WorldWideScience

Sample records for functional management assessment

  1. Effects of nature management on soil functions : development of a method to characterize soil functions and assess the effect of nature management measures

    NARCIS (Netherlands)

    Geissen, V.; Smit, A.; Zwart, K.B.

    2010-01-01

    Assessments on the sustainability of soil use and management are based on the conservation and improvement of soil functions. A major problem in the use of soil functions in those assessments is the fact that no or few quantitative methods exist to characterize soil functions in the field. It is the

  2. Effects of nature management on soil functions : development of a method to characterize soil functions and assess the effect of nature management measures

    NARCIS (Netherlands)

    Geissen, V.; Smit, A.; Zwart, K.B.

    2010-01-01

    Assessments on the sustainability of soil use and management are based on the conservation and improvement of soil functions. A major problem in the use of soil functions in those assessments is the fact that no or few quantitative methods exist to characterize soil functions in the field. It is

  3. Management Assessment.

    Science.gov (United States)

    1998

    This document contains three papers from a symposium on management assessment. In "The Air Force ROTC (Reserve Officer Training Corps) Selection System as a Predictor of Leadership" (Orlando V. Griego, George A. Morgan, Gary D. Geroy), 102 ROTC cadets rated their own leadership characteristics and were rated by subordinates; leaders and…

  4. Assessment of Cost Management Functions of Quantity Surveyors with Lean Methodology

    Directory of Open Access Journals (Sweden)

    Maroof Opeyemi Anifowose

    2013-11-01

    Full Text Available The Construction industry in Nigeria is made up of a wide variety of activities which include the provision of professional and technical services to clients in the built environment. Despite the provision of these services to a large number of clients worldwide, the construction industry is still awash by the chronic problems of low productivity, insufficient quality, time over-runs, and poor safety, which hinder customer delivered value. The Just-In-Time phenomenon is a characteristic of lean production systems which operate with very little “fat” (e.g. excess inventory extra workers, wasted space.This study aimed at assessing the construction management function of the quantity surveyor in line with the principle of lean methodology (Just-In-Time. This was achieved by exploring the cost management function of the quantity surveyor, to investigate the current practice of cost management by quantity surveying firms. Data for the study were sourced primarily with the use of questionnaire and the subsequent data analysis, which employed the use of descriptive analysis of presenting the data as obtained on tables during the field survey and attempts a rudimentary establishment of patterns using percentages. The study concluded amongst others, that: all activities involved in the cost management function of the quantity surveyor are important, and value adding, corresponding to conversion activities in line with the Just-In-time/lean methodology

  5. 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

  6. ASSESSMENT OF SMALL BUSINESSES DEVELOPMENT IN THE KRASNODAR REGION AND PROBLEMS OF THEIR FUNCTIONING AND MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Baranovskaya T. P.

    2016-10-01

    Full Text Available Small businesses play a special role in the development of the state economy: the national budget from taxes, increasing the welfare of the population, the question of employment, the formation of competitive environment, cost containment and improving the quality of goods and services. In this regard, become topical issues related to the creation of favorable conditions for the functioning and development of management tools and mechanisms of development of organizations of this segment of the economy. This work aims to identify the key problems of functioning of small business organizations through the assessment of the development of this segment in the economy of the Krasnodar region. For the evaluation of small business development in the Krasnodar region we used basic unit of economic analysis aimed at determining the major trends of change in number of organizations average number of employees, revenues, as well as a number of relative indicators in the whole segment and by major activities. It was determined that the number of small businesses in the Krasnodar region for three years practically did not change, whereas a decrease in the number of workers employed in this segment, revenue has a small tendency to increase. In the structure of the segment is dominated by micro-enterprises, 47% operate in the trade sector. Indicators of development of small business organizations meet the classification criteria in terms of revenue for microenterprises and their share in total number of companies this segment is 1%. The results of the study say the lack of a clear strategy from small businesses, due to unavailability of tools for its development, expressed the high value of the resource and, as a consequence, ignoring this question when organizing the activities of enterprises. Therefore, the question becomes more urgent the development of tools of business modeling and strategic planning adapted to the requirements of this segment

  7. 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

    ) systems, which can be quantified using Life Cycle Assessment (LCA). This study aims to define the multiple functions provided by a SWM system at sub-catchment scale, and to assess the environmental impacts arising from fulfilling these functions. The approach is tested using the Nørrebro catchment...... in both scenarios, are significantly lower for the « green » solution (35% down to 8% of the “grey” impacts). The allocation of impacts shows that the various functions of the SWM systems cause different impacts....

  8. Surgical management of acromegaly: Long term functional outcome analysis and assessment of recurrent/residual disease

    OpenAIRE

    Banerji, Deepu; Das, Nitu K.; Sharma, Siddhiraj; Jindal, Yogesh; Vijendra K Jain; Behari, Sanjay

    2016-01-01

    Context: Functional growth hormone producing adenomas have long-term deleterious effects on the visual apparatus, the cardiovascular and musculoskeletal systems, and often predispose to malignancies. Since persistence of acromegaly affects outcome and quality of life, therapeutic interventions become mandatory. Aim: This study represents an analysis of long-term clinical and endocrinal outcome of 115 patients of acromegaly after surgical management. Setting and Design: Tertiary care retrospec...

  9. Assessing physical functioning on pain management programmes: the unique contribution of directly assessed physical performance measures and their relationship to self-reports.

    Science.gov (United States)

    Guildford, Beth J; Jacobs, Clair M; Daly-Eichenhardt, Aisling; Scott, Whitney; McCracken, Lance M

    2017-02-01

    Physical functioning is a recommended outcome domain for pain management programmes. It can be assessed by self-report and by direct assessment of performance. Although physical performance measures may provide unique and useful information about patient functioning over and above self-report measures, it is not entirely clear which of the many possible performances to assess. This study investigated a battery of three directly assessed physical performance measures and their relationship to three currently used self-report measures of general health and functioning. The three performance measures were sensitive to treatment; patients performed significantly better on all three measures following completion of the pain management programme. The three performance measures were shown to represent a single underlying dimension, and there was a significant degree of overlap between them. The performance measures were shown to be relevant in explaining variation in the self-report measures, as well as to offer a clinically relevant different dimension of assessment to self-report. Future research could focus on developing performance-based measures that capture quality of movement and that are sensitive to relevant processes of therapeutic change.

  10. 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.

  11. 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...

  12. 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...

  13. Surgical management of acromegaly: Long term functional outcome analysis and assessment of recurrent/residual disease

    Science.gov (United States)

    Banerji, Deepu; Das, Nitu K.; Sharma, Siddhiraj; Jindal, Yogesh; Jain, Vijendra K.; Behari, Sanjay

    2016-01-01

    Context: Functional growth hormone producing adenomas have long-term deleterious effects on the visual apparatus, the cardiovascular and musculoskeletal systems, and often predispose to malignancies. Since persistence of acromegaly affects outcome and quality of life, therapeutic interventions become mandatory. Aim: This study represents an analysis of long-term clinical and endocrinal outcome of 115 patients of acromegaly after surgical management. Setting and Design: Tertiary care retrospective study. Materials and Methods: One hundred and fifteen patients (male:female ratio: 1:1.09) with acromegalic features were studied. Apart from acromegalic features, their main clinical presentation also included headache, diminution of vision, field defects, ptosis, irregular menstruation, diabetes insipidus, diabetes mellitus and hypertension. Six of them presented with apoplexy. Their preoperative endocrinal evaluation included basal and suppressed growth hormone (GH), prolactin and thyroid levels. On the basis of axial and coronal CT scan or multiplanar MR imaging or both, the tumors were classified according to their suprasellar and parasellar extension (Hardy's grade). Transnasal trans-sphenoidal surgery (TSS) (n = 37) and sublabial, rhinoseptal TSS (n = 72) were the preferred approaches. Six patients with significant parasellar extensions underwent trans-cranial explorations. The patients were followed up at 6 and 12 weeks and then at 6 monthly intervals. Hormonal and CT/MR evaluation were also done. Attainment of random GH value less than 2.5 µg/L, and the nadir GH value after oral glucose tolerance test (OGTT) less than 1 µg/L were used as the criteria of cure. Findings: The patients were preoperatively in Hardy's tumor grade 0 (29), A (21), A+E (3), B (21), B+E (5), C (9), C+E (10), D (1) D+E (11), E (5), respectively. One hundred and one patients were available for follow-up (FU; median FU duration: 84 months; range: 6 to 132 months). Surgical cure was achieved

  14. Qualitative assessment of Diabetes-STAR: a patient portal with disease management functions.

    Science.gov (United States)

    Ross, Stephen E; Nowels, Carolyn T; Haverhals, Leah M; Bull, Sheana S; Lin, Chen-Tan; Main, Deborah S

    2007-10-11

    Diabetes-STAR is a disease management program integrated with an online patient portal. Of 331 patients enrolled in a randomized trial, we interviewed 37 users about benefits, barriers and recommendations for program improvements. User preferences included 1) addressing differences in types of users, 2) sending out alerts when new information is available, and 3) providing more oversight of user diary data.

  15. 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.

  16. 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.

  17. What Is the Functional Value of the GMAT Analytical Writing Assessment for Management Education? A Critical Analysis, Part 2.

    Science.gov (United States)

    Rogers, Priscilla S.; Rymer, Jone

    1995-01-01

    Analyzes the Analytical Writing Assessment's (AWA) contribution as a performance assessment. Critiques its potential usefulness as a diagnostic tool for management education. Concludes that the AWA does not meet the expectations of GMAT-user schools who endorsed the test as a diagnostic instrument for identifying student deficiencies. States that…

  18. What Is the Functional Value of the GMAT Analytical Writing Assessment for Management Education? A Critical Analysis, Part 2.

    Science.gov (United States)

    Rogers, Priscilla S.; Rymer, Jone

    1995-01-01

    Analyzes the Analytical Writing Assessment's (AWA) contribution as a performance assessment. Critiques its potential usefulness as a diagnostic tool for management education. Concludes that the AWA does not meet the expectations of GMAT-user schools who endorsed the test as a diagnostic instrument for identifying student deficiencies. States that…

  19. Best evidence in multimodal pain management in spine surgery and means of assessing postoperative pain and functional outcomes.

    Science.gov (United States)

    Devin, Clinton J; McGirt, Matthew J

    2015-06-01

    Multimodal approaches to pain management have arisen with the goal of improving postoperative pain and reducing opioid analgesic use. We performed a comprehensive literature review to determine grades of recommendation for commonly used agents in multimodal pain management and provide a best practice guideline. To evaluate common drugs used in multimodal treatment of pain, a search was performed on English language publications on Medline (PubMed; National Library of Medicine, Bethesda, MD, USA). Manuscripts were rated as Level I-V according to the North American Spine Society's (NASS) standardized levels of evidence tables. Grades of recommendation were assigned for each drug based on the NASS Clinical Guidelines for Multidisciplinary Spine Care. There is good (Grade A) evidence gabapentinoids, acetaminophen, neuraxial blockade and extended-release local anesthetics reduce postoperative pain and narcotic requirements. There is fair (Grade B) evidence that preemptive analgesia and nonsteroidal anti-inflammatory drugs (NSAID) result in reduced postoperative pain. There is insufficient and/or conflicting (Grade I) evidence that muscle relaxants and ketamine provide a significant reduction in postoperative pain or narcotic usage. There is fair (Grade B) evidence that short-term use of NSAID result in no long-term reduction in bone healing or fusion rates. Comprehensive assessment of the effectiveness of perioperative pain control can be accomplished through the use of validated measures. Multimodal pain management protocols have consistently been demonstrated to allow for improved pain control with less reliance on opioids. There is good quality evidence that supports many of the common agents utilized in multimodal therapy, however, there is a lack of evidence regarding optimal postoperative protocols or pathways.

  20. Information Management Needs Assessment

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Reviewed existing materials and relevant literature on needs assessments; with input from NALCC team, developed list of questions to ask stakeholders; interviewed...

  1. 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.

  2. Quality management: concepts and functions

    Directory of Open Access Journals (Sweden)

    A.A. Zayinchkovskyy

    2015-06-01

    Full Text Available The studies indicate the presence of old existing regulatory documents that define the basic functions of quality management that does not solve all the problems of the management process. A perfect concept of «quality management» and add to the existing structure functions of quality control function «market analysis and goal setting». Methodological basis of research are methods of analysis, observation and induction and foundation information database - regulations of the major issues of quality management, reference materials, publications domestic and foreign authors. Supplement composition functions function «market analysis and goal setting» allow detailed study of the modern market, to analyze marketing opportunities to explore the needs and preferences of consumers relative product quality control marketing activities, and as a result, to analyze the internal capabilities of the enterprise. Given that the functional aspects of quality management, quality management functions not tested, selected research topics are relevant, not only for businesses but also for consumers.

  3. 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...

  4. 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…

  5. 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.*

  6. Assessing waste management systems using reginalt software

    Energy Technology Data Exchange (ETDEWEB)

    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.

  7. 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.

  8. 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...

  9. 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.

  10. 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.

  11. 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...

  12. 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.

  13. Spider bites - Assessment and management.

    Science.gov (United States)

    Braitberg, George; Segal, Leslie

    2009-11-01

    Spider bite is common, but most species cause minimal or no effects. Patients may be misinformed regarding the nature and consequences of a bite. Understanding the current literature can assist the physician in the management of spider bite patients. This article reviews the current literature on spider bites and describes the clinical assessment and management of the medically important spider bites. Most spider bite is minor and causes nothing more than local irritation. Some spiders can cause significant morbidity and rarely, mortality. Lay identification of the spider has not been shown to be reliable. Latrodectism (red back spider envenomation) is characterised by pain (local, radiating, and regional); systemic symptoms occur less commonly. Funnel web spider bite is a medical emergency; a pressure immobilisation bandage should be applied and the patient transferred to a hospital with available antivenom and resuscitation facilities. Clinicians must consider spider bite in the differential diagnosis of unexplained autonomic and neurological dysfunction, particularly in children. In Australia, skin ulceration is more likely to be an infective, inflammatory or traumatic cause than a case of necrotising arachnidism.

  14. 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?

  15. Unified Bayesian situation assessment sensor management

    Science.gov (United States)

    El-Fallah, A.; Zatezalo, A.; Mahler, R.; Mehra, R. K.; Alford, M.

    2005-05-01

    Sensor management in support of situation assessment (SA) presents a daunting theoretical and practical challenge. We demonstrate new results using a foundational, joint control-theoretic approach to SA and SA sensor management that is based on three concepts: (1) a "dynamic situational significance map" that mathematically specifies the meaning of tactical significance for a given theater of interest at a given moment; (2) an intuitively meaningful and potentially computationally tractable objective function for SA, namely maximization of the expected number of targets of tactical interest; and (3) integration of these two concepts with approximate multitarget filters (specifically, first-order multitarget moment filters and multi-hypothesis correlator (MHC) engines). Under this approach, sensors will be directed to preferentially collect observations from targets of actual or potential tactical significance, according to an adaptively modified definition of tactical significance. Result of testing this sensor management algorithm with significance maps defined in terms of target's location, speed, and heading will be presented. Testing is performed against simulated data, and different sensor management algorithms including the proposed are compared.

  16. 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.

  17. Accounting provision for corporate management system functioning

    OpenAIRE

    Пилипенко, Олексій Іванович

    2017-01-01

    The peculiarities of accounting provision for corporate management system functioning have been considered. The levels and basic problems of accounting organization in corporations have been determined.

  18. The soil management assessment framework: A potential soil health assessment tool

    Science.gov (United States)

    The Soil Management Assessment Framework (SMAF) was developed in the 1990s utilizing Systems Engineering and Ecology experiences with scoring functions to normalize disparate soil physical, chemical, and biological indicator data representing critical properties and processes associated with soil qu...

  19. 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 d

  20. 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

  1. Nursing and the Management Function.

    Science.gov (United States)

    Sherman, V. Clayton

    The report describes a study designed to analyze nurses' management duties and to identify their tasks in planning, organizing, staffing. leading, communication, decision making, and controlling. A total of 117 supervisory nurses and unit managers from four Western Michigan short-term general hospitals in the 410-540 bed range participated in the…

  2. Bone fractures: assessment and management.

    Science.gov (United States)

    Lim, L; Sirichai, P

    2016-03-01

    Severe dental traumatic injuries often involve the supporting bone and soft tissues. This article outlines the current concepts in the management of dentoalveolar fractures for the general dental practitioner with case reports to illustrate management principles and techniques. © 2016 Australian Dental Association.

  3. 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.

  4. 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...

  5. An Assessment of Integrated Health Management Frameworks

    Energy Technology Data Exchange (ETDEWEB)

    Lybeck, Nancy; Coble, Jamie B.; Tawfik, Magdy; Bond, Leonard J.

    2012-05-18

    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 NPPs presents many challenges. The 2009 Light Water Reactor Sustainability Workshop identified online monitoring of active and structural components as essential to better understanding and management of the challenges posed by aging NPPs. 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 an 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 an NPP, is presented. Fourteen commercially available PHM software products are identified and classified into four groups: research tools, PHM system development tools, deployable architectures

  6. Assessment and management of urethrocutaneous fistula ...

    African Journals Online (AJOL)

    Assessment and management of urethrocutaneous fistula developing ... at the Cairo University Pediatric Hospital with fistulae after .... to control cases with severe postoperative pain. All ... pressure, respiratory rate, and temperature), regular.

  7. Air Traffic Management Cost Assessment Tool Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Robust Analytics air traffic management cost assessment tool provides the comprehensive capability to analyze the impacts of NASA Airspace Systems Program (ASP)...

  8. 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...

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

    African Journals Online (AJOL)

    Assessment of laboratory logistics management information system practice for HIV/AIDS and tuberculosis ... Pan African Medical Journal ... system for health commodities remained poorly implemented in most of developing countries. ... Focus group discussion with the designated supply chain managers and key informant ...

  10. Pediatricians' weight assessment and obesity management practices.

    Science.gov (United States)

    Huang, Jeannie S; Donohue, Michael; Golnari, Golnaz; Fernandez, Susan; Walker-Gallego, Edward; Galvan, Kate; Briones, Christina; Tamai, Jennifer; Becerra, Karen

    2009-03-05

    Clinician adherence to obesity screening guidelines from United States health agencies remains suboptimal. This study explored how personal and career demographics influence pediatricians' weight assessment and management practices. A web-based survey was distributed to U.S. pediatricians. Respondents were asked to identify the weight status of photographed children and about their weight assessment and management practices. Associations between career and personal demographic variables and pediatricians' weight perceptions, weight assessment and management practices were evaluated using univariate and multivariate modeling. 3,633 pediatric medical providers correctly identified the weight status of children at a median rate of 58%. The majority of pediatric clinicians were white, female, and of normal weight status with more than 10 years clinical experience. Experienced pediatric medical providers were less likely than younger colleagues to correctly identify the weight status of pictured children and were also less likely to know and use BMI criteria for assessing weight status. General pediatricians were more likely than subspecialty practitioners to provide diverse interventions for weight management. Non-white and Hispanic general practitioners were more likely than counterparts to consider cultural approaches to weight management. Pediatricians' perceptions of children's weight and their weight assessment and management practices are influenced by career and personal characteristics. Objective criteria and clinical guidelines should be uniformly applied by pediatricians to screen for and manage pediatric obesity.

  11. CONTENTS AND FUNCTIONS OF BALANCED INDICATIVE MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Muratova L. I.

    2014-04-01

    Full Text Available In the article the questions of balanced indicative management essence are discussed, on basis of economic literature generalization its functions are dedicated, the system of indicators at the regional economy and economic agents level is formed, the structural elements and instruments of indicative management are analyzed

  12. 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…

  13. 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…

  14. Assessment and management of halitosis.

    Science.gov (United States)

    Singh, Vijendra P; Malhotra, Neeraj; Apratim, Abhishek; Verma, Madhu

    2015-05-01

    Halitosis is an unpleasant condition that may be the origin of concern not only for a possible health condition but also for frequent psychological alterations which may lead to social and personal isolation. The most frequent sources of halitosis that exist in the oral cavity include bacterial reservoirs such as the dorsum of the tongue, saliva and periodontal pockets. Volatile sulphur compounds (VSCs) are the prominent elements of oral malodour. Genuine halitosis and pseudo-halitosis should be in the treatment realm of dental practitioners. Clinical Relevance: Halitosis can be a symptom of underlying systemic disease, therefore the exact diagnosis and its source (oral or non-oral) is important in the proper approach to its management.

  15. Proximal Hamstring Tendinopathy: Clinical Aspects of Assessment and Management.

    Science.gov (United States)

    Goom, Thomas S H; Malliaras, Peter; Reiman, Michael P; Purdam, Craig R

    2016-06-01

    Synopsis Proximal hamstring tendinopathy (PHT) typically manifests as deep buttock pain at the hamstring common origin. Both athletic and nonathletic populations are affected by PHT. Pain and dysfunction are often long-standing and limit sporting and daily functions. There is limited evidence regarding diagnosis, assessment, and management; for example, there are no randomized controlled trials investigating rehabilitation of PHT. Some of the principles of management established in, for example, Achilles and patellar tendinopathy would appear to apply to PHT but are not as well documented. This narrative review and commentary will highlight clinical aspects of assessment and management of PHT, drawing on the available evidence and current principles of managing painful tendinopathy. The management outline presented aims to guide clinicians as well as future research. J Orthop Sports Phys Ther 2016;46(6):483-493. Epub 15 Apr 2016. doi:10.2519/jospt.2016.5986.

  16. 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…

  17. 41 CFR 109-40.301 - Traffic management functions administration.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Traffic management functions administration. 109-40.301 Section 109-40.301 Public Contracts and Property Management Federal... Management § 109-40.301 Traffic management functions administration. The DOE traffic management functions...

  18. Geriatric vestibulopathy assessment and management

    Science.gov (United States)

    Furman, Joseph M.; Raz, Yael; Whitney, Susan L.

    2016-01-01

    Purpose of review This review discusses the demographics of dizziness in the older person, the evaluation of the older dizzy patient and how the treatment of dizziness in older patients differs from that in younger individuals. Recent findings Seven percent of all visits to primary care physicians for patients older than 65 years of age are for dizziness, and dizziness is the most common complaint for patients older than 75 years. In a German study, the 12-month prevalence of vertigo in the general population was 5% with an incidence of 1.4% in adults overall. For individuals aged 60–69 the 12-month prevalence was found to be 7.2% and in individuals 70 years of age or older 8.9%. Data from the United States National Health and Nutrition Examination Surveys indicated that the prevalence of vestibular dysfunction for individuals in the seventh decade of life, eighth decade of life, and older was 49.4, 68.7, and 84.8 percent, respectively. Only subtle age effects are seen on caloric and rotational testing whereas vestibular evoked myogenic potentials (VEMPs) change somewhat with age. Particle repositioning for benign paroxysmal positional vertigo combined with vestibular rehabilitation is more effective than only performing the repositioning maneuver. Tai Chi appears to be an effective intervention for older adults at risk for falling. Summary When caring for an older dizzy patient always assess medication use, perform a Dix–Hallpike maneuver, obtain orthostatic vital signs, discuss fall risk precautions, and consider referral for vestibular rehabilitation. PMID:20613528

  19. Functional Behavioral Assessment: A School Based Model.

    Science.gov (United States)

    Asmus, Jennifer M.; Vollmer, Timothy R.; Borrero, John C.

    2002-01-01

    This article begins by discussing requirements for functional behavioral assessment under the Individuals with Disabilities Education Act and then describes a comprehensive model for the application of behavior analysis in the schools. The model includes descriptive assessment, functional analysis, and intervention and involves the participation…

  20. 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

  1. Anticipating the future: assessment of occupational function.

    Science.gov (United States)

    Trombly, C

    1993-03-01

    I believe that the occupational therapy assessment procedure should reflect our conceptualization of occupational functioning and that there should be a congruence among goals, assessments, and treatment. I believe that there should be a universal occupational therapy intake assessment procedure that follows a top-down approach to clarify for the client that the role of occupational therapy is to promote his or her occupational functioning. All the layers of function that we treat should be assessed, with the particulars of context incorporated into assessments at the activity and higher levels. Further and most important, occupational functioning should be fully conceptualized and the relevant constructs and their relationships verified and made clear to all.

  2. Assessment, prevention and management of skin tears.

    Science.gov (United States)

    Benbow, Maureen

    2017-04-28

    Skin tears are common in older people. They are acute wounds that are at high risk of becoming complex, chronic wounds due to the interplay between the physiological changes in the skin and trauma from the external environment. Skin tears have been reported to have prevalence rates equal to, or greater than, those for pressure ulcers. A comprehensive risk assessment should include assessment of the individual's general health (chronic/critical disease, polypharmacy and cognitive, sensory and nutritional status); mobility (history of falls, impaired mobility, dependent activities of daily living, and mechanical trauma); and skin (extremes of age, fragile skin and previous skin tears). A recognised classification system should be used to identify and document skin tears and guide treatment decisions in line with local wound management protocols. Nurses and carers are in a prime position to prevent, assess and manage skin tears.

  3. 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,…

  4. 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,…

  5. 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.

  6. 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...

  7. Balancing the Dual Functions of Portfolio Assessment

    Science.gov (United States)

    Lam, Ricky; Lee, Icy

    2010-01-01

    While research on portfolio assessment (PA) has focused largely on the summative aspects of writing assessment, not much has been done to find out its formative potential. Drawing upon student questionnaires and student and teacher interview data, this paper aims to explore the formative functions of PA and, specifically, how the formative…

  8. Strategic Environmental Assessment: Integrated environmental management

    CSIR Research Space (South Africa)

    Department of Environmental Affairs and Tourism, DEAT

    2004-01-01

    Full Text Available that are appropriate for the various levels of decision-making. The aim of this document series is to provide general information on techniques, tools and processes for environmental assessment and management. The material in this document draws upon experience... is determined by its place in the decision- making process. SEA can be used to assess a proposed policy, plan or programme that has already been developed; or it can be used to develop, evaluate and modify a policy, plan or programme during its formulation...

  9. Life cycle assessment of shredder residue management

    DEFF Research Database (Denmark)

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

    This report provides a life-cycle assessment (LCA) of the treatment of shredder residue (SR) in Denmark. The LCA was conducted for the Environmental Protection Agency by DTU Environment in the period March-July 2014, as part of a service agreement between the Danish Environmental Protection Agency...... 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...

  10. 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.

  11. An assessment of pharmaceutical waste management in some ...

    African Journals Online (AJOL)

    An assessment of pharmaceutical waste management in some Nigerian pharmaceutical industries. ... African Journal of Biotechnology ... waste, pharmaceuticals, wastewater, waste management, environment, regulatory authorities, effluent.

  12. 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.

  13. 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.

  14. Renal function assessment in heart failure.

    Science.gov (United States)

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

    2017-03-01

    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.

  15. Assessing functional ability in older patients

    DEFF Research Database (Denmark)

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

    2014-01-01

    Aim: This study aimed to develop an understanding of how primary and secondary care health professionals perceive current practice and challenges in assessing older patients’ functional abilities. A secondary aim was to gain insight into how these professionals perceive the need for generic tools...... for assessing functional ability among older patients. Method: A qualitative design was used to explore health professionals’ perspectives on the assessment of older patients’ functional ability. Two groups of health professionals participated in focus group interviews, with one group for each of the two...... 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...

  16. Critical Assessment of Function Annotation Meeting, 2011

    Energy Technology Data Exchange (ETDEWEB)

    Friedberg, Iddo

    2015-01-21

    The Critical Assessment of Function Annotation meeting was held July 14-15, 2011 at the Austria Conference Center in Vienna, Austria. There were 73 registered delegates at the meeting. We thank the DOE for this award. It helped us organize and support a scientific meeting AFP 2011 as a special interest group (SIG) meeting associated with the ISMB 2011 conference. The conference was held in Vienna, Austria, in July 2011. The AFP SIG was held on July 15-16, 2011 (immediately preceding the conference). The meeting consisted of two components, the first being a series of talks (invited and contributed) and discussion sections dedicated to protein function research, with an emphasis on the theory and practice of computational methods utilized in functional annotation. The second component provided a large-scale assessment of computational methods through participation in the Critical Assessment of Functional Annotation (CAFA).

  17. Ileocolic free flap reconstruction, concomitant chemotherapy and radiotherapy and assessment of speech and swallowing function during management of advanced cancer of the larynx and hypopharynx: preliminary report.

    Science.gov (United States)

    Leu, Yi-Shing; Hsiao, Hung-Tao; Chang, Yuan-Ching; Yang, Cheng-Chien; Lee, Jehn-Chuan; Chen, Yu-Jen; Chang, Yi-Fang

    2005-06-01

    The new technique of ileocolic free flap reconstruction provides a better quality of life in terms of swallowing and speech for patients who have undergone laryngopharyngectomy with concomitant chemotherapy and radiotherapy (CCRT). To compare and contrast the swallowing and speech outcomes of patients who underwent total laryngopharyngectomy with ileocolic free flap reconstruction and to analyze the survival rate after surgery and CCRT. This was a follow-up study of 12 patients with advanced (stages III, IVA and IVB) laryngeal and hypopharyngeal cancer who underwent major surgery, CCRT (with one exception) and ileocolic free flap reconstruction. All patients were able to tolerate single-stage combined management comprising total laryngopharyngectomy with or without radical neck dissection plus ileocolic free flap reconstruction and postoperative CCRT (with one exception), without immediate morbidity or mortality. Eleven patients were diagnosed with hypopharyngeal cancer and one with laryngeal cancer. The mean interval between surgery and CCRT was 34.1 days. The mean follow-up period was 16.5 months. Four patients died during the follow-up period as a result of local recurrence (n=2), distant metastasis (n=1) and suicide (n=1). One patient was alive with disease despite neck recurrence.

  18. 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.

  19. 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 compliance or high levels of problem behavior (low-probability demands) and demands associated with high levels of compliance or low levels of problem behavior (high-probability demands). Results showed that clearer functional analysis outcomes were obtained for 3 of the 4 participants when low-probability rather than high-probability demands were used.

  20. 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.

  1. Ecosystem services in risk assessment and management. ...

    Science.gov (United States)

    The ecosystem services (ES) concept holds much promise for environmental decision making. Even so, the concept has yet to gain full traction in the decisions and policies of environmental agencies in the United States, Europe, and elsewhere. Here we examine the opportunities for and implications of including ES in risk assessments and the risk management decisions that they inform. We assert that use of ES will: 1) lead to more comprehensive environmental protection; 2) help to articulate the benefits of environmental decisions, policies, and actions; 3) better inform the derivation of environmental quality standards; 4) enable integration of human health and ecological risk assessment; and 5) facilitate horizontal integration of policies, regulations, and programs. We provide the technical basis and supporting rationale for each assertion, relying on examples taken from experiences in the United States and European Union. Specific recommendations are offered for use of ES in risk assessment and risk management, and issues and challenges to advancing use of ES are described along with some of the science needed to improve the value of the ES concept to environmental protection. This paper is one of 4 papers generated from the 2014 Pellston Workshop “Ecosystem Services, Environmental Stressors and Decision Making,” organized jointly by the Society of Environmental Toxicology and Chemistry and the Ecological Society of America. The main workshop objective was

  2. 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.

  3. 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.

  4. Assessment and self-assessment of project manager

    Directory of Open Access Journals (Sweden)

    Ion VASILESCU

    2009-12-01

    Full Text Available The activities for projects preparation and progress are run within a hard and hostile environment, requiring the project management to perform an assessment/selfassessment before getting involved in activities specific to investment and production processes. The paper presents a series of criteria that must be taken into account, such as: the health degree and the efficiency, social obligations towards family (parents, children, relatives, etc., the training degree within business, efficiency within run activities, past incisiveness and initiatives, capacity to plan an action, to lead and make decisions: flexibility degree, accommodation to new situations, perseverance degree and complex approach of the business, capacity to observe the principles of business ethics.

  5. 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....

  6. 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.

  7. Assessment of Navy Contract Management Processes

    Science.gov (United States)

    2016-04-30

    use of maturity models will continue to gain wider acceptance as a tool for assessing ^Åèìáëáíáçå=oÉëÉ~êÅÜ=mêçÖê~ãW= `êÉ~íáåÖ=póåÉêÖó=Ñçê=fåÑçêãÉÇ...organizational process capability. In 2003, the Contract Management Maturity Model (CMMM) was first developed for the purpose of assessing Department of...Under Secretary of Defense for Acquisition, ^Åèìáëáíáçå=oÉëÉ~êÅÜ=mêçÖê~ãW= `êÉ~íáåÖ=póåÉêÖó=Ñçê=fåÑçêãÉÇ=`Ü~åÖÉ= - 360 - Technology , and Logistics

  8. [Determination of visual function in legal assessment].

    Science.gov (United States)

    Springer, C; Bültmann, S; Krastel, H; Rohrschneider, K

    2007-06-01

    For the determination of visual function an objective assessment is essential. Basic ophthalmologic examinations such as measurement of visual acuity and perimetry are dependent on patient statements. If the patient is not being able to provide adequate answers, as is the case for small children or mentally retarded patients, or also if the accuracy of the patient's statements is doubtful or simulation or aggravation is suspected, the denoted function in the evaluation of visual acuity has to be checked on consistency using different examination methods, and the results of objective functional tests, such as electrophysiology and morphological features, have to be taken into account.

  9. 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.

  10. 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.

  11. Assessing functional ability in older patients

    DEFF Research Database (Denmark)

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

    2014-01-01

    different settings: the local hospital and the municipality. Results: Focus group interviews showed that health professionals in the hospital and the municipality expressed the need for an observation-based tool to predict and guide decisions about the rehabilitation needs of older patients. Participants...... 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...... to administer, to assess the quality of functional ability and predict the need for rehabilitation. The different context (hospital or primary care) seems to influence the way health professionals perceive the need for assessment of functional ability in older patients....

  12. Assessment and Management of Pain in Juvenile Idiopathic Arthritis

    Directory of Open Access Journals (Sweden)

    Jennifer N Stinson

    2012-01-01

    Full Text Available Juvenile idiopathic arthritis (JIA is a common chronic childhood illness. Pain is the most common and distressing symptom of JIA. Pain has been found to negatively impact all aspects of functioning, including physical, social, emotional and role functions. Children with arthritis continue to experience clinically significant pain despite adequate doses of disease-modifying antirheumatic drugs and anti-inflammatory agents. The present article reviews the prevalence and nature of pain in JIA, the biopsychosocial factors that contribute to the pain experience, current approaches to assessing pain in this population, and ways of managing both acute and persistent pain using pharmacological, physical and psychological therapies. Finally, new approaches to delivering disease self-management treatment for youth with JIA using the Internet will be outlined.

  13. Assessment of two BWR accident management strategies

    Energy Technology Data Exchange (ETDEWEB)

    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.

  14. MR to assess renal function in children

    Energy Technology Data Exchange (ETDEWEB)

    Rohrschneider, Wiltrud K.; Troeger, Jochen [Department of Pediatric Radiology, Radiological Clinic, University of Heidelberg, Im Neuenheimer Feld 153, 69120, Heidelberg (Germany); Haufe, Sabine [Department of Nuclear Medicine, Radiological University Clinic Heidelberg, Im Neuenheimer Feld 153, 69120, Heidelberg (Germany); Clorius, John H. [Department of Nuclear Medicine, German Cancer Research Institute, 69120, Heidelberg (Germany)

    2003-05-01

    Renal function evaluation in the pediatric patient is generally based on scintigraphic examinations where a baseline gamma-camera renography is used to determine single kidney function, and diuresis renography is obtained to assess urinary drainage from the pelvicalyceal system. Magnetic resonance imaging also permits the evaluation of renal functional processes using fast dynamic sequences. Principally, an agent cleared by renal excretion is intravenously injected and its cortical uptake, parenchymal transport, and eventually its urinary excretion are followed with serial images. Different approaches have been presented most of which are based on T1-weighted gradient-recalled echo sequences with short TR and TE and a low flip angle obtained after intravenous injection of Gd-DTPA or Gd-DOTA. These techniques permit renal functional assessment using different qualitative and quantitative parameters; however, most of these methods are not suitable for the evaluation of urinary tract dilatation in infants and children. For the diagnostic work-up of children with congenital urinary tract obstruction and malformation a technique was developed which permits quantitative determination of single kidney function, in addition to evaluating urinary excretion disturbances analogous to that possible with scintigraphy. (orig.)

  15. 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

  16. STRATEGIC HUMAN RESOURCE MANAGEMENT ASSESSMENT AT PRICEWATERHOUSECOOPERS

    Directory of Open Access Journals (Sweden)

    Amelia Boncea

    2010-12-01

    Full Text Available The world we are living in today has increasingly become aware of the importance of the human factor in all types of organizations. The present paper is intended to assess the performance of the human resource department at PricewaterhouseCoopers and to provide adequate recommendations for activity improvement. After a statement of the current HR strategy and an in-depth analysis of the external and internal environment, the paper continues with some proposals upon a more efficient HR function and the corresponding action plan to achieve this objective. In addition, the paper presents a section on how employees respond to change inside the company.

  17. PRINCIPLES AND FUNCTIONS OF POLITICAL MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Nikola Vojvodić

    2016-01-01

    Full Text Available In the modern democratic society the politics is considered to be a skill of governing, that is, conquering and maintaining the political governance and the inevitable activity in all spheres of human activities. In the sense of negotiations the contemporary politics is "the maximal in the sphere of the possible", when, in a terrible struggle using arguments and other democratic means, one comes from the maximalistic request to the solution acceptable for both sides. Political activities would mean putting every political subject in the function of the efficient and economical satisfaction of the political needs and desires, aspirations and volitions of the political public. If the political scene is represented by the free market of political ideas, then there could be established the strategy of sensible and responsible managing in the political structures of the community, which is based on the previously researched and familiar expectations of the political public.

  18. Ultrasound assessment of fetal cardiac function

    Science.gov (United States)

    Crispi, Fàtima; Valenzuela‐Alcaraz, Brenda; Cruz‐Lemini, Monica

    2015-01-01

    Abstract Introduction: Fetal heart evaluation with US is feasible and reproducible, although challenging due to the smallness of the heart, the high heart rate and limited access to the fetus. However, some cardiac parameters have already shown a strong correlation with outcomes and may soon be incorporated into clinical practice. Materials and Methods: Cardiac function assessment has proven utility in the differential diagnosis of cardiomyopathies or prediction of perinatal mortality in congenital heart disease. In addition, some cardiac parameters with high sensitivity such as MPI or annular peak velocities have shown promising results in monitoring and predicting outcome in intrauterine growth restriction or congenital diaphragmatic hernia. Conclusion: Cardiac function can be adequately evaluated in most fetuses when appropriate expertise, equipment and time are available. Fetal cardiac function assessment is a promising tool that may soon be incorporated into clinical practice to diagnose, monitor or predict outcome in some fetal conditions. Thus, more research is warranted to further define specific protocols for each fetal condition that may affect cardiac function. PMID:28191192

  19. 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.

  20. Methods for assessing mitochondrial function in diabetes.

    Science.gov (United States)

    Perry, Christopher G R; Kane, Daniel A; Lanza, Ian R; Neufer, P Darrell

    2013-04-01

    A growing body of research is investigating the potential contribution of mitochondrial function to the etiology of type 2 diabetes. Numerous in vitro, in situ, and in vivo methodologies are available to examine various aspects of mitochondrial function, each requiring an understanding of their principles, advantages, and limitations. This review provides investigators with a critical overview of the strengths, limitations and critical experimental parameters to consider when selecting and conducting studies on mitochondrial function. In vitro (isolated mitochondria) and in situ (permeabilized cells/tissue) approaches provide direct access to the mitochondria, allowing for study of mitochondrial bioenergetics and redox function under defined substrate conditions. Several experimental parameters must be tightly controlled, including assay media, temperature, oxygen concentration, and in the case of permeabilized skeletal muscle, the contractile state of the fibers. Recently developed technology now offers the opportunity to measure oxygen consumption in intact cultured cells. Magnetic resonance spectroscopy provides the most direct way of assessing mitochondrial function in vivo with interpretations based on specific modeling approaches. The continuing rapid evolution of these technologies offers new and exciting opportunities for deciphering the potential role of mitochondrial function in the etiology and treatment of diabetes.

  1. Assessing and Managing Acute Pain: A Call to Action.

    Science.gov (United States)

    Jungquist, Carla R; Vallerand, April Hazard; Sicoutris, Corinna; Kwon, Kyung N; Polomano, Rosemary C

    2017-03-01

    : Acute pain, which is usually sudden in onset and time limited, serves a biological protective function, warning the body of impending danger. However, while acute pain often resolves over time with normal healing, unrelieved acute pain can disrupt activities of daily living and transition to chronic pain. This article describes the effects of unrelieved acute pain on patients and clinical outcomes. The authors call on nurses to assess and manage acute pain in accordance with evidence-based guidelines, expert consensus reports, and position statements from professional nursing organizations in order to minimize the likelihood of its becoming chronic.

  2. Fuzzy Assessment Method and Its Application to Selecting Project Managers

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Open competition is a new form of the assessment of candidates and selection of project managers. This has many merits compared to the traditional administrative method of appointment. This article introduces a method of fuzzy assessment of project manager candidates. Fuzzy assessment unifies objective qualitative and quantitative appraisal and can be used for improving decision-making in the selection process.

  3. Life Cycle Assessment of Municipal Waste Management System ...

    African Journals Online (AJOL)

    Life Cycle Assessment of Municipal Waste Management System (Case Study: ... solid waste management systems for determine the optimum municipal solid waste ... include water pollution, air pollution, consumed energy and waste residues.

  4. Assessment of cold chain management practices in immunisation ...

    African Journals Online (AJOL)

    Assessment of cold chain management practices in immunisation centres in Kacheliba division, ... Journal Home > Vol 94, No 2 (2017) > ... Cold chain management should be improved through continuous medical educational programmemes ...

  5. Environmental Compliance Assessment and Management Program (ECAMP)

    Science.gov (United States)

    1993-04-01

    along with documentation of good mpiragement practices and risk -management information, were combined into a series of checklists that show (1...management practices (GMPs) and risk management issues into consistent and easy to use checklist!s 3. serve as an aid during the evaluation process. A...Management Manarment Monaumnent Resources Managent Managemnet I. Incineratols 2. HeatjPowu Production 3. AGE Operation 4. Aimraft Operations 5

  6. [Assessment of endothelial function in autoimmune diseases].

    Science.gov (United States)

    Benhamou, Y; Bellien, J; Armengol, G; Gomez, E; Richard, V; Lévesque, H; Joannidès, R

    2014-08-01

    Numerous autoimmune-inflammatory rheumatic diseases have been associated with accelerated atherosclerosis or other types of vasculopathy leading to an increase in cardiovascular disease incidence. In addition to traditional cardiovascular risk factors, endothelial dysfunction is an important early event in the pathogenesis of atherosclerosis, contributing to plaque initiation and progression. Endothelial dysfunction is characterized by a shift of the actions of the endothelium toward reduced vasodilation, a proinflammatory and a proadhesive state, and prothrombic properties. Therefore, assessment of endothelial dysfunction targets this vascular phenotype using several biological markers as indicators of endothelial dysfunction. Measurements of soluble adhesion molecules (ICAM-1, VCAM-1, E-selectin), pro-thrombotic factors (thrombomodulin, von Willebrand factor, plasminogen activator inhibitor-1) and inflammatory cytokines are most often performed. Regarding the functional assessment of the endothelium, the flow-mediated dilatation of conduit arteries is a non-invasive method widely used in pathophysiological and interventional studies. In this review, we will briefly review the most relevant information upon endothelial dysfunction mechanisms and explorations. We will summarize the similarities and differences in the biological and functional assessments of the endothelium in different autoimmune diseases.

  7. Application of Health Function Diagnostic Assessment in Health Management for the Elderly in Community%社区老年人健康功能诊断评估系统在健康管理中的应用

    Institute of Scientific and Technical Information of China (English)

    詹继东; 柯华; 李晓南; 卢蓉; 叶坤妃

    2013-01-01

    Objective To develop a Web - based automatic diagnostic assessment system of multidimensional health functions for the elderly in community, and investigate the applying result in health management. Methods A health survey was conducted among 399 elderly people aged more than 65 in the community of Huazhong University of Science. The software of ASP NET + SQL Server 2008 was used for online collection of information so as to realize the automatic diagnostic assessment of health functions of samples and visualization of analysis and statistics and results of the measuring scale information. Results The survey results of the elderly in communities showed that, in physical health status there were 112 people ( 28. 1 % ) who were excellent, 172 ( 43. 1% ) moderate, and 115 ( 28. 8% ) poor; in ability of daily activities there were 247 people ( 61. 9% ) who were good, 84 ( 21. 1% ) mild impairment, and 68 ( 17.0% ) moderately or severely impaired; in mental health there were 331 ( 83. 0% ) people who were excellent, 32 ( 8. 0% ) good, 28 ( 7. 0% ) mild spirit impairment, and 8(2. 0% ) moderate or a-bove mental impairment; in social resources condition there were 399 ( 100. 0% ) people who were excellent, and no one who was good or in any grades of barriers; in economy state there were 20 ( 5.0% ) people who were excellent, 128 ( 32. 1% ) good, 219 ( 54. 9% ) poor, and 32 ( 8. 0% ) extremely poor; and in nutritional status there were 120 ( 30. 1% ) people who were good, 235 ( 58.9% ) with danger of potential malnutrition, and 44 ( 11.0% ) poor. Intelligent data statistical analysis function of the software meets the design requirements. Conclusion The automatic diagnostic assessment system of multidimensional health functions for the elderly in community can be applied in health management of the elderly, and it is an ideal tool for the managers related to health issues.%目的 开发一款基于Web的社区老年人多维健康功能自动诊断评估系统,探讨其

  8. Surface Electromyographic Assessment of Swallowing Function

    Directory of Open Access Journals (Sweden)

    Marziyeh Poorjavad

    2017-03-01

    Full Text Available The reliability of surface electromyographic (sEMG variables during swallowing determines the potential usefulness of these measures in swallowing assessment and treatment. This study aimed to establish the reliability of the sEMG measures of the swallowing function of muscles during different swallowing conditions in healthy young and old volunteers. Two groups of volunteers (24 older adults, 10 younger adults participated in this cross-sectional study during 2014. The activity of masseter, submental, and infrahyoid groups were measured using sEMG during three repetitions of different swallowing tasks. Both the relative and absolute reliability (characterized respectively by ICC, SEM%, and SRD% were calculated for the sEMG indices of muscle activity during swallowing events. Statistical analyses were performed by the SPSS 19.0 and Microsoft Excel 2007 software packages. Statistical significance was set at P≤0.05. The relative reliability calculations showed significant agreements between repetitions for the mean and peak amplitude and the average of median frequency (MDF of the studied muscles function during most swallowing types in both groups. However, the duration and particularly the time to peak of muscle activity showed significant agreements during fewer swallowing conditions. Excluding MDF, we found high SEM% and SRD% for the studied measures (particularly timing measures of muscles function during most swallowing types in both groups. The reliability of sEMG measures was influenced by the age and swallowing types. Our findings suggest that the MDF of muscle function during almost all studied swallowing types can be a reliable measure for the sEMG assessment of swallowing function in both younger and older adults.

  9. Surface Electromyographic Assessment of Swallowing Function.

    Science.gov (United States)

    Poorjavad, Marziyeh; Talebian, Saeed; Ansari, Noureddin Nakhostin; Soleymani, Zahra

    2017-03-01

    The reliability of surface electromyographic (sEMG) variables during swallowing determines the potential usefulness of these measures in swallowing assessment and treatment. This study aimed to establish the reliability of the sEMG measures of the swallowing function of muscles during different swallowing conditions in healthy young and old volunteers. Two groups of volunteers (24 older adults, 10 younger adults) participated in this cross-sectional study during 2014. The activity of masseter, submental, and infrahyoid groups were measured using sEMG during three repetitions of different swallowing tasks. Both the relative and absolute reliability (characterized respectively by ICC, SEM%, and SRD%) were calculated for the sEMG indices of muscle activity during swallowing events. Statistical analyses were performed by the SPSS 19.0 and Microsoft Excel 2007 software packages. Statistical significance was set at P≤0.05. The relative reliability calculations showed significant agreements between repetitions for the mean and peak amplitude and the average of median frequency (MDF) of the studied muscles function during most swallowing types in both groups. However, the duration and particularly the time to peak of muscle activity showed significant agreements during fewer swallowing conditions. Excluding MDF, we found high SEM% and SRD% for the studied measures (particularly timing measures) of muscles function during most swallowing types in both groups. The reliability of sEMG measures was influenced by the age and swallowing types. Our findings suggest that the MDF of muscle function during almost all studied swallowing types can be a reliable measure for the sEMG assessment of swallowing function in both younger and older adults.

  10. 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

  11. Sensory Dissociation in Vestibular Function Assessment

    Directory of Open Access Journals (Sweden)

    Tolmachev Ivan

    2016-01-01

    Full Text Available The project aims to create а solution to the problem of early diagnostics of neurodegenerative disorders, accompanied by imbalance, and to develop rehabilitation methods for patients with vestibular disorders. The balanced upright position is a result of interaction between vestibular system, skeleton and muscles, visual, and proprioceptive systems. Postural abnormalities are caused by morphological or functional alteration of the components of the equilibrioception system. These disorders weaken the ability of the central nervous system to process vestibular, visual and proprioceptive signals, which are responsible for the sense of balance. Moreover, it also decreases the plasticity of the nervous system, resulting in adaptation disfunctionality. Unfortunately, premorbid detection of vestibular dysfunctions is quite a complicated test because available methods to evaluate postural reflexes have low sensitivity and specifity. Consequently, the development of methods to assess functional state of the equilibrioception system becoming viable in order to detect neurodegenerative disorders as early as possible, to control treatment and rehabilitation procedures.

  12. 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,

  13. Fire Management Plan and Environmental Assessment 2001

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Fire Management Plan outlines and details all of the refuge objectives for prescribed burns for the 1991 calendar year. It includes new fire management...

  14. Physical function assessment tools in pediatric rheumatology

    Directory of Open Access Journals (Sweden)

    Onel Karen B

    2008-06-01

    Full Text Available Abstract Pediatric rheumatic diseases with predominant musculoskeletal involvement such as juvenile idiopathic arthritis (JIA and juvenile dermatomyositis(JDM can cause considerable physical functional impairment and significantly affect the children's quality of life (QOL. Physical function, QOL, health-related QOL (HRQOL and health status are personal constructs used as outcomes to estimate the impact of these diseases and often used as proxies for each other. The chronic, fluctuating nature of these diseases differs within and between patients, and complicates the measurement of these outcomes. In children, their growing needs and expectations, limited use of age-specific questionnaires, and the use of proxy respondents further influences this evaluation. This article will briefly review the different constructs inclusive of and related to physical function, and the scales used for measuring them. An understanding of these instruments will enable assessment of functional outcome in clinical studies of children with rheumatic diseases, measure the impact of the disease and treatments on their lives, and guide us in formulating appropriate interventions.

  15. Fishery management assessment Squaw Creek National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report provides an assessment for fishery management on Squaw Creek National Wildlife Refuge. The assessment concluded that existing Refuge waters are...

  16. 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

  17. Specific Features of Functioning of the Corporate Tax Management

    OpenAIRE

    Tkachyk Lesya P.

    2013-01-01

    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 alt...

  18. Ultrasound assessment of endothelial function in children

    Directory of Open Access Journals (Sweden)

    Mikko J Järvisalo

    2005-10-01

    Full Text Available Mikko J Järvisalo1,2, Olli T Raitakari21Department of Internal Medicine, Satakunta Central Hospital, Pori, Finland; 2Department of Clinical Physiology, Turku University Hospital, Turku, FinlandAbstract: Although the clinical complications of atherosclerosis arise from developed lesions in old age, the atherosclerotic disease is a lifelong process with roots in childhood. Endothelial dysfunction is currently considered an early stage in the pathogenesis of atherosclerosis, which precedes the formation of structural atherosclerotic changes. Improvements in noninvasive imaging modalities, mainly in ultrasound imaging, have made it possible to assess the endothelial health of asymptomatic children with or without cardiovascular risk factors. By using noninvasive ultrasound for endothelial function, important insights have been gained into the early stages of atherosclerosis and the effects of cardiovascular risk factors on vasculature in childhood. The ultrasound test of endothelial function is affordable, available, and safe and may be considered a potent aid in clinical risk stratification of children at high risk for subsequent clinical atherosclerosis in adulthood. At present, this methodology serves only research purposes, as many issues including reproducibility and normal values for healthy children need to be solved before clinical use can be considered. In adults, however, recent studies have shown that attenuated endothelial function predicts the occurrence of future cardiovascular events.Keywords: atherosclerosis, endothelial dysfunction, ultrasound imaging, childhood vasculature

  19. Assessing Changes in Virginia Master Gardener Volunteer Management

    OpenAIRE

    Dorn, Sheri T.

    1999-01-01

    ASSESSING CHANGES IN VIRGINIA MASTER GARDENER VOLUNTEER MANAGEMENT Sheri T. Dorn ABSTRACT Master Gardener (MG) volunteers are nonpaid, education partners with Virginia Cooperative Extension (VCE). VCE MGs have assisted Extension agents in meeting VCE's educational goals and mission by following the Sustainable Landscape Management educational program objectives within the VCE Plan of Work. Local MG volunteer programs must be managed appropriately so that vol...

  20. An Adaptive Watershed Management Assessment Based on Watershed Investigation Data

    Science.gov (United States)

    Kang, Min Goo; Park, Seung Woo

    2015-05-01

    The aim of this study was to assess the states of watersheds in South Korea and to formulate new measures to improve identified inadequacies. The study focused on the watersheds of the Han River basin and adopted an adaptive watershed management framework. Using data collected during watershed investigation projects, we analyzed the management context of the study basin and identified weaknesses in water use management, flood management, and environmental and ecosystems management in the watersheds. In addition, we conducted an interview survey to obtain experts' opinions on the possible management of watersheds in the future. The results of the assessment show that effective management of the Han River basin requires adaptive watershed management, which includes stakeholders' participation and social learning. Urbanization was the key variable in watershed management of the study basin. The results provide strong guidance for future watershed management and suggest that nonstructural measures are preferred to improve the states of the watersheds and that consistent implementation of the measures can lead to successful watershed management. The results also reveal that governance is essential for adaptive watershed management in the study basin. A special ordinance is necessary to establish governance and aid social learning. Based on the findings, a management process is proposed to support new watershed management practices. The results will be of use to policy makers and practitioners who can implement the measures recommended here in the early stages of adaptive watershed management in the Han River basin. The measures can also be applied to other river basins.

  1. Environmental Management Assessment of the National Renewable Energy Laboratory (NREL)

    Energy Technology Data Exchange (ETDEWEB)

    1993-09-01

    This report documents the results of the environmental management assessment performed at the National Renewable Energy Laboratory (NREL) in Golden, Colorado. The onsite portion of the assessment was conducted from September 14 through September 27, 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). During this assessment, the activities conducted by the assessment team included reviews of internal documents and reports from previous audits and assessments; interviews with US Department of Energy (DOE) and NREL contractor personnel; and inspections and observations of selected facilities and operations. The environmental management assessment of NREL focused on the adequacy of environmental management systems and assessed the formality of programs employing an approach that recognizes the level of formality implementing environmental programs may vary commensurate with non-nuclear research and development operations. The Assessment Team evaluated environmental monitoring, waste management and National Environmental Policy Act (NEPA) activities at NREL, from a programmatic standpoint. The results of the evaluation of these areas are contained in the Environmental Protection Programs section of this report. The scope of the NREL Environmental Management Assessment was comprehensive and included all areas of environmental management. At the same time, environmental monitoring, waste management, and NEPA activities were evaluated to develop a programmatic understanding of these environmental disciplines, building upon the results of previous appraisals, audits, and reviews performed at the NREL.

  2. Pain assessment and management in the newborn infant.

    Science.gov (United States)

    Jorgensen, K M

    1999-12-01

    Managing the pain of a newborn is both complex and challenging because of the subtlety of pain expression in these patients and their vulnerability. This article provides an overview of the physiology of pain in the newborn, addresses pain assessment and pain-assessment tools, explores both nonpharmacological and pharmacological approaches to pain management, and finally, lays the responsibility for pain management in the newborn squarely in the lap of the professional.

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

    African Journals Online (AJOL)

    kirstam

    documenting the risk management strategy, having an explicit asset- liability management .... risk regulator for financial institutions, leading to steps to identify institutions ... The evaluation was expanded in 2009 to take into account ... The market conduct regulator's responsibility, on the other hand, will remain with the FSB ...

  4. Protocols for conducting Environmental Management Assessments of DOE organizations

    Energy Technology Data Exchange (ETDEWEB)

    1993-08-01

    To assess the effectiveness of DOE`s environmental programs, the Office of Environmental Audit conducts Environmental Management Assessments of DOE programs and facilities. These assessments take a broad programmatic view of environmental systems which may cover multiple sites. The focus of the assessment is on the infrastructure, systems, programs, and tools to manage environmental issues, not on the compliance issues themselves. Protocols have been developed to assist in the conduct of Environmental Management Assessments. The protocols are, based on and serve as implementing guidelines for the Environmental Management Section of ``Performance Objectives and Criteria for Conducting DOE Environmental Audits`` (DOE/EH-022). They are intended to provide guidance to the Assessment Team in conducting these reviews.

  5. Assessment of the development of aquifer management councils (COTAS) for sustainable groundwater management in Guanajuato, Mexico

    Science.gov (United States)

    Wester, Philippus; Sandoval Minero, Ricardo; Hoogesteger, Jaime

    2011-06-01

    Collective groundwater management by water users—self-regulation—is increasingly advocated as a complement to state regulation. This article analyzes the attempts by the Guanajuato State Water Commission (CEAG) in central Mexico to promote user self-regulation through the establishment and development of 14 Consejos Técnicos de Aguas (COTAS; Technical Water Councils). Based on a joint assessment by a former senior CEAG policy-maker and two researchers, Guanajuato's groundwater-management policy is reviewed to understand why user self-regulation was less successful than expected. It concludes that increasing awareness and improving the knowledge base on groundwater is not enough to trigger self-regulation by groundwater users. A wider delegation of responsibilities to the COTAS is necessary, combined with: (1) functioning mechanisms for enforcing groundwater legislation, especially concerning well permits and pumped volumes, and (2) mechanisms that ensure the legitimacy and accountability of users' representatives to both users and state agencies.

  6. Functional outcome of the surgical management of acute acetabular fractures

    Institute of Scientific and Technical Information of China (English)

    Naseem Munshi; Asad Abbas; Mohamed Amirali Gulamhussein; Ghulam Mehboob; Rija Aitzaz Qureshi

    2015-01-01

    Objective:To assess the functional outcome of early surgical management of displaced acetabular fractures and the complications associated with the procedure. Methods: This is a case series study and data was collected using specialized performance. The study included 75 patients and the sampling technique was a non-probability purposive type. Patients presenting with close displaced acetabular fractures of more than 2 mm within 10 days of injury were included. However, elderly patients presenting after 10 days of injury, with evidence of local infection, severe osteoporotic bone and co-morbid such as chronic obstructive pulmonary disease were not included in the study. New acetabular scoring system was used for assessing outcome of patients. Results:A total of 75 patients were operated on. Union was achieved in anatomical position in 66 (88%) patients and in malposition in 9 (12%) patients. Excellent results were obtained in 18 (24%) patients, good results in 41 (54.6%), fair results in 12 (16%), and poor results in 4 (5.4%) patients. Postoperative complications included infection [5 (6.7%)], heterotropic ossification [3 (4%)], sciatic nerve injury [10 (13.3%)], avascular necrosis [3 (4%)] patients. Conclusions: Patients with displaced acetabular fractures should be referred to specialised centres. Early surgical intervention and experienced management is a prime factor in achieving good results.

  7. 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

  8. 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…

  9. 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…

  10. A Top Level Analysis of Training Management Functions.

    Science.gov (United States)

    Ackerson, Jack

    1995-01-01

    Discusses how to conduct a top-level analysis of training management functions to identify problems within a training system resulting from rapid growth, the acquisition of new departments, or mergers. The data gathering process and analyses are explained, training management functions and activities are described, and root causes and solutions…

  11. 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,...

  12. 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.

  13. Scope Management of Non-Functional Requirements

    NARCIS (Netherlands)

    Kassab, M.; Daneva, M.; 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 analys

  14. 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

  15. The first Spacelab mission. [payload management functions

    Science.gov (United States)

    Pace, R. E., Jr.

    1976-01-01

    The purpose of Spacelab, an Orbiter-mounted NASA/ESA laboratory, is to include in the Space Transportation System (STS) a payload carrier with maximum flexibility to accommodate multidisciplinary scientific payloads. The major Spacelab configurations obtained by combination of two basic elements, the module and pallet, are described along with the anticipated program of experiments and payloads, and mission management general concept. The first Spacelab 7-day mission is scheduled for flight in the second half of 1980, with the primary objective being to verify system performance capabilities. Detailed attention is given to the payload mission management responsibilities for the first flight, including program control, science management, payload interfaces, integrated payload mission planning, integration requirements, payload specialist training, payload integration, launch site integration, payload flight/mission operations, and postmission activities. The Spacelab configuration (including the long module and one pallet) and the overall schedule for this mission are presented.

  16. The first Spacelab mission. [payload management functions

    Science.gov (United States)

    Pace, R. E., Jr.

    1976-01-01

    The purpose of Spacelab, an Orbiter-mounted NASA/ESA laboratory, is to include in the Space Transportation System (STS) a payload carrier with maximum flexibility to accommodate multidisciplinary scientific payloads. The major Spacelab configurations obtained by combination of two basic elements, the module and pallet, are described along with the anticipated program of experiments and payloads, and mission management general concept. The first Spacelab 7-day mission is scheduled for flight in the second half of 1980, with the primary objective being to verify system performance capabilities. Detailed attention is given to the payload mission management responsibilities for the first flight, including program control, science management, payload interfaces, integrated payload mission planning, integration requirements, payload specialist training, payload integration, launch site integration, payload flight/mission operations, and postmission activities. The Spacelab configuration (including the long module and one pallet) and the overall schedule for this mission are presented.

  17. Implementation of functional assessment scales in geriatric practice

    DEFF Research Database (Denmark)

    Poulsen, Ingrid; Hesselbo, Bjørn; Pietersen, Inge

    2005-01-01

    A study was undertaken to evaluate the feasibility of functional assessment scales regarding completion rate and ability to document functional changes in geriatric rehabilitation patients.......A study was undertaken to evaluate the feasibility of functional assessment scales regarding completion rate and ability to document functional changes in geriatric rehabilitation patients....

  18. Functional Assessment of Problem Behaviors in Adults with Mental Retardation

    Science.gov (United States)

    Paclawskyj, Theodosia R.; Kurtz, Patricia F.; O'Connor, Julia T.

    2004-01-01

    Functional assessment has significantly improved the success of behavioral treatment of problem behaviors in adults with mental retardation. Functional assessment methods (i.e., techniques that yield a hypothesis of functional relationships) include direct observation, interviews, and checklists. Functional analysis consists of empirical methods…

  19. Managing Learning: Authority and Language Assessment

    Science.gov (United States)

    McNamara, Tim

    2011-01-01

    A feature of language assessment internationally is its role in the enforcement of language policies established by governments and other educational and cultural agencies. This trend has led to the near-universal adoption of curriculum and assessment frameworks, the clearest example of which is the Common European Framework of Reference for…

  20. 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.

  1. 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.

  2. 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.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2012-05-01

    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

  4. Difficult asthma: assessment and management, Part 1.

    Science.gov (United States)

    Long, Aidan A; Fanta, Christopher H

    2012-01-01

    A minority of asthma patients have disease that proves difficult to control with usual medications and experience ongoing symptoms, poor quality of life, and limitations in activity and/or frequent asthma exacerbations. This group of patients accounts for much of the expense associated with asthma care and is the focus of national and international collaborative study groups. Distinguishing between "difficult-to-manage asthma" and truly "therapy-resistant asthma" is helpful and promotes a systematic consideration of contributory factors. Critical evaluation of factors contributing to difficult-to-manage asthma including adverse environment, comorbidities, nonadherence, and incorrect diagnosis is recommended in a systematic fashion in Part 1 of this contribution.

  5. 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

  6. FUNCTIONAL ANALYSIS OF ENERGY MANAGEMENT SYSTEMS

    Directory of Open Access Journals (Sweden)

    G. V. Abramov

    2013-01-01

    Full Text Available A system for power management of individual modules with interaction via the Ethernet was developed. The system allows to measure the qualitative and quantitative performance of network communication protocols of different levels, monitor all indicators in real time.

  7. Assessment of Quality Management Practices Within the Healthcare Industry

    Directory of Open Access Journals (Sweden)

    William J. Miller

    2009-01-01

    Full Text Available Problem Statement: Considerable effort has been devoted over the years by many organizations to adopt quality management practices, but few studies have assessed critical factors that affect quality practices in healthcare organizations. The problem addressed in this study was to assess the critical factors influencing the quality management practices in a single important industry (i.e., healthcare. Approach: A survey instrument was adapted from business quality literature and was sent to all hospitals in a large US Southeastern state. Valid responses were received from 147 of 189 hospitals yielding a 75.6% response rate. Factor analysis using principal component analysis with an orthogonal rotation was performed to assess 58 survey items designed to measure ten dimensions of hospital quality management practices. Results: Eight factors were shown to have a statistically significant effect on quality management practices and were classified into two groups: (1 four strategic factors (role of management leadership, role of the physician, customer focus, training resources investment and (2 four operational factors (role of quality department, quality data/reporting, process management/training and employee relations. The results of this study showed that a valid and reliable instrument was developed and used to assess quality management practices in hospitals throughout a large US state. Conclusion: The implications of this study provided an understanding that management of quality required both a focus on longer-term strategic leadership, as well as day-to-day operational management. It was recommended that healthcare researchers and practitioners focus on the critical factors identified and employ this survey instrument to manage and better understand the nature of hospital quality management practices across wider geographical regions and over longer time periods. Furthermore, this study extended the scope of existing quality management

  8. An Integrated Knowledge Management Capabilities Framework for Assessing Organizational Performance

    Directory of Open Access Journals (Sweden)

    Abdel Nasser H. Zaied

    2012-03-01

    Full Text Available In the present aggressive world of competition, knowledge management strategies are becoming the major vehicle for the organizations to achieve their goals; to compete and to perform well. Linking knowledge management to business performance could make a strong business case in convincing senior management of any organization about the need to adopt a knowledge management strategy. Organizational performance is, therefore, a key issue and performance measurement models provide a basis for developing a structured approach to knowledge management. In this respect, organizations need to assess their knowledge management capabilities and find ways to improve their performance. This paper takes these issues into account when study the role of knowledge management in enhancing the organizational performance and consequently, developed an integrated knowledge management capabilities framework for assessing organizational performance. The results show that there is positive correlation between knowledge management capabilities and organizational performance. The results also show that the proposed framework can be used to assess organizational performance and also can be used as decision tool to decide which knowledge management capability should be improved.

  9. Differences between multimedia and text-based assessments of emotion management: An exploration with the multimedia emotion management assessment (MEMA).

    Science.gov (United States)

    MacCann, Carolyn; Lievens, Filip; Libbrecht, Nele; Roberts, Richard D

    2016-11-01

    People process emotional information using visual, vocal, and verbal cues. However, emotion management is typically assessed with text based rather than multimedia stimuli. This study (N = 427) presents the new multimedia emotion management assessment (MEMA) and compares it to the text-based assessment of emotion management used in the MSCEIT. The text-based and multimedia assessment showed similar levels of cognitive saturation and similar prediction of relevant criteria. Results demonstrate that the MEMA scores have equivalent evidence of validity to the text-based MSCEIT test scores, demonstrating that multimedia assessment of emotion management is viable. Furthermore, our results inform the debate as to whether cognitive saturation in emotional intelligence (EI) measures represents "noise" or "substance". We find that cognitive ability associations with EI represent substantive variance rather than construct-irrelevant shared variance due to reading comprehension ability required for text-based items.

  10. Developing and assessing environmentally friendly traffic management

    NARCIS (Netherlands)

    Wilmink, I.

    2007-01-01

    This paper explores the ways in which the environment can be included in traffic management and Intelligent Transport systems (ITS) planning. For that, it is important to understand what traffic parameters are important in the context of air quality and noise, and how to translate this knowledge

  11. 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

  12. 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

  13. 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.

  14. 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...

  15. 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.

  16. Assessment of controversial pediatric asthma management options using GRADE

    NARCIS (Netherlands)

    N. Boluyt (Nicole); B.L. Rottier (Bart); J.C. de Jongste (Johan); R. Riemsma; E.J.L.E. Vrijlandt; P.L.P. Brand (Paul L.P.)

    2012-01-01

    textabstractOBJECTIVES: To develop explicit and transparent recommendations on controversial asthma management issues in children and to illustrate the usefulness of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach in rating the quality of evidence and strength

  17. Assessment of Controversial Pediatric Asthma Management Options Using GRADE

    NARCIS (Netherlands)

    Boluyt, Nicole; Rottier, Bart L.; de Jongste, Johan C.; Riemsma, Rob; Vrijlandt, Elianne J.L.E.; Brand, Paul L. P.

    2012-01-01

    OBJECTIVES: To develop explicit and transparent recommendations on controversial asthma management issues in children and to illustrate the usefulness of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach in rating the quality of evidence and strength of recommend

  18. Draft Environmental Assessment : Habitat management on Alamosa National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Environmental Assessment (EA) evaluates three habitat management alternatives, and proposes to use one that will best achieve the purposes and objectives of...

  19. Architecture Framework for Fault Management Assessment And Design (AFFMAD) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Architecture Framework for Fault Management Assessment And Design (AFFMAD) is a constraint-checking system for FM trade space exploration that provides rigorous...

  20. Assessing Differential Item Functioning in Performance Tests.

    Science.gov (United States)

    Zwick, Rebecca; And Others

    Although the belief has been expressed that performance assessments are intrinsically more fair than multiple-choice measures, some forms of performance assessment may in fact be more likely than conventional tests to tap construct-irrelevant factors. As performance assessment grows in popularity, it will be increasingly important to monitor the…

  1. 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.

  2. Improving Project Management with Simulation and Completion Distribution Functions

    Science.gov (United States)

    Cates, Grant R.

    2004-01-01

    Despite the critical importance of project completion timeliness, management practices in place today remain inadequate for addressing the persistent problem of project completion tardiness. A major culprit in late projects is uncertainty, which most, if not all, projects are inherently subject to. This uncertainty resides in the estimates for activity durations, the occurrence of unplanned and unforeseen events, and the availability of critical resources. In response to this problem, this research developed a comprehensive simulation based methodology for conducting quantitative project completion time risk analysis. It is called the Project Assessment by Simulation Technique (PAST). This new tool enables project stakeholders to visualize uncertainty or risk, i.e. the likelihood of their project completing late and the magnitude of the lateness, by providing them with a completion time distribution function of their projects. Discrete event simulation is used within PAST to determine the completion distribution function for the project of interest. The simulation is populated with both deterministic and stochastic elements. The deterministic inputs include planned project activities, precedence requirements, and resource requirements. The stochastic inputs include activity duration growth distributions, probabilities for events that can impact the project, and other dynamic constraints that may be placed upon project activities and milestones. These stochastic inputs are based upon past data from similar projects. The time for an entity to complete the simulation network, subject to both the deterministic and stochastic factors, represents the time to complete the project. Repeating the simulation hundreds or thousands of times allows one to create the project completion distribution function. The Project Assessment by Simulation Technique was demonstrated to be effective for the on-going NASA project to assemble the International Space Station. Approximately $500

  3. Condition Assessment Aspects of an Asset Management Program

    Science.gov (United States)

    2008-01-01

    guidance to agencies for improved agency accountability and performance through the application of defined asset management business procedures. The...for Improved Asset Management . http://www.whitehouse.gov/omb/financial/ fia /frpc_guidance.pdf Federal Highway Administration (FHWA). 1995. Recording...ER D C/ CE R L SR -0 8 -1 Navigation Systems Program Condition Assessment Aspects of an Asset Management Program Stuart D. Foltz and

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

    OpenAIRE

    Maria Cristina C. Azuelo; Leah N. Barbado; Luz Menda L. Reyes

    2016-01-01

    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 t...

  5. 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...

  6. Social Media in Emergency Management: Capability Assessment

    Science.gov (United States)

    2014-05-01

    engagement and thoughtful feedback: Jason Cameron ( CEMA ) Benjamin Morgan (City of Calgary) Greg Furlong (CITIG, Ottawa Paramedic Service) Patrice...technologies to reach the public and pursue a variety of operational objectives. The Calgary Emergency Management Agency ( CEMA ) and the Toronto Police...form of a quad-chart in Annex A. 1.3 The SMEM Expert Roundtable As part of the SMEM targeted investment project, DRDC CSS partnered with CEMA to

  7. Comparative Assessment of Stormwater and Nonpoint Source Pollution Best Management Practices in Suburban Watershed Management

    OpenAIRE

    Qiu, Zeyuan

    2013-01-01

    Nonpoint source pollution control and stormwater management are two objectives in managing mixed land use watersheds like those in New Jersey. Various best management practices (BMPs) have been developed and implemented to achieve both objectives. This study assesses the cost-effectiveness of selected BMPs for agricultural nonpoint source pollution control and stormwater management in the Neshanic River watershed, a typical mixed land use watershed in central New Jersey, USA. The selected BMP...

  8. 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…

  9. 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.

  10. 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...

  11. 75 FR 39036 - Public Housing Assessment System (PHAS): Management Operations Certification

    Science.gov (United States)

    2010-07-07

    ... URBAN DEVELOPMENT Public Housing Assessment System (PHAS): Management Operations Certification AGENCY... of all major areas of a participant's management operations. The information is used to assess the...) submit management information for evaluation of all major areas of a participant's management...

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

    DEFF Research Database (Denmark)

    Lind, Morten; Zhang, Xinxin

    2014-01-01

    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...

  13. 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…

  14. 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.

  15. Risk assessment and management of radiofrequency radiation exposure

    Science.gov (United States)

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

    2013-11-01

    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.

  16. 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.

  17. 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...

  18. Assessing and managing depression in older people.

    Science.gov (United States)

    Thomas, Hywel

    Depression is the most common mental health condition in people aged 65 and over. It can have a detrimental effect on quality of life and reduce patients' ability to manage their health. Nurses caring for older people with physical health problems are in an ideal position to identify depression; this article outlines how general receive the appropriate mental health care. nurses can do so and ensure their patientsepression can occur as a result of major life changes. It affects an estimated two million people over the age of 65 in the UK and is the most common mental illness

  19. NGNP Risk Management through Assessing Technology Readiness

    Energy Technology Data Exchange (ETDEWEB)

    John W. Collins

    2010-08-01

    Throughout the Next Generation Nuclear Plant (NGNP) project life cycle, technical risks are identified, analyzed, and mitigated and decisions are made regarding the design and selection of plant and sub-system configurations, components and their fabrication materials, and operating conditions. Risk resolution and decision making are key elements that help achieve project completion within budget and schedule constraints and desired plant availability. To achieve this objective, a formal decision-making and risk management process was developed for NGNP, based on proven systems engineering principles that have guided aerospace and military applications.

  20. [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.

  1. Energy Management and Control System: Desired Capabilities and Functionality

    Energy Technology Data Exchange (ETDEWEB)

    Hatley, Darrel D.; Meador, Richard J.; Katipamula, Srinivas; Brambley, Michael R.; Wouden, Carl

    2005-04-29

    This document discusses functions and capabilities of a typical building/facility energy management and control systems (EMCS). The overall intent is to provide a building operator, manager or engineer with basic background information and recommended functions, capabilities, and good/best practices that will enable the control systems to be fully utilized/optimized, resulting in improved building occupant quality of life and more reliable, energy efficient facilities.

  2. 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,

  3. 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,…

  4. Managing Change-Engaging Faculty in Assessment Opportunities

    Science.gov (United States)

    Andrade, Maureen Snow

    2011-01-01

    Regional accrediting bodies require evidence that higher education institutions are meeting their stated goals. Institutions have answered this call for accountability by assessing student learning. Managing change in order to implement assessment practices is a challenge, however, particularly when autonomy, academic freedom, and shared…

  5. 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;…

  6. 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,…

  7. 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 a spec...... of scientific discussion on how to best address system analysis of recycling, for paper and other recyclable materials.......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...... 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...

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

    DEFF Research Database (Denmark)

    Brogaard, Line Kai-Sørensen

    from the LCAs of full waste management systems revealed that capital goods should be included in future LCAs. The impact share of capital goods was highest for resource depletion and the impacts of toxicity on humans and ecosystems. To evaluate the quality and consistency of available data...... 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...... a severe lack of data for these production processes. The results showed large variations in CO2 emissions from the production of each of the evaluated materials. An evaluation of the data revealed that energy systems are central to impacts and are thereby important to specify as background information...

  9. Assessment and Management of Invasive Alien Predators

    OpenAIRE

    Kirsty Park

    2004-01-01

    Although invasive alien species have been identified as the second greatest threat to biodiversity after habitat loss, characterizing and quantifying their impacts on native species and habitats remains a fundamental problem in conservation biology. Here, I review the techniques that are currently used to assess the impact of invasive alien species on biodiversity, highlighting both their uses in invasive species ecology and their limitations in establishing a causal relationship. Adopting a ...

  10. Concepts of modern risk assessment and management.

    Science.gov (United States)

    Corbin, S B

    1994-01-01

    An emerging and increasingly complex array of environmental health concerns face dental practitioners in both the private and public sectors. These concerns are challenging and possibly threatening the traditionally inviolable dentist-patient relationship. Regulatory bodies, health risk experts, attorneys, and enthusiastic media are inserting themselves into the process. Essential assets for "successful" dental practitioners include enhanced expertise in basic science and technology, including the area of risk assessment, and development of broadened perspectives and skills for communicating with patients and the public.

  11. Whooping cough: identification, assessment and management.

    Science.gov (United States)

    Bentley, Jackie; Pinfield, Jenny; Rouse, Jo

    Although there is a high uptake of vaccinations providing protection against Bordetella pertussis, the main cause of whooping cough, there has been an increase in the incidence of notifications of the disease in the UK and other developed countries in recent years. The increase in cases of whooping cough is mainly evident in older children and adults. While these individuals may experience persistent and unpleasant symptoms, most notably prolonged cough, symptoms may be mild, in part, because most older children and adults have been vaccinated against the disease. The most significant public health concern relating to whooping cough is that infected older children and adults may transmit the disease to unvaccinated infants who are most vulnerable to the symptoms. This article aims to develop the reader's understanding of whooping cough, including its prevention and management.

  12. 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.

  13. 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.

  14. 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...... 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...... for assessing the added value of IS in FM was developed. The proposed method is applied to one of the cases. Findings: The paper analyses how a specific IS supports the management of a specific operational process – cleaning in an airport. The assessment shows that the IS definitely adds value to the cleaning...

  15. 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...... in the supply risk management literature and as a managerial option that can effectively alleviate certain kinds of supply risk....

  16. Assessment of Sustainability of Urban Water Supply and Demand Management Options: A Comprehensive Approach

    OpenAIRE

    Kumudu Rathnayaka; Hector Malano; Meenakshi Arora

    2016-01-01

    A comprehensive evaluation framework that can assess a wide range of water supply and demand management policy options in terms of economic, social, environmental, risk-based, and functional performance is crucial to ascertain their level of sustainability. However, such a detailed, generic, and holistic policy evaluation framework is not found in the literature. This paper reviews studies to evaluate water supply and/or demand management options conducted during 2000–2016. Primarily, the pap...

  17. 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

  18. Assessing and managing spider and scorpion envenomation.

    Science.gov (United States)

    McGhee, Stephen; Weiner, Aaron; Finnegan, Alan; Visovsky, Constance; Clochesy, John M; Graves, Brian

    2015-11-01

    Envenomation by spiders or scorpions is a public health problem in many parts of the world and is not isolated to the tropics and subtropics. Spiders and scorpions can be unintentionally transported globally, and keeping them as pets is becoming more popular, so envenomation can occur anywhere. Emergency nurses should be prepared to assess and treat patients who present with a bite or sting. This article gives an overview of the signs, symptoms and treatment of envenomation by species of arachnids that are clinically significant to humans.

  19. Heterogeneity assessment of functional T cell avidity

    Science.gov (United States)

    Ioannidou, Kalliopi; Baumgaertner, Petra; Gannon, Philippe O.; Speiser, Michel F.; Allard, Mathilde; Hebeisen, Michael; Rufer, Nathalie; Speiser, Daniel E.

    2017-01-01

    The potency of cellular immune responses strongly depends on T cell avidity to antigen. Yet, functional avidity measurements are rarely performed in patients, mainly due to the technical challenges of characterizing heterogeneous T cells. The mean functional T cell avidity can be determined by the IFN-γ Elispot assay, with titrated amounts of peptide. Using this assay, we developed a method revealing the heterogeneity of functional avidity, represented by the steepness/hillslope of the peptide titration curve, documented by proof of principle experiments and mathematical modeling. Our data show that not only natural polyclonal CD8 T cell populations from cancer patients, but also monoclonal T cells differ strongly in their heterogeneity of functional avidity. Interestingly, clones and polyclonal cells displayed comparable ranges of heterogeneity. We conclude that besides the mean functional avidity, it is feasible and useful to determine its heterogeneity (hillslope) for characterizing T cell responses in basic research and patient investigation. PMID:28287160

  20. EHR's effect on the revenue cycle management Coding function.

    Science.gov (United States)

    Giannangelo, Kathy; Fenton, Susan

    2008-01-01

    Without administrative terminologies there is no revenue to manage. The use of healthcare IT to capture the codes for administrative and financial support functions will impact the revenue cycle and the management of it. This is presumed to occur because clinical data coded at the point of care becomes the source for claims data. Thus, as electronic health record system applications utilizing terminologies are implemented, healthcare providers need to systematically consider the effect on the coding function and management of the revenue cycle. A key factor is the sequence of events changes, i.e., instead of a health information management professional selecting billing codes at the conclusion of an encounter based on the review of the record, clinical data generates the claims data via mapping. Efficiencies and management challenges result.

  1. Assessment methods for solid waste management: A literature review.

    Science.gov (United States)

    Allesch, Astrid; Brunner, Paul H

    2014-06-01

    Assessment methods are common tools to support decisions regarding waste management. The objective of this review article is to provide guidance for the selection of appropriate evaluation methods. For this purpose, frequently used assessment methods are reviewed, categorised, and summarised. In total, 151 studies have been considered in view of their goals, methodologies, systems investigated, and results regarding economic, environmental, and social issues. A goal shared by all studies is the support of stakeholders. Most studies are based on life cycle assessments, multi-criteria-decision-making, cost-benefit analysis, risk assessments, and benchmarking. Approximately 40% of the reviewed articles are life cycle assessment-based; and more than 50% apply scenario analysis to identify the best waste management options. Most studies focus on municipal solid waste and consider specific environmental loadings. Economic aspects are considered by approximately 50% of the studies, and only a small number evaluate social aspects. The choice of system elements and boundaries varies significantly among the studies; thus, assessment results are sometimes contradictory. Based on the results of this review, we recommend the following considerations when assessing waste management systems: (i) a mass balance approach based on a rigid input-output analysis of the entire system, (ii) a goal-oriented evaluation of the results of the mass balance, which takes into account the intended waste management objectives; and (iii) a transparent and reproducible presentation of the methodology, data, and results.

  2. 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.

  3. Functional assessment of transplanted kidneys with magnetic resonance imaging.

    Science.gov (United States)

    Wang, Yu-Ting; Li, Ying-Chun; Yin, Long-Lin; Pu, Hong; Chen, Jia-Yuan

    2015-10-28

    Kidney transplantation has emerged as the treatment of choice for many patients with end-stage renal disease, which is a significant cause of morbidity and mortality. Given the shortage of clinically available donor kidneys and the significant incidence of allograft dysfunction, a noninvasive and accurate assessment of the allograft renal function is critical for postoperative management. Prompt diagnosis of graft dysfunction facilitates clinical intervention of kidneys with salvageable function. New advances in magnetic resonance imaging (MRI) technology have enabled the calculation of various renal parameters that were previously not feasible to measure noninvasively. Diffusion-weighted imaging provides information on renal diffusion and perfusion simultaneously, with quantification by the apparent diffusion coefficient, the decrease of which reflects renal function impairment. Diffusion-tensor imaging accounts for the directionality of molecular motion and measures fractional anisotropy of the kidneys. Blood oxygen level-dependent MR evaluates intrarenal oxygen bioavailability, generating the parameter of R2* (reflecting the concentration of deoxyhemoglobin). A decrease in R2* could happen during acute rejection. MR nephro-urography/renography demonstrates structural data depicting urinary tract obstructions and functional data regarding the glomerular filtration and blood flow. MR angiography details the transplant vasculature and is particularly suitable for detecting vascular complications, with good correlation with digital subtraction angiography. Other functional MRI technologies, such as arterial spin labeling and MR spectroscopy, are showing additional promise. This review highlights MRI as a comprehensive modality to diagnose a variety of etiologies of graft dysfunction, including prerenal (e.g., renal vasculature), renal (intrinsic causes) and postrenal (e.g., obstruction of the collecting system) etiologies.

  4. Functional assessment of transplanted kidneys with magnetic resonance imaging

    Institute of Scientific and Technical Information of China (English)

    Yu-Ting; Wang; Ying-Chun; Li; Long-Lin; Yin; Hong; Pu; Jia-Yuan; Chen

    2015-01-01

    Kidney transplantation has emerged as the treatment of choice for many patients with end-stage renal disease, which is a significant cause of morbidity and mortality. Given the shortage of clinically available donor kidneys and the significant incidence of allograft dysfunction, a noninvasive and accurate assessment of the allograft renal function is critical for postoperative management. Prompt diagnosis of graft dysfunction facilitates clinical intervention of kidneys with salvageable function. New advances in magnetic resonance imaging(MRI) technology have enabled the calculation of various renal parameters that were previously not feasible to measure noninvasively. Diffusion-weighted imaging provides information on renal diffusion and perfusion simultaneously, with quantification by the apparent diffusion coefficient, the decrease of which reflects renal function impairment. Diffusion-tensor imaging accounts for the directionality of molecular motion and measures fractional anisotropy of the kidneys. Blood oxygen level-dependent MR evaluates intrarenal oxygen bioavailability, generating the parameter of R2*(reflecting the concentration of deoxyhemoglobin). A decrease in R2* could happen during acute rejection. MR nephro-urography/renography demonstrates structural data depicting urinary tract obstructions and functional data regarding the glomerular filtration and blood flow. MR angiography details the transplant vasculature and is particularly suitable for detecting vascular complications, with good correlation with digital subtraction angiography. Other functional MRI technologies, such as arterial spin labeling and MR spectroscopy, are showing additional promise. This review highlights MRI as a comprehensive modality to diagnose a variety of etiologies of graft dysfunction, including prerenal(e.g., renal vasculature), renal(intrinsic causes) and postrenal(e.g., obstruction of the collecting system) etiologies.

  5. Viscoelastic assessment of anal canal function using acoustic reflectometry

    DEFF Research Database (Denmark)

    Mitchell, Peter J; Klarskov, Niels; Telford, Karen J;

    2012-01-01

    Anal acoustic reflectometry is a new reproducible technique that allows a viscoelastic assessment of anal canal function. Five new variables reflecting anal canal function are measured: the opening and closing pressure, opening and closing elastance, and hysteresis.......Anal acoustic reflectometry is a new reproducible technique that allows a viscoelastic assessment of anal canal function. Five new variables reflecting anal canal function are measured: the opening and closing pressure, opening and closing elastance, and hysteresis....

  6. The Role of the Basis Set: Assessing Density Functional Theory

    CERN Document Server

    Boese, A D; Handy, N C; Martin, Jan M. L.; Handy, Nicholas C.

    2003-01-01

    When developing and assessing density functional theory methods, a finite basis set is usually employed. In most cases, however, the issue of basis set dependency is neglected. Here, we assess several basis sets and functionals. In addition, the dependency of the semiempirical fits to a given basis set for a generalised gradient approximation and a hybrid functional is investigated. The resulting functionals are then tested for other basis sets, evaluating their errors and transferability.

  7. Difficult asthma: assessment and management, Part 2.

    Science.gov (United States)

    Fanta, Christopher H; Long, Aidan A

    2012-01-01

    Patients with severe asthma have considerable morbidity related to their asthma and are at risk for serious, life-threatening exacerbations. Their management requires an intensive and comprehensive approach, including attention to reducing exposure to environmental inciters of airway inflammation and triggers of symptoms, patient education (including an asthma action plan), and opportunity for close patient-provider communication. Approved medical options include the lipoxygenase inhibitor, zileuton; the anti-immunoglobulin E monoclonal antibody, omalizumab; and bronchial thermoplasty. Nonapproved interventions of potential benefit are ultrahigh-dose inhaled corticosteroids, anticholinergic bronchodilators (tiotropium), macrolide antibiotics, and vitamin D supplementation for the vitamin D-deficient patient. Potentially toxic, "steroid-sparing" therapies such as methotrexate, cyclosporine, and etanercept are best reserved for patients participating in clinical trials. Recognition of specific subtypes of patients with therapy-resistant asthma permits more targeted treatment approaches, such as for aspirin-sensitive asthma, persistent eosinophilic asthma, asthma complicated by allergic bronchopulmonary aspergillosis, asthma with persistent airflow obstruction, and asthma with life-threatening (near fatal) asthmatic attacks. Novel therapies based on an improved understanding of the pathobiology of therapy-resistant asthma are greatly needed.

  8. 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.

  9. Restoration of landscape function: Reserves or active management?

    Science.gov (United States)

    A.B. Carey

    2003-01-01

    A 20-year program of research suggests that old-growth forests are ecologically unique and highly valued by people, that naturally young forests with legacies from old forests sustain many, if not all, the higher organisms associated with old growth, but that many managed forests are impoverished in species. Thus, restoring landscape function entails restoring function...

  10. [Scintigraphic assessment of function in renal dystopia].

    Science.gov (United States)

    Pilgrim, S

    1998-06-01

    In patients with renal dystopia radionuclide urography in commonly used technique may yield inaccurate results concerning split renal function. In a case of unilateral pelvic kidney a simple strategy to avoid this methodical error is demonstrated.

  11. Assessing maturity development of purchasing management in construction

    NARCIS (Netherlands)

    Lith, Jan; Voordijk, Johannes T.; Matos Castano, Julieta; Vos, Bart

    2015-01-01

    Purpose – Prime contractors spent a substantial part of their turnover on purchasing. The management of the purchasing function therefore has a large influence on the overall performance of a prime contractor. The more developed the purchasing function is, the greater its contribution to success of

  12. Assessing maturity development of purchasing management in construction

    NARCIS (Netherlands)

    Lith, Jan; Voordijk, Hans; Matos Castano, Julieta; Vos, Bart

    2015-01-01

    Purpose – Prime contractors spent a substantial part of their turnover on purchasing. The management of the purchasing function therefore has a large influence on the overall performance of a prime contractor. The more developed the purchasing function is, the greater its contribution to success of

  13. Functional assessment in mental health: lessons from occupational therapy

    Science.gov (United States)

    Rogers, Joan C.; Holm, Margo B.

    2016-01-01

    Occupational therapists have been conducting functional assessments since World War I, and this accumulated experience has taught us several critical lessons. First, a comprehensive profile of a patient's functioning requires multiple assessment methods. Second, assessment content and measurement constructs must change with the times. Third, technology can enhance and extend functional assessment. Fourth, performance-based assessments of everyday activities can also be used to measure body functions/impairments. However, while deconstructing activities into body functions/impairments is possible, the results do not reflect patients' abilities to integrate the cognitive, motor, sensory and affective functions necessary to complete a complex activity. Finally, the differential complexity of everyday activities that a patient can master or successfully complete can also provide a ruler with which to measure progress. PMID:27489454

  14. Functional assessment in mental health: lessons from occupational therapy.

    Science.gov (United States)

    Rogers, Joan C; Holm, Margo B

    2016-06-01

    Occupational therapists have been conducting functional assessments since World War I, and this accumulated experience has taught us several critical lessons. First, a comprehensive profile of a patient's functioning requires multiple assessment methods. Second, assessment content and measurement constructs must change with the times. Third, technology can enhance and extend functional assessment. Fourth, performance-based assessments of everyday activities can also be used to measure body functions/impairments. However, while deconstructing activities into body functions/impairments is possible, the results do not reflect patients' abilities to integrate the cognitive, motor, sensory and affective functions necessary to complete a complex activity. Finally, the differential complexity of everyday activities that a patient can master or successfully complete can also provide a ruler with which to measure progress.

  15. 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…

  16. 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…

  17. Systematic review of sexual function and satisfaction following the management of vaginal agenesis.

    Science.gov (United States)

    McQuillan, Sarah K; Grover, Sonia R

    2014-10-01

    Historically, sexual satisfaction following the management of vaginal agenesis was assessed subjectively. Standardized sexual function questionnaires are being used more frequently as instruments to accurately and more objectively assess the subjective nature of sexual outcomes as part of a more holistic approach to the care of women with vaginal agenesis. Articles concerning the management of vaginal agenesis were systematically reviewed, with specific focus on those that discussed functional outcomes, sexual satisfaction and psychosomatic outcomes, and in particular attempted to measure these outcomes. A total of 6,691 articles on vaginal agenesis were identified, with 106 of these reporting sexual satisfaction and psychosomatic outcomes. Only 1 randomized control trial (RCT) was identified, the remaining articles being made up of case series or case reports. Only 17 articles used standardized objective assessment of sexual satisfaction. While the bowel technique had the longest vaginal length at 12.87 cm, it had the most number of complaints of dyspareunia (4.8%), stenosis (10.5%) and the lowest average subjective sexual satisfaction. The Davydov method used standardized sexual function assessments most frequently. This technique had a higher average score than both the bowel vaginoplasty technique in the only RCT and the Vecchietti method in a prospective assessment. Overall, the management of vaginal agenesis requires a multidisciplinary approach to fully support these patients from initial diagnosis, through management decision-making and long-term follow-up, through transition to adulthood.

  18. How do case managers spend time on their functions and activities?

    Science.gov (United States)

    You, Emily Chuanmei; Dunt, David; Doyle, Colleen

    2016-04-02

    Case management has been a widely accepted approach to practice in various care settings. This study aimed to explore how community aged care case managers allocated their time to case management functions, how frequently they performed specific case management activities, and what factors influenced the frequency of their activities. The study involved 154 survey participants, or 17.1% of the target case managers in the State of Victoria, Australia. Key information collected included participants' socio-demographic characteristics, proportions of time allocated to six core case management functions, and frequency ratings of 41 specific activities within seven case management functions. Ordinal regression analyses were performed to determine significant factors associated with participants' frequency ratings of their activities. Participants allocated the largest proportion of time to care coordination (22.0%), and the smallest proportion of time to outcome evaluation (8.0%). Over 70% of the participants assigned high frequency ratings to 31 of the 41 case management activities. The remaining ten activities, including all four outcome evaluation activities, three needs assessment activities, one care planning activity, one care coordination activity, and one general functions-related activity were less commonly performed very frequently. The regression analyses indicated that some case manager and client factors were significantly associated with frequency ratings of nine of the ten activities aforementioned. The two main findings of the regression analyses were: First, emphasising achieving more case management goals was significantly associated with higher frequency of three outcome evaluation activities; second, longer work experience was significantly associated with higher frequency of one care coordination activity and one outcome evaluation activity. The frequent performance of most case management activities and relative absence of factors influencing their

  19. Functionality Assessment of Ecodesign Support System

    Directory of Open Access Journals (Sweden)

    Dostatni Ewa

    2015-02-01

    Full Text Available In the paper the issue of ecological-oriented product design is addressed. The definitions that concern product design are listed and the factors that make them important for the manufacturers are indicated. The method of ecological-oriented product assessment during the design process (implemented in the 3D CAD system, drawn-up by authors, is used for the analysis. The assessment of real household appliance using the method is presented and the conclusions from the evaluation are drawn.

  20. 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 tes

  1. CROSS-FUNCTIONAL MANAGEMENT – EFFECTIVE ORGANIZATION FORM OF ENTERPRISES

    OpenAIRE

    2012-01-01

    Today, cross-functional management is a challenging research topic given the multitude of the cross-functional organizations that are founded and whose advantages are unanimous recognized. The old hierarchical pyramid was suitable for companies a long while during the industrial era. But nowadays they are not at all seen as profitable organizations. The aim of this paper is to present the main features of the cross-functional organizations, their advantages and limits. Cooperation is also pre...

  2. Cirrhosis and malnutrition: assessment and management.

    Science.gov (United States)

    Verslype, C; Cassiman, D

    2010-01-01

    Malnutrition, characterized by protein and energy deficiency, is considered the most prevalent complication of liver disease. The pathofysiology includes reduced food intake, maldigestion and malabsorption but also avoidable iatrogenic factors, such as prescribed fasting, frequent paracenteses and "liver-diets" poor in fat and protein. Liver insufficiency corresponds to a state of accelerated starvation. The diminished glucose tolerance and low glycogen stores in cirrhotic patients result in a reduced availability of glucose as energy source. The prevalence of undernutrition depends upon the severity of the liver insufficiency and the method of nutritional assessment. The aim of the nutritional plan is to realize a sufficient oral diet which includes enough proteins and calories. Several extra calorie supplements are indicated to surmount the lack of available glucose. The evidence in support of branched chain amino acid supplements is limited. Salt intake should be moderately restricted in case of ascites. Nasogastric tube feeding is indicated when patients are unable to maintain an adequate oral intake. In case tube feeding is not possible, total parenteral nutrition may be necessary to maintain an anabolic state.

  3. 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.

  4. Analysis of Management Behavior Assessments and Affect on Productivity

    Science.gov (United States)

    2005-06-10

    associated with the affects of management behavior on employee beliefs and attitudes; include Herzberg’s Two Factor Theory , Vroom’s Expectancy and Equity...achieved, when recognized, when given additional responsibility, and when advanced in job position. Vroom’s Expectancy and Equity Theories of Motivation...degree or higher. The results of the study proved the validity of the Vroom and Yetton theory , but the employee assessments of management decision-making

  5. 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.

  6. 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...

  7. Longitudinal Outcomes of Functional Behavioral Assessment--Based Intervention

    Science.gov (United States)

    Kern, Lee; Gallagher, Patricia; Starosta, Kristin; Hickman, Wesley; George, Michael

    2006-01-01

    A critical measure of intervention effectiveness is durability over time. Still, few studies have examined the long-term outcomes of support derived from a functional behavioral assessment as well as enablers and barriers that contribute to or impede successful outcomes. In the current study, a functional behavioral assessment was conducted with a…

  8. 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.

  9. Methodology for assessing performance of waste management systems

    Energy Technology Data Exchange (ETDEWEB)

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

    1988-01-01

    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. The methodology described is designed to review the entire waste management system, assess its performance, ensure that the performance objectives are met, compare different LLW management alternatives, and select the optimal alternative. The methodology is based on decision analysis approach, in which costs and risk are considered for various LLW management alternatives, a comparison of costs, risks, and benefits is made, and an optimal system is selected which minimizes costs and risks and maximizes benefits. A ''zoom-lens'' approach is suggested, i.e., one begins by looking at gross features and gradually proceeds to more and more detail. Performance assessment requires certain information about the characteristics of the waste streams and about the various components of the waste management system. Waste acceptance criteria must be known for each component of the waste management system. Performance assessment for each component requires data about properties of the waste streams and operational and design characteristics of the processing or disposal components. 34 refs., 2 figs., 1 tab.

  10. The social function of technology assessment

    Science.gov (United States)

    Huddle, F. P.

    1972-01-01

    The problem of preserving the uneasy balance between a dynamic society and the equilibrium of man-environment society is discussed. Four sets of activities involved in technology assessment are considered: (1) Technology forecasting is necessary to warn of future dangers and opportunities, for effective timing, and to identify tradeoffs and alternatives. But forecasting is also chancy at best. (2) Social indicators need to be developed for the characterization of social status and measurement of social progress, as well as a better understanding of social needs. (3) With respect to technology assessment, the conflict between profitable directions of innovations and socially desirable directions is described, and a systematic way is needed to determine in advance what is technologically feasible to meet social needs. (4) National goals with respect to scientific and technological developments are also required.

  11. Performance Appraisal-Management by Objective and Assessment Centre

    Directory of Open Access Journals (Sweden)

    Kai-Ping Huang

    2011-01-01

    Full Text Available Problem statement: Two methods for performance appraisal that are discussed in this study and they are Management By Objective (MBO and Assessment Centre techniques. Employees are appraised for several reasons, the most important of which is to realize the best use of human resources and to plan for future needs; reward and punishment are secondary. Assessment Centre evaluation or appraisal is valuable because it allows a candidate to concentrate on the task at hand. Approach: The literature review and arguments were conducted to provide a systematic discussion of the study. Results: In Management by Objective performance appraisal, employees are obliged to deal with overcoming empirical challenges. In Assessment Centre Appraisal, the different outcomes for particular tasks can be evaluated and management can assess employees relative proficiencies in terms of these tasks. In both forms, consistency in criteria is crucial, for purposes of comparison and standardization. Where comparisons are made with other employees, the criteria need to be parallel for employees at similar levels of responsibility. Conclusion: Differences between organizational cultures will impact on the way that assessment results are received under MBO performance appraisal as well. The outcomes that employees achieve in the tasks provided for appraisal purposes may involve different levels of risk, even within firm guidelines. In the assessment centre, the candidate is separated from colleagues. To make comparative rating assessments, effective MBO will incorporate objective criteria. At times, MBO will be useful in judging change over time for employees performing fairly routine work.

  12. Assessing quality management in an R and D environment

    Energy Technology Data Exchange (ETDEWEB)

    Thompson, B.D.

    1998-02-01

    Los Alamos National Laboratory (LANL) is a premier research and development institution operated by the University of California for the US Department of Energy. Since 1991, LANL has pursued a heightened commitment to developing world-class quality in management and operations. In 1994 LANL adopted the Malcolm Baldrige National Quality Award criteria as a framework for all activities and initiated more formalized customer focus and quality management. Five measurement systems drive the current integration of quality efforts: an annual Baldrige-based assessment, a customer focus program, customer-driven performance measurement, an employee performance management system and annual employee surveys, and integrated planning processes with associated goals and measures.

  13. 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...

  14. A terror management analysis of the psychological functions of religion.

    Science.gov (United States)

    Vail, Kenneth E; Rothschild, Zachary K; Weise, Dave R; Solomon, Sheldon; Pyszczynski, Tom; Greenberg, Jeff

    2010-02-01

    From a terror management theory (TMT) perspective, religion serves to manage the potential terror engendered by the uniquely human awareness of death by affording a sense of psychological security and hope of immortality. Although secular beliefs can also serve a terror management function, religious beliefs are particularly well suited to mitigate death anxiety because they are all encompassing, rely on concepts that are not easily disconfirmed, and promise literal immortality. Research is reviewed demonstrating that mortality salience produces increased belief in afterlife, supernatural agency, human ascension from nature, and spiritual distinctions between mind and body. The social costs and benefits of religious beliefs are considered and compared to those of secular worldviews. The terror management functions of, and benefits and costs associated with, different types of religious orientation, such as intrinsic religiosity, quest, and religious fundamentalism, are then examined. Finally, the TMT analysis is compared to other accounts of religion.

  15. Assessing infant suck dysfunction: case management.

    Science.gov (United States)

    Marmet, C; Shell, E; Aldana, S

    2000-11-01

    Based on this more thorough assessment, the lactation consultant may be able to identify all of the factors contributing to this complex case. In some situations, her skilled interventions will suffice once the underlying problem is addressed. Occasionally, she will identify a factor that falls outside of her area of expertise; when this happens, she must make the appropriate referrals. For example, a referral to a physician for a frenotomy or suspected neurological or other medical problem is appropriate. It is clear that because Baby E's problems were not resolved after 6 weeks of concerned effort, something was missed. It would certainly be appropriate for the lactation consultant to refer the dyad to another lactation consultant who has more expertise in handling clinically challenging breastfeeding problems. If possible, the referring lactation consultant should accompany the dyad so that she can improve her clinical skills. Assuming Baby E does not have underlying medical problems, the most likely causes of Baby E's difficulties are anatomical variation and/or sucking dysfunction. Because the baby is so fussy, it also would be wise to consider the possibility of allergies or food tolerance. Our first rule is " Feed the baby." The second rule is " Correct or work on correcting the problem or problems." Our goal is to achieve exclusive breastfeeding or as close an approximation as possible. We almost never give up on this goal, but we do educate the mother and work professionally with her choices. Until the baby is breastfeeding well, the lactation consultant will probably need to instruct the mother to continue using a pump ( preferably a hospital-grade, electric, bilateral pump). The mother should use the pump physiologically, pumping as many times a day as the baby would breastfeed. As soon as the situation improves, the mother should be instructed to wean gradually from the pump and any other breastfeeding equipment she is using. The goal should always be

  16. 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.

  17. Robot-aided assessment of lower extremity functions: a review

    NARCIS (Netherlands)

    Maggioni, S.; Melendez-Calderon, A.; Asseldonk, van E.H.F.; Klamroth-Marganska, V.; Lünenburger, L.; Riener, R.; Kooij, van der H.

    2016-01-01

    The assessment of sensorimotor functions is extremely important to understand the health status of a patient and its change over time. Assessments are necessary to plan and adjust the therapy in order to maximize the chances of individual recovery. Nowadays, however, assessments are seldom used in c

  18. 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.

  19. 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.

  20. Understanding older patients' self-management abilities: functional loss, self-management, and well-being.

    Science.gov (United States)

    Cramm, J M; Hartgerink, J M; Steyerberg, E W; Bakker, T J; Mackenbach, J P; Nieboer, A P

    2013-02-01

    This study aimed to increase our understanding of self-management abilities and identify better self-managers among older individuals. Our cross-sectional research was based on a pilot study of older people who had recently been admitted to a hospital. In the pilot study, all patients (>65 years of age) who were admitted to the Vlietland hospital between June and October 2010 were asked to participate, which led to the inclusion of 456 older patients at baseline. A total of 296 patients (65% response rate) were interviewed in their homes 3 months after admission. Measures included social, cognitive, and physical functioning, self-management abilities, and well-being. We used descriptive, correlations, and multiple regression analyses. In addition, we evaluated the mediation effect of self-management abilities on well-being. Social, cognitive, and physical functioning significantly correlated with self-management abilities and well-being (all p ≤ 0.001). After controlling for background characteristics, multiple regression analysis indicated that social, cognitive, and physical functioning still related to self-management abilities (β = 0.17-0.25; all p ≤ 0.001). Older people with low levels of social, cognitive, and physical functioning were worse self-managers than were those with higher levels of functioning. Self-management abilities mediate the relationship between social, cognitive, and physical functioning and well-being. Interventions to improve self-management abilities may help older people better deal with function losses as they age further.

  1. Treatment assessment of radiotherapy using MR functional quantitative imaging

    Institute of Scientific and Technical Information of China (English)

    Zheng; Chang; Chunhao; Wang

    2015-01-01

    Recent developments in magnetic resonance(MR) functional quantitative imaging have made it a potentially powerful tool to assess treatment response in radiation therapy. With its abilities to capture functional information on underlying tissue characteristics, MR functional quantitative imaging can be valuable in assessing treatment response and as such to optimize therapeutic outcome. Various MR quantitative imaging techniques, including diffusion weighted imaging, diffusion tensor imaging, MR spectroscopy and dynamic contrastenhanced imaging, have been investigated and found useful for assessment of radiotherapy. However, various aspects including data reproducibility, interpretation of biomarkers, image quality and data analysis impose challenges on applications of MR functional quantitative imaging in radiotherapy assessment. All of these challenging issues shall be addressed to help us understand whether MR functional quantitative imaging is truly beneficial and contributes to future development of radiotherapy. It is evident that individualized therapy is the future direction of patient care. MR functional quantitative imaging might serves as an indispensable tool towards this promising direction.

  2. Ductal carcinoma in situ - update on risk assessment and management.

    Science.gov (United States)

    Pang, Jia-Min B; Gorringe, Kylie L; Fox, Stephen B

    2016-01-01

    Ductal carcinoma in situ (DCIS) accounts for ~20-25% of breast cancers. While DCIS is not life-threatening, it may progress to invasive carcinoma over time, and treatment intended to prevent invasive progression may itself cause significant morbidity. Accurate risk assessment is therefore necessary to avoid over- or undertreatment of an individual patient. In this review we will outline the evidence for current management of DCIS, discuss approaches to DCIS risk assessment and challenges facing identification of novel DCIS biomarkers.

  3. Texas Christian University (TCU) Short Forms for Assessing Client Needs and Functioning in Addiction Treatment

    Science.gov (United States)

    Simpson, D. Dwayne; Joe, George W.; Knight, Kevin; Rowan-Szal, Grace A.; Gray, Julie S.

    2012-01-01

    The TCU Short Forms contain a revised and expanded set of assessments for planning and managing addiction treatment services. They are formatted as brief (one-page) forms to measure client needs and functioning, including drug use severity and history (TCUDS II), criminal thinking and cognitive orientation (CTSForm), motivation and readiness for…

  4. 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.

  5. Functional criteria for assessing pointe-readiness.

    Science.gov (United States)

    Richardson, Megan; Liederbach, Marijeanne; Sandow, Emily

    2010-01-01

    The most popular criterion cited in the dance literature for advancement to pointe work is attainment of the chronological age of 12 years. However, dancers at this age vary greatly in terms of musculoskeletal maturity and motor skill development. The purpose of this study was to investigate whether objective, functional tests could be used in conjunction with dance teacher expertise to determine pointe-readiness. It was hypothesized that dynamic tests of motor control can better indicate pointe-readiness than chronological age alone or in combination with static musculoskeletal measurements. Thirty-seven pre-pointe students from two professional ballet schools were tested for muscular strength, ankle joint range of motion, single leg standing balance, dynamic alignment, and turning skill. In addition, the participating students' ballet teachers independently graded each student on her readiness to begin dancing en pointe. Performance on three functional tests (the Airplane test, Sauté test, and Topple test) was closely associated with teacher subjective rating for pointe-readiness. It is concluded that these tests may be more useful for gauging acquisition of the skills required for safe and successful performance than the traditionally accepted indicators of chronological age, years of dance training, and ankle joint range of motion.

  6. 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.

  7. Assessing thalamocortical functional connectivity with Granger causality.

    Science.gov (United States)

    Chen, Cheng; Maybhate, Anil; Israel, David; Thakor, Nitish V; Jia, Xiaofeng

    2013-09-01

    Assessment of network connectivity across multiple brain regions is critical to understanding the mechanisms underlying various neurological disorders. Conventional methods for assessing dynamic interactions include cross-correlation and coherence analysis. However, these methods do not reveal the direction of information flow, which is important for studying the highly directional neurological system. Granger causality (GC) analysis can characterize the directional influences between two systems. We tested GC analysis for its capability to capture directional interactions within both simulated and in vivo neural networks. The simulated networks consisted of Hindmarsh-Rose neurons; GC analysis was used to estimate the causal influences between two model networks. Our analysis successfully detected asymmetrical interactions between these networks ( , t -test). Next, we characterized the relationship between the "electrical synaptic strength" in the model networks and interactions estimated by GC analysis. We demonstrated the novel application of GC to monitor interactions between thalamic and cortical neurons following ischemia induced brain injury in a rat model of cardiac arrest (CA). We observed that during the post-CA acute period the GC interactions from the thalamus to the cortex were consistently higher than those from the cortex to the thalamus ( 1.983±0.278 times higher, p = 0.021). In addition, the dynamics of GC interactions between the thalamus and the cortex were frequency dependent. Our study demonstrated the feasibility of GC to monitor the dynamics of thalamocortical interactions after a global nervous system injury such as CA-induced ischemia, and offers preferred alternative applications in characterizing other inter-regional interactions in an injured brain.

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

    Directory of Open Access Journals (Sweden)

    Eduard Interwies

    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.

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

    African Journals Online (AJOL)

    This paper on assessment of supply Chain Management (SCM) in Effective ... in information technology (I.T), ineffective communication and diverse objective ... to 0.69 for Human Resource supply chain which is the least on the list involving ...

  10. 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…

  11. Assessment of a Planned Municipal Solid Waste Management ...

    African Journals Online (AJOL)

    Assessment of a Planned Municipal Solid Waste Management System in Sri Lanka. ... is still not in a successful mode due to limitations and environmental failures in their ... This study was conducted for the MSWM practices of Balangoda Urban ... among community; and a series of formal interviews with major stakeholders.

  12. Risk assessment and management of new and existing chemicals

    NARCIS (Netherlands)

    Leeuwen, C.J. van; Bro-Rasmussen, F.; Feijtel, T.C.J.; Arndt, R.; Bussian, B.M.; Calamari, D.; Glynn, P.; Grandy, N.J.; Hansen, B.; Hemmen, J.J.van; Hurst, P.; King, N.; Koch, R.; Müller, M.; Solbé, J.F.; Speijers, G.A.B.; Vermeire, T.

    1996-01-01

    An evaluation was made of the recently developed risk assessment methodologies for new and existing chemicals in the European Communities. The evaluation also included the methodologies to prioritize chemicals and procedures for risk management, i.e., the (draft) guidance document for the developmen

  13. 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…

  14. 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…

  15. 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…

  16. Assessment and management of patients with acute red eye.

    Science.gov (United States)

    Watkinson, Sue

    2013-06-01

    This article provides an overview of the role of the nurse in the assessment and management of five ocular conditions that give rise to an acute red eye in older people. The conditions discussed are acute closed angle glaucoma, acute iritis, acute conjunctivitis, herpes zoster ophthalmicus and bacterial corneal ulcer.

  17. How social impact assessment can contribute to conflict management

    NARCIS (Netherlands)

    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 c

  18. 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 ...

  19. 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...

  20. An Assessment of Ohio's Education Management Information System.

    Science.gov (United States)

    Ohio State Legislative Office of Education Oversight, Columbus.

    The Legislative Office of Education Oversight (LOEO) assessed the planning and implementation of Ohios Education Management Information System (EMIS). The EMIS was mandated in 1989 as a provision of one of the most comprehensive educational reform bills ever passed in Ohio. The EMIS was developed based on an existing computer network, the Ohio…

  1. 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,…

  2. 75 FR 4098 - Section 8 Management Assessment Program (SEMAP) Certification

    Science.gov (United States)

    2010-01-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Section 8 Management Assessment Program (SEMAP) Certification AGENCY: Office of the... Program (SEMAP) Certification. OMB Approval Number: 2577-0215. Form Numbers: HUD-52648. Description of...

  3. Assessing and managing freshwater ecosystems vulnerable to environmental change.

    Science.gov (United States)

    Angeler, David G; Allen, Craig R; Birgé, 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.

  4. 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

  5. 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.

  6. 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.

  7. Increasing fisheries management options with a flexible cost function

    DEFF Research Database (Denmark)

    Marchal, P.; Horwood, J.

    1998-01-01

    This study proposes a dynamic control of fisheries by fishing effort, calculated so as to optimize a novel cost function, over a long period of management, based upon an example of the exploitation of the Celtic Sea cod. This cost function is a flexible weighed compromise between: (i) minimizing......) is zero, the optimization of the cost function usually results in a non- linear divergent control, which is an artefact related to the choice of the length of the management period. (C) 1998 International Council for the Exploration of the Sea....... of fishing effort towards the agreed long-term target, a decrease in short-term yields, and an increase in long-term yields. When the weight attached to (iii) is non-zero, the optimization of the cost function provides a non-oscillatory, convergent, and near-linear control. When the weight attached to (iii...

  8. Using soil functional indices to assess wildfire impact

    Science.gov (United States)

    López-Poma, Rosario; Mayor, Ángeles G.; Bautista, Susana

    2014-05-01

    Disturbance impact on ecosystem are often based on functional indicators, which provide integrated and yet simple and affordable measures of key ecosystem functions. In this work, we studied the amount of change (resistance) and the recovery (resilience) of soil functions after fire as a function of vegetation type for a variety of Mediterranean shrublands. We used the Landscape Functional Analysis methodology to assess soil stability, water infiltration, and nutrient cycling functions for different types of vegetation patches and for bare-soil interpatches in repeatedly burned shrubland communities two weeks before, and two and nine months after experimental fires. We assessed the impact of fire on soil functions using resistance and resilience indices. The resistance and resilience of soil surface functions to fire was mediated by vegetation traits associated to the fuel structure and the post-fire regenerative strategy of the species. Resistance was higher in vegetation patches that accumulated low contents of fine dead fuel, whereas resilience was higher in patches of resprouter species. The variation in resistance and resilience of soil functions to fire in Mediterranean shrublands depends greatly on variation in fire-related plant structural and functional traits. Although originally designed for the assessment of dryland ecosystems LFA has proved to have great potential for the assessment of the soil functional status of recently burned areas.

  9. Assessing integrated pest management adoption: measurement problems and policy implications.

    Science.gov (United States)

    Puente, Molly; Darnall, Nicole; Forkner, Rebecca E

    2011-11-01

    For more than a decade, the U.S. government has promoted integrated pest management (IPM) to advance sustainable agriculture. However, the usefulness of this practice has been questioned because of lagging implementation. There are at least two plausible rationales for the slow implementation: (1) growers are not adopting IPM-for whatever reason-and (2) current assessment methods are inadequate at assessing IPM implementation. Our research addresses the second plausibility. We suggest that the traditional approach to measuring IPM implementation on its own fails to assess the distinct, biologically hierarchical components of IPM, and instead aggregates growers' management practices into an overall adoption score. Knowledge of these distinct components and the extent to which they are implemented can inform government officials as to how they should develop targeted assistance programs to encourage broader IPM use. We address these concerns by assessing the components of IPM adoption and comparing our method to the traditional approach alone. Our results indicate that there are four distinct components of adoption-weed, insect, general, and ecosystem management-and that growers implement the first two components significantly more often than the latter two. These findings suggest that using a more nuanced measure to assess IPM adoption that expands on the traditional approach, allows for a better understanding of the degree of IPM implementation.

  10. Brain function assessment in different conscious states.

    Science.gov (United States)

    Ozgoren, Murat; Bayazit, Onur; Kocaaslan, Sibel; Gokmen, Necati; Oniz, Adile

    2010-06-03

    The study of brain functioning is a major challenge in neuroscience fields as human brain has a dynamic and ever changing information processing. Case is worsened with conditions where brain undergoes major changes in so-called different conscious states. Even though the exact definition of consciousness is a hard one, there are certain conditions where the descriptions have reached a consensus. The sleep and the anesthesia are different conditions which are separable from each other and also from wakefulness. The aim of our group has been to tackle the issue of brain functioning with setting up similar research conditions for these three conscious states. In order to achieve this goal we have designed an auditory stimulation battery with changing conditions to be recorded during a 40 channel EEG polygraph (Nuamps) session. The stimuli (modified mismatch, auditory evoked etc.) have been administered both in the operation room and the sleep lab via Embedded Interactive Stimulus Unit which was developed in our lab. The overall study has provided some results for three domains of consciousness. In order to be able to monitor the changes we have incorporated Bispectral Index Monitoring to both sleep and anesthesia conditions. The first stage results have provided a basic understanding in these altered states such that auditory stimuli have been successfully processed in both light and deep sleep stages. The anesthesia provides a sudden change in brain responsiveness; therefore a dosage dependent anesthetic administration has proved to be useful. The auditory processing was exemplified targeting N1 wave, with a thorough analysis from spectrogram to sLORETA. The frequency components were observed to be shifting throughout the stages. The propofol administration and the deeper sleep stages both resulted in the decreasing of N1 component. The sLORETA revealed similar activity at BA7 in sleep (BIS 70) and target propofol concentration of 1.2 microg/mL. The current study

  11. Comparative Assessment of Stormwater and Nonpoint Source Pollution Best Management Practices in Suburban Watershed Management

    Directory of Open Access Journals (Sweden)

    Zeyuan Qiu

    2013-03-01

    Full Text Available Nonpoint source pollution control and stormwater management are two objectives in managing mixed land use watersheds like those in New Jersey. Various best management practices (BMPs have been developed and implemented to achieve both objectives. This study assesses the cost-effectiveness of selected BMPs for agricultural nonpoint source pollution control and stormwater management in the Neshanic River watershed, a typical mixed land use watershed in central New Jersey, USA. The selected BMPs for nonpoint source pollution control include cover crops, prescribed grazing, livestock access control, contour farming, nutrient management, and conservation buffers. The selected BMPs for stormwater management are rain gardens, roadside ditch retrofitting, and detention basin retrofitting. Cost-effectiveness is measured by the reduction in pollutant loads in total suspended solids and total phosphorus relative to the total costs of implementing the selected BMPs. The pollution load reductions for these BMPs are based on the total pollutant loads in the watershed simulated by the Soil and Water Assessment Tool and achievable pollutant reduction rates. The total implementation cost includes BMP installation and maintenance costs. The assessment results indicate that the BMPs for the nonpoint source pollution control are generally much more cost-effective in improving water quality than the BMPs for stormwater management.

  12. 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.

  13. Procedure for assessing visual quality for landscape planning and management

    Science.gov (United States)

    Gimblett, H. Randal; Fitzgibbon, John E.; Bechard, Kevin P.; Wightman, J. A.; Itami, Robert M.

    1987-07-01

    Incorporation of aesthetic considerations in the process of landscape planning and development has frequently met with poor results due to its lack of theoretical basis, public involvement, and failure to deal with spatial implications. This problem has been especially evident when dealing with large areas, for example, the Adirondacks, Scenic Highways, and National Forests and Parks. This study made use of public participation to evaluate scenic quality in a portion of the Niagara Escarpment in Southern Ontario, Canada. The results of this study were analyzed using the visual management model proposed by Brown and Itami (1982) as a means of assessing and evaluating scenic quality. The map analysis package formulated by Tomlin (1980) was then applied to this assessment for the purpose of spatial mapping of visual impact. The results of this study illustrate that it is possible to assess visual quality for landscape/management, preservation, and protection using a theoretical basis, public participation, and a systematic spatial mapping process.

  14. Assessment of vestibular function by videonystagmoscopy.

    Science.gov (United States)

    Vitte, E; Sémont, A

    1995-01-01

    Videonystagmoscopy has been used to subjectively observe the responses of the vestibular system in a population of patients with vestibular deficits. These results were compared with those of a control group of healthy, age-matched volunteers. The videonystagmoscopy device is made of one or two CCD cameras mounted on lightproof goggles, allowing a subjective observation of ocular movements on a video monitor. The eye movements, as well as the position of the head in space, can be recorded on videotape. The eyes are illuminated by infrared light emitting diodes placed on each side of the camera lens. The subjects are seated on a manually driven Barany chair. Subjects went through a protocol of passive roll head tilt on each side, followed by a slow, whole body rotation of 180 degrees amplitude, clockwise and counterclockwise, and then a head shaking test (HST). The eyes were subjectively observed, and we focussed on: torsional eye movements during head tilt, nystagmus when the rotation had stopped, and nystagmus induced by HST. With this simple and noninvasive examining procedure, screening of vestibular function at the bedside or during E.N.T. clinical investigations is possible.

  15. 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

  16. 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

  17. 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.

  18. Functional Aphonia in the Child and Adolescent: Therapeutic Management.

    Science.gov (United States)

    Murray, Sharon L.; And Others

    1983-01-01

    Five cases of adolescents with functional aphonia (lack of speech despite normally appearing vocal chords) are presented. Therapeutic management is described which followed the symptomatic voice therapy approach. A consistent theme for four of the adolescents was stressful family environment, academic failure, and inadequate peer support.…

  19. Differential Item Functioning on the Graduate Management Admission Test.

    Science.gov (United States)

    O'Neill, Kathleen A.; And Others

    The purpose of this study was to identify differentially functioning items on operational administrations of the Graduate Management Admission Test (GMAT) through the use of the Mantel-Haenszel statistic. Retrospective analyses of data collected over 3 years are reported for black/white and female/male comparisons for the Verbal and Quantitative…

  20. Integrated environmental and economic assessment of waste management systems

    DEFF Research Database (Denmark)

    Martinez Sanchez, Veronica

    The Solid Waste Management (SWM) sector has evolved from a simple control of emissions towards a resource recovery sector while still being constrained by strict emission regulations. For that waste authorities are paying increased attention to the waste hierarchy as a set of priorities for solid....... However, the waste hierarchy does not consider the local needs/conditions of each geographical area, and it cannot be used to identify sustainable SWM options by itself. Environmental impact assessment can help with this task as holistic decision-support tool. Nevertheless, waste authorities need economic...... assessment of SWM systems alongside environmental impacts assessment to take budget constrains into account. In light of the need for combined environmental and economic assessment of SWM, this PhD thesis developed a consistent and comprehensive method for integrated environmental and economic assessment...

  1. Functional vision assessment of a premature child with congenital blindness

    Directory of Open Access Journals (Sweden)

    Marcela Favilla

    2014-09-01

    Full Text Available In the program of early intervention in occupational therapy, the assessment of functional vision and infant development of children with visual impairment contributes to improve the development of their skills. The aim of this study was to present the results of the functional vision assessment of a premature child with congenital blindness and point out the importance of the findings for planning occupational therapy intervention and family orientation. The study participant was a preterm child with 6 months of corrected age and ophthalmological diagnosis of retinopathy of prematurity; she participated in the Visually Impaired Habilitation and Rehabilitation Program at a public university in the countryside of Sao Paulo state. For data collection, we used the Assessment of Functional Vision and Infant Development, an evaluation script that enables the record of children’s performance and behavior in response to different visual stimuli. We verified that, through the functional vision assessment, it is possible to learn the conditions that contribute to children’s ability to use their visual functioning and remaining sensory resources, pointing out the importance of material and environmental adaptations that favor children’s interaction with the external environment. The findings are relevant to aid in educating parents about children’s skills and understanding the different ways to encourage the use of functional vision in daily activities. Thus, the functional vision assessment of children with visual impairment is a relevant guiding parameter to complement the psychomotor development assessment in occupational therapy intervention.

  2. 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.

  3. Risk assessment and risk management for safe foods: Assessment needs inclusion of variability and uncertainty, management needs discrete decisions.

    Science.gov (United States)

    Zwietering, M H

    2015-11-20

    The introduction of relevant food safety changes in legislation, like time-temperature criteria for pasteurisation and sterilisation, microbiological criteria, HACCP and FSOs, generally took several decades. All these approaches have helped to define specific targets or systems to improve the management of food safety. More and more the measures could be related to specific efficiency in public health protection. With the use of quantitative risk assessment, theoretically the effect of all interventions on the final risk can be determined, which can help to design the appropriate controls in the food safety management system. In such an assessment in practice, however results have understandably large variability and also uncertainty. There is large variability and uncertainty in the biological parts of the assessment, the dose response (infectivity, human susceptibility) the micro-organism kinetics in the chain (growth, inactivation, stress response) and also in the more technological parts, the conditions in the chain and the consumer behaviour. Often the results of risk assessments are probability distributions of the variability in illness probability, also sometimes represented with their uncertainty. To make a link from these distributions to managerial decisions, that need to be black and white, should not be considered the job of risk managers. This link needs investment from both the assessor and the manager.

  4. 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.

  5. 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.

  6. Everyday Functioning in Huntington's Disease: A Laboratory-Based Study of Financial Management Capacity.

    Science.gov (United States)

    Sheppard, David P; Pirogovsky-Turk, Eva; Woods, Steven Paul; Holden, Heather M; Nicoll, Diane R; Filoteo, J Vincent; Corey-Bloom, Jody; Gilbert, Paul E

    2017-01-01

    One important limitation of prior studies examining functional decline in Huntington's disease (HD) has been the reliance on self-reported measures of ability. Since report-based methods can be biased by lack of insight, depression, and cognitive impairment, contrasting self-reported ability with measures that assess capacity may lead to a more comprehensive estimation of real-world functioning. The present study examined self-reported ability to perform instrumental activities of daily living (iADLs) and performance-based financial management capacity in 20 patients diagnosed with mild-moderate Huntington's disease (HD) and 20 demographically similar healthy adults. HD patients reported significantly greater declines in their ability to manage finances. On the capacity measure of financial management, HD patients performed significantly below healthy adults. Additionally, in the HD group there were no significant correlations between self-reported ability and capacity measures of financial management. HD patients endorsed declines in global iADL ability and exhibited deficits in functional capacity when performing a financial management task. Capacity measures may aid in assessing the extent to which HD patients accurately estimate real-world iADL performance, and the present findings suggest that such measures of capacity may be related to the cognitive, but not motor or affective, symptoms of HD.

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

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Developed by the U.S. Environmental Protection Agency (EPA) and affiliates for approaching stream assessment and restoration from a function-based perspective. May...

  8. 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

  9. Assessment of Diastolic Function in Congenital Heart Disease

    Science.gov (United States)

    Panesar, Dilveer Kaur; Burch, Michael

    2017-01-01

    Diastolic function is an important component of left ventricular (LV) function which is often overlooked. It can cause symptoms of heart failure in patients even in the presence of normal systolic function. The parameters used to assess diastolic function often measure flow and are affected by the loading conditions of the heart. The interpretation of diastolic function in the context of congenital heart disease requires some understanding of the effects of the lesions themselves on these parameters. Individual congenital lesions will be discussed in this paper. Recently, load-independent techniques have led to more accurate measurements of ventricular compliance and remodeling in heart disease. The combination of inflow velocities and tissue Doppler measurements can be used to estimate diastolic function and LV filling pressures. This review focuses on diastolic function and assessment in congenital heart disease.

  10. Assessment and Management of Dead-Wood Habitat

    Science.gov (United States)

    Hagar, Joan

    2007-01-01

    Introduction 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

  11. Perspective on Physical Therapist Management of Functional Constipation.

    Science.gov (United States)

    George, Susan E; Borello-France, Diane F

    2016-09-15

    Functional constipation is a common bowel disorder leading to activity restrictions and reduced health-related quality of life. Typically, this condition is initially managed with prescription of laxatives or fiber supplementation, or both. However, these interventions are often ineffective and fail to address the underlying pathophysiology and impairments contributing to this condition. Physical therapists possess the knowledge and skills to diagnose and manage a wide range of musculoskeletal and motor coordination impairments that may contribute to functional constipation. Relevant anatomic, physiologic, and behavioral contributors to functional constipation are discussed with regard to specific constipation diagnoses. A framework for physical therapist examination of impairments that can affect gastrointestinal function, including postural, respiratory, musculoskeletal, neuromuscular, and behavioral impairments, is offered. Within the context of diagnostic-specific patient cases, multifaceted interventions are described as they relate to impairments underlying functional constipation type. The current state of evidence to support these interventions and patient recommendations is summarized. This perspective article aims not only to heighten physical therapists' awareness and management of this condition but also to stimulate clinical questioning that will open avenues for future research to improve patient care.

  12. 30 CFR 227.102 - What royalty management functions will MMS not delegate?

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What royalty management functions will MMS not... MINERALS REVENUE MANAGEMENT DELEGATION TO STATES Delegation of Mms Royalty Functions § 227.102 What royalty management functions will MMS not delegate? This section lists the principal royalty management functions...

  13. The Marketplace for New Caries Management Products: Dental Caries Detection and Caries Management by Risk Assessment

    OpenAIRE

    Berg Joel H

    2006-01-01

    Abstract The number of new technologies emerging each year in the realm of dental caries management is growing at an exponential rate. Examining the patent literature, one can see that this growth rate will likely continue, with the outcome that dentistry will see an expanded growth in managing dental caries by risk assessment with medicinal therapeutic interventions. Restorative dentistry solutions, treating the results of dental caries, will continue to grow, while technologies to identify ...

  14. Digital workflow management for quality assessment in pathology.

    Science.gov (United States)

    Kalinski, Thomas; Sel, Saadettin; Hofmann, Harald; Zwönitzer, Ralf; Bernarding, Johannes; Roessner, Albert

    2008-01-01

    Information systems (IS) are well established in the multitude of departments and practices of pathology. Apart from being a collection of doctor's reports, IS can be used to organize and evaluate workflow processes. We report on such a digital workflow management using IS at the Department of Pathology, University Hospital Magdeburg, Germany, and present an evaluation of workflow data collected over a whole year. This allows us to measure workflow processes and to distinguish the effects of alterations in the workflow for quality assessment. Moreover, digital workflow management provides the basis for the integration of diagnostic virtual microscopy.

  15. Effective Utilization of Multicore Processor for Unified Threat Management Functions

    Directory of Open Access Journals (Sweden)

    Radhakrishnan Shanmugasundaram

    2012-01-01

    Full Text Available Problem statement: Multicore and multithreaded CPUs have become the new approach for increase in the performance of the processor based systems. Numerous applications benefit from use of multiple cores. Unified threat management is one such application that has multiple functions to be implemented at high speeds. Increasing performance of the system by knowing the nature of the functionality and effective utilization of multiple processors for each of the functions warrants detailed experimentation. In this study, some of the functions of Unified Threat Management are implemented using multiple processors for each of the functions. Approach: This evaluation was conducted on SunfireT1000 server having Sun Ultras ARC T1 multicore processor. OpenMP parallelization methods are used for scheduling the logical CPUs for the parallelized application. Results: Execution time for some of the UTM functions implemented was analyzed to arrive at an effective allocation and parallelization methodology that is dependent on the hardware and the workload. Conclusion/Recommendations: Based on the analysis, the type of parallelization method for the implemented UTM functions are suggested.

  16. 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.

  17. 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

  18. 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

  19. Counselors' Use of Functional Assessment: A Survey of Pennsylvania Counselors.

    Science.gov (United States)

    Lane, Mildred D.

    As people with disabilities are becoming more included in society, professional counselors are required to develop skills and identify tools to assess, counsel, and advocate for these clients. This article presents Pennsylvania counselors' definition of functional assessment and procedures, techniques, and instruments currently in use. Most…

  20. Assessment of the Social and Emotional Functioning of Preschool Children.

    Science.gov (United States)

    Martin, Roy P.

    1986-01-01

    This article reviews selected issues and techniques in interviewing, direct observation, rating scales, sociometry, and associative techniques as used in the context of preschool assessment. Special problems encountered in assessing the social and emotional functioning of preschool children are discussed. (Author/LMO)

  1. The Contributions of Parental Management Language to Executive Function in Preschool Children

    Science.gov (United States)

    Bindman, Samantha W.; Hindman, Annemarie H.; Bowles, Ryan P.; Morrison, Frederick J.

    2013-01-01

    This study investigated relations between preschoolers’ emergent executive function skills and their interactions with parents, with particular focus on the verbal utterances parents use to guide children’s behavior (i.e., management language). Parent-child dyads (N = 127) were videotaped during a structured play task and the frequency of two types of management language, Direction (high control) and Suggestion (low control), was observed. Children’s executive function was assessed using the Head-Toes-Knees-Shoulders (HTKS) task. Latent growth modeling was used to investigate relations between management language and the development of children’s executive function. Direction language (i.e., commands) was negatively associated with children’s age three executive function but not significantly related to the rate of executive function development over time. Conversely, Suggestion language (i.e., questions and statements that offer children some degree of choice) was positively related to executive function at age three but negatively related to growth. The potential importance of management language as a parenting behavior that contributes to various aspects of children’s self-regulation during preschool and kindergarten is discussed. PMID:23997425

  2. 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.

  3. Utility of Functional Hemodynamics and Echocardiography to Aid Diagnosis and Management of Shock.

    Science.gov (United States)

    McGee, William T; Raghunathan, Karthik; Adler, Adam C

    2015-12-01

    The utility of functional hemodynamics and bedside ultrasonography is increasingly recognized as advantageous for both improved diagnosis and management of shock states. In contrast to conventional "static" measures, "dynamic" hemodynamic measures and bedside imaging modalities enhance pathophysiology-based comprehensive understanding of shock states and the response to therapy. The current editions of major textbooks in the primary specialties--in which clinicians routinely encounter patients in shock--including surgery, anesthesia, emergency medicine, and internal medicine continue to incorporate traditional (conventional) descriptions of shock that use well-described (but potentially misleading) intravascular pressures to classify shock states. Reliance on such intravascular pressure measurements is not as helpful as newer "dynamic" functional measures including ultrasonography to both better assess volume responsiveness and biventricular cardiac function. This review thus emphasizes the application of current functional hemodynamics and ultrasonography to the diagnosis and management of shock as a contrast to conventional "static" pressure-based measures.

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

    DEFF Research Database (Denmark)

    Laurent, Alexis

    for assessing engineered nanoparticles. To support the impact assessment of engineered nanoparticles in the life cycle of nanoproducts and in solid waste management systems, a comprehensive review of toxicological data for nanosilver and titanium dioxide (TiO2) particles was conducted and it enabled......-observed-adverse-effect levels and effect factors applicable in risk assessment and life cycle impact assessment, respectively. The developed effect factors for TiO2 and Ag particles were applied on two simplified LCA case studies, namely the annual consumption of food containing TiO2 nanoparticles in the United Kingdom and a T...... be negligible when compared to other contributions to human health impacts in the nanoproduct life cycle. More than the results themselves, these case studies, along with the developed methodology for investigating the relationships between the physicochemical properties of the particles and their toxic effects...

  5. Using a Functional Approach in Assessing Written Texts.

    Science.gov (United States)

    Nunan, David

    It is argued that assessment of student writing can be enhanced by adoption of a functional approach to linguistic analysis; through their research, functional grammarians have provided language teachers with criteria for evaluating the extent to which learners have gained control of the grammatical and discourse features of a variety of…

  6. Assessment of municipal solid waste management scenarios in Irkutsk (Russia) using a life cycle assessment-integrated waste management model.

    Science.gov (United States)

    Tulokhonova, Alisa; Ulanova, Olga

    2013-05-01

    Continuous growth in the quantity of municipal solid waste (MSW) and increasing demands for their environmentally-friendly treatment are one of the main consequences of the growing social and economic development rate in modern society. Despite ecologically sustainable trends in waste management systems around the world, open dumps are still the main waste treatment option in Russia. This study aims to help the local municipality administration in Irkutsk (Russia) identify the most appropriate direction for current waste management and its optimization. Within this study four developed MSW management scenarios were assessed and compared with respect to their ecological, economic and social aspects using a life cycle-based integrated waste management model. The evaluation results of these scenarios show that the development of environmental sustainability and the reduction of social effects lead to an increase in handling of costs of waste. The best scenario, regarding both environmental and social aspects, is scenario four, which includes the separate collection and reprocessing of recyclables in combination with an aerobic mechanical-biological pre-treatment of the residual waste before landfilling. However, this scenario is 3.6 times more expensive than the existing system. The results of all assessed scenarios were further analyzed and recommendations were made to design integrated waste management solutions that are optimal not only from the ecological and social points of view, but which are also realistic within the given economic situation.

  7. Elephant management: a scientific assessment of South Africa

    CSIR Research Space (South Africa)

    Scholes, RJ

    2008-01-01

    Full Text Available 104 4 Reproductive values as a function of age for South African and other populations 106 5 �e distribution of elephant densities extracted from the most recent African Elephant Status Report 114 6 Exponential growth rates estimated from at least... of numbers of elephants in the Kruger National Park from 1903 to 1967, when population management through culling was initiated 62 6 Extent to which di�erent interest groups in�uenced KNP elephant management policy 68 Chapter 2 1A �e ages at �rst...

  8. Assessing Integrated Pest Management Adoption: Measurement Problems and Policy Implications

    Science.gov (United States)

    Puente, Molly; Darnall, Nicole; Forkner, Rebecca E.

    2011-11-01

    For more than a decade, the U.S. government has promoted integrated pest management (IPM) to advance sustainable agriculture. However, the usefulness of this practice has been questioned because of lagging implementation. There are at least two plausible rationales for the slow implementation: (1) growers are not adopting IPM—for whatever reason—and (2) current assessment methods are inadequate at assessing IPM implementation. Our research addresses the second plausibility. We suggest that the traditional approach to measuring IPM implementation on its own fails to assess the distinct, biologically hierarchical components of IPM, and instead aggregates growers' management practices into an overall adoption score. Knowledge of these distinct components and the extent to which they are implemented can inform government officials as to how they should develop targeted assistance programs to encourage broader IPM use. We address these concerns by assessing the components of IPM adoption and comparing our method to the traditional approach alone. Our results indicate that there are four distinct components of adoption—weed, insect, general, and ecosystem management—and that growers implement the first two components significantly more often than the latter two. These findings suggest that using a more nuanced measure to assess IPM adoption that expands on the traditional approach, allows for a better understanding of the degree of IPM implementation.

  9. Assessing and Managing Sleep Disturbance in Patients with Chronic Pain.

    Science.gov (United States)

    Cheatle, Martin D; Foster, Simmie; Pinkett, Aaron; Lesneski, Matthew; Qu, David; Dhingra, Lara

    2016-06-01

    Chronic pain is associated with symptoms that may impair a patient's quality of life, including emotional distress, fatigue, and sleep disturbance. There is a high prevalence of concomitant pain and sleep disturbance. Studies support the hypothesis that sleep and pain have a bidirectional and reciprocal relationship. Clinicians who manage patients with chronic pain often focus on interventions that relieve pain, and assessing and treating sleep disturbance are secondary or not addressed. This article reviews the literature on pain and co-occurring sleep disturbance, describes the assessment of sleep disturbance, and outlines nonpharmacologic and pharmacologic treatment strategies to improve sleep in patients with chronic pain.

  10. 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..

  11. Developing a Benefits Assessment Framework For Sea Traffic Management Systems

    DEFF Research Database (Denmark)

    Schellhorn, Lisa Kristin

    2016-01-01

    The maritime shipping industry is deeply rooted in history and tradition. Although it is one of the most important industries in today’s global world, digital transformation has so far not penetrated the entire industry but merely commenced in a few individual companies. The heavy reliance...... of the optimization of the entire ecosystem as a whole. Conducting an empirical pilot study using triangulation and in-depth, semi-structured interviews, we carried out an analysis addressing the research question: How can potential benefits of the implementation of a sea traffic management system be evaluated? Based...... on a thorough review of the academic literature on IS benefits assessment and a profound understanding of the maritime transportation-ecosystem and the design of a sea traffic management, a framework for assessing IS benefits is developed. The pilot interviews revealed the robustness of the framework confirming...

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

    Science.gov (United States)

    Chapman, Peter M

    2016-10-16

    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.

  13. 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.

  14. Invigorating the function of Management Information System for Strategic Human Resource Management

    Directory of Open Access Journals (Sweden)

    Manpreet Kaur

    2015-10-01

    Full Text Available  The rising trend in competitive world is clearly towards the implementation of latest technology, best information availability and management of human resources. The effective utilization and application of this approach benefit organizations with two major payoffs: improved organizational effectiveness and authentic satisfaction of individual employee’s requirements with long term business strategies formulations. MIS being the essential unit of any organization has to play a very important role in managing human resource strategically by way of facilitating HR, as the trend are varying globally and technology is being updated at a very fast rate. MIS itself is strategic because it has to fulfill the needs of a developing, changing and growing system. The present study attempts to observe that how HR professionals and managers in different organizations observe the effects of Management Information System (MIS on Strategic Human resource management (SHRM and the role played by MIS in designing and execution of SHRM activities that lead to organization’s business growth. The study "Invigorating the function of Management Information System for Strategic Human Resource Management" investigates MIS functions and support that it offers to SHRM activities in a way that how business MIS which so far is limited to MIS department in the organization or in the general information portal of the organization can provide assistance to HR department to design and procedure SHRM activities, which are necessity of the hour to grow in competitive environment.

  15. 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.

  16. FLOOD RISK ASSESSMENT AND MANAGEMENT IN SLOVAK REPUBLIC

    OpenAIRE

    Martina ZELENAKOVA

    2011-01-01

    Recent history has shown that extreme hydrological events as flood and droughts can create additional stress on water supplies essential for human and ecosystem health. Floods have caused immense economic and social losses, mainly as a result of unplanned urbanization, uncontrolled population density and not strictly inspected construction by authorities. The purpose of Directive 2007/60/EC is to establish a framework for the assessment and management of flood risks, aiming at the reduction o...

  17. 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.

  18. Coastal scenic assessment and tourism management in western Cuba

    OpenAIRE

    Anfuso, G; Williams, AT; Cabrera Carrillo, Juan Antonio; Pranzini, E.

    2014-01-01

    Coastal scenic assessments via checklist tables (18 natural, 8 human related parameters), can provide benchmark measures regarding desirable/non-desirable beach conditions and also classify sites. The scenic value for 43 sites in western Cuba was investigated, with the aim of helping managers improve bathing areas, especially for tourism purposes. Sites were categorised from Class 1, (top grade scenery), between La Habana and Matanzas, as extremely attractive, with white sand, tur...

  19. Direct, quantitative clinical assessment of hand function: usefulness and reproducibility.

    Science.gov (United States)

    Goodson, Alexander; McGregor, Alison H; Douglas, Jane; Taylor, Peter

    2007-05-01

    Methods of assessing functional impairment in arthritic hands include pain assessments and disability scoring scales which are subjective, variable over time and fail to take account of the patients' need to adapt to deformities. The aim of this study was to evaluate measures of functional strength and joint motion in the assessment of the rheumatoid (RA) and osteoarthritic (OA) hand. Ten control subjects, ten RA and ten OA patients were recruited for the study. All underwent pain and disability scoring and functional assessment of the hand using measures of pinch/grip strength and range of joint motion (ROM). Functional assessments including ROM analyses at interphalangeal (IP), metacarpophalangeal (MCP) and wrist joints along with pinch/grip strength clearly discriminated between patient groups (RA vs. OA MCP ROM P<0.0001), pain and disability scales were unable to. In the RA there were demonstrable relationships between ROM measurements and disability (R2=0.31) as well as disease duration (R2=0.37). Intra-patient measures of strength were robust whereas inter-patient comparisons showed variability. In conclusion, pinch/grip strength and ROM are clinically reproducible assessments that may more accurately reflect functional impairment associated with arthritis.

  20. 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.

  1. Nevada Risk Assessment/Management Program scientific peer review

    Energy Technology Data Exchange (ETDEWEB)

    Bentz, E.J. Jr.; Bentz, C.B.; O`Hora, T.D. [E.J. Bentz and Associates, Inc., Alexandria, VA (United States); Chen, S.Y. [Argonne National Lab., IL (United States). Environmental Assessment Div.

    1997-04-01

    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.

  2. Clinical Assessment of Risk Management: an INtegrated Approach (CARMINA).

    Science.gov (United States)

    Tricarico, Pierfrancesco; Tardivo, Stefano; Sotgiu, Giovanni; Moretti, Francesca; Poletti, Piera; Fiore, Alberto; Monturano, Massimo; Mura, Ida; Privitera, Gaetano; Brusaferro, Silvio

    2016-08-08

    Purpose - The European Union recommendations for patient safety calls for shared clinical risk management (CRM) safety standards able to guide organizations in CRM implementation. The purpose of this paper is to develop a self-evaluation tool to measure healthcare organization performance on CRM and guide improvements over time. Design/methodology/approach - A multi-step approach was implemented including: a systematic literature review; consensus meetings with an expert panel from eight Italian leader organizations to get to an agreement on the first version; field testing to test instrument feasibility and flexibility; Delphi strategy with a second expert panel for content validation and balanced scoring system development. Findings - The self-assessment tool - Clinical Assessment of Risk Management: an INtegrated Approach includes seven areas (governance, communication, knowledge and skills, safe environment, care processes, adverse event management, learning from experience) and 52 standards. Each standard is evaluated according to four performance levels: minimum; monitoring; outcomes; and improvement actions, which resulted in a feasible, flexible and valid instrument to be used throughout different organizations. Practical implications - This tool allows practitioners to assess their CRM activities compared to minimum levels, monitor performance, benchmarking with other institutions and spreading results to different stakeholders. Originality/value - The multi-step approach allowed us to identify core minimum CRM levels in a field where no consensus has been reached. Most standards may be easily adopted in other countries.

  3. REDUCING AMBIGUITY IN THE FUNCTIONAL ASSESSMENT OF PROBLEM BEHAVIOR

    Science.gov (United States)

    Rooker, Griffin W.; DeLeon, Iser G.; Borrero, Carrie S. W.; Frank-Crawford, Michelle A.; Roscoe, Eileen M.

    2015-01-01

    Severe problem behavior (e.g., self-injury and aggression) remains among the most serious challenges for the habilitation of persons with intellectual disabilities and is a significant obstacle to community integration. The current standard of behavior analytic treatment for problem behavior in this population consists of a functional assessment and treatment model. Within that model, the first step is to assess the behavior–environment relations that give rise to and maintain problem behavior, a functional behavioral assessment. Conventional methods of assessing behavioral function include indirect, descriptive, and experimental assessments of problem behavior. Clinical investigators have produced a rich literature demonstrating the relative effectiveness for each method, but in clinical practice, each can produce ambiguous or difficult-to-interpret outcomes that may impede treatment development. This paper outlines potential sources of variability in assessment outcomes and then reviews the evidence on strategies for avoiding ambiguous outcomes and/or clarifying initially ambiguous results. The end result for each assessment method is a set of best practice guidelines, given the available evidence, for conducting the initial assessment. PMID:26236145

  4. Chronic upper airway obstruction: value of the flow volume loop examination in assessment and management.

    Science.gov (United States)

    Brookes, G B; Fairfax, A J

    1982-06-01

    Chronic obstructive lesions of the upper airways such as post-traumatic strictures, bilateral vocal cord paralysis and chronic inflammatory foci are uncommon. The functional assessment of the severity and character of an obstruction is important both for diagnosis and management, and may also allow evaluation of the efficacy of medical and surgical treatment. There are limitations of simple spirometric pulmonary function tests, which are evident when assessing upper airways obstruction. The flow volume loop is a graphic recording of airflow during maximal respiration and expiration at different lung volumes, and may be affected in a characteristic way by alterations in the airway resistance. Three unusual cases of chronic upper airway obstruction are presented which illustrate the value of the flow volume loop examination in their management.

  5. 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

  6. Brazilian adaptation of the Hotel Task: a tool for the ecological assessment of executive functions

    Directory of Open Access Journals (Sweden)

    Caroline de Oliveira Cardoso

    Full Text Available 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.

  7. Exploring valid and reliable assessment methods for care management education.

    Science.gov (United States)

    Gennissen, Lokke; Stammen, Lorette; Bueno-de-Mesquita, Jolien; Wieringa, Sietse; Busari, Jamiu

    2016-07-04

    Purpose It is assumed that the use of valid and reliable assessment methods can facilitate the development of medical residents' management and leadership competencies. To justify this assertion, the perceptions of an expert panel of health care leaders were explored on assessment methods used for evaluating care management (CM) development in Dutch residency programs. This paper aims to investigate how assessors and trainees value these methods and examine for any inherent benefits or shortcomings when they are applied in practice. Design/methodology/approach A Delphi survey was conducted among members of the platform for medical leadership in The Netherlands. This panel of experts was made up of clinical educators, practitioners and residents interested in CM education. Findings Of the respondents, 40 (55.6 per cent) and 31 (43 per cent) participated in the first and second rounds of the Delphi survey, respectively. The respondents agreed that assessment methods currently being used to measure residents' CM competencies were weak, though feasible for use in many residency programs. Multi-source feedback (MSF, 92.1 per cent), portfolio/e-portfolio (86.8 per cent) and knowledge testing (76.3 per cent) were identified as the most commonly known assessment methods with familiarity rates exceeding 75 per cent. Practical implications The findings suggested that an "assessment framework" comprising MSF, portfolios, individual process improvement projects or self-reflections and observations in clinical practice should be used to measure CM competencies in residents. Originality/value This study reaffirms the need for objective methods to assess CM skills in post-graduate medical education, as there was not a single assessment method that stood out as the best instrument.

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

    Energy Technology Data Exchange (ETDEWEB)

    Sathasivam, S; Siddiqui, Z; Greenwald, S [Pathology Group, Blizard Institute of Cell and Molecular Science, Barts and The London School of Medicine and Dentistry, Queen Mary University of London (United Kingdom); Phababpha, S; Sengmeuan, P; Detchaporn, P; Kukongviriyapan, U, E-mail: s.e.greenwald@qmul.ac.uk [Department of Physiology, Khon Kaen University, Khon Kaen (Thailand)

    2011-08-17

    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-f{Delta}T), whilst FMD is induced in one arm. We compared f-f{Delta}T 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.

  9. Goal-Function Tree Modeling for Systems Engineering and Fault Management

    Science.gov (United States)

    Johnson, Stephen B.; Breckenridge, Jonathan T.

    2013-01-01

    This paper describes a new representation that enables rigorous definition and decomposition of both nominal and off-nominal system goals and functions: the Goal-Function Tree (GFT). GFTs extend the concept and process of functional decomposition, utilizing state variables as a key mechanism to ensure physical and logical consistency and completeness of the decomposition of goals (requirements) and functions, and enabling full and complete traceabilitiy to the design. The GFT also provides for means to define and represent off-nominal goals and functions that are activated when the system's nominal goals are not met. The physical accuracy of the GFT, and its ability to represent both nominal and off-nominal goals enable the GFT to be used for various analyses of the system, including assessments of the completeness and traceability of system goals and functions, the coverage of fault management failure detections, and definition of system failure scenarios.

  10. 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.

  11. Information technologies for global resources management and environmental assessment

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, A.P.; Wang, Hua.

    1992-01-01

    Recent advances in computer and communications technologies offer unprecedented opportunities to develop sophisticated information resources management systems for global resources management and environment assessment in an efficient, effective, and systematic manner. In this paper, the emerging global energy and environmental issues are identified. Since satellite-based remote sensing systems are becoming increasingly available and produce massive data collections, the utilization of imaging processing techniques and their applications for regional and global resources management and environmental studies are described. Interoperability and interconnectivity among heterogeneous computer systems are major issues in designing a totally integrated, multimedia-based, information resources management system that operates in a networking environment. Discussions of the future technology trends are focused on a number of emerging information management technologies and communications standards which will aid in achieving seamless system integration and offer user-friendly operations. It can be foreseen that advances in computer and communications technologies, increasingly sophisticated image processing techniques and Geographical Information Systems (GIS), and the development of globally comprehensive data bases will bring global visualization'' onto multimedia desktop computers before the end of this decade.

  12. Information technologies for global resources management and environmental assessment

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, A.P.; Wang, Hua

    1992-09-01

    Recent advances in computer and communications technologies offer unprecedented opportunities to develop sophisticated information resources management systems for global resources management and environment assessment in an efficient, effective, and systematic manner. In this paper, the emerging global energy and environmental issues are identified. Since satellite-based remote sensing systems are becoming increasingly available and produce massive data collections, the utilization of imaging processing techniques and their applications for regional and global resources management and environmental studies are described. Interoperability and interconnectivity among heterogeneous computer systems are major issues in designing a totally integrated, multimedia-based, information resources management system that operates in a networking environment. Discussions of the future technology trends are focused on a number of emerging information management technologies and communications standards which will aid in achieving seamless system integration and offer user-friendly operations. It can be foreseen that advances in computer and communications technologies, increasingly sophisticated image processing techniques and Geographical Information Systems (GIS), and the development of globally comprehensive data bases will bring ``global visualization`` onto multimedia desktop computers before the end of this decade.

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

    Science.gov (United States)

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

    2011-11-01

    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.

  14. 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.

  15. Assessing Sustainability of Land Management Using a Risk Identification Model

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    New Zealand is highly dependent on its soil resource for continued agricultural production. To avoiddepleting this resource, there is a need to identify soils and associated land management practices wherethere is a risk of soil degradation. Environmental integrity and ecosystem services also need to be maintained.Accordingly, to ensure sustainable production, the on- and off-site environmental impacts of land managementneed to be identified and managed. We developed a structural vulnerability index for New Zealand soils. Thisindex ranks soils according to their inherent susceptibility to physical degradation when used for agricultural(pasture, forestry and cropping) purposes. We also developed a rule-based model to assess soil compactionvulnerability by characterising the combined effects of resistance and resilience. Other soil attributes havebeen appraised using seven chemical, physical and biological indicators of soil quality. These indicators havebeen applied in a nation-wide project involving data collection from over 500 sites for a range of land uses.These soil quality data can be interpreted via the World Wide Web - through the interactive decision-support tool SINDI. The land-use impact model is a framework to assess agricultural land management andenvironmental sustainability, and may be applied to land units at any scale. Using land resource data andinformation the model explicitly identifies hazards to land productivity and environmental integrity. It utilisesqualitative expert and local knowledge and quantitative model-based evaluations to assess the potentialenvironmental impacts of land-management practices. The model is linked to a geographic informationsystem (GIS), allowing model outputs, such as the environmental impacts of site-specific best managementpractices, to be identified in a spatially explicit manner. The model has been tested in New Zealand in anarea of pastoral land use. Advantages of this risk identification model include

  16. Applying Functional Modeling for Accident Management of Nucler Power Plant

    DEFF Research Database (Denmark)

    Lind, Morten; Zhang, Xinxin

    2014-01-01

    The paper investigates 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...... 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....

  17. Assessment of Aberdeen Proving Ground - Army Contracting Command, Contract Management Processes

    Science.gov (United States)

    2015-04-11

    Cavanagh, J. J., Lloyd, R., Logan, S., Schoenberg, A., Sochon, G., & Wheeler, E. (1999). The balanced scorecard for managing procurement performance...systems (2008). The Balance Scorecard approach is presented by Niven as “a carefully selected set of quantifiable measures derived from the...contract score card developed by Cullen looks further past the balance scorecard approach by assessing an organization’s contracted functions (2009

  18. Information system in the function of railway traffic management

    Directory of Open Access Journals (Sweden)

    Anton PEPEVNIK

    2011-01-01

    Full Text Available Rationalization of economic operations, increasing productivity and internal resources exploitation trends are one of the basic tasks of an individual economy that is gained by regular installation of information system. The article presents information system in the function of railway traffic management as it becomes extremely important for every company to get information by means of information system in order to assure successful business deciding process, for mastering, optimization and integration of business processes. Railway traffic is an economic activity that concerns with the freight and passengers traffic and supports transport problems by using information system.The development of information railway system results in freight and passenger traffic management of the Slovenian railways (SŽ and in connection with foreign information systems by means of Hermes network for transferring data about freight and passenger traffic among railways. Due to the widespread information railway network, the article presents only the use of freight information transport system, in details its shunting.The application of freight transport management (FTM presents freight traffic mastering and controlling on the Slovenian railways as the whole, at any time and in real time. It enables the receiving, control, monitoring and supervision of freight wagons and trains. The managing programme of shunting station is a constituent part of the Slovenian railway information system and is included into the application for freight traffic management at the Slovenian railways.

  19. 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.

  20. ssignment's assessment and management of university students via e- mail

    Directory of Open Access Journals (Sweden)

    Mostafa Ghaderi

    2013-12-01

    Full Text Available E-mail is one of online teaching means that has prospered recently in universities. That is to say that there is a short term background of using E-mail for assignments’ management and assessment. In this study, I investigated different dimensions of E- mail applicability and usefulness for assessing assignments and its strength and weaknesses among fresh students. For this intention, I based my case study on 158 students in three courses and one professor during a semester. By monitoring case studies and observing self-report checklists I investigated the behaviours of students and their E-mails. The results showed that speed of transmission and giving feedback is much higher than the other current methods. Possibility of electronic search for assignments, giving feedback to students without time and place restriction, group feedbacks and guidance, and reinforcement of teaching – learning in informal times are advantages of using E-mail as a tool for assignment management. However, using E- mail has some limitations, too. Restricting communication to writing, prolonged individual feedbacks, repetitive E- mails, misunderstanding and technical problems among novice students are weaknesses of using e- mail for assessing assignments. At the end I’ll offer some recommendations to make E- mail an effective means for assignments’ assessment.

  1. Pedigree management and assessment in a net-centric environment

    Science.gov (United States)

    Gioioso, Marisa M.; McCullough, S. Daryl; Cormier, Jennifer P.; Marceau, Carla; Joyce, Robert A.

    2007-04-01

    Modern Defense strategy and execution is increasingly net-centric, making more information available more quickly. In this environment, the intelligence agent or warfighter must distinguish decision-quality information from potentially inaccurate, or even conflicting, pieces of information from multiple sources - often in time-critical situations. The Pedigree Management and Assessment Framework (PMAF) enables the publisher of information to record standard provenance metadata about the source, manner of collection, and the chain of modification of information as it passed through processing and/or assessment. In addition, the publisher can define and include other metadata relevant to quality assessment, such as domain-specific metadata about sensor accuracy or the organizational structure of agencies. PMAF stores this potentially enormous amount of metadata compactly and presents it to the user in an intuitive graphical format, together with PMAF-generated assessments that enable the user to quickly estimate information quality. PMAF has been created for a net-centric information management system; it can access pedigree information across communities of interest (COIs) and across network boundaries and will also be implemented in a Web Services environment.

  2. 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.

  3. 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.

  4. An Open-Source Learning Content Management and Assessment System

    Science.gov (United States)

    Kortemeyer, Gerd; Cruz, Émerson

    In this paper, we describe the development and functionality of the LearningOnline Network with CAPA (LON-CAPA; http://www.lon-capa.org/) system. We summarize published findings obtained over the years regarding its content sharing and online assessment features, and present some new findings on gender differences in the usage of online homework.

  5. 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…

  6. Assessment of Knowledge and Skills of Health Staff and Managers About Health Infoprmation Management

    Directory of Open Access Journals (Sweden)

    Mostafa Farah Bakhsh

    2015-07-01

    Full Text Available Background and objectives : The goal of health information system is to provide necessary data for decision-making in all levels of health system. For proper use of data, the managers and other staff must have sufficient knowledge and skills about analysis and using data. This study was designed and carried out to assess health staff knowledge and skills about health data management. Material and Methods : This study was performed as a descriptive and cross sectional survey in East Azerbaijan province in 2006. Three groups of managers and district health centers experts, physicians and primary health care providers and district health centers information experts were selected for studying their knowledge and skills in health information management. Data were gathered with self-administered questionnaire. A total number of 32 managers, 260 district staff and 346 primary health care providers were assessed. The staff were selected with multistage sampling. Data were analyzed with SPSS software. Results : According to the results, 41% of descriptive statistics questions and 52% of health indicators calculation questions were answered correctly by managers. These figures were 34% and 43% in health experts group, respectively. None of the health centers staff knew descriptive statistics and 22% of them could calculate health indicators correctly. Results indicated that 73% and 71% of data experts had enough knowledge about descriptive statistics and health indicators, respectively. Conclusion : For using information in daily decision-making, having enough skills about data management such as; sampling, analysis, data distribution methods, knowledge management and evidence-based decisions is necessary.

  7. 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…

  8. 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 drilling

  9. 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…

  10. Assessing competency in spasticity management: a method of development and assessment.

    Science.gov (United States)

    Escaldi, Steven V; Cuccurullo, Sara J; Terzella, Matthew; Petagna, Ann Marie; Strax, Thomas E

    2012-03-01

    This project endeavored to create an educational module including methodology to instruct physical medicine and rehabilitation residents in the evaluation and appropriate treatment of patients with spasticity and other sequelae of the upper motor neuron syndrome. It further sought to verify acquired competencies in spasticity management through objective evaluation methodology. A physical medicine and rehabilitation board-certified physician with 10 yrs clinical experience in spasticity management trained 16 residents using a standardized competency-based module. Assessment tools developed for this program address the basic competencies outlined by the Accreditation Council for Graduate Medical Education. The 16 residents successfully demonstrated proficiency in every segment of the evaluation module by the end of the Postgraduate Year 3 spasticity management rotation. Objective measures compared resident scores on an institution-specific standardized test administered before and after training. Resident proficiency in the skills and knowledge pertaining to spasticity management was objectively verified after completion of the standardized educational module. Validation of the assessment tool is evidenced by significantly improved postrotational institution-specific standardized test scores (mean pretest score, 61.1%; mean posttest score, 95.4%) as well as oral testing. In addition, the clinical development tool was validated by residents being individually observed performing skills and deemed competent by a board-certified physical medicine and rehabilitation physician specializing in spasticity management. The standardized educational module and evaluation methodology provide a potential framework for the definition of baseline competency in the clinical skill area of spasticity management.

  11. 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.

  12. 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.

  13. Hallmarks of therapeutic management of the cystic fibrosis functional landscape.

    Science.gov (United States)

    Amaral, Margarida D; Balch, William E

    2015-11-01

    The cystic fibrosis (CF) transmembrane conductance regulator (CFTR) protein does not operate in isolation, rather in a dynamic network of interacting components that impact its synthesis, folding, stability, intracellular location and function, referred to herein as the 'CFTR Functional Landscape (CFFL)'. For the prominent F508del mutation, many of these interactors are deeply connected to a protein fold management system, the proteostasis network (PN). However, CF encompasses an additional 2000 CFTR variants distributed along its entire coding sequence (referred to as CFTR2), and each variant contributes a differential liability to PN management of CFTR and to a protein 'social network' (SN) that directs the probability of the (patho)physiologic events that impact ion transport in each cell, tissue and patient in health and disease. Recognition of the importance of the PN and SN in driving the unique patient CFFL leading to disease highlights the importance of precision medicine in therapeutic management of disease progression. We take the view herein that it is not CFTR, rather the PN/SN, and their impact on the CFFL, that are the key physiologic forces driving onset and clinical progression of CF. We posit that a deep understanding of each patients PN/SN gained by merging genomic, proteomic (mass spectrometry (MS)), and high-content microscopy (HCM) technologies in the context of novel network learning algorithms will lead to a paradigm shift in CF clinical management. This should allow for generation of new classes of patient specific PN/SN directed therapeutics for personalized management of the CFFL in the clinic.

  14. 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

  15. Coronary vasomotor function assessed by positron emission tomography

    Energy Technology Data Exchange (ETDEWEB)

    Tamaki, Nagara [Hokkaido University Graduate School of Medicine, Department of Nuclear Medicine, Sapporo, Hokkaido (Japan); Yoshinaga, Keiichiro [Hokkaido University Graduate School of Medicine, Department of Molecular Imaging, Sapporo (Japan); Naya, Masanao [Hokkaido University Graduate School of Medicine, Department of Cardiovascular Medicine, Sapporo (Japan)

    2010-06-15

    Cardiac PET has the unique ability to assess coronary flow reserve and coronary endothelial function on the basis of response of blood flow to pharmacological stress and the cold pressor test. Quantitative analysis of coronary vasomotor function is valuable for precise assessment of function and treatment monitoring in the presence of various coronary risk factors. In addition, recent data have shown prognostic value of PET assessment of coronary vasomotor imaging in patients with suspected coronary artery disease. Thus, quantitative analysis of PET has a great potential for wide application in identifying microcirculatory dysfunction and ''individualized'' monitoring of the effects of primary or preventive medical intervention to optimize cardiovascular outcome. (orig.)

  16. Sideswipe injuries around the elbow: Management and functional evaluation

    Directory of Open Access Journals (Sweden)

    Yatinder Kharbanda

    2013-01-01

    Full Text Available Introduction: Sideswipe injuries constitute a subgroup of complex elbow trauma. Almost all of these are high energy open injuries. There is no fixed protocol that is followed in the earlier studies. The injury pattern is grotesque and ill managed with poor functional outcome. We report the functional outcome in our series of patients who sustained sideswipe injuries. Materials and Methods: Thirty four patients presenting with sideswipe injuries around the elbow were managed and functional results evaluated. The patients were followed for 15-94 months (mean 74 months. 32 of these were males and two were females. The injuries were sustained between 8 years and 48 years age group (mean 30 years. The right side was affected in 20 and left side was injured in 14 patients. Road traffic accident was the cause in all patients. Principles of management followed were (1 debridement and stabilization of fractures, (2 vascular repair, (3 redebridement, (4 nerve repair and (5 soft tissue cover. An external fixator was used for fracture stabilization in 20 patients with open fractures. Internal fixation was used as a stabilization modality in 12 patients. Primary nerve repair was carried out in 4 cases. In case of segmental loss, tendon transfers or nerve grafting was carried out at a later date once softtissue healing was complete. Soft tissue coverage was provided within 24-48 h of injury. Results were evaluated using the Mayo elbow performance score. Results: The average Mayo elbow performance score was 70. Excellent results (score > 90 in accordance with Mayo elbow score were seen in 30% of the patients. Good results (score 75-89 were seen in 33% of the patients. Conclusion: Sideswipe injuries should be managed timely, aggressively and an algorithmic protocol should be followed to achieve best results. The injury pattern is distinct for which a multispecialty approach is needed and an orthopedic, vascular and plastic surgeon must be involved. Limb salvage

  17. Radionuclide noninvasive evaluation of heart failure beyond left ventricular function assessment.

    Science.gov (United States)

    Flotats, Albert; Carrió, Ignasi

    2009-01-01

    The management of patients with heart failure (HF) is challenging and requires the integration of clinical skills and accurate ancillary tests for the correct diagnosis and estimation of individual prognosis. Although the basic characterization of patients with HF is supported primarily by echocardiographic assessment of the left ventricular function, other noninvasive imaging procedures are being developed, including those involved in the processes of myocardial perfusion, metabolism, cellular injury, intersticial dysregulation, and neurohormonal receptor function. Nuclear techniques for molecular imaging of the myocardium may provide valuable insights into the pathophysiology, severity, management (medical/mechanical/surgical), response to treatment, and prognosis of HF patients. This will permit individualized management decisions and hopefully facilitate better clinical outcomes for patients with HF.

  18. Ames Laboratory integrated safety management self-assessment report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-10-01

    The implementation of Integrated Safety Management (ISM) at Ames Laboratory began with the signing of the ISM Implementation Charter on February 24, 1997 (see Appendix A). The first step toward implementation of ISM at Ames Laboratory is the performance of a Self-Assessment (SA). In preparation for the SA, a workshop on ISM was provided to the Laboratory`s Environment, Safety, and Health (ES&H) Coordinators, Safety Review Committee members, and the Environment, Safety, Health and Assurance (ESH&A) staff. In addition, a briefing was given to the Laboratory`s Executive Council and Program Directors. Next, an SA Team was organized. The Team was composed of four Ames Laboratory and four Department of Energy-Chicago Operations Office (DOE-CH) staff members. The purpose of this SA was to determine the current status of ES&H management within Ames Laboratory, as well as to identify areas which need to be improved during ISM implementation. The SA was conducted by reviewing documents, interviewing Ames Laboratory management and staff, and performing walkthroughs of Laboratory areas. At the conclusion of this SA, Ames Laboratory management was briefed on the strengths, weaknesses, and the areas of improvement which will assist in the implementation of ISM.

  19. Assessing effectiveness of WEEE management policy in Australia.

    Science.gov (United States)

    Morris, Ashleigh; Metternicht, Graciela

    2016-10-01

    Australia is one of the top ten consumers of electrical and electronic (EE) products in the world; yet legislation for the management of WEEE (Waste Electrical and Electronic Equipment) is in its infancy and has received minimal review. This paper sets to assess the effectiveness of Australian legislation, policies and associated instruments, with a focus on the sub-national level of implementation. A mixed methodology was adopted to this end, including: literature review, case study, semi-structured interviews and a comparative analysis of WEEE management practices in Australia versus Japan and Switzerland; the latter to identify causative factors of international leading practice that could advance current policy in Australia. The findings indicate that Australia's management of WEEE is not effective. The rate and types of WEEE generated in Australia far exceed the measures prescribed in legislation to address or even curb the problem. The five key issues were identified around stakeholder roles and responsibilities; scope of WEEE categories legislated for recovery and recycling; public engagement and accessibility to services; recycling and material recovery targets; and the auditing and compliance of material flows within the system. Our findings suggest that Australia has the capacity to address the five key priority areas within the current legal framework and achieve effective WEEE management in line with leading practice examples from Japan and Switzerland. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. 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.

  1. Neurocognitive functioning and outcome of the Illness Management and Recovery Program for clients with schizophrenia and schizoaffective disorder.

    Science.gov (United States)

    Färdig, Rickard; Fredriksson, Anders; Lewander, Tommy; Melin, Lennart; Mueser, Kim T

    2016-08-01

    The relationship between psychosocial programming and neurocognition has been established in previous research, but has not been explored in the context of the Illness Management and Recovery Program (IMR). This study examined associations between neurocognition and illness self-management skills acquisition, based on two previous trials of IMR. Neurocognitive functioning was assessed at baseline and post-treatment in 53 participants with schizophrenia or schizoaffective disorder who completed the IMR. Illness self-management was measured by the client and clinician versions of the Illness Management and Recovery Scale. Statistical analyses investigated improvements in neurocognitive functioning and possible association between illness self-management skills acquisition and neurocognitive functioning. Speed of processing as measured by the Trail Making Test A, was related to client-reported acquisition of illness self-management skills, before and after controlling for psychiatric symptoms and medication, but did not predict improvement in clinician ratings of client illness self-management skills. However, when controlling for client session attendance rates, the association between speed of processing and client-reported illness self-management skills acquisition ceased to be statistically significant, which suggests that compromised neurocognitive functioning does not reduce response to training in illness self-management in itself. The association between the frequency of attended IMR sessions and outcome of the IMR seems to decrease the negative impact of compromised neurocognition on illness self-management skills acquisition. Also, clients with slower speed of processing may experience less benefit from the IMR and may attend fewer sessions.

  2. Waste management through life cycle assessment of products

    Science.gov (United States)

    Borodin, Yu V.; Aliferova, T. E.; Ncube, A.

    2015-04-01

    The rapid growth of a population in a country can contribute to high production of waste. Municipal waste and industrial waste can bring unhealthy and unpleasant environment or even diseases to human beings if the wastes are not managed properly.With increasing concerns over waste and the need for ‘greener’ products, it is necessary to carry out Life Cycle Assessments of products and this will help manufacturers take the first steps towards greener designs by assessing their product's carbon output. Life Cycle Assessment (LCA) is a process to evaluate the environmental burdens associated with a product, process or activity by identifying and quantifying energy and materials used and wastes released to the environment, and to assess the impact of those energy and material used and released to the environment. The aim of the study was to use a life cycle assessment approach to determine which waste disposal options that will substantially reduce the environmental burdens posed by the Polyethylene Terephthalate (PET) bottle. Several important observations can be made. 1) Recycling of the PET bottle waste can significantly reduce the energy required across the life cycle because the high energy inputs needed to process the requisite virgin materials greatly exceeds the energy needs of the recycling process steps. 2) Greenhouse gases can be reduced by opting for recycling instead of landfilling and incineration. 3) Quantity of waste emissions released from different disposal options was identified. 4) Recycling is the environmentally preferable disposal method for the PET bottle. Industry can use the tools and data in this study to evaluate the health, environmental, and energy implications of the PET bottle. LCA intends to aid decision-makers in this respect, provided that the scientific underpinning is available. Strategic incentives for product development and life cycle management can then be developed.

  3. Robot-aided assessment of lower extremity functions: a review.

    Science.gov (United States)

    Maggioni, Serena; Melendez-Calderon, Alejandro; van Asseldonk, Edwin; Klamroth-Marganska, Verena; Lünenburger, Lars; Riener, Robert; van der Kooij, Herman

    2016-08-02

    The assessment of sensorimotor functions is extremely important to understand the health status of a patient and its change over time. Assessments are necessary to plan and adjust the therapy in order to maximize the chances of individual recovery. Nowadays, however, assessments are seldom used in clinical practice due to administrative constraints or to inadequate validity, reliability and responsiveness. In clinical trials, more sensitive and reliable measurement scales could unmask changes in physiological variables that would not be visible with existing clinical scores.In the last decades robotic devices have become available for neurorehabilitation training in clinical centers. Besides training, robotic devices can overcome some of the limitations in traditional clinical assessments by providing more objective, sensitive, reliable and time-efficient measurements. However, it is necessary to understand the clinical needs to be able to develop novel robot-aided assessment methods that can be integrated in clinical practice.This paper aims at providing researchers and developers in the field of robotic neurorehabilitation with a comprehensive review of assessment methods for the lower extremities. Among the ICF domains, we included those related to lower extremities sensorimotor functions and walking; for each chapter we present and discuss existing assessments used in routine clinical practice and contrast those to state-of-the-art instrumented and robot-aided technologies. Based on the shortcomings of current assessments, on the identified clinical needs and on the opportunities offered by robotic devices, we propose future directions for research in rehabilitation robotics. The review and recommendations provided in this paper aim to guide the design of the next generation of robot-aided functional assessments, their validation and their translation to clinical practice.

  4. International symposium on engineering under uncertainty : safety assessment and management

    CERN Document Server

    Bhattacharya, Gautam; ISEUSAM - 2012

    2013-01-01

    International Symposium on Engineering under Uncertainty: Safety Assessment and Management (ISEUSAM - 2012) is organized by Bengal Engineering and Science University, India during the first week of January 2012 at Kolkata.The primary aim of ISEUSAM 2012 is to provide a platform to facilitate the discussion for a better understanding and management of uncertainty and risk, encompassing various aspects of safety and reliability of engineering systems. The conference received an overwhelming response from national as well as international scholars, experts and delegates from different parts of the world.  Papers were received from authors of several countries including Australia, Canada, China, Germany, Italy, UAE, UK and USA, besides India. More than two hundred authors have shown their interest in the symposium. The Proceedings presents ninety two high quality papers which address issues of uncertainty encompassing various fields of engineering, i.e. uncertainty analysis and modelling, structural reliability...

  5. Early phase of acute pancreatitis: Assessment and management

    Institute of Scientific and Technical Information of China (English)

    Veit; Phillip; Jrg; M; Steiner; Hana; Algül

    2014-01-01

    Acute pancreatitis(AP) is a potentially life-threatening disease with a wide spectrum of severity. The overall mortality of AP is approximately 5%. According to the revised Atlanta classification system, AP can be classified as mild, moderate, or severe. Severe AP often takes a clinical course with two phases, an early and a late phase, which should both be considered separately. In this review article, we first discuss general aspects of AP, including incidence, pathophysiology, etiology, and grading of severity, then focus on the assessment of patients with suspected AP, including diagnosis and risk stratification, followed by the management of AP during the early phase, with special emphasis on fluid therapy, pain management, nutrition, and antibiotic prophylaxis.

  6. Quantitative Security Risk Assessment and Management for Railway Transportation Infrastructures

    Science.gov (United States)

    Flammini, Francesco; Gaglione, Andrea; Mazzocca, Nicola; Pragliola, Concetta

    Scientists have been long investigating procedures, models and tools for the risk analysis in several domains, from economics to computer networks. This paper presents a quantitative method and a tool for the security risk assessment and management specifically tailored to the context of railway transportation systems, which are exposed to threats ranging from vandalism to terrorism. The method is based on a reference mathematical model and it is supported by a specifically developed tool. The tool allows for the management of data, including attributes of attack scenarios and effectiveness of protection mechanisms, and the computation of results, including risk and cost/benefit indices. The main focus is on the design of physical protection systems, but the analysis can be extended to logical threats as well. The cost/benefit analysis allows for the evaluation of the return on investment, which is a nowadays important issue to be addressed by risk analysts.

  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. Assessment of isokinetic muscle function in Korea male volleyball athletes

    OpenAIRE

    Kim, Chang-Gyun; Jeoung, Bog Ja

    2016-01-01

    Volleyball players performed numerous repetitions of spike actions, which uses and requires strong and explosive force, and control of the muscles of the shoulder, lower back, and legs. Muscle imbalance is one of the main causes of sport injuries. The purpose of this study was to assess isokinetic muscle functions in male volleyball players. We thus aim to accurately evaluate their muscle functions, and identify the best training strategy to achieve optimal muscle strength balance in future t...

  9. 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.

  10. 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.

  11. 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.

  12. 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...

  13. Comparative endocrinology of leptin: Assessing function in a phylogenetic context

    Science.gov (United States)

    Londraville, Richard L.; Macotela, Yazmin; Duff, Robert J.; Easterling, Marietta R.; Liu, Qin; Crespi, Erica J.

    2014-01-01

    As we approach the end of two decades of leptin research, the comparative biology of leptin is just beginning. We now have several leptin orthologs described from nearly every major clade among vertebrates, and are moving beyond gene descriptions to functional studies. Even at this early stage, it is clear that non-mammals display clear functional similarities and differences with their better-studied mammalian counterparts. This review assesses what we know about leptin function in mammals and non-mammals, and gives examples of how these data can inform leptin biology in humans. PMID:24525452

  14. 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

  15. Rats' urinary metabolomes reveal the potential roles of functional foods and exercise in obesity management.

    Science.gov (United States)

    Farag, Mohamed A; Ammar, N M; Kholeif, T E; Metwally, N S; El-Sheikh, N M; Wessjohann, Ludger A; Abdel-Hamid, A Z

    2017-03-22

    The complexity of the metabolic changes in obese individuals still presents a challenge for the understanding of obesity-related metabolic disruptions and for obesity management. In this study, a gas chromatography mass spectrometry (GC-MS) based metabolomics approach targeting urine metabolism has been applied to assess the potential roles of functional foods and exercise for obesity management in rats. Male albino rats diagnosed as obese via histopathology and biochemical assays were administered functional foods in common use for obesity management including pomegranate, grapefruit, and red cabbage juice extracts in parallel with swimming exercise. Urine samples were collected from these rats, and likewise from healthy control animals, for metabolite analysis using (GC-MS) coupled to multivariate data analysis. The results revealed a significant elevation in oxalate and phosphate levels in obese rat urine concurrent with lower lactate levels as compared to the control group. Furthermore, and to pinpoint the bioactive agents in the administered functional foods, ultra performance liquid chromatography (UPLC) coupled to high resolution time-of-flight mass spectrometry (TOF-MS) was employed for secondary metabolite profiling. The different phenolic classes found in the examined functional foods, viz. ellagitannins in pomegranate, flavanones in grapefruit and flavonols in red cabbage, are likely to mediate their anti-obesity effects. The results indicate that these functional foods and exercise were quite effective in reverting obesity-related metabolic disruptions back to normal status, as revealed by orthogonal partial least squares-discriminant analysis (OPLS-DA).

  16. 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.

  17. Assessment of posttraumatic stress disorder-related functional impairment: A review

    Directory of Open Access Journals (Sweden)

    Paola Rodriguez, PhD

    2012-06-01

    Full Text Available In 2010, the Department of Veterans Affairs (VA and Department of Defense (DOD jointly published the revised VA/DOD Clinical Practice Guideline for Management of Posttraumatic Stress. The Clinical Practice Guideline (CPG provides evidence-based recommendations for diagnosing and treating a spectrum of stress-related disorders. Included in the CPG were recommendations for assessing posttraumatic stress disorder (PTSD and other stress disorder-related functional impairment. This article complements those CPG recommendations by providing information that may further guide clinicians in the assessment of functional impairment related to PTSD and other stress-related disorders. We briefly review some of the empirical literature on the association between PTSD and functional impairment and some of the more frequently used methods and measures for assessing functional impairment and introduce a new measure currently being developed by our group. We suggest that information obtained via patient self-report and/or clinician rating be supplemented whenever possible with collateral data from friends, family members, coworkers, or supervisors to provide a complete picture of current and premorbid functional status. Finally, we explore several important issues that we encourage clinicians to keep in mind when assessing functional impairment among Veterans and Active Duty service members.

  18. Disentangling Sources of Differential Item Functioning in Multilanguage Assessments.

    Science.gov (United States)

    Ercikan, Kadriye

    2002-01-01

    Disentangled sources of differential item functioning (DIF) in a multilanguage assessment for which multiple factors were expected to be causing DIF. Data for the Third International Mathematics and Science study for four countries and two languages (3,000 to 11,000 cases in each comparison group) reveal amounts and sources of DIF. (SLD)

  19. Exploring Crossing Differential Item Functioning by Gender in Mathematics Assessment

    Science.gov (United States)

    Ong, Yoke Mooi; Williams, Julian; Lamprianou, Iasonas

    2015-01-01

    The purpose of this article is to explore crossing differential item functioning (DIF) in a test drawn from a national examination of mathematics for 11-year-old pupils in England. An empirical dataset was analyzed to explore DIF by gender in a mathematics assessment. A two-step process involving the logistic regression (LR) procedure for…

  20. Assessing Recollection and Familiarity in Low Functioning Autism

    Science.gov (United States)

    Ni Chuileann, Susan; Quigley, Jean

    2013-01-01

    Methods to assess recollection and familiarity separately in autism spectrum disorder were recently developed and piloted (Bigham et al. in J Autism Dev Disord 40:878-889, 2010). The preliminary data obtained via these methods showed that whereas recollection was mildly impaired in high functioning autism, familiarity was spared. The current study…

  1. Recent Case Law Regarding Functional Behavioral Assessments: Implications for Practice

    Science.gov (United States)

    Losinski, Mickey L.; Katsiyannis, Antonis; Ryan, Joseph B.

    2014-01-01

    While functional behavioral assessments (FBAs) are currently federally mandated requirements, public schools have not been provided clear federal guidance concerning what constitutes an acceptable FBA through Individuals With Disabilities Education Act or related regulations. The purpose of this article is to examine recent rulings regarding FBAs…

  2. Upper Limb Assessment in Tetraplegia: Clinical, Functional and Kinematic Correlations

    Science.gov (United States)

    Cacho, Enio Walker Azevedo; de Oliveira, Roberta; Ortolan, Rodrigo L.; Varoto, Renato; Cliquet, Alberto

    2011-01-01

    The aim of this study was to correlate clinical and functional evaluations with kinematic variables of upper limp reach-to-grasp movement in patients with tetraplegia. Twenty chronic patients were selected to perform reach-to-grasp kinematic assessment using a target placed at a distance equal to the arm's length. Kinematic variables (hand peak…

  3. Use of Direct Behavior Ratings to Collect Functional Assessment Data

    Science.gov (United States)

    Kilgus, Stephen P.; Kazmerski, Jennifer S.; Taylor, Crystal N.; von der Embse, Nathaniel P.

    2017-01-01

    The purpose of this investigation was to evaluate the utility of Direct Behavior Rating Single Item Scale (DBR-SIS) methodology in collecting functional behavior assessment data. Specific questions of interest pertained to the evaluation of the accuracy of brief DBR-SIS ratings of behavioral consequences and determination of the type of training…

  4. Analysis of Differential Item Functioning in the NAEP History Assessment.

    Science.gov (United States)

    Zwick, Rebecca; Ercikan, Kadriye

    The Mantel-Haenszel approach for investigating differential item functioning (DIF) was applied to U.S. history items that were administered as part of the National Assessment of Educational Progress (NAEP). DIF analyses were based on the responses of 7,743 students in grade 11. On some items, Blacks, Hispanics, and females performed more poorly…

  5. Using vaccinations to assess in vivo immune function in psychoneuroimmunology.

    Science.gov (United States)

    Burns, Victoria E

    2012-01-01

    Finding clinically relevant measures of immune function is an important challenge in psychoneuroimmunological research. Here, we discuss the advantages of the vaccination model, and provide guidance on the methodological decisions that are important to consider in the use of this technique. These include the choice of vaccination, timing of assessments, and the available outcome measures.

  6. Short Musculoskeletal Function Assessment : normative data of the Dutch population

    NARCIS (Netherlands)

    de Graaf, M. W.; El Moumni, M.; Heineman, E.; Wendt, K. W.; Reininga, I. H. F.

    2015-01-01

    The Short Musculoskeletal Function Assessment (SMFA) is widely used in both research and clinical practice. Despite its frequent use, normative data of the SMFA have remained limited. Aim of this study was to gather normative data for the Dutch SMFA (SMFA-NL). The SMFA-NL consists of two indices (fu

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

    Science.gov (United States)

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

    2016-11-14

    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.

  8. 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

  9. Use of Analog Functional Analysis in Assessing the Function of Mealtime Behavior Problems.

    Science.gov (United States)

    Girolami, Peter A.; Scotti, Joseph R.

    2001-01-01

    This study applied the methodology of an analog experimental (functional) analysis of behavior to the specific interaction between parents and three children with mental retardation exhibiting food refusal and related mealtime problems. Analog results were highly consistent with other forms of functional assessment data, including interviews,…

  10. 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

  11. 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

  12. Knowledge Management Design Using Collaborative Knowledge Retrieval Function

    Directory of Open Access Journals (Sweden)

    Kadarsah Suryadi

    2012-01-01

    Full Text Available Knowledge is a key word in the information age. Organizational knowledge provides businesses with a way to compete effectively and efficiently in the market. The performance of many organizations is determined more by their knowledge than their physical assets. Capturing and representing knowledge is critical in knowledge management. The spread of organizational knowledge has made a difficulty in sharing knowledge. This problem creates a longer learning cycle. This research proposes a web based knowledge map, using collaborative knowledge retrieval function, as a tool to represent and share knowledge. First, knowledge map gives a comprehensive understanding about what knowledge is needed to achieve objectives, what knowledge sources are available, and which knowledge sources are used by whom. Second, web facilitates knowledge sharing. Third, collaborative knowledge retrieval function will shorten learning cycle. Fourth, the proposed tool is applied to build a web based knowledge for an academic system in higher education. The result of this research is a design of web based knowledge map using collaborative knowledge retrieval function. Collaborative retrieval knowledge function gives recommendations of relevant knowledge between web documents. The proposed model contributes in shortening the learning cycle.Keywords: Knowledge map, Collaborative retrieval knowledge function, Web, Learning cycle, Knowledge Sharing.

  13. Management of patients with Graves' orbitopathy: initial assessment, management outside specialised centres and referral pathways.

    Science.gov (United States)

    Perros, Petros; Dayan, Colin M; Dickinson, A Jane; Ezra, Daniel; Estcourt, Stephanie; Foley, Peter; Hickey, Janis; Lazarus, John H; MacEwen, Caroline J; McLaren, Julie; Rose, Geoffrey E; Uddin, Jimmy; Vaidya, Bijay

    2015-04-01

    Graves' orbitopathy (GO) is uncommon, but responsible for considerable morbidity. A coordinated approach between healthcare professionals is required in order to meet the needs of patients. Early diagnosis can be achieved by a simple clinical assessment. Low-cost effective interventions can be initiated by generalists, which may improve outcomes. Moderate-to-severe GO should be referred to specialised centres. Recommendations for clinical diagnosis, initial management and referral pathways are highlighted.

  14. Preliminary functional assessment of a multigrasp myoelectric prosthesis.

    Science.gov (United States)

    Dalley, Skyler A; Bennett, Daniel A; Goldfarb, Michael

    2012-01-01

    The authors have previously described a multigrasp hand prosthesis prototype, and a two-site surface EMG based multigrasp control interface for its control. In this paper, the authors present a preliminary assessment of the efficacy of the prosthesis and multigrasp controller in performing tasks requiring interaction and manipulation. The authors use as a performance measure the Southampton Hand Assessment Procedure (SHAP), which entails manipulation of various objects designed to emulate activities of daily living, and provides a set of scores that indicate level of functionality in various types of hand function. In this preliminary assessment, a single non-amputee subject performed the SHAP while wearing the multigrasp prosthesis via an able-bodied adaptor. The results from this testing are presented, and compared to recently published SHAP results obtained with commercially available single-grasp and multigrasp prosthetic hands.

  15. Metacognitive function poststroke: a review of definition and assessment.

    Science.gov (United States)

    Al Banna, Mona; Redha, Noor Abdulla; Abdulla, Fatema; Nair, Bindhu; Donnellan, Claire

    2016-02-01

    Metacognition is the conscious knowledge individuals have about their own cognitive capacities and the regulation of these activities through self-monitoring. The aim of this review was to identify the definitions and assessment tools used to examine metacognition in relation to stroke studies. A computer database search was conducted using MEDLINE, CINAHL, PsycINFO, Cochrane Reviews, Scopus and Web of Science. A total of 1412 publications were retrieved from the initial database search. Following the removal of unrelated articles, 34 articles remained eligible. 5 studies examined metacognition in relation to cognitive and/or emotional functioning, 4 examined the concept in relation to memory, while others investigated its relationship to driving, employment or restrictions in daily living. 12 studies examined metacognitive function exclusively in stroke. Only 1 study examined metacognition in the acute phase of stroke. 7 studies adhered to the standard definition of metacognition in line with the neuropsychological literature. The main assessment tools utilised included the Self-Regulation and Skills Interview (SRSI), the Self-Awareness of Deficits Interview (SADI), the Awareness Questionnaire (AQ) and the Patient Competency Rating Scale (PCRS). Assessment of metacognition has tended to focus on traumatic and other acquired brain injury in comparison to stroke. The majority of the studies that examined metacognition in stroke did not assess patients in the acute phase. The heterogeneity of assessment tools was in keeping with the variation in the definition of metacognition. The emergence of a standard metacognitive assessment tool may have important implications for future rehabilitative programmes.

  16. 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.

  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. Science for managing ecosystem services: Beyond the Millennium Ecosystem Assessment.

    Science.gov (United States)

    Carpenter, Stephen R; Mooney, Harold A; Agard, John; Capistrano, Doris; Defries, Ruth S; Díaz, Sandra; Dietz, Thomas; Duraiappah, Anantha K; Oteng-Yeboah, Alfred; Pereira, Henrique Miguel; Perrings, Charles; Reid, Walter V; Sarukhan, José; Scholes, Robert J; Whyte, Anne

    2009-02-03

    The Millennium Ecosystem Assessment (MA) introduced a new framework for analyzing social-ecological systems that has had wide influence in the policy and scientific communities. Studies after the MA are taking up new challenges in the basic science needed to assess, project, and manage flows of ecosystem services and effects on human well-being. Yet, our ability to draw general conclusions remains limited by focus on discipline-bound sectors of the full social-ecological system. At the same time, some polices and practices intended to improve ecosystem services and human well-being are based on untested assumptions and sparse information. The people who are affected and those who provide resources are increasingly asking for evidence that interventions improve ecosystem services and human well-being. New research is needed that considers the full ensemble of processes and feedbacks, for a range of biophysical and social systems, to better understand and manage the dynamics of the relationship between humans and the ecosystems on which they rely. Such research will expand the capacity to address fundamental questions about complex social-ecological systems while evaluating assumptions of policies and practices intended to advance human well-being through improved ecosystem services.

  19. Sustainability Assessment of indicators for integrated water resources management.

    Science.gov (United States)

    Pires, A; Morato, J; Peixoto, H; Botero, V; Zuluaga, L; Figueroa, A

    2017-02-01

    The scientific community strongly recommends the adoption of indicators for the evaluation and monitoring of progress towards sustainable development. Furthermore, international organizations consider that indicators are powerful decision-making tools. Nevertheless, the quality and reliability of the indicators depends on the application of adequate and appropriate criteria to assess them. The general objective of this study was to evaluate how indicators related to water use and management perform against a set of sustainability criteria. Our research identified 170 indicators related to water use and management. These indicators were assessed by an international panel of experts that evaluated whether they fulfil the four sustainability criteria: social, economic, environmental, and institutional. We employed an evaluation matrix that classified all indicators according to the DPSIR (Driving Forces, Pressures, States, Impacts and Responses) framework. A pilot study served to test and approve the research methodology before carrying out the full implementation. The findings of the study show that 24 indicators comply with the majority of the sustainability criteria; 59 indicators are bi-dimensional (meaning that they comply with two sustainability criteria); 86 are one-dimensional indicators (fulfilling just one of the four sustainability criteria) and one indicator do not fulfil any of the sustainability criteria. Copyright © 2016. Published by Elsevier B.V.

  20. 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.

  1. Eutrophication assessment and management methodology of multiple pollution sources of a landscape lake in North China.

    Science.gov (United States)

    Chen, Yanxi; Niu, Zhiguang; Zhang, Hongwei

    2013-06-01

    Landscape lakes in the city suffer high eutrophication risk because of their special characters and functions in the water circulation system. Using a landscape lake HMLA located in Tianjin City, North China, with a mixture of point source (PS) pollution and non-point source (NPS) pollution, we explored the methodology of Fluent and AQUATOX to simulate and predict the state of HMLA, and trophic index was used to assess the eutrophication state. Then, we use water compensation optimization and three scenarios to determine the optimal management methodology. Three scenarios include ecological restoration scenario, best management practices (BMPs) scenario, and a scenario combining both. Our results suggest that the maintenance of a healthy ecosystem with ecoremediation is necessary and the BMPs have a far-reaching effect on water reusing and NPS pollution control. This study has implications for eutrophication control and management under development for urbanization in China.

  2. Nutraceuticals and functional foods in the management of hyperlipidemia.

    Science.gov (United States)

    Chen, Gu; Wang, Hong; Zhang, Xu; Yang, Shang-Tian

    2014-01-01

    Hyperlipidemia is one of the major risk factor for the development of cardiovascular disease. Hypolipidemic nutraceuticals and functional foods help improve serum lipid profiles as reducing total cholesterol, triglyceride, and low-density lipoprotein cholesterol, while elevating high-density lipoprotein cholesterol. The effectiveness of omega-3 polyunsaturated fatty acid, phytosterols, dietary fiber, and tea catechin in management of hyperlipidemia has been clearly demonstrated in epidemiological and interventional trials. Studies on mechanism reveal that they act as inhibitor or activator of critical enzyme, agonist or inhibitor of transcription factor, competitor of transporter, and sequestrant of bile acid to modulate lipid homeostasis. Hypolipidemic effects are also claimed in dietary proteins, many polyphenols, other phytochemicals, raw extract, or even whole food. This review attempts to give an overview of lipid homeostasis and summarize recent findings of hypolipidemic nutraceuticals and functional foods according to their active ingredients, focusing on the efficacy and underlying mechanisms.

  3. Gluteal Tendinopathy: A Review of Mechanisms, Assessment and Management.

    Science.gov (United States)

    Grimaldi, Alison; Mellor, Rebecca; Hodges, Paul; Bennell, Kim; Wajswelner, Henry; Vicenzino, Bill

    2015-08-01

    Tendinopathy of the gluteus medius and gluteus minimus tendons is now recognized as a primary local source of lateral hip pain. The condition mostly occurs in mid-life both in athletes and in subjects who do not regularly exercise. Females are afflicted more than males. This condition interferes with sleep (side lying) and common weight-bearing tasks, which makes it a debilitating musculoskeletal condition with a significant impact. Mechanical loading drives the biological processes within a tendon and determines its structural form and load-bearing capacity. The combination of excessive compression and high tensile loads within tendons are thought to be most damaging. The available evidence suggests that joint position (particularly excessive hip adduction), together with muscle and bone elements, are key factors in gluteal tendinopathy. These factors provide a basis for a clinical reasoning process in the assessment and management of a patient presenting with localized lateral hip pain from gluteal tendinopathy. Currently, there is a lack of consensus as to which clinical examination tests provide best diagnostic utility. On the basis of the few diagnostic utility studies and the current understanding of the pathomechanics of gluteal tendinopathy, we propose that a battery of clinical tests utilizing a combination of provocative compressive and tensile loads is currently best practice in its assessment. Management of this condition commonly involves corticosteroid injection, exercise or shock wave therapy, with surgery reserved for recalcitrant cases. There is a dearth of evidence for any treatments, so the approach we recommend involves managing the load on the tendons through exercise and education on the underlying pathomechanics.

  4. Assessing environmental conditions of Antarctic footpaths to support management decisions.

    Science.gov (United States)

    Tejedo, Pablo; Benayas, Javier; Cajiao, Daniela; Albertos, Belén; Lara, Francisco; Pertierra, Luis R; Andrés-Abellán, Manuela; Wic, Consuelo; Luciáñez, Maria José; Enríquez, Natalia; Justel, Ana; Reck, Günther K

    2016-07-15

    Thousands of tourists visit certain Antarctic sites each year, generating a wide variety of environmental impacts. Scientific knowledge of human activities and their impacts can help in the effective design of management measures and impact mitigation. We present a case study from Barrientos Island in which a management measure was originally put in place with the goal of minimizing environmental impacts but resulted in new undesired impacts. Two alternative footpaths used by tourist groups were compared. Both affected extensive moss carpets that cover the middle part of the island and that are very vulnerable to trampling. The first path has been used by tourists and scientists since over a decade and is a marked route that is clearly visible. The second one was created more recently. Several physical and biological indicators were measured in order to assess the environmental conditions for both paths. Some physical variables related to human impact were lower for the first path (e.g. soil penetration resistance and secondary treads), while other biochemical and microbiological variables were higher for the second path (e.g. β-glucosidase and phosphatase activities, soil respiration). Moss communities located along the new path were also more diverse and sensitive to trampling. Soil biota (Collembola) was also more abundant and richer. These data indicate that the decision to adopt the second path did not lead to the reduction of environmental impacts as this path runs over a more vulnerable area with more outstanding biological features (e.g. microbiota activity, flora and soil fauna diversity). In addition, the adoption of a new route effectively doubles the human footprint on the island. We propose using only the original path that is less vulnerable to the impacts of trampling. Finally from this process, we identify several key issues that may be taken into account when carrying out impact assessment and environmental management decision-making in the

  5. How family members manage risk around functional decline: the autonomy management process in households facing dementia.

    Science.gov (United States)

    Berry, Brandon; Apesoa-Varano, Ester Carolina; Gomez, Yarin

    2015-04-01

    Most dementia research investigates the social context of declining ability through studies of decision-making around medical treatment and end-of-life care. This study seeks to fill an important gap in research about how family members manage the risks of functional decline at home. Drawing on three waves of in-depth interviewing in 2012-2014, it investigates how family members in US households manage decline in an affected individual's natural range of daily activities over time. The findings show that early on in the study period affected individuals were perceived to have awareness of their decline and routinely drew on family members for support. Support transformed when family members detected that the individual's deficit awareness had diminished, creating a corresponding increase in risk of self-harm around everyday activities. With a loss of confidence in the individual's ability to regulate his or her own activities to avoid these risks, family members employed unilateral practices to manage the individual's autonomy around his or her activity involvements. These practices typically involved various deceits and ruses to discourage elders from engaging in activities perceived as potentially dangerous. The study concludes by discussing the implications that the social context of interpretive work around awareness and risk plays an important role in how families perceive an elder's functional ability and manage his or her activity involvements.

  6. 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.)

  7. Organizational behaviour management: A functional analysis of productivity

    Directory of Open Access Journals (Sweden)

    P. Taffinder

    1986-04-01

    Full Text Available Organizational Behaviour Management (OBM represents a new perspective on productivity. In place of addressing "attitudes and motivational drives", OBM concentrates on the control of on-task behaviour. The 3-term contingency of antecedent, behaviour and consequence, or the functional analysis of behaviour as it is known in OBM, provides a delineation of how behaviour is evoked and what maintains or reinforces it. This orientation to productivity requires that the manager establish a contingent relationship between on task behaviour and reinforcing consequence. The reinforcing consequences may be social as well as financial. The effectiveness of OBM resides in its focus on the essential element of human productivity namely, directed behaviour. Opsomming Bestuur van Organisasiegerigte Gedrag (BOG of Organisational Behaviour Management (OBM verteenwoordig 'n nuwe uitkyk op die konsep van produktiwiteit daar dit nie soseer op "houdings" of'motiveringsdrange" konsentreer nie as op die beheer van taakgerigte gedrag. Die kontingensie van antesedent-gedrag-gevolg, of die funksionele analise van gedrag soos wat dit bekend staan in BOG, bied 'n uiteensetting van hoe gedrag ontstaan en hoe dit versterk ofvoortgesit word. Hierdie benadering tot produktiwiteit vereis van die bestuur om 'n kontingente verhouding te skep tussen taakgerigte gedrag en versterkende gevolge. Hierdie gevolge mag van sosiale of finansiele aard wees. Die doeltreffendheid van BOG berus op die sentrale veronderstelling dat gedrag ordelik is en op die fokus wat dit plaas op die kritieke element van menslike produktiwiteit, naamlik gerigte gedrag.

  8. 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.

  9. 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.

  10. The retrieval of thoracic organs: donor assessment and management.

    Science.gov (United States)

    MacLean, A; Dunning, J

    1997-01-01

    The optimal management of the multi-organ donor is critical to the successful outcome of transplantation. It is a complex challenge demanding careful attention to detail, and requiring a shift in emphasis, since the pathophysiological processes have far reaching effects which many clinicians do not see on a day-to-day basis. The optimal management of haemodynamic and respiratory status is essential in order to maximise the yield of suitable thoracic donor organs, yet this process will also improve the condition of other organs at the time of procurement and thus enable prompt recovery of function following hepatic and renal transplantation. The process commences when a potential donor is identified, and is only complete after successful transplantation of all possible organs. In order to achieve this end, a dedicated, multi-disciplinary team is necessary, consisting not only of medical staff, but also support workers who organise logistics, and who play their own part in vital areas, such as transport of the donor team and organs. The co-ordinator's role is pivotal in bringing together, in harmony, teams from different centres. It is important to remember that the effort of every person involved in the management and procurement of donor organs is primarily directed towards maximisation of the donor pool, and that our main responsibility is to the recipients on our waiting lists.

  11. Management of government quality assurance functions for NASA contracts

    Science.gov (United States)

    1993-01-01

    This handbook sets forth requirements for NASA direction and management of government quality assurance functions performed for NASA contracts and is applicable to all NASA installations. These requirements will standardize management to provide the minimum oversight and effective use of resources. This handbook implements Federal Acquisition Regulation (FAR) Part 46, NASA FAR Supplement 18-46, Quality Assurance, and NMI 7410.1. Achievement of established quality and reliability goals at all levels is essential to the success of NASA programs. Active participation by NASA and other agency quality assurance personnel in all phases of contract operations, including precontract activity, will assist in the economic and timely achievement of program results. This involves broad participation in design, development, procurement, inspection, testing, and preventive and corrective actions. Consequently, government, as well as industry, must place strong emphasis on the accomplishment of all functions having a significant bearing on quality and reliability from program initiation through end-use of supplies and services produced. For purposes of implementing NASA and other agency agreements, and to provide for uniformity and consistency, the terminology and definitions prescribed herein and in a future handbook shall be utilized for all NASA quality assurance delegations and subsequent redelegations.

  12. 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,

  13. 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.

  14. Urban streets functionality as a tool for urban pollution management.

    Science.gov (United States)

    Rey Gozalo, Guillermo; Barrigón Morillas, Juan Miguel; Gómez Escobar, Valentín

    2013-09-01

    Pollution derived from traffic can be considered one of the major problems of modern cities. Although considerable efforts have been devoted to gathering information about pollution and its control, little attention has been paid to the analysis of relationships between pollution distribution and town planning. The existence of these relationships would enable better prediction and prevention of pollution through town planning. In this work, an analysis of one pollutant derived from traffic (urban noise) in 27 cities is presented. Non-parametric tests and ROC analyses were employed, using the equivalent sound level (L(eq)) values as the dependent variable. For the characterization of the pollutant, an alternative concept to accessibility is analyzed: the concept of functionality. Results of statistical inferential analysis showed the existence of significant differences between the sound levels of the different category results, confirming that noise is stratified in the studied cities and that the five categories proposed based in the concept of functionality highlight this noise stratification. Moreover, high sensitivity and low non-specificity were obtained by using ROC analysis. Results of this analysis also showed an overall average value of prediction capacity close to 90%. Therefore, because the proposed categories highlight the noise stratification of the studied pollutant in all the towns studied, the functionality concept can be considered an interesting tool for urban planning and for designing pollution prevention policies. Finally, as traffic is a source of other urban pollutants, the concept of functionality may be a new concept for wide environmental pollution management.

  15. 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.

  16. 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... THE INTERIOR MINERALS REVENUE MANAGEMENT DELEGATION TO STATES Delegation of Mms Royalty Functions § 227.101 What royalty management functions may MMS delegate to a State? (a) If there are oil and gas...

  17. The United South and Eastern Tribe (USET) Proper Functioning Condition (PFC) and Tribal Focused Environmental Risk and Sustainability Tool (Tribal-FERST) Train the Trainers Workshop.October 6-9, 2014, in Nashville, Tennessee: PFC Assessment for Management and Monitoring

    Science.gov (United States)

    The maintenance of wildlife and aquatic habitat is dependent on the development of a riparian area management strategy, which considers and adapts to certain basic ecological and economic relationships. These relationships are functions of riparian and terrestrial ecosystems, gro...

  18. The United South and Eastern Tribe (USET) Proper Functioning Condition (PFC) and Tribal Focused Environmental Risk and Sustainability Tool (Tribal-FERST) Train the Trainers Workshop.October 6-9, 2014, in Nashville, Tennessee: PFC Assessment for Management and Monitoring

    Science.gov (United States)

    The maintenance of wildlife and aquatic habitat is dependent on the development of a riparian area management strategy, which considers and adapts to certain basic ecological and economic relationships. These relationships are functions of riparian and terrestrial ecosystems, gro...

  19. Corporate Functional Management Evaluation of the LLNL Radiation Safety Organization

    Energy Technology Data Exchange (ETDEWEB)

    Sygitowicz, L S

    2008-03-20

    A Corporate Assess, Improve, and Modernize review was conducted at Lawrence Livermore National Laboratory (LLNL) to evaluate the LLNL Radiation Safety Program and recommend actions to address the conditions identified in the Internal Assessment conducted July 23-25, 2007. This review confirms the findings of the Internal Assessment of the Institutional Radiation Safety Program (RSP) including the noted deficiencies and vulnerabilities to be valid. The actions recommended are a result of interviews with about 35 individuals representing senior management through the technician level. The deficiencies identified in the LLNL Internal Assessment of the Institutional Radiation Safety Program were discussed with Radiation Safety personnel team leads, customers of Radiation Safety Program, DOE Livermore site office, and senior ES&H management. There are significant issues with the RSP. LLNL RSP is not an integrated, cohesive, consistently implemented program with a single authority that has the clear roll and responsibility and authority to assure radiological operations at LLNL are conducted in a safe and compliant manner. There is no institutional commitment to address the deficiencies that are identified in the internal assessment. Some of these deficiencies have been previously identified and corrective actions have not been taken or are ineffective in addressing the issues. Serious funding and staffing issues have prevented addressing previously identified issues in the Radiation Calibration Laboratory, Internal Dosimetry, Bioassay Laboratory, and the Whole Body Counter. There is a lack of technical basis documentation for the Radiation Calibration Laboratory and an inadequate QA plan that does not specify standards of work. The Radiation Safety Program lack rigor and consistency across all supported programs. The implementation of DOE Standard 1098-99 Radiological Control can be used as a tool to establish this consistency across LLNL. The establishment of a site

  20. Assessment of protein set coherence using functional annotations

    Directory of Open Access Journals (Sweden)

    Carazo Jose M

    2008-10-01

    Full Text Available Abstract Background Analysis of large-scale experimental datasets frequently produces one or more sets of proteins that are subsequently mined for functional interpretation and validation. To this end, a number of computational methods have been devised that rely on the analysis of functional annotations. Although current methods provide valuable information (e.g. significantly enriched annotations, pairwise functional similarities, they do not specifically measure the degree of homogeneity of a protein set. Results In this work we present a method that scores the degree of functional homogeneity, or coherence, of a set of proteins on the basis of the global similarity of their functional annotations. The method uses statistical hypothesis testing to assess the significance of the set in the context of the functional space of a reference set. As such, it can be used as a first step in the validation of sets expected to be homogeneous prior to further functional interpretation. Conclusion We evaluate our method by analysing known biologically relevant sets as well as random ones. The known relevant sets comprise macromolecular complexes, cellular components and pathways described for Saccharomyces cerevisiae, which are mostly significantly coherent. Finally, we illustrate the usefulness of our approach for validating 'functional modules' obtained from computational analysis of protein-protein interaction networks. Matlab code and supplementary data are available at http://www.cnb.csic.es/~monica/coherence/

  1. 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.

  2. Assessment of pulmonary function in a follow-up of premature infants: our experience

    Directory of Open Access Journals (Sweden)

    F. Ciuffini

    2014-06-01

    Full Text Available Respiratory diseases are a major cause of morbidity in neonates, especially preterm infants; a long term complication of prematurity such as bronchopulmonary dysplasia (BPD is particularly relevant today. The exact role of the Pulmonary Function Test (PFT in this area is not yet well defined; the PFT in newborns and infants - in contrast to what happens in uncooperative children and adults - are routinely used only in a few centers. The assessment of pulmonary function in newborns and infants, however, is nowadays possible with the same reliability that in cooperative patients with the possibility to extend the assessment of polmonary function from bench to bed. The assessment of pulmonary function must be carried out with non invasive and safe methods, at the bedside, with the possibility of continuous monitoring and providing adequate calculation and management of data. The ability to assess lung function helps to define the mechanisms of respiratory failure, improving the treatment and its effects and is therefore a useful tool in the follow-up of newborn and infant with pulmonary disease.

  3. Assessment of pulmonary function in a follow-up of premature infants: our experience

    Directory of Open Access Journals (Sweden)

    F. Ciuffini

    2013-10-01

    Full Text Available Respiratory diseases are a major cause of morbidity in neonates, especially preterm infants; a long term complication of prematurity such as bronchopulmonary dysplasia (BPD is particularly relevant today. The exact role of the Pulmonary Function Test (PFT in this area is not yet well defined; the PFT in newborns and infants - in contrast to what happens in uncooperative children and adults - are routinely used only in a few centers. The assessment of pulmonary function in newborns and infants, however, is nowadays possible with the same reliability that in cooperative patients with the possibility to extend the assessment of polmonary function from bench to bed. The assessment of pulmonary function must be carried out with non invasive and safe methods, at the bedside, with the possibility of continuous monitoring and providing adequate calculation and management of data. The ability to assess lung function helps to define the mechanisms of respiratory failure, improving the treatment and its effects and is therefore a useful tool in the follow-up of newborn and infant with pulmonary disease.

  4. The Resilience Assessment Framework: a common indicator for land management?

    Science.gov (United States)

    Cowie, Annette; Metternicht, Graciela; O'Connell, Deborah

    2015-04-01

    At the Rio+20 conference in June 2013, the United Nations Convention to Combat Desertification (UNCCD), the Convention on Biological Diversity (CBD), and the United Nations Framework Convention on Climate Change (UNFCCC) reinforced their mutual interests in building linkages between biodiversity conservation, sustainable land management, and climate change mitigation and adaptation. The UNCCD sees building resilience of agro-ecosystems as a common interest that could strengthen linkages between the conventions and deliver synergies in progressing goals of each of the conventions. Furthermore, enhancing resilience of productive agro-ecosystems is fundamental to food security and sustainable development, and thus aligns with the Sustainable Development Goals (SDGs). The Global Environment Facility (GEF) shares the interest of the conventions in building resilience in agro-ecosystems. Indicators of resilience are required for monitoring progress in these endeavors, application of a common indicator between the UNCCD, UNFCCC and CBD as a measure of both land-based adaptation and ecosystem resilience, could strengthen links between the conventions and increase attention to the broad benefits of improved land management. Consequently, the Scientific and Technical Advisory Panel (STAP) to the GEF commissioned the Commonwealth Scientific and Industrial Research Organisation (CSIRO) to produce a report reviewing the conceptual basis for resilience, and proposing an indicator approach that could meet the needs of the Conventions and the GEF for an indicator of agro-ecosystem resilience and land-based adaption. The paper presents a synthesis of scientific understanding of resilience in agro-ecosystems, reviews indicators that have been proposed, and, having concluded that none of the extant indicator approaches adequately assesses resilience of agro-ecosystems, proposes a new approach to the assessment of resilience. Recognizing that no single indicator of resilience is

  5. Impact assessment of waste management options in Singapore.

    Science.gov (United States)

    Tan, Reginald B H; Khoo, Hsien H

    2006-03-01

    This paper describes the application of life cycle assessment for evaluating various waste management options in Singapore, a small-island city state. The impact assessment method by SimaPro is carried out for comparing the potential environmental impacts of waste treatment options including landfilling, incineration, recycling, and composting. The inventory data include gases and leachate from landfills, air emissions and energy recovery from incinerators, energy (and emission) savings from recycling, composting gases, and transport pollution. The impact assessment results for climate change, acidification, and ecotoxicity show that the incineration of materials imposes considerable harm to both human health and the environment, especially for the burning of plastics, paper/cardboard, and ferrous metals. The results also show that, although some amount of energy can be derived from the incineration of wastes, these benefits are outweighed by the air pollution (heavy metals and dioxins/furans) that incinerators produce. For Singapore, landfill gases and leachate generate minimal environmental damage because of the nation's policy to landfill only 10% of the total disposed wastes. Land transportation and separation of waste materials also pose minimal environmental damage. However, sea transportation to the landfill could contribute significantly to acidification because of the emissions of sulfur oxides and nitrogen oxides from barges. The composting of horticultural wastes hardly imposes any environmental damage. Out of all the waste strategies, the recycling of wastes offers the best solution for environmental protection and improved human health for the nation. Significant emission savings can be realized through recycling.

  6. Second California Assessment: Integrated climate change impacts assessment of natural and managed systems. Guest editorial

    Science.gov (United States)

    Franco, G.; Cayan, D.R.; Moser, S.; Hanemann, M.; Jones, M.A.

    2011-01-01

    Since 2006 the scientific community in California, in cooperation with resource managers, has been conducting periodic statewide studies about the potential impacts of climate change on natural and managed systems. This Special Issue is a compilation of revised papers that originate from the most recent assessment that concluded in 2009. As with the 2006 studies that influenced the passage of California's landmark Global Warming Solutions Act (AB32), these papers have informed policy formulation at the state level, helping bring climate adaptation as a complementary measure to mitigation. We provide here a brief introduction to the papers included in this Special Issue focusing on how they are coordinated and support each other. We describe the common set of downscaled climate and sea-level rise scenarios used in this assessment that came from six different global climate models (GCMs) run under two greenhouse gas emissions scenarios: B1 (low emissions) and A2 (a medium-high emissions). Recommendations for future state assessments, some of which are being implemented in an on-going new assessment that will be completed in 2012, are offered. ?? 2011 Springer Science+Business Media B.V.

  7. Real-Time Fall Risk Assessment Using Functional Reach Test

    Directory of Open Access Journals (Sweden)

    Brian Williams

    2017-01-01

    Full Text Available Falls are common and dangerous for survivors of stroke at all stages of recovery. The widespread need to assess fall risk in real time for individuals after stroke has generated emerging requests for a reliable, inexpensive, quantifiable, and remote clinical measure/tool. In order to meet these requests, we explore the Functional Reach Test (FRT for real-time fall risk assessment and implement the FRT function in mStroke, a real-time and automatic mobile health system for poststroke recovery and rehabilitation. mStroke is designed, developed, and delivered as an Application (App running on a hardware platform consisting of an iPad and one or two wireless body motion sensors based on different mobile health functions. The FRT function in mStroke is extensively tested on healthy human subjects to verify its concept and feasibility. Preliminary performance will be presented to justify the further exploration of the FRT function in mStroke through clinical trials on individuals after stroke, which may guide its ubiquitous exploitation in the near future.

  8. Ecological risk assessment in the function of environmental protection

    Directory of Open Access Journals (Sweden)

    Saša T. Bakrač

    2012-10-01

    Full Text Available This paper proposes an appropriate methodology for ecological risk assessment. The methodology has been applied in the region of Boka Kotorska Bay (Bay, Montenegro. The emphasis of the research is on the analysis of the impact of various stressors on the ecological components of Bay. The consequences of that impact can be seen in an increased level of eutrophication of water environment, mostly through the influence of nitrogen and its compounds. The actual research at/about the region of Boka Kotorska Bay was performed in the period of 2008. The study emphasized the importance of the acquisition, processing and analysis of various ecologically related data for more efficient monitoring and management of the environment. The suggested methodology of the ecological risk assessment is, therefore, a remarkable scientific and expert contribution in the area of environmental protection in our country and in general.

  9. Study of space shuttle orbiter system management computer function. Volume 1: Analysis, baseline design

    Science.gov (United States)

    1975-01-01

    A system analysis of the shuttle orbiter baseline system management (SM) computer function is performed. This analysis results in an alternative SM design which is also described. The alternative design exhibits several improvements over the baseline, some of which are increased crew usability, improved flexibility, and improved growth potential. The analysis consists of two parts: an application assessment and an implementation assessment. The former is concerned with the SM user needs and design functional aspects. The latter is concerned with design flexibility, reliability, growth potential, and technical risk. The system analysis is supported by several topical investigations. These include: treatment of false alarms, treatment of off-line items, significant interface parameters, and a design evaluation checklist. An in-depth formulation of techniques, concepts, and guidelines for design of automated performance verification is discussed.

  10. 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

  11. An empirical assessment of which inland floods can be managed.

    Science.gov (United States)

    Mogollón, Beatriz; Frimpong, Emmanuel A; Hoegh, Andrew B; Angermeier, Paul L

    2016-02-01

    Riverine flooding is a significant global issue. Although it is well documented that the influence of landscape structure on floods decreases as flood size increases, studies that define a threshold flood-return period, above which landscape features such as topography, land cover and impoundments can curtail floods, are lacking. Further, the relative influences of natural versus built features on floods is poorly understood. Assumptions about the types of floods that can be managed have considerable implications for the cost-effectiveness of decisions to invest in transforming land cover (e.g., reforestation) and in constructing structures (e.g., storm-water ponds) to control floods. This study defines parameters of floods for which changes in landscape structure can have an impact. We compare nine flood-return periods across 31 watersheds with widely varying topography and land cover in the southeastern United States, using long-term hydrologic records (≥20 years). We also assess the effects of built flow-regulating features (best management practices and artificial water bodies) on selected flood metrics across urban watersheds. We show that landscape features affect magnitude and duration of only those floods with return periods ≤10 years, which suggests that larger floods cannot be managed effectively by manipulating landscape structure. Overall, urban watersheds exhibited larger (270 m(3)/s) but quicker (0.41 days) floods than non-urban watersheds (50 m(3)/s and 1.5 days). However, urban watersheds with more flow-regulating features had lower flood magnitudes (154 m(3)/s), but similar flood durations (0.55 days), compared to urban watersheds with fewer flow-regulating features (360 m(3)/s and 0.23 days). Our analysis provides insight into the magnitude, duration and count of floods that can be curtailed by landscape structure and its management. Our findings are relevant to other areas with similar climate, topography, and land use, and can help

  12. An empirical assessment of which inland floods can be managed

    Science.gov (United States)

    Mogollon, Beatriz; Frimpong, Emmanuel A.; Hoegh, Andrew B.; Angermeier, Paul

    2016-01-01

    Riverine flooding is a significant global issue. Although it is well documented that the influence of landscape structure on floods decreases as flood size increases, studies that define a threshold flood-return period, above which landscape features such as topography, land cover and impoundments can curtail floods, are lacking. Further, the relative influences of natural versus built features on floods is poorly understood. Assumptions about the types of floods that can be managed have considerable implications for the cost-effectiveness of decisions to invest in transforming land cover (e.g., reforestation) and in constructing structures (e.g., storm-water ponds) to control floods. This study defines parameters of floods for which changes in landscape structure can have an impact. We compare nine flood-return periods across 31 watersheds with widely varying topography and land cover in the southeastern United States, using long-term hydrologic records (≥20 years). We also assess the effects of built flow-regulating features (best management practices and artificial water bodies) on selected flood metrics across urban watersheds. We show that landscape features affect magnitude and duration of only those floods with return periods ≤10 years, which suggests that larger floods cannot be managed effectively by manipulating landscape structure. Overall, urban watersheds exhibited larger (270 m3/s) but quicker (0.41 days) floods than non-urban watersheds (50 m3/s and 1.5 days). However, urban watersheds with more flow-regulating features had lower flood magnitudes (154 m3/s), but similar flood durations (0.55 days), compared to urban watersheds with fewer flow-regulating features (360 m3/s and 0.23 days). Our analysis provides insight into the magnitude, duration and count of floods that can be curtailed by landscape structure and its management. Our findings are relevant to other areas with similar climate, topography, and land use, and can help ensure that

  13. Assessment of right ventricular systolic function by tissue Doppler echocardiography

    DEFF Research Database (Denmark)

    Kjærgaard, Jesper

    2012-01-01

    myocardial velocities, but no changes in SR, strain or isovolumic acceleration could be observed [II and III]. Tissue Doppler echocardiography of the RV free wall in non-massive pulmonary embolism quantifies degree of RV dysfunction, and supports the existence of the McConnell sign of mid-ventricular RV...... structure including significant dilatation, but is well tolerated with only mild reduction in measures of global RV systolic function as estimated by 2D echocardiography in an experimental animal model. Regional RV myocardial function is also only mildly reduced. Also no differences in global or regional RV......This thesis summarizes a series of studies performed in order to assess the clinical usefulness of a novel echocardiographic technology that allows non-invasive assessment of regional right ventricular myocardial velocities and deformation: tissue Doppler echocardiography. While the technology...

  14. 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

  15. 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.

  16. Nanotechnology in food science: Functionality, applicability, and safety assessment

    OpenAIRE

    Xiaojia He; Huey-Min Hwang

    2016-01-01

    Rapid development of nanotechnology is expected to transform many areas of food science and food industry with increasing investment and market share. In this article, current applications of nanotechnology in food systems are briefly reviewed. Functionality and applicability of food-related nanotechnology are highlighted in order to provide a comprehensive view on the development and safety assessment of nanotechnology in the food industry. While food nanotechnology offers great potential be...

  17. CATHARE Assessment of PACTEL LOCA Experiments with Accident Management

    Directory of Open Access Journals (Sweden)

    Luben Sabotinov

    2010-01-01

    Full Text Available This paper summarizes the analysis results of three PACTEL experiments, carried out with the advanced thermal-hydraulic system computer CATHARE 2 code as a part of the second work package WP2 (analytical work of the EC project “Improved Accident Management of VVER nuclear power plants” (IMPAM-VVER. The three LOCA experiments, conducted on the Finnish test facility PACTEL (VVER-440 model, represent 7.4% cold leg breaks with combination of secondary bleed and primary bleed and feed and different actuation modes of the passive safety injection. The code was used for both defining and analyzing the experiments, and to assess its capabilities in predicting the associated complex VVER-related phenomena. The code results are in reasonable agreement with the measurements, and the important physical phenomena are well predicted, although still further improvement and validation might be necessary.

  18. [Nursing assessment and management of patients with cardiogenic pulmonary edema].

    Science.gov (United States)

    Wang, Yu-Jyuan; Liao, Chieh-Yin; Kao, Chi-Wen

    2012-02-01

    Cardiogenic pulmonary edema (CPE) is a clinical health problem that induces impaired gas exchange, dyspnea and hypoxia. This serious condition results in acute respiratory failure and high mortality rate. This article suggests an effective approach to CPE patient clinical symptom assessment and management. In accordance with evidence-based methods, we searched Cochrane, CINAHL and ScienceDirect and identified four Oxford Ia or Ib reports that employed a randomized controlled trial, systematic review and meta-analysis. Results suggest that prompt application of a non-invasive positive ventilator, especially continuous positive or bi-level positive airway pressure, can help patients reduce intubation risks, ICU stay days, and mortality rates. The authors hope to see more clinical trials on this topic to support evidence-based clinical nursing care.

  19. Radiotherapy-induced skin reactions: assessment and management.

    Science.gov (United States)

    Glover, Deborah; Harmer, Victoria

    Radiotherapy, the use of high-energy rays to either kill cancer cells or treat some benign tumours, is undoubtedly a positive intervention. However, as the primary mode of action in radiotherapy treatment is the killing of cells to prevent replication, other non-cancerous cells may be affected. For example, up to 85% of patients will experience some form of skin reaction, which will range from local erythema to moist desquamation. Such reactions are not only distressing and painful for the patient, if severe enough, they may warrant a halt in treatment. This article outlines the aims and nature of radiotherapy, and then discusses the aetiology of skin reactions, risk factors for reaction, and assessment tools. Management interventions will also be shown, with emphasis on silicone dressings.

  20. Motor assessment in pediatric neuropsychology: relationships to executive function.

    Science.gov (United States)

    Shaheen, Sandra

    2013-01-01

    Executive function often refers to control behaviors such as "initiating," "sustaining," "inhibiting," and "switching." These mechanisms contribute to regulation of thinking and emotion but can be observed most clearly in the motor system. Neuropsychology has been influenced by "top-down" models of cognitive control that emerged from information-processing theories of cognition. In fact, neural models provide evidence that control processes are highly interactive within the cortico-striatal-cerebellar circuits. Cognition unfolds in response to motor-driven adaptation, and evidence exists for similar firing of brain cells and circuits during "imagined action" as in actual motor behavior. The motor system develops early and yet is not routinely assessed in neuropsychological evaluation of children with neurodevelopmental disorders. This article reviews some of the approaches to motor assessment that have sensitivity to neurodevelopmental disorders, and advocates for inclusion of motor assessment, particularly in evaluating control processes independent of culture, language, and other confounders.

  1. Assessment of soil sealing management responses, strategies, and targets toward ecologically sustainable urban land use management.

    Science.gov (United States)

    Artmann, Martina

    2014-05-01

    Soil sealing has negative impacts on ecosystem services since urban green and soil get lost. Although there is political commitment to stop further sealing, no reversal of this trend can be observed in Europe. This paper raises the questions (1) which strategies can be regarded as being efficient toward ecologically sustainable management of urban soil sealing and (2) who has competences and should take responsibility to steer soil sealing? The analyses are conducted in Germany. The assessment of strategies is carried out using indicators as part of a content analysis. Legal-planning, informal-planning, economic-fiscal, co-operative, and informational strategies are analyzed. Results show that there is a sufficient basis of strategies to secure urban ecosystem services by protecting urban green and reducing urban gray where microclimate regulation is a main target. However, soil sealing management lacks a spatial strategically overview as well as the consideration of services provided by fertile soils.

  2. Benefits Assessment for Tactical Runway Configuration Management Tool

    Science.gov (United States)

    Oseguera-Lohr, Rosa; Phojanamongkolkij, Nipa; Lohr, Gary; Fenbert, James W.

    2013-01-01

    The Tactical Runway Configuration Management (TRCM) software tool was developed to provide air traffic flow managers and supervisors with recommendations for airport configuration changes and runway usage. The objective for this study is to conduct a benefits assessment at Memphis (MEM), Dallas Fort-Worth (DFW) and New York's John F. Kennedy (JFK) airports using the TRCM tool. Results from simulations using the TRCM-generated runway configuration schedule are compared with results using historical schedules. For the 12 days of data used in this analysis, the transit time (arrival fix to spot on airport movement area for arrivals, or spot to departure fix for departures) for MEM departures is greater (7%) than for arrivals (3%); for JFK, there is a benefit for arrivals (9%) but not for departures (-2%); for DFW, arrivals show a slight benefit (1%), but this is offset by departures (-2%). Departure queue length benefits show fewer aircraft in queue for JFK (29%) and MEM (11%), but not for DFW (-13%). Fuel savings for surface operations at MEM are seen for both arrivals and departures. At JFK there are fuel savings for arrivals, but these are offset by increased fuel use for departures. In this study, no surface fuel benefits resulted for DFW. Results suggest that the TRCM algorithm requires modifications for complex surface traffic operations that can cause taxi delays. For all three airports, the average number of changes in flow direction (runway configuration) recommended by TRCM was many times greater than the historical data; TRCM would need to be adapted to a particular airport's needs, to limit the number of changes to acceptable levels. The results from this analysis indicate the TRCM tool can provide benefits at some high-capacity airports. The magnitude of these benefits depends on many airport-specific factors and would require adaptation of the TRCM tool; a detailed assessment is needed prior to determining suitability for a particular airport.

  3. Assessing water reservoir management and development in Northern Vietnam

    Science.gov (United States)

    Pianosi, F.; Quach, X.; Castelletti, A.; Soncini-Sessa, R.

    2012-04-01

    In many developing countries water is a key renewable resource to complement carbon-emitting energy production and support food security in the face of demand pressure from fast-growing industrial production and urbanization. To cope with undergoing changes, water resources development and management have to be reconsidered by enlarging their scope across sectors and adopting effective tools to analyze current and projected infrastructure potential and operation strategies. In this work we use multi-objective deterministic and stochastic optimization to assess the current reservoir operation and planned capacity expansion in the Red River Basin (Northern Vietnam), focusing on the major controllable infrastructure in the basin, the HoaBinh reservoir on the Da River. We first provide a general and mathematical description of the socio economic and physical system of the Red River Basin, including the three main objectives of hydropower production, flood control, and water supply, and using conceptual and data-driven modeling tools. Then, we analyze the historical operation of the HoaBinh reservoir and explore re-operation options corresponding to different tradeoffs among the three main objectives, using Multi-Objective Genetic Algorithm. Results show that there exist several operating policies that prove Pareto-dominant over the historical one, that is, they can improve all three management objectives simultaneously. However, while the improvement is rather significant with respect to hydropower production and water supply, it is much more limited in terms of flood control. To understand whether this is due to structural constraints (insufficient storing capacity) or to the imperfect information system (uncertainty in forecasting future flows and thus anticipate floods), we assessed the infrastructural system potential by application of Deterministic Dynamic Programming. Results show that the current operation can only be relatively improved by advanced optimization

  4. Environmental management of assembled chemical weapons assessment program.

    Energy Technology Data Exchange (ETDEWEB)

    Frey, G.; Mohrman, G.; Templin, B. R.

    1999-05-07

    Environmental planning and management was an integral part of the ACWA Program planning process. To ensure that environmental protection issues could be addressed expeditiously and not delay the demonstrations, the PMACWA scaled the technology demonstrations such that simplified regulatory processes and existing research and development facilities could be used. The use of enclosed facilities for the demonstrations prevents any uncontrolled discharges to the environment and made it possible to conduct environmental assessments relatively quickly. The PMACWA also arranged for public briefings to ease any community concerns over the operations with chemical weapons. These steps precluded regulatory and community resistance to the ACWA activities. The cooperation of the regulators and stakeholders has been a key element in enabling the ACWA Program to move with the speed that it has to date. Technology demonstrations are currently underway and are scheduled to be completed in late May 1999. The data collected during these demonstrations will be used to prepare and submit a summary report to Congress by August 1999. The challenge continues for the ACWA management to guide the demonstrations to completion and to plan for possible pilot testing. As the scale of the ACWA facilities increase in size, the ease of reduced regulatory processes and environmental analyses will no longer be possible. However, the PMACWA will continue to explore all paths through the environmental process to speed the ACWA program to its goals while at the same time ensuring adequate protection of public health and safety and of the environment.

  5. Peer Assessment for Construction Management and Quantity Surveying Students

    Directory of Open Access Journals (Sweden)

    Patricia McLaughlin

    2012-11-01

    Full Text Available Students undertaking the Bachelor of ConstructionManagement degree course at RMIT University, Melbourne,qualify for registration with the Australian Institute ofQuantity Surveyors (AIQS and the Australian Institute ofBuilding (AIB upon graduation. Over the past decade thedegree course has been constantly upgraded and altered inline with recommendations from professional bodies such asthese and other industry partners. In 1994 the Departmentof Building and Construction Economics re-assesseda range of subjects including the first year technologysubjects. Out of the review a problem-based integratedlearning unit was developed and tested. This unit has nowbeen in place for ten years.Quantity surveying and construction management likemost other professions in the construction industryrequire teamwork and advanced consultation skills. Theseskills may be learnt through experience but there isconsiderable evidence that these skills can be taught in theundergraduate years. Therefore in line with team-basedapproaches used in industry and professional constructionsettings, this year a new assessment model - peerassessment - will be applied to the problem-based learningunit. This paper describes the procedures and processesused to introduce the change and examines the theoreticalbase upon which the model was developed.

  6. Climate Change Impact Assessment for Sustainable Water Quality Management

    Directory of Open Access Journals (Sweden)

    Ching-Pin Tung

    2012-01-01

    Full Text Available The goal of sustainable water quality management is to keep total pollutant discharges from exceeding the assimilation capacity of a water body. Climate change may influence streamflows, and further alter assimilation capacity and degrade river sustainability. The purposes of this study are to evaluate the effect of climate change on sustainable water quality management and design an early warning indicator to issue warnings on river sustainability. A systematic assessment procedure is proposed here, including a weather generation model, the streamflow component of GWLF, QUAL2E, and an optimization model. The Touchen creek in Taiwan is selected as the study area. Future climate scenarios derived from projections of four global climate models (GCMs and two pollutant discharge scenarios, as usual and proportional to population, are considered in this study. The results indicate that streamflows may very likely increase in humid seasons and decrease in arid seasons, respectively. The reduction of streamflow in arid seasons may further degrade water quality and assimilation capacity. In order to provide warnings to trigger necessary adaptation strategies, an early warning indicator is designed and its 30-year moving average is calculated. Finally, environmental monitoring systems and methods to prioritize adaptation strategies are discussed for further studies in the future.

  7. Soil Organic Carbon assessment on two different forest management

    Science.gov (United States)

    Fernández Minguillón, Alex; Sauras Yera, Teresa; Vallejo Calzada, Ramón

    2017-04-01

    Soil Organic Carbon assessment on two different forest management. A.F. Minguillón1, T. Sauras1, V.R: Vallejo1. 1 Departamento de Biología Evolutiva, Ecología y Ciencias Ambientales, Universidad de Barcelona, Avenida Diagonal 643, 03080 Barcelona, Spain. Soils from arid and semiarid zones are characterized by a low organic matter content from scarce plant biomass and it has been proposed that these soils have a big capacity to carbon sequestration. According to IPCC ARS WG2 (2014) report and WG3 draft, increase carbon storage in terrestrial ecosystems has been identified such a potential tool for mitigation and adaptation to climate change. In ecological restoration context improve carbon sequestration is considered a management option with multiple benefits (win-win-win). Our work aims to analyze how the recently developed restoration techniques contributed to increases in terrestial ecosystem carbon storage. Two restoration techniques carried out in the last years have been evaluated. The study was carried out in 6 localities in Valencian Community (E Spain) and organic horizons of two different restoration techniques were evaluated; slash brush and thinning Aleppo pine stands. For each technique, carbon stock and its physical and chemical stability has been analysed. Preliminary results point out restoration zones acts as carbon sink due to (1) the relevant necromass input produced by slash brush increases C stock on the topsoil ;(2) Thinning increase carbon accumulation in vegetation.

  8. Sustainability assessment and prioritisation of bottom ash management in Macao.

    Science.gov (United States)

    Sou, W I; Chu, Andrea; Chiueh, P T

    2016-12-01

    In Macao, about 7200 t yr(-1) of bottom ash (BA) is generated and conventionally landfilled with construction waste. Because the properties of BA are similar to those of natural aggregates, it is suitable to be recycled as construction material. However, pre-treatment processes for BA reuse may require more resource input and may generate additional environmental impacts. Life cycle assessment, multi-media transport model analysis, cost-benefit analysis and the analytical hierarchy process were conducted to evaluate the impacts of current and potential BA management scenarios regarding environmental, economic, social and regulatory aspects. The five analysed scenarios are as follows: (0) BA buried with construction and demolition waste (current system); (1) pre-treated BA used to replace 25% of the natural aggregate in asphalt concrete; (2) pre-treated BA used to replace 25% of the natural aggregate in cement concrete; (3) pre-treated BA used to replace 25% of cement in cement concrete; and (4) pre-treated BA sent to China, blended with municipal solid waste for landfill. The results reveal the following ranking of the scenarios: 3 > 2 > 0 > 1 > 4. Scenario 3 shows the best conditions for BA recycling, because the quantity of cement concrete output is the highest and this brings the greatest economic benefits. Our use of integrated analysis provides multi-aspect investigations for BA management systems, particularly in accounting for site-specific characteristics. This approach is suitable for application in other non-western regions. © The Author(s) 2016.

  9. Methodological considerations on the assessment of the implementation of quality management systems

    NARCIS (Netherlands)

    Harten, van Willem H.; Casparie, Ton F.; Fisscher, Olaf A.M.

    2000-01-01

    Quality management systems (QMS) can be considered as an emerging management technology in health care. It is as yet not common to perform assessment of such technology in order to obtain relevant information on the added value. In this paper the specific aspects of the assessment of a quality manag

  10. Functional assessment of lesion severity without using the pressure wire: coronary imaging and blood flow simulation.

    Science.gov (United States)

    Papafaklis, Michail I; Mavrogiannis, Michail C; Siogkas, Panagiotis K; Lakkas, Lampros S; Katsouras, Christos S; Fotiadis, Dimitrios I; Michalis, Lampros K

    2017-09-19

    Hemodynamic indices derived from measurements with the pressure wire (primarily fractional flow reserve [FFR]) have been established as a reliable tool for assessing coronary stenoses and improving clinical decision making. However, the use of the pressure wire constitutes a hurdle for the universal adoption of physiology-guided patient management. Technological advancements have enabled the large-scale application of blood flow simulation (computational fluid dynamics [CFD]) to medical imaging, thereby enabling the virtual assessment of coronary physiology. Areas covered: This review summarizes the stand-alone non-invasive (coronary computed tomographic imaging) and invasive (coronary angiography) imaging approaches which were initially used for predicting FFR, and focuses on the use of blood flow modeling for functional assessment of coronary lesions in clinical practice. Expert commentary: Validation studies of CFD-derived methodologies for functional assessment have shown that virtual indices correlate well and have good diagnostic accuracy compared to pressure wire-FFR despite inherent limitations of spatial resolution and assumptions regarding boundary conditions in flow modeling. Beyond point-to-point agreement with FFR, further studies are needed to demonstrate the clinical safety/efficacy of these computational tools regarding patient outcomes. Such evidence base could support the incorporation of these methodologies into routine patient management for decision making and reliable risk stratification.

  11. 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.

  12. Proton magnetic resonance imaging for assessment of lung function and respiratory dynamics

    Energy Technology Data Exchange (ETDEWEB)

    Eichinger, Monika [Deutsches Krebsforschungszentrum (DKFZ), Department of Radiology (E010), Im Neuenheimer Feld 280, 69120 Heidelberg (Germany)], E-mail: m.eichinger@dkfz.de; Tetzlaff, Ralf; Puderbach, Michael [Deutsches Krebsforschungszentrum (DKFZ), Department of Radiology (E010), Im Neuenheimer Feld 280, 69120 Heidelberg (Germany); Woodhouse, Neil [Unit of Academic Radiology, University of Sheffield (United Kingdom); Kauczor, H.-U. [Deutsches Krebsforschungszentrum (DKFZ), Department of Radiology (E010), Im Neuenheimer Feld 280, 69120 Heidelberg (Germany)

    2007-12-15

    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.

  13. Scoliosis in myelomeningocele: epidemiology, management, and functional outcome.

    Science.gov (United States)

    Mummareddy, Nishit; Dewan, Michael C; Mercier, Michael R; Naftel, Robert P; Wellons, John C; Bonfield, Christopher M

    2017-07-01

    OBJECTIVE The authors aimed to provide an updated and consolidated report on the epidemiology, management, and functional outcome of cases of myelomeningocele (MMC) in patients with scoliosis. METHODS A comprehensive literature search was performed using MEDLINE, Embase, Google Scholar, and the Cochrane Database of Systematic Reviews on cases of MMC in patients with scoliosis between 1980 and 2016. The initial search yielded 670 reports. After removing duplicates and applying inclusion criteria, we included 32 full-text original articles in this study. RESULTS Pooled statistical analysis of the included articles revealed the prevalence of scoliosis in MMC patients to be 53% (95% CI 0.42-0.64). Slightly more females (56%) are affected with both MMC and scoliosis than males. Motor level appears to be a significant predictor of prevalence, but not severity, of scoliosis in MMC patients. Treatment options for these patients include tethered cord release (TCR) and fusion surgeries. Curvature improvement and stabilization after TCR may be limited to patients with milder (scoliosis correction, albeit with greater complication rates. Quality of life metrics including ambulatory status and sitting stability are influenced by motor level of the lesion as well as the degree of the scoliosis curvature. CONCLUSIONS Scoliosis is among the most common and challenging comorbidities from which patients with MMC suffer. Although important epidemiological and management trends are evident, larger, prospective studies are needed to discover ways to more accurately counsel and more optimally treat these patients.

  14. Assessment of Functional Policentricity in the Romanian County Residence Municipalities

    Directory of Open Access Journals (Sweden)

    ANTONIO TACHE

    2016-06-01

    Full Text Available In 2002, John Friedmann concluded that “Almost everyone will coexist in a single global urban network, which will operate on the basis of global competition.” These challenges were mentioned in the EU 2020 Strategy (EC, 2010, where European policy is focused on competitive and inclusive metropolitan development. One of the main problems that emerge when adopting functional urban areas (or metropolitan areas as territorial units of analysis and policy development in European countries is the lack of generally accepted standards for their identification. This problem prevents comparative research between European countries using functional urban areas or metropolitan areas as territorial units of analysis. This article presents an original methodology for assessing the functional policentricity of county seat in Romania, based on ESPON 1.1.1. programme criteria, particularly the classification of various categories of cities in the European Union.

  15. A Cell-Based Assay to Assess Hemichannel Function

    Science.gov (United States)

    Krishnan, Srinivasan; Fiori, Mariana C.; Cuello, Luis G.; Altenberg, Guillermo A.

    2017-01-01

    Activation of connexin hemichannels is involved in the pathophysiology of disorders that include deafness, stroke, and cardiac infarct. This aspect makes hemichannels an attractive therapeutic target. Unfortunately, most available inhibitors are not selective or isoform specific, which hampers their translational application. The absence of a battery of useful inhibitors is due in part to the absence of simple screening assays for the discovery of hemichannel-active drugs. Here, we present an assay that we have recently developed to assess hemichannel function. The assay is based on the expression of functional human connexins in a genetically modified bacterial strain deficient in K+ uptake. These modified cells do not grow in low-K+ medium, but functional expression of connexin hemichannels allows K+ uptake and growth. This cell-growth-based assay is simple, robust, and easily scalable to high-throughput multi-well platforms.

  16. LEARNING ASSESSMENT: A STUDY BASED ON THE PERCEPTIONS OF UNDERGRADUATE MANAGEMENT STUDENTS

    Directory of Open Access Journals (Sweden)

    Marianny Jessica de Brito Silva

    2015-06-01

    Full Text Available This paper aimed to identify the perception of undergraduate Management course students from the Federal University of Pernambuco (UFPE, Agreste Campus, about their professors’ assessment methods. A quantitative approach was employed through a questionnaire conducted on a research sample of 155 students. The data collected and analyzed revealed that the students in question pointed out didactic and bureaucratic functions as the reasons for undertaking assessments and recognized their importance only for students, as an indication of their performance. Most students stated that their feelings about the assessment processes vary according to their time of study and empathy for the discipline, and that the teaching-assessment ratio is generally positive. Assessment feedback was common practice for the sample, but there was a lack of diversity of assessment tools and those used clash with the ones they desired. In conclusion, according to the students’ perception, it is possible to develop multiple thoughts about the assessment process, driving improvements in educational practices and the formation and training of university professors.

  17. Design management of functional foods for quality of life improvement.

    Science.gov (United States)

    Butnariu, Monica; Caunii, Angela

    2013-01-01

    The paper examines the benefit of bread enriched with antioxidants on oxidative stress, and on the quantities of hydrosoluble antioxidants in a group of human subjects. The home-management of functional foods strategy seeks to improve prompt and effective basic nutrition using additional attributes that are directly positively beneficial for health and well-being. The purpose of this clinical study was to test the tolerance and benefits of multicomponent functional foods enriched with antioxidant compounds obtained from plant extracts on healthy adult volunteers. A detailed protocol was created to formalize and standardize the procedures for data collection, e.g. filling out standardized forms and functional diet questionnaires. For the research method, Group A was given the special diet enriched with multicomponent antioxidant foods and Group B (control). The data were analysed using the quantitative methods. They showed significant increase of hydrosoluble antioxidants in group A compared to control, from 220.61+/-27.92 - 313.56+/-37.09 micrograms/mL (p=0.05), compared to 280.47+/-32.1 - 238.27+/-44.93 micrograms/mL (p=0.45). Also, oxidative stress values showed a decrease in the diet group compared to control that reached statistical significance. Oxidative stress decreased in the diet group to 244 +/- 89 compared to 308+/-108 UFORT in the control group. The responses of the prevention of chronic diseases to a functional foods strategy depend on how they are absorbed and utilized in the body. An anti-oxidant diet with natural bioactive components could become an interesting solution for degenerative disorders in which oxidative stress is increased.

  18. Cardiovascular Risk Assessment and Management in Prerenal Transplantation Candidates.

    Science.gov (United States)

    Lindley, Eric M; Hall, Amanda K; Hess, Jordan; Abraham, Jo; Smith, Brigham; Hopkins, Paul N; Shihab, Fuad; Welt, Frederick; Owan, Theophilus; Fang, James C

    2016-01-01

    Cardiovascular (CV) assessment in prerenal transplant patients varies by center. Current guidelines recommend stress testing for candidates if ≥ 3 CV risk factors exist. We evaluated the CV assessment and management in 685 patients referred for kidney transplant over a 7-year period. All patients had CV risk factors, and the most common cause of end-stage renal disease was diabetes. Thirty-three percent (n = 229) underwent coronary angiography. The sensitivity of stress testing to detect obstructive coronary artery disease (CAD) was poor (0.26). Patients who had no CAD, nonobstructive CAD, or CAD with intervention had significantly higher event-free survival compared with patients with obstructive CAD without intervention. There were no adverse clinical events (death, myocardial infarction, stroke, revascularization, and graft failure) within 30 days post-transplant in patients who had preoperative angiography (n = 77). Of the transplanted patients who did not have an angiogram (n = 289), there were 8 clinical events (6 myocardial infarctions) in the first 30 days. In conclusion, our results indicate that stress testing and usual risk factors were poor predictors of obstructive CAD and that revascularization may prove beneficial in these patients.

  19. Assessing water reservoirs management and development in Northern Vietnam

    Directory of Open Access Journals (Sweden)

    A. Castelletti

    2012-01-01

    Full Text Available In many developing countries water is a key renewable resource to complement carbon-emitting energy production and support food security in the face of demand pressure from fast-growing industrial production and urbanization. To cope with undergoing changes, water resources development and management have to be reconsidered by enlarging their scope across sectors and adopting effective tools to analyze current and projected infrastructure potential and operation strategies. In this paper we use multi-objective deterministic and stochastic optimization to assess the current reservoir operation and planned capacity expansion in the Red River Basin (Northern Vietnam, and to evaluate the potential improvement by the adoption of a more sophisticated information system. To reach this goal we analyze the historical operation of the major controllable infrastructure in the basin, the HoaBinh reservoir on the Da River, explore re-operation options corresponding to different tradeoffs among the three main objectives (hydropower production, flood control and water supply, using multi-objective optimization techniques, namely Multi-Objective Genetic Algorithm. Finally, we assess the structural system potential and the need for capacity expansion by application of Deterministic Dynamic Programming. Results show that the current operation can only be relatively improved by advanced optimization techniques, while investment should be put into enlarging the system storage capacity and exploiting additional information to inform the operation.

  20. Final Environmental assessment for the Uranium Lease Management Program

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-07-01

    The US Department of Energy (DOE) has prepared a programmatic environmental assessment (EA) of the proposed action to continue leasing withdrawn lands and DOE-owned patented claims for the exploration and production of uranium and vanadium ores. The Domestic Uranium Program regulation, codified at Title 10, Part 760.1, of the US Code of Federal Regulations (CFR), gives DOE the flexibility to continue leasing these lands under the Uranium Lease Management Program (ULMP) if the agency determines that it is in its best interest to do so. A key element in determining what is in DOE`s ``best interest`` is the assessment of the environmental impacts that may be attributable to lease tract operations and associated activities. On the basis of the information and analyses presented in the EA for the ULMP, DOE has determined that the proposed action does not constitute a major Federal action significantly affecting the quality of the human environment, as defined in the National Environmental Policy Act (NEPA) of 1969 (42 United States Code 4321 et seq.), as amended.Therefore, preparation of an environmental impact statement is not required for the ULMP,and DOE is issuing this Finding, of No Significant Impact (FONSI).

  1. Can Systematic Reviews Inform GMO Risk Assessment and Risk Management?

    Science.gov (United States)

    Kohl, Christian; Frampton, Geoff; Sweet, Jeremy; Spök, Armin; Haddaway, Neal Robert; Wilhelm, Ralf; Unger, Stefan; Schiemann, Joachim

    2015-01-01

    Systematic reviews represent powerful tools to identify, collect, synthesize, and evaluate primary research data on specific research questions in a highly standardized and reproducible manner. They enable the defensible synthesis of outcomes by increasing precision and minimizing bias whilst ensuring transparency of the methods used. This makes them especially valuable to inform evidence-based risk analysis and decision making in various topics and research disciplines. Although seen as a “gold standard” for synthesizing primary research data, systematic reviews are not without limitations as they are often cost, labor and time intensive and the utility of synthesis outcomes depends upon the availability of sufficient and robust primary research data. In this paper, we (1) consider the added value systematic reviews could provide when synthesizing primary research data on genetically modified organisms (GMO) and (2) critically assess the adequacy and feasibility of systematic review for collating and analyzing data on potential impacts of GMOs in order to better inform specific steps within GMO risk assessment and risk management. The regulatory framework of the EU is used as an example, although the issues we discuss are likely to be more widely applicable. PMID:26322307

  2. Can systematic reviews inform GMO risk assessment and risk management?

    Directory of Open Access Journals (Sweden)

    Christian eKohl

    2015-08-01

    Full Text Available Systematic reviews represent powerful tools to identify, collect, synthesize and evaluate primary research data on specific research questions in a highly standardized and reproducible manner. They enable the defensible synthesis of outcomes by increasing precision and minimizing bias whilst ensuring transparency of the methods used. This makes them especially valuable to inform evidence-based risk analysis and decision making in various topics and research disciplines. Although seen as a gold standard for synthesizing primary research data, systematic reviews are not without limitations as they are often cost, labor and time intensive and the utility of synthesis outcomes depends upon the availability of sufficient and robust primary research data. In this paper we 1 consider the added value systematic reviews could provide when synthesizing primary research data on genetically modified organisms (GMO and 2 critically assess the adequacy and feasibility of systematic review for collating and analyzing data on potential impacts of GMOs in order to better inform specific steps within GMO risk assessment and risk management. The regulatory framework of the EU is used as an example, although the issues we discuss are likely to be more widely applicable.

  3. Assessing water reservoirs management and development in Northern Vietnam

    Science.gov (United States)

    Castelletti, A.; Pianosi, F.; Quach, X.; Soncini-Sessa, R.

    2012-01-01

    In many developing countries water is a key renewable resource to complement carbon-emitting energy production and support food security in the face of demand pressure from fast-growing industrial production and urbanization. To cope with undergoing changes, water resources development and management have to be reconsidered by enlarging their scope across sectors and adopting effective tools to analyze current and projected infrastructure potential and operation strategies. In this paper we use multi-objective deterministic and stochastic optimization to assess the current reservoir operation and planned capacity expansion in the Red River Basin (Northern Vietnam), and to evaluate the potential improvement by the adoption of a more sophisticated information system. To reach this goal we analyze the historical operation of the major controllable infrastructure in the basin, the HoaBinh reservoir on the Da River, explore re-operation options corresponding to different tradeoffs among the three main objectives (hydropower production, flood control and water supply), using multi-objective optimization techniques, namely Multi-Objective Genetic Algorithm. Finally, we assess the structural system potential and the need for capacity expansion by application of Deterministic Dynamic Programming. Results show that the current operation can only be relatively improved by advanced optimization techniques, while investment should be put into enlarging the system storage capacity and exploiting additional information to inform the operation.

  4. Can Systematic Reviews Inform GMO Risk Assessment and Risk Management?

    Science.gov (United States)

    Kohl, Christian; Frampton, Geoff; Sweet, Jeremy; Spök, Armin; Haddaway, Neal Robert; Wilhelm, Ralf; Unger, Stefan; Schiemann, Joachim

    2015-01-01

    Systematic reviews represent powerful tools to identify, collect, synthesize, and evaluate primary research data on specific research questions in a highly standardized and reproducible manner. They enable the defensible synthesis of outcomes by increasing precision and minimizing bias whilst ensuring transparency of the methods used. This makes them especially valuable to inform evidence-based risk analysis and decision making in various topics and research disciplines. Although seen as a "gold standard" for synthesizing primary research data, systematic reviews are not without limitations as they are often cost, labor and time intensive and the utility of synthesis outcomes depends upon the availability of sufficient and robust primary research data. In this paper, we (1) consider the added value systematic reviews could provide when synthesizing primary research data on genetically modified organisms (GMO) and (2) critically assess the adequacy and feasibility of systematic review for collating and analyzing data on potential impacts of GMOs in order to better inform specific steps within GMO risk assessment and risk management. The regulatory framework of the EU is used as an example, although the issues we discuss are likely to be more widely applicable.

  5. 76 FR 10050 - Changes to the Public Housing Assessment System (PHAS): Management Operations Scoring Notice

    Science.gov (United States)

    2011-02-23

    ... URBAN DEVELOPMENT Changes to the Public Housing Assessment System (PHAS): Management Operations Scoring... of the public about HUD's process for issuing scores under the management operations indicator of the... process for the PHAS management operations indicator. The purpose of the management operations...

  6. Standardised assessment of patients' capacity to manage medications: a systematic review of published instruments

    Directory of Open Access Journals (Sweden)

    Elliott Rohan A

    2009-07-01

    Full Text Available Abstract Background Older people are commonly prescribed complex multi-drug regimens while also experiencing declines in the cognitive and physical abilities required for medication management, leading to increased risk of medication errors and need for assisted living. The purpose of this study was to review published instruments designed to assess patients' capacity to self-administer medications. Methods Searches of Medline, EMBASE, CINAHL, PsycINFO, International Pharmaceutical Abstracts, Health and Psychosocial Instruments, Google, and reference lists of identified publications were conducted to identify English-language articles describing development and validation of instruments designed to assess patients' capacity to self-administer medications. Methodological quality of validation studies was rated independently against published criteria by two reviewers and reliability and validity data were reviewed. Results Thirty-two instruments were identified, of which 14 met pre-defined inclusion criteria. Instruments fell into two categories: those that used patients' own medications as the basis for assessment and those that used a simulated medication regimen. The quality of validation studies was generally low to moderate and few instruments were subjected to reliability testing. Most instruments had some evidence of construct validity, through associations with tests of cognitive function, health literacy, activities of daily living or measures of medication management or adherence. Only one instrument had sensitivity and specificity data with respect to prediction of medication-related outcomes such as adherence to therapy. Only three instruments had validity data from more than one independent research group. Conclusion A number of performance-based instruments exist to assess patients' capacity to manage their own medications. These may be useful for identifying physical and cognitive barriers to successful medication management, but

  7. Tailored Watershed Assessment and Integrated Management (TWAIM: A Systems Thinking Approach

    Directory of Open Access Journals (Sweden)

    Joe Magner

    2011-06-01

    Full Text Available Control of non-point source (NPS water pollution remains elusive in the United States (US. Many US water-bodies which have been primarily impacted by NPS pollution have not achieved water quality goals set by Clean Water Act. Technological advances have been made since 1972, yet many water resources fail to meet water quality standards. Common Pool Resources Theory is considered to understand the human dimension of NPS pollution by exploring anthropogenic activities superimposed upon dynamic ecosystems. In the final analysis, priority management zones (PMZs for best management practice (BMP implementation must have buy-in from land managers. TWAIM is an iterative systems thinking approach to planning, collecting landscape and land use information and communicating systems understanding to stakeholders. Hydrologic pathways that link the physical, chemical and biological characteristics influence processes occurring in a watershed which drive stream health and ecological function. With better systems understanding and application by technical specialists, there is potential for improved stakeholder interaction and dialogue which could then enable better land use decisions. Issues of pollutant origin, transport, storage and hydraulic residence must be defined and communicated effectively to land managers within a watershed context to observe trends in water quality change. The TWAIM concept provides a logical framework for locally-led assessment and a means to communicate ecohydrologic systems understanding over time to the key land managers such that PMZs can be defined for BMP implementation.

  8. Assessment of shaft safety and management system of controlling engineering information

    Energy Technology Data Exchange (ETDEWEB)

    Liu Rui-xin; Xu Yan-chun [Yanzhou Mining Group Ltd., Zoucheng (China)

    2008-02-15

    Evaluating shaft safety and establishing a system for controlling engineering information is very important because more than 90 shafts in thick alluvial areas suddenly have shaft wall fracturing or breaking problems and there are more than a few hundred shafts of similar geologic conditions. Taking shaft control in the Yangzhou Coal Mining Group as an example, an assessment and management system and related software were established. This system includes basic information of the mine, measurement results and analysis, and functions of empirical and theoretical forecasting and finite element analysis, which are confirmed to be very effective for guiding shaft well control engineering in practice. 8 refs., 3 figs., 2 tabs.

  9. National Levee Database: monitoring, vulnerability assessment and management in Italy

    Science.gov (United States)

    Barbetta, Silvia; Camici, Stefania; Maccioni, Pamela; Moramarco, Tommaso

    2015-04-01

    Italian levees and historical breach failures to be exploited in the framework of an operational procedure addressed to the seepage vulnerability assessment of river reaches where the levee system is an important structural measure against flooding. For its structure, INLED is a dynamic geospatial database with ongoing efforts to add levee data from authorities with the charge of hydraulic risk mitigation. In particular, the database is aimed to provide the available information about: i) location and condition of levees; ii) morphological and geometrical properties; iii) photographic documentation; iv) historical levee failures; v) assessment of vulnerability to overtopping and seepage carried out through a procedure based on simple vulnerability indexes (Camici et al. 2014); vi) management, control and maintenance; vii)flood hazard maps developed by assuming the levee system undamaged/damaged during the flood event. Currently, INLED contains data of levees that are mostly located in the Tiber basin, Central Italy. References Apel H., Merz B. & Thieken A.H. Quantification of uncertainties in flood risk assessments. Int J River Basin Manag 2008, 6, (2), 149-162. Camici S,, Barbetta S., Moramarco T., Levee body vulnerability to seepage: the case study of the levee failure along the Foenna stream on 1st January 2006 (central Italy)", Journal of Flood Risk Management, in press. Colleselli F. Geotechnical problems related to river and channel embankments. Rotterdam, the Netherlands: Springer, 1994. H. R.Wallingford Consultants (HRWC). Risk assessment for flood and coastal defence for strategic planning: high level methodology technical report, London, 2003. Mazzoleni M., Bacchi B., Barontini S., Di Baldassarre G., Pilotti M. & Ranzi R. Flooding hazard mapping in floodplain areas affected by piping breaches in the Po River, Italy. J Hydrol Eng 2014, 19, (4), 717-731.

  10. Assessing the ecological state and managing Armenia's farmlands

    Science.gov (United States)

    Saghatelyan, Armen; Asmaryan, Shushanik; Muradyan, Vahagn; Tepanosyan, Garegin; Minasyan, Lilit

    2014-05-01

    The territory of the Republic of Armenia (RA) occupies an area 29.8 sq. km, the major part of which - 2077 hectares - falls on farmlands located at a height 400-3200m a.s.l. Such a variation in altitude complicates development of territories especially in the case they have an extensive character stemmed from the Soviet era: land plough-up on sites lying at a very steep angle of decline - >20 grade, unregulated grazing and so on. A long-term, unplanned and unregulated use of farmlands entailed intense washout of upper soil horizon, which subsequently provoked intense development of erosion and degradation of lands. A practicable solution to this problem is a scientifically and methodically grounded assessment of ecological state of farmlands and economically 'competent' planning and management of agricultural resources. With the view of developing animal husbandry and managing pastures/hayfields, in 2011-2012 the Government of the Republic of Armenia under support of the World Bank implemented a Farm Resources Management and Competitiveness Program. The goal of the Program is ceasing a trend to overgrazing and degradation of close-to-village sites, using remote pastures/hayfields in the best effective manner, improving feed production and animal feeding networks, and promoting a growth in animal feed production volumes. To achieve that, the following works were planned and implemented successfully in 23 rural communities of 6 marzes of the RA, which was done by 3 stages. In preparatory stage • Accessible web resources - programs and sites (Google Earth, www.landcocer.org) with a view of identifying information to support implementation of the planned activities, were explored and evaluated. • Cartographic material (topographic maps sc.1:10000, landscape maps, panchromatic and multi-spectral high- and medium - resolution satellite images /LANDSAT ETM, QuickBird/ and other thematic cartographic and archival material) required for subsequent treatment of

  11. 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

    2017-05-05

    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.

  12. The Role of Threat Assessment and Management in College Counseling: How's That Net Working?

    Science.gov (United States)

    Pollard, Jeffrey W.; Flynn, Christopher; Eells, Gregory T.

    2015-01-01

    The authors respond to Goodwin's (2014) "Threat Assessment: Are We Using the Wrong Nets?" and use that article as a springboard to discuss various aspects of the threat assessment and management process. We find that Goodwin misses critical elements of the threat assessment and management process, conflates the process with two types of…

  13. Velopharyngeal function assessment in patients with cleft palate: perceptual speech assessment versus nasopharyngoscopy.

    Science.gov (United States)

    Ma, Li; Shi, Bing; Li, Yang; Zheng, Qian

    2013-07-01

    There is no doubt that perceptual speech assessment and instrumental examination could provide different diagnostic information on patients with cleft palate (CP), but not all patients simultaneously need the 2 examinations. So the purposes of this study were to explore a simple and effective evaluation method to assess velopharyngeal function and to investigate speech traits that affect the diagnosis of velopharyngeal function in patients with CP. The investigators implemented a retrospective study, and 247 postoperative patients with CP were selected, including 155 boys and 92 girls, with a mean (SD) age of 13 years and 2 months (7 years and 7 months). All of these patients were assessed by perceptual speech evaluation and nasopharyngoscopy after surgery, and the result was divided into velopharyngeal closure (VPC), velopharyngeal insufficiency, and marginal VPC. The number of diagnostic consistency patients was 170 (VPC, 51 patients; velopharyngeal insufficiency, 115 patients; marginal VPC, 4 patients), and the consistent ratio was 68.83%. There was no significant difference between perceptual speech assessment and nasopharyngoscopy. Furthermore, the difference in distribution of hypernasality between the consistent group and the inconsistent group was significant. In addition, the correlation analysis indicated that surgical age, hypernasality, nasal emission, and compensatory articulation were correlated with the velopharyngeal function (P velopharyngeal function. Much more attention should be paid to the surgical age, the alteration of hypernasality, nasal emission, and compensatory articulation during CP therapy.

  14. Elk and Deer Management Plan and Environmental Assessment : Fort Niobrara National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The purpose of this Elk and Deer Management Plan and Environmental Assessment (EDMP/EA) is to develop and evaluate alternative actions for management of elk and deer...

  15. Assessing and managing multiple risks in a changing world — The Roskilde recommendations

    DEFF Research Database (Denmark)

    Selck, Henriette; Adamsen, Peter B.; Backhaus, Thomas

    2017-01-01

    -modified systems; 8) assess risks and benefits to humans and the ecosystem and consider unintended consequences of management actions; 9) avoid excessive conservatism or possible underprotection resulting from sole reliance on binary, numerical benchmarks; and 10) develop adaptive risk-management and regulatory......) 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...

  16. Clinical assessment of social cognitive function in neurological disorders.

    Science.gov (United States)

    Henry, Julie D; von Hippel, William; Molenberghs, Pascal; Lee, Teresa; Sachdev, Perminder S

    2016-01-01

    Social cognition broadly refers to the processing of social information in the brain that underlies abilities such as the detection of others' emotions and responding appropriately to these emotions. Social cognitive skills are critical for successful communication and, consequently, mental health and wellbeing. Disturbances of social cognition are early and salient features of many neuropsychiatric, neurodevelopmental and neurodegenerative disorders, and often occur after acute brain injury. Its assessment in the clinic is, therefore, of paramount importance. Indeed, the most recent edition of the American Psychiatric Association's Diagnostic and Statistical Manual for Mental Disorders (DSM-5) introduced social cognition as one of six core components of neurocognitive function, alongside memory and executive control. Failures of social cognition most often present as poor theory of mind, reduced affective empathy, impaired social perception or abnormal social behaviour. Standard neuropsychological assessments lack the precision and sensitivity needed to adequately inform treatment of these failures. In this Review, we present appropriate methods of assessment for each of the four domains, using an example disorder to illustrate the value of these approaches. We discuss the clinical applications of testing for social cognitive function, and finally suggest a five-step algorithm for the evaluation and treatment of impairments, providing quantitative evidence to guide the selection of social cognitive measures in clinical practice.

  17. 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.

  18. Fish foraging patterns, vulnerability to fishing, and implications for the management of ecosystem function across scales.

    Science.gov (United States)

    Nash, Kirsty L; Graham, Nicholas A J; Bellwood, David R

    2013-10-01

    The function of species has been recognized as critical for the maintenance of ecosystems within desired states. However, there are still considerable gaps in our knowledge of interspecific differences in the functional roles of organisms, particularly with regard to the spatial scales over which functional impact is exerted. This has implications for the delivery of function and the maintenance of ecosystem processes. In this study we assessed the allometric relationship between foraging movements and fish body length at three sites, for 20 species of herbivorous reef fishes within four different functional groups: browsers, farmers, grazer/ detritivores, and scraper/excavators. The relationship between vulnerability of species to fishing and their scale of foraging was also examined. We present empirical evidence of the strong, positive, log-linear relationship between the scale of foraging movement and fish body length. This relationship was consistent among sites and between the two different movement metrics used. Phylogeny did not affect these results. Functional groups foraged over contrasting ranges of spatial scales; for example, scraper/excavators performed their role over a wide range of scales, whereas browsers were represented by few species and operated over a narrow range of scales. Overfishing is likely not only to remove species operating at large scales, but also to remove the browser group as a whole. Large fishes typically have a significant role in removing algae on reefs, and browsers are key to controlling macroalgae and reversing shifts to macroalgal-dominated states. This vulnerability to exploitation has serious consequences for the ability of fish assemblages to deliver their functional role in the face of anthropogenic impacts. However, identification of the scales at which herbivorous fish assemblages are susceptible to fishing provides managers with critical knowledge to design management strategies to support coral-dominated reefs by

  19. Precision control of soil N cycling via soil functional zone management

    Science.gov (United States)

    Managing the soil nitrogen (N) cycle is a major component of agricultural sustainability. Soil functional zone management (SFZM), a novel framework of agroecosystem management, may improve soil N management compared with conventional and no-tillage approaches by focusing on the timing and location (...

  20. Threat assessment and sensor management in a modular architecture

    Science.gov (United States)

    Page, S. F.; Oldfield, J. P.; Islip, S.; Benfold, B.; Brandon, R.; Thomas, P. A.; Stubbins, D. J.

    2016-10-01

    Many existing asset/area protection systems, for example those deployed to protect critical national infrastructure, are comprised of multiple sensors such as EO/IR, radar, and Perimeter Intrusion Detection Systems (PIDS), loosely integrated with a central Command and Control (C2) system. Whilst some sensors provide automatic event detection and C2 systems commonly provide rudimentary multi-sensor rule based alerting, the performance of such systems is limited by the lack of deep integration and autonomy. As a result, these systems have a high degree of operator burden. To address these challenges, an architectural concept termed "SAPIENT" was conceived. SAPIENT is based on multiple Autonomous Sensor Modules (ASMs) connected to a High-Level Decision Making Module (HLDMM) that provides data fusion, situational awareness, alerting, and sensor management capability. The aim of the SAPIENT concept is to allow for the creation of a surveillance system, in a modular plug-and-play manner, that provides high levels of autonomy, threat detection performance, and reduced operator burden. This paper considers the challenges associated with developing an HLDMM aligned with the SAPIENT concept, through the discussion of the design of a realised HLDMM. Particular focus is drawn to how high levels of system level performance can be achieved whilst retaining modularity and flexibility. A number of key aspects of our HLDMM are presented, including an integrated threat assessment and sensor management framework, threat sequence matching, and ASM trust modelling. The results of real-world testing of the HLDMM, in conjunction with multiple Laser, Radar, and EO/IR sensors, in representative semi-urban environments, are discussed.

  1. Assessing the costs and benefits of improved land management practices in three watershed areas in Ethiopia

    Directory of Open Access Journals (Sweden)

    Abonesh Tesfaye

    2016-03-01

    Full Text Available Unsustainable land use management and the resulting soil erosion are among the most pervasive problems in rural Ethiopia, where most of the country’s people live, jeopardizing food security. Despite various efforts to introduce soil conservation measures and assess their costs and benefits, it is unclear how efficient these measures are from an economic point of view in securing food production. This paper examines the costs and benefits of three soil conservation measures applied in the country in three different rural districts facing different degrees of soil erosion problems using survey data collected from 750 farm households. A production function is estimated to quantify the costs and benefits of more sustainable land use management practices. We show that the soil conservation measures significantly increase productivity and hence food security. Comparing the costs and benefits, the results indicate that implementing soil conservation measures would benefit farm communities in the case study areas through increased grain productivity and food security.

  2. 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

  3. Radionuclide assessment of left ventricular function following cardiac surgery

    Energy Technology Data Exchange (ETDEWEB)

    Howe, W.R.; Jones, R.H.; Sabiston, D.C. Jr.

    1976-01-01

    Use of a high count-rate gamma scintillation camera permits the noninvasive assessment of left ventricular function by nuclear angiocardiography. Counts recorded from the region of the left ventricle at 50- or 100-msec intervals during the first transit of an intravenously administered bolus of radioisotope produce a high-fidelity indicator-dilution curve. Count fluctuations reflect left ventricular volume changes during the cardiac cycle and permit measurement of dv/dt, ejection fraction, mean transit time, and wall motion of this chamber. The present study evaluates (1) the accuracy of this technique compared to standard biplane cineangiography and (2) its usefulness in evaluating patients after cardiac surgery.

  4. ORGANIZATION AS A MANAGEMENT FUNCTION IN THE ACTIVITY OF TRADE COMPANIES

    Directory of Open Access Journals (Sweden)

    Bretan Florin-Ioan

    2013-01-01

    Full Text Available Organizational system is a set of methods, procedures and techniques used in the management of organization function of the production process. It has as main functions methodological and logistical support creation of the functional act. Generally, systems, methods and management functions trigger the assembly of the developed activities by the managed system in order to establish and achieve the aims of commercial enterprises. In most cases, the management is done by exercising a range of functions including the organization of enterprises in Maramures County, Romania.

  5. Organization as a management function in the activity of trade companies

    Directory of Open Access Journals (Sweden)

    Bretan Florin-Ioan

    2013-01-01

    Full Text Available Organizational system is a set of methods, procedures and techniques used in the management of organization function of the production process. It has as main functions methodological and logistical support creation of the functional act. Generally, systems, methods and management functions trigger the assembly of the developed activities by the managed system in order to establish and achieve the aims of commercial enterprises. In most cases, the management is done by exercising a range of functions including the organization of enterprises in Maramures County, Romania.

  6. Assessment of thyroid and gonadal function in liver diseases

    Directory of Open Access Journals (Sweden)

    Sandeep Kharb

    2015-01-01

    Full Text Available Introduction: Liver is involved with the synthesis of carrier proteins and metabolism of various hormones and liver diseases may, therefore, be associated with various endocrine disturbances. This study was conducted to assess thyroid and gonadal function in subjects with acute hepatitis (AH, chronic liver disease (CLD, and those who had undergone liver transplantation (LT. Materials and Methods: Patients with AH, CLD with Child-Pugh stage A (CLD-1 and Child-Pugh stage B or C (CLD-2, and LT seen at our tertiary level hospital were assessed clinically, biochemically, and for thyroid and gonadal functions besides 25 healthy controls. Results: Thyroid dysfunction and hypogonadism were present in 14 (16% and 24 (28% patients with liver diseases respectively. Among thyroid dysfunction, the commonest was sick euthyroid syndrome six (7%, followed by subclinical hypothyroidism in three patients (3.5%, subclinical hyperthyroidism and thyrotoxicosis in two patients each (2.3% and overt hypothyroidism in one patient. Among patients with LT and AH groups, the only abnormality was significantly lower total T3 compared with healthy controls. The CLD2 group had significantly lower levels of all thyroid hormones compared with controls and CLD1 group. Hypogonadism was commonest in patients with CLD-2 (14; 50% followed by LT (3; 33%, CLD-1 (4; 20%, and AH (3; 14%. Hypogonadism was predicted by older age, lower levels of serum albumin, total cholesterol, and triglycerides and higher levels of plasma glucose, serum bilirubin, aspartate transaminases, and international normalized ratio. Gonadal functions showed recovery following LT. Conclusions: Thyroid dysfunction and hypogonadism form an important part of the spectrum of acute and CLD, and patients with LT. Deterioration of synthetic functions of liver disease predicts presence of hypogonadism.

  7. New horizons in the pathogenesis, assessment and management of delirium

    Science.gov (United States)

    Maclullich, Alasdair M. J.; Anand, Atul; Davis, Daniel H. J.; Jackson, Thomas; Barugh, Amanda J.; Hall, Roanna J.; Ferguson, Karen J.; Meagher, David J.; Cunningham, Colm

    2013-01-01

    Delirium is one of the foremost unmet medical needs in healthcare. It affects one in eight hospitalised patients and is associated with multiple adverse outcomes including increased length of stay, new institutionalisation, and considerable patient distress. Recent studies also show that delirium strongly predicts future new-onset dementia, as well as accelerating existing dementia. The importance of delirium is now increasingly being recognised, with a growing research base, new professional international organisations, increased interest from policymakers, and greater prominence of delirium in educational and audit programmes. Nevertheless, the field faces several complex research and clinical challenges. In this article we focus on selected areas of recent progress and/or uncertainty in delirium research and practice. (i) Pathogenesis: recent studies in animal models using peripheral inflammatory stimuli have begun to suggest mechanisms underlying the delirium syndrome as well as its link with dementia. A growing body of blood and cerebrospinal fluid studies in humans have implicated inflammatory and stress mediators. (ii) Prevention: delirium prevention is effective in the context of research studies, but there are several unresolved issues, including what components should be included, the role of prophylactic drugs, and the overlap with general best care for hospitalised older people. (iii) Assessment: though there are several instruments for delirium screening and assessment, detection rates remain dismal. There are no clear solutions but routine screening embedded into clinical practice, and the development of new rapid screening instruments, offer potential. (iv) Management: studies are difficult given the heterogeneity of delirium and currently expert and comprehensive clinical care remains the main recommendation. Future studies may address the role of drugs for specific elements of delirium. In summary, though facing many challenges, the field continues

  8. French nuclear plants PWR vessel integrity assessment and life management

    Energy Technology Data Exchange (ETDEWEB)

    Bezdikian, G. [Electricite de France (EDF), Div. Production Nucleaire, 93 - Saint-Denis (France); Quinot, P. [FRAMATOME, Dept. Bloc Reacteur et Boucles Primaires, 92 - Paris-La-Defence (France); Faidy, C.; Churier-Bossennec, H. [Electricite de France (EDF), Div. Ingenierie et Service, 69 - Villeurbanne (France)

    2001-07-01

    The Reactor Pressure Vessel life management of 56 PWR 3 loop and 4 loop reactors units was engaged by the French Utility EDF (Electricite de France) a few years ago and is yet on going on. This paper will present the work carried out within the framework of justifying why the 34 three loop reactor vessels will remain acceptable for operation for a lifetime of at least 40-years. A summary of the measures will be given. An overall review of actions will be presented describing the French approach, using important existing databases, including studies related to irradiation surveillance monitoring program and end of life fluence assessment. The last results obtained are based on generic integrity analyses for all categories of situations (normal upset emergency and faulted conditions) until the end of lifetime, postulating circumferential an radial kinds of flaw located in the stainless steel cladding or shallow sub-cladding area. The results of structural integrity analyses beginning with elastic computations and completed with three-dimensional finite element elastic plastic computations for envelope cases, are compared with code criteria for operating plants. The objective is to evaluate the margins on different parameters as RTNDT (Reference Nil Ductility Transition Temperature), toughness or crack size, to justify the global fitness for service of all these Reactor Pressure Vessels. The paper introduces EDF's maintenance strategy, related to integrity assessment, for those nuclear power plants under operation, based on NDE in-service inspection of the first thirty millimeters in the thickness of the wall and major surveillance programs of the vessels. (author)

  9. 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

  10. Mobile Phone-Based Joint Angle Measurement for Functional Assessment and Rehabilitation of Proprioception

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    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.

  11. The assessment of diastolic function in patients with rheumatoid arthritis

    Directory of Open Access Journals (Sweden)

    Obradović-Tomašević Biljana

    2009-01-01

    Full Text Available Introduction. Rheumatoid arthritis (RA is a systemic inflammatory autoimmune chronic disease. In comparison with the overall population, mortality and morbidity of RA patients are increased due to cardiovascular diseases. There is increasing evidence that autoimmunity mechanisms are included in pathogenesis of cardiovascular diseases. Isolated disorder of diastolic function can, even with normal heart contractility, lead to heart failure. The aim of this study was to assess diastolic function in RA patients and determine factors causing diastolic dysfunction. Material and methods. The study included 88 patients with RA treated at Rheumatology Department, Clinical Hospital Centre, Zemun. All the patients were thoroughly examined (clinical findings, laboratory and echocardiographic examination. All parameters of diastolic function (mitral and pulmonary flow were measured. Results. In RA patients 98,9% had diastolic function disorder. This parameter had been changed prior to clinical signs of heart failure and decrease of ejection fraction. Indicators of diastolic function, velocities E, A and their ratio VE/VA, as well as velocities S, D and their ratio VS/VD were lower in patients with positive rheumatoid factor. The patients' age (p<0.01, duration of the disease (p<0.05, high level of cholesterol (p<0.05, triglycerides (p<0.05 and arterial hypertension (p<0.05 were significant factors considerably affecting diastolic function. Conclusion. These findings suggest subclinical myocardial disorder in a great number of RA patients. Apart from early and aggressive treatment of the chronic inflammatory process, it is also necessary to prevent further heart complications by timely recognition and treatment of 'standard' risk factors for cardiovascular diseases.

  12. Phylogenetic and functional assessment of orthologs inference projects and methods.

    Directory of Open Access Journals (Sweden)

    Adrian M Altenhoff

    2009-01-01

    Full Text Available Accurate genome-wide identification of orthologs is a central problem in comparative genomics, a fact reflected by the numerous orthology identification projects developed in recent years. However, only a few reports have compared their accuracy, and indeed, several recent efforts have not yet been systematically evaluated. Furthermore, orthology is typically only assessed in terms of function conservation, despite the phylogeny-based original definition of Fitch. We collected and mapped the results of nine leading orthology projects and methods (COG, KOG, Inparanoid, OrthoMCL, Ensembl Compara, Homologene, RoundUp, EggNOG, and OMA and two standard methods (bidirectional best-hit and reciprocal smallest distance. We systematically compared their predictions with respect to both phylogeny and function, using six different tests. This required the mapping of millions of sequences, the handling of hundreds of millions of predicted pairs of orthologs, and the computation of tens of thousands of trees. In phylogenetic analysis or in functional analysis where high specificity is required, we find that OMA and Homologene perform best. At lower functional specificity but higher coverage level, OrthoMCL outperforms Ensembl Compara, and to a lesser extent Inparanoid. Lastly, the large coverage of the recent EggNOG can be of interest to build broad functional grouping, but the method is not specific enough for phylogenetic or detailed function analyses. In terms of general methodology, we observe that the more sophisticated tree reconstruction/reconciliation approach of Ensembl Compara was at times outperformed by pairwise comparison approaches, even in phylogenetic tests. Furthermore, we show that standard bidirectional best-hit often outperforms projects with more complex algorithms. First, the present study provides guidance for the broad community of orthology data users as to which database best suits their needs. Second, it introduces new methodology

  13. Management Information System of Purchase Function in e-SCM

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    Dragana Rejman Petrović

    2012-03-01

    Full Text Available Modern business conditions are characterized by constant change and adoption of the spirit of novelty as a business orientation of all market participants. During that, a numerous business philosophies are improved, but completely new ones are created, that is trying to respond to the challenges and obstacles of turbulent environment. This refers to the concept of e-supply chain too. Management of e-supply chain is a topic that is very relevant in the field of business economics and management information systems. The aim of the paper is to present a developed and tested model of management information system for managing purchasing processes in the e-supply chains. The methodological approach is based on the general theory of supply chains, business process management and management, stakeholders and standards requirements. The main results of research are related to the verification of developed model of management information system for purchasing processes managing in esupply chains.

  14. A conceptual model of food quality management functions based on a techno-managerial approach

    NARCIS (Netherlands)

    Luning, P.A.; Marcelis, W.J.

    2007-01-01

    In agribusiness and food industry quality management problems are commonly approached by applying control systems and procedures. However, assuming predictable food systems and people following procedures seems too straightforward. This paper introduces a model of food quality management functions t

  15. A conceptual model of food quality management functions based on a techno-managerial approach

    NARCIS (Netherlands)

    Luning, P.A.; Marcelis, W.J.

    2007-01-01

    In agribusiness and food industry quality management problems are commonly approached by applying control systems and procedures. However, assuming predictable food systems and people following procedures seems too straightforward. This paper introduces a model of food quality management functions

  16. Application of Life Cycle Assessment on Electronic Waste Management: A Review

    Science.gov (United States)

    Xue, Mianqiang; Xu, Zhenming

    2017-04-01

    Electronic waste is a rich source of both valuable materials and toxic substances. Management of electronic waste is one of the biggest challenges of current worldwide concern. As an effective and prevailing environmental management tool, life cycle assessment can evaluate the environmental performance of electronic waste management activities. Quite a few scientific literatures reporting life cycle assessment of electronic waste management with significant outcomes have been recently published. This paper reviewed the trends, characteristics, research gaps, and challenges of these studies providing detailed information for practitioners involved in electronic waste management. The results showed that life cycle assessment studies were most carried out in Europe, followed by Asia and North America. The research subject of the studies mainly includes monitors, waste printed circuit boards, mobile phones, computers, printers, batteries, toys, dishwashers, and light-emitting diodes. CML was the most widely used life cycle impact assessment method in life cycle assessment studies on electronic waste management, followed by EI99. Furthermore, 40% of the reviewed studies combined with other environmental tools, including life cycle cost, material flow analysis, multi-criteria decision analysis, emergy analysis, and hazard assessment which came to more comprehensive conclusions from different aspects. The research gaps and challenges including uneven distribution of life cycle assessment studies, life cycle impact assessment methods selection, comparison of the results, and uncertainty of the life cycle assessment studies were examined. Although life cycle assessment of electronic waste management facing challenges, their results will play more and more important role in electronic waste management practices.

  17. Assessment of Sustainability of Urban Water Supply and Demand Management Options: A Comprehensive Approach

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    Kumudu Rathnayaka

    2016-12-01

    Full Text Available A comprehensive evaluation framework that can assess a wide range of water supply and demand management policy options in terms of economic, social, environmental, risk-based, and functional performance is crucial to ascertain their level of sustainability. However, such a detailed, generic, and holistic policy evaluation framework is not found in the literature. This paper reviews studies to evaluate water supply and/or demand management options conducted during 2000–2016. Primarily, the paper reviews the evaluation criteria used by different studies for decision making given their significant difference and the importance of a comprehensive set of criteria to complete a rigorous evaluation. In addition, a comprehensive set of water supply and demand management options are not considered together for a comparative assessment to prioritise best options for a certain area and time. Further, performance of these options needs to be evaluated for a range of uncertainties arising from changes of spatial and temporal variables of the system. While this paper highlights the important aspects that need to be included in a comprehensive policy evaluation framework, available studies collectively present a rich set of information to support it.

  18. Apps for asthma self-management: a systematic assessment of content and tools

    Directory of Open Access Journals (Sweden)

    Huckvale Kit

    2012-11-01

    Full Text Available Abstract Background Apps have been enthusiastically adopted by the general public. They are increasingly recognized by policy-makers as a potential medium for supporting self-management of long-term conditions. We assessed the degree to which current smartphone and tablet apps for people with asthma offer content and tools of appropriate quality to support asthma self-management. Methods We adapted systematic review methodology to the assessment of apps. We identified English-language asthma apps for all ages through a systematic search of official app stores. We systematically assessed app content using criteria derived from international guidelines and systematic review of strategies for asthma self-management. We covered three domains: comprehensiveness of asthma information, consistency of advice with evidence and compliance with health information best practice principles. Results We identified 103 apps for asthma in English, of which 56 were sources of information about the condition and 47 provided tools for the management of asthma. No apps offered both types of functionality. Only three information apps approached our definition of comprehensiveness of information about asthma. No apps provided advice on lay management of acute asthma that included details of appropriate reliever medication use. In 32 of 72 instances, apps made unequivocal recommendations about strategies for asthma control or prophylaxis that were unsupported by current evidence. Although 90% of apps stated a clear purpose, compliance with other best practice principles for health information was variable. Contact details were located for 55%, funding source for 18% and confidentiality policy for 17%. Conclusions No apps for people with asthma combined reliable, comprehensive information about the condition with supportive tools for self-management. Healthcare professionals considering recommending apps to patients as part of asthma self-management should exercise

  19. Do empowered stroke patients perform better at self-management and functional recovery after a stroke? A randomized controlled trial

    Science.gov (United States)

    Sit, Janet WH; Chair, Sek Ying; Choi, Kai Chow; Chan, Carmen WH; Lee, Diana TF; Chan, Aileen WK; Cheung, Jo LK; Tang, Siu Wai; Chan, Po Shan; Taylor-Piliae, Ruth E

    2016-01-01

    Background Self-management after a stroke is a challenge because of multifaceted care needs and complex disabling consequences that cause further hindrance to patient participation. A 13-week stroke patient empowerment intervention (Health Empowerment Intervention for Stroke Self-management [HEISS]) was developed to enhance patients’ ability to participate in self-management. Purpose To examine the effects of the empowerment intervention on stroke patients’ self-efficacy, self-management behavior, and functional recovery. Methods This is a single-blind randomized controlled trial with stroke survivors assigned to either a control group (CG) receiving usual ambulatory rehabilitation care or the HEISS in addition to usual care (intervention group [IG]). Outcome data were collected at baseline (T0), 1 week (T1), 3 months (T2), and 6 months (T3) postintervention. Data were analyzed on the intention-to-treat principle. The generalized estimating equation model was used to assess the differential change of self-efficacy in illness management, self-management behaviors (cognitive symptom management, communication with physician, medication adherence, and self-blood pressure monitoring), and functional recovery (Barthel and Lawton indices) across time points (baseline = T0, 1 week = T1, 3 months = T2, and 6 months = T3 postintervention) between the two groups. Results A total of 210 (CG =105, IG =105) Hong Kong Chinese stroke survivors (mean age =69 years, 49% women, 72% ischemic stroke, 89% hemiparesis, and 63% tactile sensory deficit) were enrolled in the study. Those in IG reported better self-efficacy in illness management 3-month (P=0.011) and 6-month (P=0.012) postintervention, along with better self-management behaviors at all follow-up time points (all P0.05). Those in IG had significantly better functional recovery (Barthel, all Pstroke rehabilitation services and provide added value in sustaining stroke self-management and functional improvement in the long

  20. Windom Wetland Management District: Comprehensive Conservation Plan and Environmental Assessment

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Comprehensive Conservation Plan (CCP) was written to guide management on Windom Wetland Management District for the next 15 years. This plan outlines the...