and sustainability impacts of alternative strategies for providing continued capability and capacity for the management and disposal of LLW in the UK. The assessment also considers other, more tactical, issues around implementation of the strategy, for example: issues around the location of LLW management facilities; the environmental impacts of alternative waste treatment options (metal recycling etc); considerations of alternative approaches to the classification of radioactive waste and opportunities that would result. Critical to the development of the SEA has been the involvement of statutory and non-statutory stakeholders, who have informed both the output and the approach taken. (authors)

  20. Social Impact Assessment : Guidance for assessing and managing the social impacts of projects

    NARCIS (Netherlands)

    Vanclay, Francis; Esteves, Ana Maria; Aucamp, Ilse; Franks, Daniel

    2015-01-01

    The purpose of this Guidance Note is to provide advice to various stakeholders about what is expected in good practice social impact assessment (SIA) and social impact management processes, especially in relation to project development. Project development refers to dams, mines, oil and gas

  1. Assessing the Relationship of Knowledge Management Effectiveness and Assessment Quality Improvement

    Science.gov (United States)

    Ringhand, Darlene Gail

    2009-01-01

    Administrators at post-secondary institutions have found that national or regional accreditation is necessary to remain competitive in the higher education market with evidence of assessment considered a positive measure for accreditation. This quantitative study examined the correlation between the ranked levels of knowledge management within…

  2. Life cycle assessment of municipal solid waste management methods: Ankara case study.

    Science.gov (United States)

    Ozeler, D; Yetiş, U; Demirer, G N

    2006-04-01

    Different solid waste management system scenarios were developed and compared for the Municipal Solid Waste Management System of Ankara by using the life cycle assessment (LCA) methodology. The solid waste management methods considered in the scenarios were collection and transportation of wastes, source reduction, Material Recovery Facility (MRF)/Transfer Stations (TS), incineration, anaerobic digestion and landfilling. The goal of the study was to determine the most environmentally friendly option of MSWM system for Ankara. The functional unit of the study was the amount of solid waste generated in the system area of concern, which are the districts of Ankara. The life cycle inventory analysis was carried out by IWM Model-1. The inputs and outputs of each management stage were defined and the inventory emissions calculated by the model were classified in to impact categories; non-renewable energy sources exhausting potential, final solid waste as hazardous and non-hazardous, global warming, acidification, eutrophication and human toxicity. The impacts were quantified with the weighing factors of each category to develop the environmental profiles of each scenario. In most of the categories, Source Reduction Scenario was found to be the most feasible management method, except the global warming category. The lowest contribution to GWP was calculated for the anaerobic digestion process. In the interpretation and improvement assessment stage, the results were further evaluated and recommendations were made to improve the current solid waste management system of Ankara.

  3. Neuropsychological assessment of language functions during functional magnetic resonance imaging: development of new tasks. Preliminary report.

    Science.gov (United States)

    Fersten, Ewa; Jakuciński, Maciej; Kuliński, Radosław; Koziara, Henryk; Mroziak, Barbara; Nauman, Paweł

    2011-01-01

    Due to the complex and extended cerebral organization of language functions, the brain regions crucial for speech and language, i.e. eloquent areas, have to be affected by neurooncological surgery. One of the techniques that may be helpful in pre-operative planning of the extent of tumour removal and estimating possible complications seems to be functional magnetic resonance imaging (fMRI). The aim of the study was to develop valid procedures for neuropsychological assessment of various language functions visualisable by fMRI in healthy individuals. In this fMRI study, 10 healthy (with no CNS pathology), right-handed volunteers aged 25-35 were examined using four tasks designed to measure different language functions, and one for short-term memory assessment. A 1.5-T MRI scanner performing ultrafast functional (EPI) sequences with 4-mm slice thickness and 1-mm interslice gap was used to detect the BOLD response to stimuli present-ed in a block design (30-second alternating blocks of activity and rest). The analyses used the SPM software running in a MATLAB environment, and the obtained data were interpreted by means of colour-coded maps superimposed on structural brain scans. For each of the tasks developed for particular language functions, a different area of increased neuronal activity was found. The differential localization of function-related neuronal activity seems interesting and the research worth continuing, since verbal communication failure may result from impairment of any of various language functions, and studies reported in the literature seem to focus on verbal expression only.

  4. Analytical Tools for Functional Assessment of Architectural Layouts

    Science.gov (United States)

    Bąkowski, Jarosław

    2017-10-01

    Functional layout of the building, understood as a layout or set of the facility rooms (or groups of rooms) with a system of internal communication, creates an environment and a place of mutual relations between the occupants of the object. Achieving optimal (from the occupants’ point of view) spatial arrangement is possible through activities that often go beyond the stage of architectural design. Adopted in the architectural design, most often during trial and error process or on the basis of previous experience (evidence-based design), functional layout is subject to continuous evaluation and dynamic changing since the beginning of its use. Such verification of the occupancy phase allows to plan future, possible transformations, as well as to develop model solutions for use in other settings. In broader terms, the research hypothesis is to examine whether and how the collected datasets concerning the facility and its utilization can be used to develop methods for assessing functional layout of buildings. In other words, if it is possible to develop an objective method of assessing functional layouts basing on a set of buildings’ parameters: technical, technological and functional ones and whether the method allows developing a set of tools enhancing the design methodology of complex functional objects. By linking the design with the construction phase it is possible to build parametric models of functional layouts, especially in the context of sustainable design or lean design in every aspect: ecological (by reducing the property’s impact on environment), economic (by optimizing its cost) and social (through the implementation of high-performance work environment). Parameterization of size and functional connections of the facility become part of the analyses, as well as the element of model solutions. The “lean” approach means the process of analysis of the existing scheme and consequently - finding weak points as well as means for eliminating these

  5. Assessment and management of pain in pediatric otolaryngology.

    Science.gov (United States)

    Rodríguez, Maria Claudia; Villamor, Perla; Castillo, Tatiana

    2016-11-01

    Pain is a disease by itself and it's a public health concern of major implication in children, not just because of the emotional component of the child and his family, but also due to the potential morbidity and mortality involving it. A proper assessment of pain it's a challenge in the pediatric population, due to their lack of understanding and verbalization of hurt. Additionally, a satisfactory treatment of pediatric pain can be arduous due to a lack of clinical knowledge, insufficient pediatric research, and the fear to opioid side effects and addiction. The aim of this review is to address the current definitions of pain, its physiological mechanisms and the consequences of its inadequate management, as well as, to guide the clinicians in the assessment and management of pain in the pediatric population at otolaryngology services. Narrative review by selective MeSH search terms: Children, Pediatrics, Otolaryngology, Pain measurement, Pain Management, Analgesics and Analgesia, from databases: MEDLINE/PubMed, Cochrane, ISI, Current Contents, Scielo and LILACS, between January 2000 and May 2016. 129 articles were reviewed according to the requirements of the objectives. Pain measurement is a challenge in children as there are no physical signs that constitute an absolute or specific indicator of pain, and its diagnosis must rely on physiological, behavioral and self-report methods. Regarding treatment, a suitable alternative are the non-pharmacological cognitive/behavioral therapies helped by pharmacological therapies tailored to the severity of pain and the child's age. We provide evidence-based recommendations on pain treatment, including non-opioid analgesics, opioid analgesics and adjuvant medicines to improve the management of pain in children in otolaryngology services. We present a global review about assessment and management of pain in pediatric otolaryngology, which leads to future specific reviews on each topic. Research gaps on pain assessment and

  6. Assessment of Quality of Life in Patients With Skin Disorders Undergoing Ayurvedic Panchakarma (Biopurification) as Management.

    Science.gov (United States)

    Deshpande, Harish; Shivakumar; Kavita, M B; Tripathy, T B; Chaturvedi, Ashutosh

    2016-07-01

    Chronic skin conditions can have a negative impact on one's quality of life, affecting their physical, functional, and emotional well-being. Whereas biopurifactory measures (panchakarma) of Ayurveda claims to provide better quality of life after treatment. Hence current study is planned to provide evidence in patients with skin disorders, undergoing Ayurvedic treatment. Sixty patients with skin disorder, who underwent purification therapies like therapeutic emesis and therapeutic purgation, were randomly placed in 2 groups to assess quality of life. Quality of life assessment was done with the help of Skindex-29 among the patients before and after Ayurvedic purification therapy. Thereafter, the quality of life assessment was done on the first follow-up. A statistically significant improvement in the quality of life domains-emotions, functioning, and symptoms-after the Ayurvedic management was observed with P value Ayurveda purification therapies. © The Author(s) 2015.

  7. Safety assessment for Area 5 radioactive-waste-management site

    International Nuclear Information System (INIS)

    Hunter, P.H.; Card, D.H.; Horton, K.

    1982-09-01

    The Area 5 Radioactive Waste Management Safety Assessment Document contains evaluations of site characteristics, facilities, and operating practices that contribute to the safe handling, storage, and disposal of low-level radioactive wastes at the Nevada Test Site. Physical geography, cultural factors, climate and meteorology, geology, hydrology (with emphasis on radionuclide migration), ecology, natural phenomena, and natural resources are discussed and determined to be suitable for effective containment of radionuclides. A separate section considers facilities and operating practices such as monitoring, storage/disposal criteria, site maintenance, equipment, and support. The section also considers the transportation and waste handling requirements supporting the new Greater Confinement Disposal Facility (GCDF), GCDF demonstration project, and other requirements for the safe handling, storage, and disposal of low-level radioactive wastes. Finally, the document provides an analysis of releases and an assessment of the near-term operational impacts and dose commitments to operating personnel and the general public from normal operations and anticipated accidental occurrences. The conclusion of this report is that the Area 5 Radioactive Waste Management Site is suitable for low-level radioactive waste handling, storage, and disposal. Also, the new GCDF demonstration project will not affect the overall safety of the Area 5 Radioactive Waste Management Site

  8. A framework for assessing hydrogen management strategies involving multiple decisions

    International Nuclear Information System (INIS)

    Lee, S.D.; Suh, K.Y.; Park, G.C.; Jae, M.

    2000-01-01

    An accident management framework consisting of multiple and sequential decisions is developed and applied to a hydrogen control strategy for a reference plant. The compact influence diagrams including multiple decisions are constructed and evaluated with MAAP4 calculations. Each decision variable, represented by a node in the influence diagrams, has an uncertainty distribution. Using the values from the IPE (Individual Plant Examinations) report for the reference plant (UCN 3 and 4), the hydrogen control and accident management strategies are assessed. In this paper, a problem with two decisions is modeled for a simple illustration of the process involved. One decision is whether or not to actuate igniters at the time of core uncovery. Another decision is whether or not to turn on the containment sprays. We chose a small-break loss-of-coolant accident (LOCA) sequence, which was one of the dominant accident sequences in the reference plant. The framework involves the modeling of the decision problem by using decision-making tools, data analysis, and the MAAP4 calculations. It is shown that the proposed framework with a new measure for assessing hydrogen control is flexible enough to be applied to various accident management strategies. (author)

  9. Management and organizational assessments: a review of selected organizations

    International Nuclear Information System (INIS)

    Nadel, M.V.; Kerwin, C.M.

    1984-02-01

    This report is part of a larger project designed to assist the NRC in its responsibilities for assessing the management and organization of utilities applying for an operating license for a nuclear power plant. This report reviews the processes and criteria used by other organizations that conduct management and organization audits and evaluations. It was undertaken in order to provide data and a basis for future analysis by taking a comparative perspective. When considering changes in criteria and procedures as the NRC is doing, a standard benchmark is the performance of other organizations that are similarly situated. It was our goal to directly inform the NRC about the activities of other organizations so that a reconsideration of NRC activities could benefit from the perspective of organizations with a longer, broader, and different experience than the NRC has in the management and organization area. Data collected for this report has provided useful information in designing organization and administration guidelines and assessment procedures for consideration by the NRC

  10. Assessment of LANL solid low-level waste management documentation

    International Nuclear Information System (INIS)

    Klein, R.B.; Jennrich, E.A.; Lund, D.M.; Danna, J.G.; Davis, K.D.; Rutz, A.C.

    1991-04-01

    DOE Order 5820.2A requires that a system performance assessment be conducted to assure efficient and compliant management of all radioactive waste. The objective of this report is to determine the present status of the Radioactive Waste Operations Section's capabilities regarding preparation and maintenance of appropriate criteria, plans and procedures and identify particular areas where these documents are not presently in existence or being fully implemented. DOE Order 5820.2A, Radioactive Waste Management, Chapter III sets forth the requirements and guidelines for preparation and implementation of criteria, plans and procedures to be utilized in the management of solid low-level waste. The documents being assessed in this report are: Solid Low-Level Waste Acceptance Criteria, Solid Low-Level Waste Characterization Plan, Solid Low-Level Waste Certification Plan, Solid Low-Level Waste Acceptance Procedures, Solid Low-Level Waste Characterization Procedures, Solid Low-Level Waste Certification Procedures, Solid Low-Level Waste Training Procedures, and Solid Low-Level Waste Recordkeeping Procedures. Suggested outlines for these documents are presented as Appendix A

  11. Utility analysis and calibration of QOL assessment in disease management.

    Science.gov (United States)

    Liu, Mo

    2018-05-02

    In clinical trials, the assessment of health-related quality of life (QOL) (or patient-reported outcome [PRO] measure) has become very popular especially for clinical studies conducted for evaluating clinical benefits of patients with chronic, severe, and/or life threatening diseases. Health-related QOL information and PRO measures are useful for disease management for achieving best clinical practice. In this article, we will focus on health-related QOL assessment. The concept, design, and analysis of health-related QOL in clinical trials are reviewed. Validation of the use of health-related QOL instrument in terms of some key performance characteristics such as accuracy, reliability, sensitivity, and responsibility for assuring quality, integrity, and validity of collected QOL data are discussed. The concept of utility analysis and calibration (e.g., with respect to life events) for achieving the optimization of disease management are proposed. The change of the QOL could be translated into different life events for effective disease management. These translations could evaluate the treatment effect by more directly displaying the change of the QOL.

  12. Taking risk assessment and management to the next level - 59395

    International Nuclear Information System (INIS)

    Nelson, Jerel; Morton, Russel Lee; Castillo, Carlos; Dyer, George; Johnson, Natalie; McSwain, James T.; Kruskall, Gary Nick

    2012-01-01

    Document available in abstract form only. Full text of publication follows: A multi-level (facility and programmatic) risk assessment was conducted for the facilities in the Nevada National Security Site (NNSS) Readiness in Technical Base and Facilities (RTBF) Program and results were included in a new Risk Management Plan (RMP), which was incorporated into the fiscal year (FY) 2010 Integrated Plans. Risks, risk events, probability, consequence(s), and mitigation strategies were identified and captured, for most scope areas (i.e., risk categories) during the facilitated risk workshops. Risk mitigations (i.e., efforts in addition to existing controls) were identified during the facilitated risk workshops when the risk event was identified. Risk mitigation strategies fell into two broad categories: threats or opportunities. Improvement projects were identified and linked to specific risks they mitigate, making the connection of risk reduction through investments for the annual Site Execution Plan. Due to the amount of that was collected, analysis to be performed, and reports to be generated, a Risk Assessment/ Management Tool (RAMtool) database was developed to analyze the risks in real-time, at multiple levels, which reinforced the site-level risk management process and procedures. The RAMtool database was developed and designed to assist in the capturing and analysis of the key elements of risk: probability, consequence, and impact

  13. Assessment of derelict soil quality: Abiotic, biotic and functional approaches.

    Science.gov (United States)

    Vincent, Quentin; Auclerc, Apolline; Beguiristain, Thierry; Leyval, Corinne

    2018-02-01

    The intensification and subsequent closing down of industrial activities during the last century has left behind large surfaces of derelict lands. Derelict soils have low fertility, can be contaminated, and many of them remain unused. However, with the increasing demand of soil surfaces, they might be considered as a resource, for example for non-food biomass production. The study of their physico-chemical properties and of their biodiversity and biological activity may provide indications for their potential re-use. The objective of our study was to investigate the quality of six derelict soils, considering abiotic, biotic, and functional parameters. We studied (i) the soil bacteria, fungi, meso- and macro-fauna and plant communities of six different derelict soils (two from coking plants, one from a settling pond, two constructed ones made from different substrates and remediated soil, and an inert waste storage one), and (ii) their decomposition function based on the decomposer trophic network, enzyme activities, mineralization activity, and organic pollutant degradation. Biodiversity levels in these soils were high, but all biotic parameters, except the mycorrhizal colonization level, discriminated them. Multivariate analysis showed that biotic parameters co-varied more with fertility proxies than with soil contamination parameters. Similarly, functional parameters significantly co-varied with abiotic parameters. Among functional parameters, macro-decomposer proportion, enzyme activity, average mineralization capacity, and microbial polycyclic aromatic hydrocarbon degraders were useful to discriminate the soils. We assessed their quality by combining abiotic, biotic, and functional parameters: the compost-amended constructed soil displayed the highest quality, while the settling pond soil and the contaminated constructed soil displayed the lowest. Although differences among the soils were highlighted, this study shows that derelict soils may provide a

  14. Brief debrisoquin administration to assess central dopaminergic function in children.

    Science.gov (United States)

    Riddle, M A; Shaywitz, B A; Leckman, J F; Anderson, G M; Shaywitz, S E; Hardin, M T; Ort, S I; Cohen, D J

    1986-03-17

    Central dopaminergic (DA) function in children was assessed by monitoring plasma-free homovanillic acid (pHVA) levels after brief (18 hour) administration with debrisoquin sulfate, a peripherally active antihypertensive agent that blocks peripheral, but not central, HVA production. Brief debrisoquin administration resulted in marked reductions in pHVA in each of six patients studied. In five of the six patients, post-debrisoquin pHVA levels remained relatively stable over the six-hour period of observation. No significant cardiovascular or behavioral side effects of debrisoquin were observed. The brief debrisoquin administration method appears to be a safe, simple, and potentially valid peripheral technique for evaluating aspects of central dopaminergic function in children with neuropsychiatric disorders. Additional work is needed to further establish this method's validity and reliability.

  15. Cine-oesophago-gastroscintigraphy: assessment of digestive function in paediatrics

    Energy Technology Data Exchange (ETDEWEB)

    Guillet, J. (Hopital Pellegrin, 33 - Bordeaux (France))

    1984-05-15

    Cine-oesophago-gastroscintigraphy (COGS) can assess structure and function of the oesophagogastrointestinal tract. With this non-invasive method, the dosimetry is very low and quantification is easy. Milk or water labelled by sup(99m)Tc sulfocolloids are drunk by the patient. The transit is continuously monitored by a gamma camera and a computer. The esophageal transit time is useful in studying impairment of peristaltic motion. Fistula, diverticula and stenosis are easily detected. The sensitivity of this technique for the search of gastroesophageal reflux is as great as pH-metry. The quantification is of great interest to assess the severity of the reflux and to measure treatment efficacity. Slow rates of gastric emptying are associated with some of the reflux, and pyloric stenosis. Pulmonary contamination can be discovered in patients with gastro oesophageal reflux.

  16. Apparatus and Method for Assessing Vestibulo-Ocular Function

    Science.gov (United States)

    Shelhamer, Mark J. (Inventor)

    2015-01-01

    A system for assessing vestibulo-ocular function includes a motion sensor system adapted to be coupled to a user's head; a data processing system configured to communicate with the motion sensor system to receive the head-motion signals; a visual display system configured to communicate with the data processing system to receive image signals from the data processing system; and a gain control device arranged to be operated by the user and to communicate gain adjustment signals to the data processing system.

  17. Functional neuroimaging in the assessment of cerebral ischaemia

    International Nuclear Information System (INIS)

    Sartor, K.; Heiland, S.

    1997-01-01

    Cerebral infarct causes over 170, 000 deaths per year in the United States. Recent developments in neuroimaging are providing an insight into focal cerebral ischaemia, including its pathophysiology and the area of brain at risk. Perfusion-weighted magnetic resonance (MR) allows evaluation of the blood supply to the ischaemic area, and diffusion-weighted MR permits assessment of tissue damage. Although both functional imaging techniques require some refinement, it is likely that they will soon become part of the normal clinical routine and allow accurate characterisation of pathology. It is expected that this may eventually lead to the development of new treatments. (orig.)

  18. [Experts consensus on the management of the right heart function in critically ill patients].

    Science.gov (United States)

    Wang, X T; Liu, D W; Zhang, H M; Long, Y; Guan, X D; Qiu, H B; Yu, K J; Yan, J; Zhao, H; Tang, Y Q; Ding, X; Ma, X C; Du, W; Kang, Y; Tang, B; Ai, Y H; He, H W; Chen, D C; Chen, H; Chai, W Z; Zhou, X; Cui, N; Wang, H; Rui, X; Hu, Z J; Li, J G; Xu, Y; Yang, Y; Ouyan, B; Lin, H Y; Li, Y M; Wan, X Y; Yang, R L; Qin, Y Z; Chao, Y G; Xie, Z Y; Sun, R H; He, Z Y; Wang, D F; Huang, Q Q; Jiang, D P; Cao, X Y; Yu, R G; Wang, X; Chen, X K; Wu, J F; Zhang, L N; Yin, M G; Liu, L X; Li, S W; Chen, Z J; Luo, Z

    2017-12-01

    To establish the experts consensus on the right heart function management in critically ill patients. The panel of consensus was composed of 30 experts in critical care medicine who are all members of Critical Hemodynamic Therapy Collaboration Group (CHTC Group). Each statement was assessed based on the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) principle. Then the Delphi method was adopted by 52 experts to reassess all the statements. (1) Right heart function is prone to be affected in critically illness, which will result in a auto-exaggerated vicious cycle. (2) Right heart function management is a key step of the hemodynamic therapy in critically ill patients. (3) Fluid resuscitation means the process of fluid therapy through rapid adjustment of intravascular volume aiming to improve tissue perfusion. Reversed fluid resuscitation means reducing volume. (4) The right ventricle afterload should be taken into consideration when using stroke volume variation (SVV) or pulse pressure variation (PPV) to assess fluid responsiveness.(5)Volume overload alone could lead to septal displacement and damage the diastolic function of the left ventricle. (6) The Starling curve of the right ventricle is not the same as the one applied to the left ventricle,the judgement of the different states for the right ventricle is the key of volume management. (7) The alteration of right heart function has its own characteristics, volume assessment and adjustment is an important part of the treatment of right ventricular dysfunction (8) Right ventricular enlargement is the prerequisite for increased cardiac output during reversed fluid resuscitation; Nonetheless, right heart enlargement does not mandate reversed fluid resuscitation.(9)Increased pulmonary vascular resistance induced by a variety of factors could affect right heart function by obstructing the blood flow. (10) When pulmonary hypertension was detected in clinical scenario, the differentiation of

  19. Physiologically assessed hot flashes and endothelial function among midlife women.

    Science.gov (United States)

    Thurston, Rebecca C; Chang, Yuefang; Barinas-Mitchell, Emma; Jennings, J Richard; von Känel, Roland; Landsittel, Doug P; Matthews, Karen A

    2017-08-01

    Hot flashes are experienced by most midlife women. Emerging data indicate that they may be associated with endothelial dysfunction. No studies have tested whether hot flashes are associated with endothelial function using physiologic measures of hot flashes. We tested whether physiologically assessed hot flashes were associated with poorer endothelial function. We also considered whether age modified associations. Two hundred seventy-two nonsmoking women reporting either daily hot flashes or no hot flashes, aged 40 to 60 years, and free of clinical cardiovascular disease, underwent ambulatory physiologic hot flash and diary hot flash monitoring; a blood draw; and ultrasound measurement of brachial artery flow-mediated dilation to assess endothelial function. Associations between hot flashes and flow-mediated dilation were tested in linear regression models controlling for lumen diameter, demographics, cardiovascular disease risk factors, and estradiol. In multivariable models incorporating cardiovascular disease risk factors, significant interactions by age (P hot flashes (beta [standard error] = -2.07 [0.79], P = 0.01), and more frequent physiologic hot flashes (for each hot flash: beta [standard error] = -0.10 [0.05], P = 0.03, multivariable) were associated with lower flow-mediated dilation. Associations were not accounted for by estradiol. Associations were not observed among the older women (age 54-60 years) or for self-reported hot flash frequency, severity, or bother. Among the younger women, hot flashes explained more variance in flow-mediated dilation than standard cardiovascular disease risk factors or estradiol. Among younger midlife women, frequent hot flashes were associated with poorer endothelial function and may provide information about women's vascular status beyond cardiovascular disease risk factors and estradiol.

  20. Clinical assessment tools identify functional deficits in fragility fracture patients

    Directory of Open Access Journals (Sweden)

    Ames TD

    2016-05-01

    Full Text Available Tyler D Ames,1 Corinne E Wee,1 Khoi M Le,1 Tiffany L Wang,1 Julie Y Bishop,2 Laura S Phieffer,2 Carmen E Quatman2 1The Ohio State University College of Medicine, 2Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA Purpose: To identify inexpensive, noninvasive, portable, clinical assessment tools that can be used to assess functional performance measures that may put older patients at risk for falls such as balance, handgrip strength, and lumbopelvic control.Patients and methods: Twenty fragility fracture patients and 21 healthy control subjects were evaluated using clinical assessment tools (Nintendo Wii Balance Board [WBB], a handheld dynamometer, and an application for the Apple iPod Touch, the Level Belt that measure functional performance during activity of daily living tasks. The main outcome measurements were balance (WBB, handgrip strength (handheld dynamometer, and lumbopelvic control (iPod Touch Level Belt, which were compared between fragility fracture patients and healthy controls.Results: Fragility fracture patients had lower scores on the vertical component of the WBB Torso Twist task (P=0.042 and greater medial–lateral lumbopelvic sway during a 40 m walk (P=0.026 when compared to healthy controls. Unexpectedly, the fracture patients had significantly higher scores on the left leg (P=0.020 and total components (P=0.010 of the WBB Single Leg Stand task as well as less faults during the left Single Leg Stand task (P=0.003.Conclusion: The clinical assessment tools utilized in this study are relatively inexpensive and portable tools of performance measures capable of detecting differences in postural sway between fragility fracture patients and controls. Keywords: fall risk, geriatric fracture, Nintendo Wii Balance Board, Level Belt, fragility fracture

  1. FUNCTIONAL ASSESSMENT OF OLDER OBESE PATIENTS CANDIDATES FOR BARIATRIC SURGERY

    Directory of Open Access Journals (Sweden)

    Denis PAJECKI

    2014-03-01

    Full Text Available Context Obesity in the elderly is associated with exacerbation of functional decline (dependency, that occurs with aging, because of decreased muscle mass and strength, and increased joint dysfunction. Consequently, there is progressive loss of independence, autonomy, chronic pain and impaired quality of life. The weight loss can bring benefits in all these aspects, especially when accompanied by exercises. Elderly patients with morbid obesity may be submitted to surgical treatment, taking into account that the massive weight loss, eventually caused by bariatric surgery, may exacerbate the loss of muscle mass and nutritional complications that may bring harm to the overall health and quality of life of these patients. The functional assessment of elderly patients, candidates for bariatric surgery and the extent to which surgery can bring benefits to the patients, in the field of functionality, has still to be determined. Objective To describe profile functionality in obese elderly referred to a bariatric surgery program. Methods Patients with age ≥60 and BMI ≥35 underwent comprehensive geriatric assessment that evaluates co morbidities, medication use, ability to perform basic activities of daily living and instrumental activities of daily living, and the “Timedupandgo” test to evaluate mobility, whose cut-off point was ≤10 seconds. Statistical analysis was performed in order to see if there is a positive correlation of dependency with BMI and age (over or under 65 years. Results Forty subjects have completed evaluation. The mean age was 64.1 years (60-72 and 75% were women. They had an average weight of 121.1 kg (72.7-204 and a mean BMI of 47.2 kg/m2 (35.8-68.9. 16 patients (40% have shown dependency for activities of daily living, 19 (47,5% for instrumental activities of daily living and 20 patients (50% had a “Timedupandgo” test over 10 seconds. Statistical analysis (t-Student, Mann-Whitney, Binary Logistic Regression has shown

  2. Towards understanding work-as-done in air traffic management safety assessment and design

    International Nuclear Information System (INIS)

    Woltjer, Rogier; Pinska-Chauvin, Ella; Laursen, Tom; Josefsson, Billy

    2015-01-01

    This paper describes the approach taken and the results to develop guidance, to include Resilience Engineering principles in methodology for safety assessment of functional changes, in Air Traffic Management (ATM). It summarizes the process of deriving resilience principles for ATM, originating from Resilience Engineering concepts and transposed into ATM operations. These principles are the foundation for guidance material incorporating Resilience Engineering (RE) concepts into safety assessment methodology. The guidance material provides a method using workshops generating qualitative descriptions of RE principles applied to ATM services of everyday work, as done currently and as envisioned after introduction of a new technology or way of working. The guidance material has been proposed as part of the safety assessment methodology of SESAR (Single European Sky ATM Research), and as stand-alone guidance for ATM design processes. The methodology was validated via a test case on the i4D/CTA (Controlled Time of Arrival) concept. Operational examples from the application of the developed guidance to the i4D/CTA concept are provided. Initial evaluation of the guidance suggests that the methodology (1) provides a narrative, vocabulary and documentation means of project discussions on resilience; (2) brings the discussions of safety and resilience closer to operational practice; (3) facilitates a broader systemic and integrative perspective on operational, management, business, safety, environmental, and human performance aspects; and (4) can extend the vocabulary of safety assessment to include the description of emergent properties, to better support functional changes in ATM. - Highlights: • Guidance material for safety assessment based on systemic thinking is proposed. • It operationalizes Resilience Engineering principles in Air Traffic Management, including a case study. • It enables description of expected changes in work-as-done when introducing a new

  3. How social impact assessment can contribute to conflict management

    Energy Technology Data Exchange (ETDEWEB)

    Prenzel, Paula V., E-mail: p.v.prenzel@student.rug.nl; Vanclay, Frank, E-mail: frank.vanclay@rug.nl

    2014-02-15

    The potential for conflict is omnipresent in all projects, and even in all human interactions, and conflict itself leads to many second-order social impacts. This article examines the contribution of the methodological approach used in social impact assessment (SIA) to conflict management. We view conflict as a process that has its own dynamic, and is to be expected in all situations. By using game theory (prisoner's dilemma), we describe and conceptualize this process and highlight the importance of communication in managing conflict. We demonstrate the potential use of SIA in preventing, managing and resolving conflict. Emphasis is placed on the participatory character of SIA and the role of public media. In contrast to existing literature, our focus is not restricted to the typical fields of study of SIA (e.g. environmental conflicts), but understands conflict itself as a field of application. In this sense, conflict-sensitive SIA can be understood both as an extension to the SIA tool kit and a broadening of the scope of SIA application. -- Highlights: • Conflict is omnipresent and creates both positive and negative social impacts. • Conflict itself represents a possible field of application for SIA. • Conflict escalation is a process that can be modeled in a game-theoretic framework. • There needs to be concerted effort to prevent escalation to avoid harmful outcomes. • Conflict-sensitive SIA can support conflict management and sustainable resolution.

  4. How social impact assessment can contribute to conflict management

    International Nuclear Information System (INIS)

    Prenzel, Paula V.; Vanclay, Frank

    2014-01-01

    The potential for conflict is omnipresent in all projects, and even in all human interactions, and conflict itself leads to many second-order social impacts. This article examines the contribution of the methodological approach used in social impact assessment (SIA) to conflict management. We view conflict as a process that has its own dynamic, and is to be expected in all situations. By using game theory (prisoner's dilemma), we describe and conceptualize this process and highlight the importance of communication in managing conflict. We demonstrate the potential use of SIA in preventing, managing and resolving conflict. Emphasis is placed on the participatory character of SIA and the role of public media. In contrast to existing literature, our focus is not restricted to the typical fields of study of SIA (e.g. environmental conflicts), but understands conflict itself as a field of application. In this sense, conflict-sensitive SIA can be understood both as an extension to the SIA tool kit and a broadening of the scope of SIA application. -- Highlights: • Conflict is omnipresent and creates both positive and negative social impacts. • Conflict itself represents a possible field of application for SIA. • Conflict escalation is a process that can be modeled in a game-theoretic framework. • There needs to be concerted effort to prevent escalation to avoid harmful outcomes. • Conflict-sensitive SIA can support conflict management and sustainable resolution

  5. Canadian regulatory perspective on organization and management assessments

    International Nuclear Information System (INIS)

    Phillips, P.H.; Schwarz, G.R.

    2002-01-01

    The Canadian nuclear industry is undergoing change in response to a variety of internal and external pressures on licensee organizations. Operational experience also indicates that management and human performance aspects are among the leading causes of unplanned events at licensed facilities. These observations have raised the CNSC's awareness of the importance of organization and management processes and human performance to the safety performance of a facility. The CNSC is utilizing quality management and organizational assessment approaches to address this issue. The Organization and Management Review Method has been developed to carry out organizational evaluations. The method has been applied to a number of nuclear facilities in Canada. Results have provided a more complete profile of the organizations and have thereby contributed to the oversight monitoring of licensees. Some of the data are being meta-analyzed to determine what influence culture has on the other organizational dimensions and whether there are performance indicators that can predict future safety performance. We hope that a clear profile of a 'good performer' will allow us to compare and rate facilities against a series of benchmarks or standards yet to be developed. Some of the challenges that the CNSC faces with respect to the implementation of the O and M Method are being addressed. All of the information relevant to safety performance should be taken into account when giving recommendations pertaining to licensing decisions. (author)

  6. Integrated Analysis of Flow, Form, and Function for River Management and Design Testing

    Science.gov (United States)

    Lane, B. A. A.; Pasternack, G. B.; Sandoval Solis, S.

    2017-12-01

    Rivers are highly complex, dynamic systems that support numerous ecosystem functions including transporting sediment, modulating biogeochemical processes, and regulating habitat availability for native species. The extent and timing of these functions is largely controlled by the interplay of hydrologic dynamics (i.e. flow) and the shape and composition of the river corridor (i.e. form). This study applies synthetic channel design to the evaluation of river flow-form-function linkages, with the aim of evaluating these interactions across a range of flows and forms to inform process-driven management efforts with limited data and financial requirements. In an application to California's Mediterranean-montane streams, the interacting roles of channel form, water year type, and hydrologic impairment were evaluated across a suite of ecosystem functions related to hydrogeomorphic processes, aquatic habitat, and riparian habitat. Channel form acted as the dominant control on hydrogeomorphic processes considered, while water year type controlled salmonid habitat functions. Streamflow alteration for hydropower increased redd dewatering risk and altered aquatic habitat availability and riparian recruitment dynamics. Study results highlight critical tradeoffs in ecosystem function performance and emphasize the significance of spatiotemporal diversity of flow and form at multiple scales for maintaining river ecosystem integrity. The approach is broadly applicable and extensible to other systems and ecosystem functions, where findings can be used to characterize complex controls on river ecosystems, assess impacts of proposed flow and form alterations, and inform river restoration strategies.

  7. Groundwater Quality Assessment for Waste Management Area U: First Determination

    Energy Technology Data Exchange (ETDEWEB)

    Hodges, Floyd N.; Chou, Charissa J.

    2000-08-04

    As a result of the most recent recalculation one of the indicator parameters, specific conductance, exceeded its background value in downgradient well 299-W19-41, triggering a change from detection monitoring to groundwater quality assessment program. The major contributors to the higher specific conductance are nonhazardous constituents (i.e., sodium, calcium, magnesium, chloride, sulfate, and bicarbonate). Nitrate, chromium, and technetium-99 are present and are increasing; however, they are significantly below their drinking waster standards. Interpretation of groundwater monitoring data indicates that both the nonhazardous constituents causing elevated specific conductance in groundwater and the tank waste constituents present in groundwater at the waste management area are a result of surface water infiltration in the southern portion of the facility. There is evidence for both upgradient and waste management area sources for observed nitrate concentrations. There is no indication of an upgradient source for the observed chromium and technetium-99.

  8. Area 5 Radioactive Waste Management Site Safety Assessment Document

    International Nuclear Information System (INIS)

    Horton, K.K.; Kendall, E.W.; Brown, J.J.

    1980-02-01

    The Area 5 Radioactive Waste Management Safety Assessment Document evaluates site characteristics, facilities and operating practices which contribute to the safe handling and storage/disposal of radioactive wastes at the Nevada Test Site. Physical geography, cultural factors, climate and meteorology, geology, hydrology (with emphasis on radionuclide migration), ecology, natural phenomena, and natural resources are discussed and determined to be suitable for effective containment of radionuclides. Also considered, as a separate section, are facilities and operating practices such as monitoring; storage/disposal criteria; site maintenance, equipment, and support; transportation and waste handling; and others which are adequate for the safe handling and storage/disposal of radioactive wastes. In conclusion, the Area 5 Radioactive Waste Management Site is suitable for radioactive waste handling and storage/disposal for a maximum of twenty more years at the present rate of utilization

  9. Optimising investment in asset management using the multivariate asset management assessment topography

    Directory of Open Access Journals (Sweden)

    Bam, Wouter Gideon

    2014-08-01

    Full Text Available The multivariate asset management assessment topography (MAMAT was developed to quantify, and represent graphically, development, adoption, and performance of a business’ asset management (AM systems, as described by standards such as PAS 55. The MAMAT provides a way to visualise clearly the strengths and weaknesses of a business’ asset management system. Building on MAMAT, a model describing the relationship between the commitment of resources and the corresponding improvement in the MAMAT assessment outcome is proposed. The goal is to develop an optimisation model that will maximise financial benefits by improving the MAMAT assessment score achieved by a business, while minimising the investment required to attain this improvement. This is achieved by determining the optimal allocation of resources to the different subcategories of the MAMAT assessment framework. The multi-objective cross-entropy method (MOO CEM is used to find the Pareto set of solutions for this problem. In order to showcase the intended industry application and use of the optimisation model, a hypothetical case study is executed and described in this paper. From this application, it was found that the MOO CEM finds useful solutions that can support the implementation of standards such as PAS 55 by prioritising and assigning resources to implementation activities.

  10. Maternal Impression Management in the Assessment of Childhood Depressive Symptomatology.

    Science.gov (United States)

    Lilly, Megan; Davis, Thompson E; Castagna, Peter J; Marker, Arwen; Davis, Allison B

    2018-02-27

    Self-report instruments are commonly used to assess for childhood depressive symptoms. Historically, clinicians have relied heavily on parent-reports due to concerns about childrens' cognitive abilities to understand diagnostic questions. However, parents may also be unreliable reporters due to a lack of understanding of their child's symptomatology, overshadowing by their own problems, and tendencies to promote themselves more favourably in order to achieve desired assessment goals. One such variable that can lead to unreliable reporting is impression management, which is a goal-directed response in which an individual (e.g. mother or father) attempts to represent themselves, or their child, in a socially desirable way to the observer. This study examined the relationship between mothers who engage in impression management, as measured by the Parenting Stress Index-Short Form defensive responding subscale, and parent-/child-self-reports of depressive symptomatology in 106 mother-child dyads. 106 clinic-referred children (mean child age = 10.06 years, range 7-16 years) were administered the Child Depression Inventory, and mothers (mean mother age = 40.80 years, range 27-57 years) were administered the Child-Behavior Checklist, Parenting Stress Index-Short Form, and Symptom Checklist-90-Revised. As predicted, mothers who engaged in impression management under-reported their child's symptomatology on the anxious/depressed and withdrawn subscales of the Child Behavior Checklist. Moreover, the relationship between maternal-reported child depressive symptoms and child-reported depressive symptoms was moderated by impression management. These results suggest that children may be more reliable reporters of their own depressive symptomatology when mothers are highly defensive or stressed.

  11. Pediatric pain: prevalence, assessment, and management in a teaching hospital

    Directory of Open Access Journals (Sweden)

    M.B.M. Linhares

    2012-12-01

    Full Text Available The goal of this study was to examine the prevalence, assessment and management of pediatric pain in a public teaching hospital. The study sample consisted of 121 inpatients (70 infants, 36 children, and 15 adolescents, their families, 40 physicians, and 43 nurses. All participants were interviewed except infants and children who could not communicate due to their clinical status. The interview included open-ended questions concerning the inpatients’ pain symptoms during the 24 h preceding data collection, as well as pain assessment and pharmacological/non-pharmacological management of pain. The data were obtained from 100% of the eligible inpatients. Thirty-four children/adolescents (28% answered the questionnaire and for the other 72% (unable to communicate, the family/health professional caregivers reported pain. Among these 34 persons, 20 children/adolescents reported pain, 68% of whom reported that they received pharmacological intervention for pain relief. Eighty-two family caregivers were available on the day of data collection. Of these, 40 family caregivers (49% had observed their child’s pain response. In addition, 74% reported that the inpatients received pharmacological management. Physicians reported that only 38% of the inpatients exhibited pain signs, which were predominantly acute pain detected during clinical procedures. They reported that 66% of patients received pharmacological intervention. The nurses reported pain signs in 50% of the inpatients, which were detected during clinical procedures. The nurses reported that pain was managed in 78% of inpatients by using pharmacological and/or non-pharmacological interventions. The findings provide evidence of the high prevalence of pain in pediatric inpatients and the under-recognition of pain by health professionals.

  12. 30 CFR 227.101 - What royalty management functions may MMS delegate to a State?

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What royalty management functions may MMS delegate to a State? 227.101 Section 227.101 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF... § 227.101 What royalty management functions may MMS delegate to a State? (a) If there are oil and gas...

  13. Risk assessment and control management of radon in drinking water

    International Nuclear Information System (INIS)

    Mills, W.A.

    1990-01-01

    The role of risk assessment and risk management of radon in drinking water was reviewed. It is noted that risk assessments for the public health consequences of radon in drinking water require information on radon concentration in water, exposure pathways, and dose-response relationships. On the other hand, risk management involves assumptions of risk acceptance and the establishment of governmental policies in accord with society's acceptance of these assumptions. Although risk assessment for radon exposures can be reasonably qualitative, risk management is clearly judgmental. The following conclusions/recommendations were made. (1) The presence of radon in drinking water is estimated to have its greatest health impact on the 18% of the US population served by private wells. (2) Although no direct evidence exists associated radon in water with health problems, the diseases that are associated with radon in drinking water are stomach cancer from ingestion and lung cancer from inhalation of radon decay products released during household use of water. (3) Using a number of questionable assumptions, the total number of cancer deaths per year attributable to radon in water is estimated to be about 5,000 as a maximum value, with essentially all cases occurring in the population served by private wells. (4) Promulgating federal regulations to control radon levels in water under the Safe Drinking Water Act seems unwarranted, since private wells would not likely be regulated. (5) Government control programs should be limited to emphasizing an awareness of possible substantially higher than average levels of radon in water in certain geological areas. 12 refs., 4 tabs

  14. A bi-level environmental impact assessment framework for comparing construction and demolition waste management strategies.

    Science.gov (United States)

    Yazdanbakhsh, Ardavan

    2018-04-27

    Several pioneering life cycle assessment (LCA) studies have been conducted in the past to assess the environmental impact of specific methods for managing mineral construction and demolition waste (MCDW), such as recycling the waste for use in concrete. Those studies focus on comparing the use of recycled MCDW and that of virgin components to produce materials or systems that serve specified functions. Often, the approaches adopted by the studies do not account for the potential environmental consequence of avoiding the existing or alternative waste management practices. The present work focuses on how product systems need to be defined in recycling LCA studies and what processes need to be within the system boundaries. A bi-level LCA framework is presented for modelling alternative waste management approaches in which the impacts are measured and compared at two scales of strategy and decision-making. Different functional units are defined for each level, all of which correspond to the same flow of MCDW in a cascade of product systems. For the sole purpose of demonstrating how the framework is implemented an illustrative example is presented, based on real data and a number of simplifying assumptions, which compares the impacts of a number of potential MCDW management strategies in New York City. Copyright © 2018 Elsevier Ltd. All rights reserved.

  15. Flashes and floaters - a practical approach to assessment and management.

    Science.gov (United States)

    Kahawita, Shyalle; Simon, Sumu; Gilhotra, Jolly

    2014-04-01

    Flashes and floaters are common ophthalmic issues for which patients may initially present to their general practitioner. It may be a sign of benign, 
age-related changes of the vitreous or more serious retinal detachment. This article provides a guide to the assessment and management of a patient presenting with flashes and floaters. Although most patients presenting with flashes and floaters have benign 
age-related changes, they must be referred to an ophthalmologist to rule out sight-threatening conditions. Key examination features include the nature of the flashes and floaters, whether one or both eyes are affected and changes in visual acuity or visual field.

  16. Performance assessment of advanced engineering workstations for fuel management applications

    International Nuclear Information System (INIS)

    Turinsky, P.J.

    1989-07-01

    The purpose of this project was to assess the performance of an advanced engineering workstation [AEW] with regard to applications to incore fuel management for LWRs. The attributes of most interest to us that define an AEW are parallel computational hardware and graphics capabilities. The AEWs employed were super microcomputers manufactured by MASSCOMP, Inc. These computers utilize a 32-bit architecture, graphics co-processor, multi-CPUs [up to six] attached to common memory and multi-vector accelerators. 7 refs., 33 figs., 4 tabs

  17. Management self-assessment in construction phase of nuclear power station

    International Nuclear Information System (INIS)

    Shao Bixiu

    2004-01-01

    Management self-assessment is one of the quality management methods to achieve the organization's continuous improvement. Through the investigation of the methods, the author hopes to give guideline to the management at all levels involved in the construction of nuclear power station in the implementation of management self-assessment, and also to make the management self-assessment more normalized, systematical and effective

  18. Functional valve assessment: the emerging role of cardiovascular magnetic resonance.

    Science.gov (United States)

    Shah, Dipan J

    2010-01-01

    The prevalence of valvular heart disease is increasing along with the life span of the population. In assessing individuals with valve disease, echocardiography is the primary imaging modality used by clinicians both for initial assessment and for longitudinal evaluation. Information regarding valve morphology and function, cardiac chamber size, wall thickness, ventricular function, and estimates of pulmonary artery pressures can be readily obtained and integrated to formulate an assessment of valve disease severity. In some instances, body habitus or the presence of coexisting lung disease may result in suboptimal acoustic windows on echocardiography, which may lead to technically difficult studies. Additionally, in some patients, information from clinical history and physical examination or other diagnostic tests may be discordant with echocardiographic findings. In these instances, there is a significant clinical role for cardiovascular magnetic resonance (CMR). The diagnostic capabilities of CMR have increased substantially over the past 20 years due to hardware and software advances. Today, CMR has a number of unique advantages over other imaging modalities - primarily, it provides a view of the entire heart without limitations from inadequate imaging windows or body habitus. Furthermore, CMR can obtain imaging data in any imaging plane prescribed by the scan operator, which makes it ideal for accurate investigation of all cardiac valves - aortic, mitral, pulmonic, and tricuspid. In addition, CMR for valve assessment is noninvasive, free of ionizing radiation, and in most instances does not require contrast administration. Since a comprehensive review of the role of CMR in all valve lesions is beyond the scope of this article, we will focus on the most common valvular indication for performance of clinical CMR techniques and an overview of selected validation and reproducibility studies. The objectives of a comprehensive CMR study for evaluating mitral

  19. Data management and statistical analysis for environmental assessment

    International Nuclear Information System (INIS)

    Wendelberger, J.R.; McVittie, T.I.

    1995-01-01

    Data management and statistical analysis for environmental assessment are important issues on the interface of computer science and statistics. Data collection for environmental decision making can generate large quantities of various types of data. A database/GIS system developed is described which provides efficient data storage as well as visualization tools which may be integrated into the data analysis process. FIMAD is a living database and GIS system. The system has changed and developed over time to meet the needs of the Los Alamos National Laboratory Restoration Program. The system provides a repository for data which may be accessed by different individuals for different purposes. The database structure is driven by the large amount and varied types of data required for environmental assessment. The integration of the database with the GIS system provides the foundation for powerful visualization and analysis capabilities

  20. Risk Assessment and Management in the Networked Economy

    CERN Document Server

    Hussain, Omar K; Hussain, Farookh K; Chang, Elizabeth J

    2013-01-01

    Risk and reward are always foremost in the determination of investment decisions and business transactions. Advances in the area of Information Communication Technologies (ICT) have enabled the development of new business paradigms. Such paradigms involve transactions taking place between loosely connected parties, often totally or partially unknown to one another. One important concept required to ensure such transactions are successful is transactional risk. The importance of doing this has been demonstrated in recent financial crisis. This book is unique in simultaneously taking into account the likelihood of an event occurring and its financial impact and provides an integrated discussion of the process of transactional risk identification, assessment, evaluation, management and recording in these emerging domains. It provides a detailed and clear exposition of the importance of transactional risk before detailing for its assessment and evaluation.   The scope of the book is theoretical and practical and...

  1. Assessment of quality of care in acute postoperative pain management

    Directory of Open Access Journals (Sweden)

    Milutinović Dragana

    2009-01-01

    Full Text Available Background/Aim. Managing of acute postoperative pain should be of great interest for all hospital institutions, as one of the key components of patients satisfaction, which indicates quality, as well as the outcome of treatment. The aim of this study was to assess the quality of nursing care in managing acute postoperative pain and to establish factors which influence patients assessment of the same. Method. The investigation was conducted on the sample of 135 patients hospitalized in surgical clinics of the Clinical Centre of Vojvodina in Novi Sad in the form of cross-sectional study, by interviewing patients during the second postoperative day and collecting sociodemographic variables, type of surgical procedure and applied analgesic therapy which were taken from their medical documentation. The modified questionnaire of the Strategic and Clinical Quality Indicators in Postoperative Pain Management (SCQIPP was used as the instrument of the investigation. The data were processed with suitable mathematical statistics methods such as multivariate analyses of variance (MANOVA, discriminative and other parametric procedures and methods. Roy's test, Pearson's coefficient contingency (χ, multiple correlation coefficient (R were conducted amongst other invariant procedures. Results. The mean score for the individual items of SCQIPP questionnaire was between 2.0 and 4.7 (scale range 1-5 and the percentage of patients answers 'strongly agree' ranged from 4.4 to 77%. The smallest number of positive answers were given by the patients for the item 'In order to assess pain intensity, some of the staff asked me at least once in the morning, in the afternoon and in the evening to show the number from 0-10'. Most of the patients (57% evaluated severe pain during the previous 24 hours, as moderate pain, which represents significantly greater number of patients which complain of severe pain and mild pain (p < 0.001. The analysis of patients evaluation (MANOVA p

  2. A virtual shopping test for realistic assessment of cognitive function.

    Science.gov (United States)

    Okahashi, Sayaka; Seki, Keiko; Nagano, Akinori; Luo, Zhiwei; Kojima, Maki; Futaki, Toshiko

    2013-06-18

    Cognitive dysfunction caused by brain injury often prevents a patient from achieving a healthy and high quality of life. By now, each cognitive function is assessed precisely by neuropsychological tests. However, it is also important to provide an overall assessment of the patients' ability in their everyday life. We have developed a Virtual Shopping Test (VST) using virtual reality technology. The objective of this study was to clarify 1) the significance of VST by comparing VST with other conventional tests, 2) the applicability of VST to brain-damaged patients, and 3) the performance of VST in relation to age differences. The participants included 10 patients with brain damage, 10 age-matched healthy subjects for controls, 10 old healthy subjects, and 10 young healthy subjects. VST and neuropsychological tests/questionnaires about attention, memory and executive function were conducted on the patients, while VST and the Mini-Mental State Examination (MMSE) were conducted on the controls and healthy subjects. Within the VST, the participants were asked to buy four items in the virtual shopping mall quickly in a rational way. The score for evaluation included the number of items bought correctly, the number of times to refer to hints, the number of movements between shops, and the total time spent to complete the shopping. Some variables on VST correlated with the scores of conventional assessment about attention and everyday memory. The mean number of times referring to hints and the mean number of movements were significantly larger for the patients with brain damage, and the mean total time was significantly longer for the patients than for the controls. In addition, the mean total time was significantly longer for the old than for the young. The results suggest that VST is able to evaluate the ability of attention and everyday memory in patients with brain damage. The time of VST is increased by age.

  3. Development of a Safety Assessment Information System for the Management of Periodic Safety Assessment Activities

    International Nuclear Information System (INIS)

    Song, Tae Young

    2007-01-01

    At present, the 10-year Periodic Safety Review(PSR) has been performing to confirm all the aspects of safety issues for all the operating plants in compliance with domestic nuclear law of article 23, subarticle 3. For each plant, in addition, Probabilistic Safety Assessment(PSA) and Severe Accident Management Guideline(SAMG) are being implemented and revised periodically to reflect the latest safety level according to principle fulfillment of severe accident policy statement. The assessment reports, as one of outcomes from these activities, are submitted into and reviewed by domestic regulatory body. During reviewing (in-office duty) and licensing (regulatory duty) process, a large number of outcomes of which most are the formal technical reports and licensing materials, are inevitably produced. Moreover, repeated review process over the plants can make them accumulated and produce a variety of documents additionally. This circumstance motivates to develop effective tool or system for the management of these reports and related technical documents for the future use in licensing process and for subsequent plant assessments. This paper presents the development status of Safety Assessment Information System(SAIS) which manages safety-related documents of PSR, PSA and SAMG for practical use for experienced engineers in charge of these areas

  4. Development of a Safety Assessment Information System for the Management of Periodic Safety Assessment Activities

    Energy Technology Data Exchange (ETDEWEB)

    Song, Tae Young [Nuclear Engineering and Technology Institute, Daejeon (Korea, Republic of)

    2007-07-01

    At present, the 10-year Periodic Safety Review(PSR) has been performing to confirm all the aspects of safety issues for all the operating plants in compliance with domestic nuclear law of article 23, subarticle 3. For each plant, in addition, Probabilistic Safety Assessment(PSA) and Severe Accident Management Guideline(SAMG) are being implemented and revised periodically to reflect the latest safety level according to principle fulfillment of severe accident policy statement. The assessment reports, as one of outcomes from these activities, are submitted into and reviewed by domestic regulatory body. During reviewing (in-office duty) and licensing (regulatory duty) process, a large number of outcomes of which most are the formal technical reports and licensing materials, are inevitably produced. Moreover, repeated review process over the plants can make them accumulated and produce a variety of documents additionally. This circumstance motivates to develop effective tool or system for the management of these reports and related technical documents for the future use in licensing process and for subsequent plant assessments. This paper presents the development status of Safety Assessment Information System(SAIS) which manages safety-related documents of PSR, PSA and SAMG for practical use for experienced engineers in charge of these areas.

  5. Mobile Phone-Based Joint Angle Measurement for Functional Assessment and Rehabilitation of Proprioception

    Directory of Open Access Journals (Sweden)

    Quentin Mourcou

    2015-01-01

    Full Text Available Assessment of joint functional and proprioceptive abilities is essential for balance, posture, and motor control rehabilitation. Joint functional ability refers to the capacity of movement of the joint. It may be evaluated thereby measuring the joint range of motion (ROM. Proprioception can be defined as the perception of the position and of the movement of various body parts in space. Its role is essential in sensorimotor control for movement acuity, joint stability, coordination, and balance. Its clinical evaluation is commonly based on the assessment of the joint position sense (JPS. Both ROM and JPS measurements require estimating angles through goniometer, scoliometer, laser-pointer, and bubble or digital inclinometer. With the arrival of Smartphones, these costly clinical tools tend to be replaced. Beyond evaluation, maintaining and/or improving joint functional and proprioceptive abilities by training with physical therapy is important for long-term management. This review aims to report Smartphone applications used for measuring and improving functional and proprioceptive abilities. It identifies that Smartphone applications are reliable for clinical measurements and are mainly used to assess ROM and JPS. However, there is lack of studies on Smartphone applications which can be used in an autonomous way to provide physical therapy exercises at home.

  6. Technology-based functional assessment in early childhood intervention: a pilot study.

    Science.gov (United States)

    Khetani, Mary A; McManus, Beth M; Arestad, Kristen; Richardson, Zachary; Charlifue-Smith, Renee; Rosenberg, Cordelia; Rigau, Briana

    2018-01-01

    Electronic patient-reported outcomes (e-PROs) may provide valid and feasible options for obtaining family input on their child's functioning for care planning and outcome monitoring, but they have not been adopted into early intervention (EI). The purpose of this pilot study was to evaluate the feasibility of implementing technology-based functional assessment into EI practice and to examine child, family, service, and environmental correlates of caregiver-reported child functioning in the home. In a cross-sectional design, eight individual EI providers participated in a 90-min technology-based functional assessment training to recruit participants and a 60-min semi-structured focus group post data collection. Participants completed the Young Children's Participation and Environment Measure (YC-PEM) home section online and Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT) via iPad. Participants' EI service use data were obtained from administrative records. A total of 37 caregivers of children between 6 and 35 months old (mean age = 19.4, SD = 7.7) enrolled, a rate of 44% (37/84) in 2.5 months. Providers suggested expanding staff training, gathering data during scheduled evaluations, and providing caregivers and providers with access to assessment summaries. Caregivers wanted their child's participation to change in 56% of home activities. Lower caregiver education and higher EI intensity were related to less child involvement in home activities. Implementing technology-based functional assessment is feasible with modifications, and these data can be useful for highlighting child, family, and EI service correlates of caregiver-reported child functioning that merit further study. Feasibility results informed protocol modifications related to EI provider training, timing of data collection, and management of EI service use data extraction, as preparation for a subsequent scale-up study that is underway.

  7. Novel disposable transnasal endoscopy for assessment of esophageal motor function.

    Science.gov (United States)

    Lim, Chul-Hyun; Choi, Myung-Gyu; Baeg, Myong-Ki; Moon, Sung Jin; Kim, Jin Su; Cho, Yu Kyung; Park, Jae Myung; Lee, In Seok; Kim, Sang Woo; Choi, Kyu Yong

    2014-01-01

    A novel disposable transnasal endoscopy (DTE) with a portable system has been developed to provide unsedated esophagoscopy by modifying capsule endoscopy. The aim of this study was to assess the feasibility of DTE to evaluate esophageal motor function. Patients with or suspected esophageal motility disorders and healthy volunteers were enrolled. Participants underwent esophageal high-resolution manometry and DTE in random order on different days. Motility was observed with DTE at 1, 8, and 16 cm above the gastroesophageal junction. Twenty healthy volunteers and 20 symptomatic subjects participated (8 achalasia, 5 scleroderma, 3 diffuse esophageal spasm, 1 hypertensive peristalsis, 1 peristaltic dysfunction, and 22 normal esophageal function). The normal findings on DTE were as follows. As the subject swallowed water, swallow-induced relaxation with elevation of the lower esophageal sphincter caused the endoscope to cross the Z-line into the gastric lumen. After the passage of water and air, complete closure of the lower esophageal sphincter occurred, with the return of the endoscope to its previous position. During the resting stage of the esophageal body, an air bubble could be seen in the center of the radially wrinkled and occluded lumen. The endoscopic diagnosis was in agreement with the clinical diagnosis in all but 2. Most of the participants reported acceptable discomfort during DTE and 62.5% of the subjects preferred DTE to manometry. DTE can accurately characterize normal esophageal motor function, allowing the diagnosis of esophageal motility disorders. DTE has potential widespread applications, especially in outpatient clinics.

  8. Endothelial function and dysfunction: clinical significance and assessment

    Directory of Open Access Journals (Sweden)

    Shaghayegh Haghjooyejavanmard

    2008-08-01

    Full Text Available

    • Over the past two decades, investigators have increasingly recognized the importance of the endothelium as a centralregulator of vascular and body homeostasis. The endothelial lining represents an organ of 1.5 kg in an adult, which is distributed throughout the body. The endothelium is versatile and multifunctional. In addition to its role as a selective permeability barrier, it has many synthetic and metabolic properties, including modulation of vascular tone and blood flow, regulation of immune and inflammatory responses, and regulation of coagulation, fibrinolysis and thrombosis. Endothelial dysfunction (ED is a frequently used term, which can be referred to abnormalities in various physiological functions of the endothelium, and it is known as a key variable in the pathogenesis of several diseases and their complications. Finding suitable markers for endothelial damage or ED is certainly of interest. Established and emerging techniques to detect ED are divided into three large families of functional, cellular, and biochemical markers. Instead of performing single assessments, it may be much more valuable to determine various biological aspects of endothelium. It seems that there is likely a spectrum between normality, endothelial activation (by inflammatory cytokines, endothelial dysfunction (e.g., impairment of nitric oxide, resulting in loss of regulation of vascular tone and endothelial damage (e.g., atherosclerosis. In this review we review the importance of endothelium and its activation, biomarkers and dysfunction.
    •  KEYWORDS: Endothelial function, endothelium, Disease.

  9. A new scintigraphic technique for assessment of right atrial function

    International Nuclear Information System (INIS)

    Marmor, A.; Biello, D.R.; Sampathkumaran, K.S.; Geltman, E.M.; Siegel, B.A.; Roberts, R.

    1981-01-01

    Gated radionuclide imaging with 99 mTc-labeled red blood cells was employed to assess changes in right atrial (RA) volume in 17 subjects. Studies were repeated within two hours in five of 12 normal subjects and at two and ten days after infarction in five patients. Time-activity curves were generated for the RA and right ventricle (RV) from variable regions of interest defined by automatic edge detection. The RA time-activity curve exhibited four phases: filling, early emptying, equilibration, and late emptying. Repeated measurements of RA early emptying rates correlated closely in normals (r . 0.93). Early RA emptying and RV filling rates corresponded closely (r . 0.89). In four patients with infarction, the RA emptying rate was slowed on the first study but had normalized by 10 days. In a patient with inferior infarction and suspected RV infarction, the RA emptying rate was depressed and remained so for 10 days. Thus, relative changes in right atrial volume can be assessed reproducibly by a radionuclide technique, which is relatively independent of geometric assumptions. This technique offers great promise as a method to assess atrial function in health and disease

  10. Functional foods and dietary supplements for the management of dyslipidaemia.

    Science.gov (United States)

    Hunter, Paola M; Hegele, Robert A

    2017-05-01

    Dyslipidaemia is characterized by increased blood levels of total or LDL cholesterol and triglycerides, or decreased HDL cholesterol levels, and is a risk factor for cardiovascular disease. Dyslipidaemia has a high worldwide prevalence, and many patients are turning to alternatives to pharmacotherapy to manage their lipid levels. Lifestyle modification should be emphasized in all patients to reduce cardiovascular risk and can be initiated before pharmacotherapy in primary prevention of cardiovascular disease. Many functional foods and natural health products have been investigated for potential lipid-lowering properties. Those with good evidence for a biochemical effect on plasma lipid levels include soy protein, green tea, plant sterols, probiotic yogurt, marine-derived omega-3 fatty acids and red yeast rice. Other products such as seaweed, berberine, hawthorn and garlic might confer some limited benefit in certain patient groups. Although none of these products can reduce lipid levels to the same extent as statins, most are safe to use in addition to other lifestyle modifications and pharmacotherapy. Natural health products marketed at individuals with dyslipidaemia, such as policosanol, guggulsterone and resveratrol, have minimal definitive evidence of a biochemical benefit. Additional research is required in this field, which should include large, high-quality randomized controlled trials with long follow-up periods to investigate associations with cardiovascular end points.

  11. Battle Management as a Basic Air Force Doctrine Operational Function

    National Research Council Canada - National Science Library

    Rhone, Jon M

    2008-01-01

    According to JP 1-02, Department of Defense Dictionary of Military and Associated Terms, battle management is "The management of activities within the operational environment, based on the commands...

  12. Innovative Soil Management Practices (SMP) Assessment in Europe and China

    Science.gov (United States)

    Barão, Lúcia

    2017-04-01

    The growing world population poses a major challenge to global agricultural food and feed production through the pressure to increase agricultural outputs either by increasing the land area dedicated to agriculture or by productivity increases. Whether in developed or developing regions, agricultural intensification based on conventional approaches has resulted in severe environmental impacts and innovative soil management practices are needed to halter ongoing soil degradation and promote sustainable land management capable to produce more from less. The iSQAPER project - Interactive Soil Quality Assessment in Europe and China for Agricultural Productivity and Environmental Resilience - aims to develop a Soil Quality app (SQAPP) linking soil and agricultural management practices to soil quality indicators. This easy friendly tool will provide a direct and convenient way to advise farmers and other suitable actors in this area, regarding the best management practices to be adopted in very specific and local conditions. In this particular study from iSQAPER, we aimed to identify the most promising innovative soil management practices (SMP) currently used and its geographical distribution along different pedo-climatic regions in Europe (Boreal, Atlantic, Mediterranean Temperate, Mediterranean Semi-Arid, Southern Sub-Continental and Northern Sub-Continental) and China (Middle Temperate, Warm temperate and Central Asia Tropical). So far we have identified 155 farms where innovative SMP's are used, distributed along 4 study site regions located in China (Qiyang, Suining, Zhifanggou and Gongzhuling) and 10 study site regions located in Europe (The Netherlands, France, Portugal, Spain, Greece, Slovenia, Hungary, Romania, Poland and Estonia) and covering the major pedo-climatic regions. From this identification we concluded that the most used innovative SMP's in the study site regions in Europe are Manuring & Composting (14%), Min-till (14%), Crop rotation (12

  13. Long-term functional and quality of live assessment following post-traumatic distraction osteogenesis of the lower limb

    NARCIS (Netherlands)

    Schep, Niels Willem Luitzen; van Lieshout, Esther M. M.; Patka, Peter; Vogels, Lucas M. M.

    2009-01-01

    Limb length discrepancy and segmental bone defects can be difficult problems to manage after fractures of the lower limb. Distraction osteogenesis can be applied to lengthen bone or to bridge intercalary defects by segmental bone transport. The purpose of this study was to assess the functional

  14. The use of management accounting systems in functionally differentiated organizations

    NARCIS (Netherlands)

    Bouwens, J.F.M.G.

    1998-01-01

    Management Accounting Systems (MAS) facilitate decision making and control in organizations. This study investigates both theoretically and empirically how MAS help managers to make their decisions. This issue is specifically addressed in a context where production and sales managers face high

  15. Assessment of obese children and adolescents: a survey of pediatric obesity-management programs.

    Science.gov (United States)

    Eisenmann, Joey C

    2011-09-01

    This article provides descriptive information on the assessments conducted in stage 3 or 4 pediatric obesity-management programs associated with National Association of Children's Hospital and Related Institutions hospitals enrolled in FOCUS on a Fitter Future. Eighteen institutions completed a survey that considered the following assessments: patient/family medical history; physical examination; blood pressure; body size and composition; blood chemistry; aerobic fitness; resting metabolic rate; muscle strength and flexibility; gross motor function; spirometry; sedentary behavior and physical activity; dietary behavior and nutrition; and psychological assessments. Frequency distributions were determined for each question. Overall, the results indicate that most programs that participated in this survey were following 2007 Expert Committee assessment recommendations; however, a variety of measurement tools were used. The variation in assessment tools, protocols, etc is partially caused by the program diversity dictated by personnel, both in terms of number and duties. It also shows the challenges in standardizing methodologies across clinics if we hope to establish a national registry for pediatric obesity clinics. In addition to providing a better understanding of the current assessment practices in pediatric obesity-management programs, the results provided herein should assist other clinics/hospitals that are developing pediatric obesity programs.

  16. Cache Management of Big Data in Equipment Condition Assessment

    Directory of Open Access Journals (Sweden)

    Ma Yan

    2016-01-01

    Full Text Available Big data platform for equipment condition assessment is built for comprehensive analysis. The platform has various application demands. According to its response time, its application can be divided into offline, interactive and real-time types. For real-time application, its data processing efficiency is important. In general, data cache is one of the most efficient ways to improve query time. However, big data caching is different from the traditional data caching. In the paper we propose a distributed cache management framework of big data for equipment condition assessment. It consists of three parts: cache structure, cache replacement algorithm and cache placement algorithm. Cache structure is the basis of the latter two algorithms. Based on the framework and algorithms, we make full use of the characteristics of just accessing some valuable data during a period of time, and put relevant data on the neighborhood nodes, which largely reduce network transmission cost. We also validate the performance of our proposed approaches through extensive experiments. It demonstrates that the proposed cache replacement algorithm and cache management framework has higher hit rate or lower query time than LRU algorithm and round-robin algorithm.

  17. Assessing hospitals' clinical risk management: Development of a monitoring instrument

    Directory of Open Access Journals (Sweden)

    Pfeiffer Yvonne

    2010-12-01

    Full Text Available Abstract Background Clinical risk management (CRM plays a crucial role in enabling hospitals to identify, contain, and manage risks related to patient safety. So far, no instruments are available to measure and monitor the level of implementation of CRM. Therefore, our objective was to develop an instrument for assessing CRM in hospitals. Methods The instrument was developed based on a literature review, which identified key elements of CRM. These elements were then discussed with a panel of patient safety experts. A theoretical model was used to describe the level to which CRM elements have been implemented within the organization. Interviews with CRM practitioners and a pilot evaluation were conducted to revise the instrument. The first nationwide application of the instrument (138 participating Swiss hospitals was complemented by in-depth interviews with 25 CRM practitioners in selected hospitals, for validation purposes. Results The monitoring instrument consists of 28 main questions organized in three sections: 1 Implementation and organizational integration of CRM, 2 Strategic objectives and operational implementation of CRM at hospital level, and 3 Overview of CRM in different services. The instrument is available in four languages (English, German, French, and Italian. It allows hospitals to gather comprehensive and systematic data on their CRM practice and to identify areas for further improvement. Conclusions We have developed an instrument for assessing development stages of CRM in hospitals that should be feasible for a continuous monitoring of developments in this important area of patient safety.

  18. Assessing hospitals' clinical risk management: Development of a monitoring instrument.

    Science.gov (United States)

    Briner, Matthias; Kessler, Oliver; Pfeiffer, Yvonne; Wehner, Theo; Manser, Tanja

    2010-12-13

    Clinical risk management (CRM) plays a crucial role in enabling hospitals to identify, contain, and manage risks related to patient safety. So far, no instruments are available to measure and monitor the level of implementation of CRM. Therefore, our objective was to develop an instrument for assessing CRM in hospitals. The instrument was developed based on a literature review, which identified key elements of CRM. These elements were then discussed with a panel of patient safety experts. A theoretical model was used to describe the level to which CRM elements have been implemented within the organization. Interviews with CRM practitioners and a pilot evaluation were conducted to revise the instrument. The first nationwide application of the instrument (138 participating Swiss hospitals) was complemented by in-depth interviews with 25 CRM practitioners in selected hospitals, for validation purposes. The monitoring instrument consists of 28 main questions organized in three sections: 1) Implementation and organizational integration of CRM, 2) Strategic objectives and operational implementation of CRM at hospital level, and 3) Overview of CRM in different services. The instrument is available in four languages (English, German, French, and Italian). It allows hospitals to gather comprehensive and systematic data on their CRM practice and to identify areas for further improvement. We have developed an instrument for assessing development stages of CRM in hospitals that should be feasible for a continuous monitoring of developments in this important area of patient safety.

  19. Assessment of Managed Aquifer Recharge through Modeling—A Review

    Directory of Open Access Journals (Sweden)

    Jana Ringleb

    2016-12-01

    Full Text Available Managed aquifer recharge (MAR is the purposeful recharge of an aquifer for later recovery or environmental benefits and represents a valuable method for sustainable water resources management. Models can be helpful tools for the assessment of MAR systems. This review encompasses a survey and an analysis of case studies which apply flow and transport models to evaluate MAR. The observed modeling objectives include the planning or optimization of MAR schemes as well as the identification and quantification of geochemical processes during injection, storage and recovery. The water recovery efficiency and the impact of the injected water on the ambient groundwater are further objectives investigated in the reviewed studies. These objectives are mainly solved by using groundwater flow models. Unsaturated flow models, solute transport models, reactive geochemical models as well as water balance models are also frequently applied and often coupled. As each planning step to setup a new MAR facility requires cost and time investment, modeling is used to minimize hazard risks and assess possible constraints of the system such as low recovery efficiency, clogging and geochemical processes.

  20. Handbook of five methodologies for the assessment of load management

    Energy Technology Data Exchange (ETDEWEB)

    1980-02-01

    This report provides a summary description and evaluation of five methodologies that have been developed for the assessment of utility costs and benefits of load-management programs, including marginal-costing methodologies and an integrated set of utility-system planning and production costing models. Of the two basic methods, the first uses marginal-cost data to compute the cumulative reduction in utility-system costs realized in moving units of load from periods of high marginal cost to periods of low marginal cost. The present value of these cost savings may be compared directly with the costs of implementing the load-management program. The second method relies on an evaluation of future total-system costs. System planning and production-costing models are used to calculate the total fixed and variable costs of meeting baseline and alternative-load configurations. The difference between baseline system costs and the costs with load management may then be compared to the costs of implementing the program. The advantages and disadvantages of each method are summarized briefly.