Analysing the agricultural cost and non-market benefits of implementing the water framework directive

NARCIS (Netherlands)

Bateman, I.J.; Brouwer, R.; Davies, H.; Day, B.H.; Deflandre, A.; Di Falco, S.; Georgiou, S.; Hadley, D.; Hutchins, M.; Jones, A.P.; Kay, D.; Leeks, G.; Lewis, M.; Lovett, A.A.; Neal, C.; Posen, P.; Rigby, D.; Turner, R.K.

2006-01-01

Implementation of the Water Framework Directive (WFD) represents a fundamental change in the management of water in Europe with a requirement that member states ensure 'good ecological status' for all water bodies by 2015. Agriculture is expected to bear a major share of WFD implementation costs as

GIS-based Approaches to Catchment Area Analyses of Mass Transit

DEFF Research Database (Denmark)

Andersen, Jonas Lohmann Elkjær; Landex, Alex

2009-01-01

Catchment area analyses of stops or stations are used to investigate potential number of travelers to public transportation. These analyses are considered a strong decision tool in the planning process of mass transit especially railroads. Catchment area analyses are GIS-based buffer and overlay...... analyses with different approaches depending on the desired level of detail. A simple but straightforward approach to implement is the Circular Buffer Approach where catchment areas are circular. A more detailed approach is the Service Area Approach where catchment areas are determined by a street network...... search to simulate the actual walking distances. A refinement of the Service Area Approach is to implement additional time resistance in the network search to simulate obstacles in the walking environment. This paper reviews and compares the different GIS-based catchment area approaches, their level...

Integrating and scheduling an open set of static analyses

DEFF Research Database (Denmark)

Eichberg, Michael; Mezini, Mira; Kloppenburg, Sven

2006-01-01

to keep the set of analyses open. We propose an approach to integrating and scheduling an open set of static analyses which decouples the individual analyses and coordinates the analysis executions such that the overall time and space consumption is minimized. The approach has been implemented...... for the Eclipse IDE and has been used to integrate a wide range of analyses such as finding bug patterns, detecting violations of design guidelines, or type system extensions for Java....

Guidelines to implement the license renewal technical requirements of 10CFR54 for integrated plant assessments and time-limited aging analyses. Final report

International Nuclear Information System (INIS)

Lehnert, G.; Philpot, L.

1995-11-01

This report documents the initial results of the Nuclear Energy Institute License Renewal Implementation Guideline Task Force over the period August 1994 to July 1995 to develop guidance for complying with technical requirements of 10CFR54. The report also provided a starting point for the development of NEI 95-10, ''Industry Guideline for Implementing the Requirements of 10CCR54-The License Renewal Rule''. Information in this document can be used by utilities to prepare the technical material needed in an application for license renewal (LR) of a nuclear power unit. This guideline provides methods for identifying systems, structures, and components (SSCs) and their intended functions within the scope of license renewal. It identifies structures and components (SCs) requiring aging management review and methods for performing the aging management review. The guideline provides a process for identifying and evaluating time-limited aging analyses

Can hospital audit teams identify case management problems, analyse their causes, identify and implement improvements? A cross-sectional process evaluation of obstetric near-miss case reviews in Benin

Science.gov (United States)

2012-01-01

Background Obstetric near-miss case reviews are being promoted as a quality assurance intervention suitable for hospitals in low income countries. We introduced such reviews in five district, regional and national hospitals in Benin, West Africa. In a cross-sectional study we analysed the extent to which the hospital audit teams were able to identify case management problems (CMPs), analyse their causes, agree on solutions and put these solutions into practice. Methods We analysed case summaries, women’s interview transcripts and audit minutes produced by the audit teams for 67 meetings concerning one woman with near-miss complications each. We compared the proportion of CMPs identified by an external assessment team to the number found by the audit teams. For the latter, we described the CMP causes identified, solutions proposed and implemented by the audit teams. Results Audit meetings were conducted regularly and were well attended. Audit teams identified half of the 714 CMPs; they were more likely to find managerial ones (71%) than the ones relating to treatment (30%). Most identified CMPs were valid. Almost all causes of CMPs were plausible, but often too superficial to be of great value for directing remedial action. Audit teams suggested solutions, most of them promising ones, for 38% of the CMPs they had identified, but recorded their implementation only for a minority (8.5%). Conclusions The importance of following-up and documenting the implementation of solutions should be stressed in future audit interventions. Tools facilitating the follow-up should be made available. Near-miss case reviews hold promise, but their effectiveness to improve the quality of care sustainably and on a large scale still needs to be established. PMID:23057707

Design and implementation of an automatic acquisition card with direct memory incrementing intended for a multichannel analyser

International Nuclear Information System (INIS)

Al-Ani, Tarik Hesen

1984-01-01

This study presents a contribution to the implementation of a multichannel analyser, based on recent technology in order to give elaborated results to the user. This instrument will be designed using modular cards compatible with an Intel, Multi-bus System. The main purpose of this thesis consists in the study and design of the logical card establishing automatically an histogram in the memory of a micro-computer (Direct Memory Increment or DMI). This card allows the connection of up to four analog to digital converters and does the incrementing of the data in memory at the address delivered by an analog to digital Wilkinson type converter (400 MHz) designed at CEA. It allows: - 4 independent inputs working simultaneously with an average input rate of 87500 events/second for 16000 channels of 2 32 bits and with a time resolution of 1 μs; - 3 acquisition modes: histogram, multi-scaling and list; - calculation of the real and live times independently for the 4 inputs. In addition, this card provides the interfacing capability for a line printer, a sample driver and a 'mouse'. (author) [fr

Can hospital audit teams identify case management problems, analyse their causes, identify and implement improvements? A cross-sectional process evaluation of obstetric near-miss case reviews in Benin

Directory of Open Access Journals (Sweden)

Borchert Matthias

2012-10-01

Full Text Available Abstract Background Obstetric near-miss case reviews are being promoted as a quality assurance intervention suitable for hospitals in low income countries. We introduced such reviews in five district, regional and national hospitals in Benin, West Africa. In a cross-sectional study we analysed the extent to which the hospital audit teams were able to identify case management problems (CMPs, analyse their causes, agree on solutions and put these solutions into practice. Methods We analysed case summaries, women’s interview transcripts and audit minutes produced by the audit teams for 67 meetings concerning one woman with near-miss complications each. We compared the proportion of CMPs identified by an external assessment team to the number found by the audit teams. For the latter, we described the CMP causes identified, solutions proposed and implemented by the audit teams. Results Audit meetings were conducted regularly and were well attended. Audit teams identified half of the 714 CMPs; they were more likely to find managerial ones (71% than the ones relating to treatment (30%. Most identified CMPs were valid. Almost all causes of CMPs were plausible, but often too superficial to be of great value for directing remedial action. Audit teams suggested solutions, most of them promising ones, for 38% of the CMPs they had identified, but recorded their implementation only for a minority (8.5%. Conclusions The importance of following-up and documenting the implementation of solutions should be stressed in future audit interventions. Tools facilitating the follow-up should be made available. Near-miss case reviews hold promise, but their effectiveness to improve the quality of care sustainably and on a large scale still needs to be established.

Towards interoperable and reproducible QSAR analyses: Exchange of datasets.

Science.gov (United States)

Spjuth, Ola; Willighagen, Egon L; Guha, Rajarshi; Eklund, Martin; Wikberg, Jarl Es

2010-06-30

QSAR is a widely used method to relate chemical structures to responses or properties based on experimental observations. Much effort has been made to evaluate and validate the statistical modeling in QSAR, but these analyses treat the dataset as fixed. An overlooked but highly important issue is the validation of the setup of the dataset, which comprises addition of chemical structures as well as selection of descriptors and software implementations prior to calculations. This process is hampered by the lack of standards and exchange formats in the field, making it virtually impossible to reproduce and validate analyses and drastically constrain collaborations and re-use of data. We present a step towards standardizing QSAR analyses by defining interoperable and reproducible QSAR datasets, consisting of an open XML format (QSAR-ML) which builds on an open and extensible descriptor ontology. The ontology provides an extensible way of uniquely defining descriptors for use in QSAR experiments, and the exchange format supports multiple versioned implementations of these descriptors. Hence, a dataset described by QSAR-ML makes its setup completely reproducible. We also provide a reference implementation as a set of plugins for Bioclipse which simplifies setup of QSAR datasets, and allows for exporting in QSAR-ML as well as old-fashioned CSV formats. The implementation facilitates addition of new descriptor implementations from locally installed software and remote Web services; the latter is demonstrated with REST and XMPP Web services. Standardized QSAR datasets open up new ways to store, query, and exchange data for subsequent analyses. QSAR-ML supports completely reproducible creation of datasets, solving the problems of defining which software components were used and their versions, and the descriptor ontology eliminates confusions regarding descriptors by defining them crisply. This makes is easy to join, extend, combine datasets and hence work collectively, but

Towards interoperable and reproducible QSAR analyses: Exchange of datasets

Directory of Open Access Journals (Sweden)

Spjuth Ola

2010-06-01

Full Text Available Abstract Background QSAR is a widely used method to relate chemical structures to responses or properties based on experimental observations. Much effort has been made to evaluate and validate the statistical modeling in QSAR, but these analyses treat the dataset as fixed. An overlooked but highly important issue is the validation of the setup of the dataset, which comprises addition of chemical structures as well as selection of descriptors and software implementations prior to calculations. This process is hampered by the lack of standards and exchange formats in the field, making it virtually impossible to reproduce and validate analyses and drastically constrain collaborations and re-use of data. Results We present a step towards standardizing QSAR analyses by defining interoperable and reproducible QSAR datasets, consisting of an open XML format (QSAR-ML which builds on an open and extensible descriptor ontology. The ontology provides an extensible way of uniquely defining descriptors for use in QSAR experiments, and the exchange format supports multiple versioned implementations of these descriptors. Hence, a dataset described by QSAR-ML makes its setup completely reproducible. We also provide a reference implementation as a set of plugins for Bioclipse which simplifies setup of QSAR datasets, and allows for exporting in QSAR-ML as well as old-fashioned CSV formats. The implementation facilitates addition of new descriptor implementations from locally installed software and remote Web services; the latter is demonstrated with REST and XMPP Web services. Conclusions Standardized QSAR datasets open up new ways to store, query, and exchange data for subsequent analyses. QSAR-ML supports completely reproducible creation of datasets, solving the problems of defining which software components were used and their versions, and the descriptor ontology eliminates confusions regarding descriptors by defining them crisply. This makes is easy to join

Analysing Protocol Stacks for Services

DEFF Research Database (Denmark)

Gao, Han; Nielson, Flemming; Nielson, Hanne Riis

2011-01-01

We show an approach, CaPiTo, to model service-oriented applications using process algebras such that, on the one hand, we can achieve a certain level of abstraction without being overwhelmed by the underlying implementation details and, on the other hand, we respect the concrete industrial...... standards used for implementing the service-oriented applications. By doing so, we will be able to not only reason about applications at different levels of abstractions, but also to build a bridge between the views of researchers on formal methods and developers in industry. We apply our approach...... to the financial case study taken from Chapter 0-3. Finally, we develop a static analysis to analyse the security properties as they emerge at the level of concrete industrial protocols....

Implementation and de-implementation: two sides of the same coin?

Science.gov (United States)

van Bodegom-Vos, Leti; Davidoff, Frank; Marang-van de Mheen, Perla J

2017-06-01

Avoiding low value care received increasing attention in many countries, as with the Choosing Wisely campaign and other initiatives to abandon care that wastes resources or delivers no benefit to patients. While an extensive literature characterises approaches to implementing evidence-based care, we have limited understanding of the process of de-implementation, such as abandoning existing low value practices. To learn more about the differences between implementation and de-implementation, we explored the literature and analysed data from two published studies (one implementation and one de-implementation) by the same orthopaedic surgeons. We defined 'leaders' as those orthopaedic surgeons who implemented, or de-implemented, the target processes of care and laggards as those who did not. Our findings suggest that leaders in implementation share some characteristics with leaders in de-implementation when comparing them with laggards, such as more open to new evidence, younger and less time in clinical practice. However, leaders in de-implementation and implementation differed in some other characteristics and were not the same persons. Thus, leading in implementation or de-implementation may depend to some degree on the type of intervention rather than entirely reflecting personal characteristics. De-implementation seemed to be hampered by motivational factors such as department priorities, and economic and political factors such as cost-benefit considerations in care delivery, whereas organisational factors were associated only with implementation. The only barrier or facilitator common to both implementation and de-implementation consisted of outcome expectancy (ie, the perceived net benefit to patients). Future studies need to test the hypotheses generated from this study and improve our understanding of differences between the processes of implementation and de-implementation in the people who are most likely to lead (or resist) these efforts. Published by the

Global post-Kyoto scenario analyses at PSI

Energy Technology Data Exchange (ETDEWEB)

Kypreos, S [Paul Scherrer Inst. (PSI), Villigen (Switzerland)

1999-08-01

Scenario analyses are described here using the Global MARKAL-Macro Trade (GMMT) model to study the economic implications of the Kyoto Protocol to the UN Convention on Climate change. Some conclusions are derived in terms of efficient implementations of the post-Kyoto extensions of the Protocol. (author) 2 figs., 5 refs.

Global post-Kyoto scenario analyses at PSI

International Nuclear Information System (INIS)

Kypreos, S.

1999-01-01

Scenario analyses are described here using the Global MARKAL-Macro Trade (GMMT) model to study the economic implications of the Kyoto Protocol to the UN Convention on Climate change. Some conclusions are derived in terms of efficient implementations of the post-Kyoto extensions of the Protocol. (author) 2 figs., 5 refs

Current regulatory developments concerning the implementation of probabilistic safety analyses for external hazards in Germany

International Nuclear Information System (INIS)

Krauss, Matias; Berg, Heinz-Peter

2014-01-01

The Federal Ministry for the Environment, Nature Conservation and Nuclear Safety (BMU) initiated in September 2003 a comprehensive program for the revision of the national nuclear safety regulations which has been successfully completed in November 2012. These nuclear regulations take into account the current recommendations of the International Atomic Energy Agency (IAEA) and Western European Nuclear Regulators Association (WENRA). In this context, the recommendations and guidelines of the Nuclear Safety Standards Commission (KTA) and the technical documents elaborated by the respective expert group on Probabilistic Safety Analysis for Nuclear Power Plants (FAK PSA) are being updated or in the final process of completion. A main topic of the revision was the issue external hazards. As part of this process and in the light of the accident at Fukushima and the findings of the related actions resulting in safety reviews of nuclear power plants at national level in Germany and on European level, a revision of all relevant standards and documents has been made, especially the recommendations of KTA and FAK PSA. In that context, not only design issues with respect to events such as earthquakes and floods have been discussed, but also methodological issues regarding the implementation of improved probabilistic safety analyses on this topic. As a result of the revision of the KTA 2201 series 'Design of Nuclear Power Plants against Seismic Events' with their parts 1 to 6, part 1 'Principles' was published as the first standard in November 2011, followed by the revised versions of KTA 2201.2 (soil) and 2201.4 (systems and components) in 2012. The modified the standard KTA 2201.3 (structures) is expected to be issued before the end of 2013. In case of part 5 (seismic instrumentation) and part 6 (post>seismic actions) draft amendments are expected in 2013. The expert group 'Probabilistic Safety Assessments for Nuclear Power Plants' (FAK PSA) is an advisory body of the Federal

Implementing optimal thinning strategies

Science.gov (United States)

Kurt H. Riitters; J. Douglas Brodie

1984-01-01

Optimal thinning regimes for achieving several management objectives were derived from two stand-growth simulators by dynamic programming. Residual mean tree volumes were then plotted against stand density management diagrams. The results supported the use of density management diagrams for comparing, checking, and implementing the results of optimization analyses....

TQM implementation for the healthcare sector.

Science.gov (United States)

Chiarini, Andrea; Vagnoni, Emidia

2017-07-03

Purpose The purpose of this paper is to enlarge the debate on total quality management (TQM) implementation in the healthcare sector and to evaluate how and whether leadership can affect TQM implementation. Design/methodology/approach This paper is based on findings from a literature review of TQM and leadership. The authors analysed these findings to categorise causes of a lack of leadership in TQM programme implementations. Findings The authors propose three categories of causes of a lack of leadership in TQM programme implementation. The first cause is well-known: a lack of senior managers' involvement and commitment. The second category is the "combined leadership" that occurs in large healthcare organisations; and the third category is the influence of an external "political leadership" on public healthcare. Research limitations/implications This paper presents researchers with three categories of causes of failure of leadership in TQM implementation that can be investigated. It also encourages reflections from practitioners concerning TQM leadership in the healthcare sector. Practical implications The authors request that practitioners reflect on ways to create or sustain a "monolithic" leadership, especially in large organisations, to ensure a common vision, values and attitude for unitary TQM governance. Originality/value In an original way, this paper analyses and proposes three categories of causes linked to a lack of TQM leadership in the healthcare sector.

Implementing a nationwide criteria-based emergency medical dispatch system

DEFF Research Database (Denmark)

Andersen, Mikkel S; Johnsen, Søren Paaske; Sørensen, Jan Nørtved

2013-01-01

A criteria-based nationwide Emergency Medical Dispatch (EMD) system was recently implemented in Denmark. We described the system and studied its ability to triage patients according to the severity of their condition by analysing hospital admission and case-fatality risks.......A criteria-based nationwide Emergency Medical Dispatch (EMD) system was recently implemented in Denmark. We described the system and studied its ability to triage patients according to the severity of their condition by analysing hospital admission and case-fatality risks....

The Implementation of European Regulation of the Financial Sector

DEFF Research Database (Denmark)

Jensen, Camilla Hørby; Legind, Nina Dietz

2009-01-01

The object of the article is to analyse how the ways of national implementation of different EU-rules - specially MiFID and the consumer credit rules - affect the consumer protection and how this harmonise with th objectives of the rules.......The object of the article is to analyse how the ways of national implementation of different EU-rules - specially MiFID and the consumer credit rules - affect the consumer protection and how this harmonise with th objectives of the rules....

Assessing organizational implementation context in the education sector: confirmatory factor analysis of measures of implementation leadership, climate, and citizenship.

Science.gov (United States)

Lyon, Aaron R; Cook, Clayton R; Brown, Eric C; Locke, Jill; Davis, Chayna; Ehrhart, Mark; Aarons, Gregory A

2018-01-08

A substantial literature has established the role of the inner organizational setting on the implementation of evidence-based practices in community contexts, but very little of this research has been extended to the education sector, one of the most common settings for the delivery of mental and behavioral health services to children and adolescents. The current study examined the factor structure, psychometric properties, and interrelations of an adapted set of pragmatic organizational instruments measuring key aspects of the organizational implementation context in schools: (1) strategic implementation leadership, (2) strategic implementation climate, and (3) implementation citizenship behavior. The Implementation Leadership Scale (ILS), Implementation Climate Scale (ICS), and Implementation Citizenship Behavior Scale (ICBS) were adapted by a research team that included the original scale authors and experts in the implementation of evidence-based practices in schools. These instruments were then administered to a geographically representative sample (n = 196) of school-based mental/behavioral health consultants to assess the reliability and structural validity via a series of confirmatory factor analyses. Overall, the original factor structures for the ILS, ICS, and ICBS were confirmed in the current sample. The one exception was poor functioning of the Rewards subscale of the ICS, which was removed in the final ICS model. Correlations among the revised measures, evaluated as part of an overarching model of the organizational implementation context, indicated both unique and shared variance. The current analyses suggest strong applicability of the revised instruments to implementation of evidence-based mental and behavioral practices in the education sector. The one poorly functioning subscale (Rewards on the ICS) was attributed to typical educational policies that do not allow for individual financial incentives to personnel. Potential directions for

Advanced toroidal facility vaccuum vessel stress analyses

International Nuclear Information System (INIS)

Hammonds, C.J.; Mayhall, J.A.

1987-01-01

The complex geometry of the Advance Toroidal Facility (ATF) vacuum vessel required special analysis techniques in investigating the structural behavior of the design. The response of a large-scale finite element model was found for transportation and operational loading. Several computer codes and systems, including the National Magnetic Fusion Energy Computer Center Cray machines, were implemented in accomplishing these analyses. The work combined complex methods that taxed the limits of both the codes and the computer systems involved. Using MSC/NASTRAN cyclic-symmetry solutions permitted using only 1/12 of the vessel geometry to mathematically analyze the entire vessel. This allowed the greater detail and accuracy demanded by the complex geometry of the vessel. Critical buckling-pressure analyses were performed with the same model. The development, results, and problems encountered in performing these analyses are described. 5 refs., 3 figs

Implementing Genome-Driven Oncology

Science.gov (United States)

Hyman, David M.; Taylor, Barry S.; Baselga, José

2017-01-01

Early successes in identifying and targeting individual oncogenic drivers, together with the increasing feasibility of sequencing tumor genomes, have brought forth the promise of genome-driven oncology care. As we expand the breadth and depth of genomic analyses, the biological and clinical complexity of its implementation will be unparalleled. Challenges include target credentialing and validation, implementing drug combinations, clinical trial designs, targeting tumor heterogeneity, and deploying technologies beyond DNA sequencing, among others. We review how contemporary approaches are tackling these challenges and will ultimately serve as an engine for biological discovery and increase our insight into cancer and its treatment. PMID:28187282

Structural Performance’s Optimally Analysing and Implementing Based on ANSYS Technology

Science.gov (United States)

Han, Na; Wang, Xuquan; Yue, Haifang; Sun, Jiandong; Wu, Yongchun

2017-06-01

Computer-aided Engineering (CAE) is a hotspot both in academic field and in modern engineering practice. Analysis System(ANSYS) simulation software for its excellent performance become outstanding one in CAE family, it is committed to the innovation of engineering simulation to help users to shorten the design process, improve product innovation and performance. Aimed to explore a structural performance’s optimally analyzing model for engineering enterprises, this paper introduced CAE and its development, analyzed the necessity for structural optimal analysis as well as the framework of structural optimal analysis on ANSYS Technology, used ANSYS to implement a reinforced concrete slab structural performance’s optimal analysis, which was display the chart of displacement vector and the chart of stress intensity. Finally, this paper compared ANSYS software simulation results with the measured results,expounded that ANSYS is indispensable engineering calculation tools.

[The maintenance of automatic analysers and associated documentation].

Science.gov (United States)

Adjidé, V; Fournier, P; Vassault, A

2010-12-01

The maintenance of automatic analysers and associated documentation taking part in the requirements of the ISO 15189 Standard and the French regulation as well have to be defined in the laboratory policy. The management of the periodic maintenance and documentation shall be implemented and fulfilled. The organisation of corrective maintenance has to be managed to avoid interruption of the task of the laboratory. The different recommendations concern the identification of materials including automatic analysers, the environmental conditions to take into account, the documentation provided by the manufacturer and documents prepared by the laboratory including procedures for maintenance.

Benefit Analyses of Technologies for Automatic Identification to Be Implemented in the Healthcare Sector

Science.gov (United States)

Krey, Mike; Schlatter, Ueli

The tasks and objectives of automatic identification (Auto-ID) are to provide information on goods and products. It has already been established for years in the areas of logistics and trading and can no longer be ignored by the German healthcare sector. Some German hospitals have already discovered the capabilities of Auto-ID. Improvements in quality, safety and reductions in risk, cost and time are aspects and areas where improvements are achievable. Privacy protection, legal restraints, and the personal rights of patients and staff members are just a few aspects which make the heath care sector a sensible field for the implementation of Auto-ID. Auto-ID in this context contains the different technologies, methods and products for the registration, provision and storage of relevant data. With the help of a quantifiable and science-based evaluation, an answer is sought as to which Auto-ID has the highest capability to be implemented in healthcare business.

Assessing the organizational context for EBP implementation: the development and validity testing of the Implementation Climate Scale (ICS).

Science.gov (United States)

Ehrhart, Mark G; Aarons, Gregory A; Farahnak, Lauren R

2014-10-23

Although the importance of the organizational environment for implementing evidence-based practices (EBP) has been widely recognized, there are limited options for measuring implementation climate in public sector health settings. The goal of this research was to develop and test a measure of EBP implementation climate that would both capture a broad range of issues important for effective EBP implementation and be of practical use to researchers and managers seeking to understand and improve the implementation of EBPs. Participants were 630 clinicians working in 128 work groups in 32 US-based mental health agencies. Items to measure climate for EBP implementation were developed based on past literature on implementation climate and other strategic climates and in consultation with experts on the implementation of EBPs in mental health settings. The sample was randomly split at the work group level of analysis; half of the sample was used for exploratory factor analysis (EFA), and the other half was used for confirmatory factor analysis (CFA). The entire sample was utilized for additional analyses assessing the reliability, support for level of aggregation, and construct-based evidence of validity. The EFA resulted in a final factor structure of six dimensions for the Implementation Climate Scale (ICS): 1) focus on EBP, 2) educational support for EBP, 3) recognition for EBP, 4) rewards for EBP, 5) selection for EBP, and 6) selection for openness. This structure was supported in the other half of the sample using CFA. Additional analyses supported the reliability and construct-based evidence of validity for the ICS, as well as the aggregation of the measure to the work group level. The ICS is a very brief (18 item) and pragmatic measure of a strategic climate for EBP implementation. It captures six dimensions of the organizational context that indicate to employees the extent to which their organization prioritizes and values the successful implementation of EBPs

SOCR Analyses - an Instructional Java Web-based Statistical Analysis Toolkit.

Science.gov (United States)

Chu, Annie; Cui, Jenny; Dinov, Ivo D

2009-03-01

The Statistical Online Computational Resource (SOCR) designs web-based tools for educational use in a variety of undergraduate courses (Dinov 2006). Several studies have demonstrated that these resources significantly improve students' motivation and learning experiences (Dinov et al. 2008). SOCR Analyses is a new component that concentrates on data modeling and analysis using parametric and non-parametric techniques supported with graphical model diagnostics. Currently implemented analyses include commonly used models in undergraduate statistics courses like linear models (Simple Linear Regression, Multiple Linear Regression, One-Way and Two-Way ANOVA). In addition, we implemented tests for sample comparisons, such as t-test in the parametric category; and Wilcoxon rank sum test, Kruskal-Wallis test, Friedman's test, in the non-parametric category. SOCR Analyses also include several hypothesis test models, such as Contingency tables, Friedman's test and Fisher's exact test.The code itself is open source (http://socr.googlecode.com/), hoping to contribute to the efforts of the statistical computing community. The code includes functionality for each specific analysis model and it has general utilities that can be applied in various statistical computing tasks. For example, concrete methods with API (Application Programming Interface) have been implemented in statistical summary, least square solutions of general linear models, rank calculations, etc. HTML interfaces, tutorials, source code, activities, and data are freely available via the web (www.SOCR.ucla.edu). Code examples for developers and demos for educators are provided on the SOCR Wiki website.In this article, the pedagogical utilization of the SOCR Analyses is discussed, as well as the underlying design framework. As the SOCR project is on-going and more functions and tools are being added to it, these resources are constantly improved. The reader is strongly encouraged to check the SOCR site for most

Determining the predictors of innovation implementation in healthcare: a quantitative analysis of implementation effectiveness.

Science.gov (United States)

Jacobs, Sara R; Weiner, Bryan J; Reeve, Bryce B; Hofmann, David A; Christian, Michael; Weinberger, Morris

2015-01-22

The failure rates for implementing complex innovations in healthcare organizations are high. Estimates range from 30% to 90% depending on the scope of the organizational change involved, the definition of failure, and the criteria to judge it. The innovation implementation framework offers a promising approach to examine the organizational factors that determine effective implementation. To date, the utility of this framework in a healthcare setting has been limited to qualitative studies and/or group level analyses. Therefore, the goal of this study was to quantitatively examine this framework among individual participants in the National Cancer Institute's Community Clinical Oncology Program using structural equation modeling. We examined the innovation implementation framework using structural equation modeling (SEM) among 481 physician participants in the National Cancer Institute's Community Clinical Oncology Program (CCOP). The data sources included the CCOP Annual Progress Reports, surveys of CCOP physician participants and administrators, and the American Medical Association Physician Masterfile. Overall the final model fit well. Our results demonstrated that not only did perceptions of implementation climate have a statistically significant direct effect on implementation effectiveness, but physicians' perceptions of implementation climate also mediated the relationship between organizational implementation policies and practices (IPP) and enrollment (p innovation implementation framework between IPP, implementation climate, and implementation effectiveness among individual physicians. This finding is important, as although the model has been discussed within healthcare organizations before, the studies have been predominately qualitative in nature and/or at the organizational level. In addition, our findings have practical applications. Managers looking to increase implementation effectiveness of an innovation should focus on creating an environment that

IMS IN SMES - REASONS, ADVANTAGES AND BARRIERS ON IMPLEMENTATION

Directory of Open Access Journals (Sweden)

Dragan Rajković

2008-09-01

Full Text Available Appearance of a number of management systems with various and sometimes divergent demands, demands for revise of optimal strategy on implementation of these standards in small and medium-sized enterprises (SMEs and the attempt on their integration into integrated management system are suggested even more. Firstly question on choice and reasons for implementation of standards is raised. Management and employees expect benefits on the implementation and they pass and minimize the implementation barriers. Basic concept on integrated management system (IMS into SMEs and analyse on reasons, advantages and barriers at IMS implementation are presented in this paper.

Implementation of a laboratory information management system for environmental regulatory analyses

Energy Technology Data Exchange (ETDEWEB)

Spencer, W.A.; Aiken, H.B.; Spatz, T.L.; Miles, W.F.; Griffin, J.C.

1993-09-07

The Savannah River Technology Center created a second instance of its ORACLE based PEN LIMS to support site Environmental Restoration projects. The first instance of the database had been optimized for R&D support and did not implement rigorous sample tracking, verification, and holding times needed to support regulatory commitments. Much of the R&D instance was transferable such as the work control functions for backlog reports, work assignment sheets, and hazard communication support. A major enhancement of the regulatory LIMS was the addition of features to support a {open_quotes}standardized{close_quotes} electronic data format for environmental data reporting. The electronic format, called {open_quotes}AN92{close_quotes}, was developed by the site environmental monitoring organization and applies to both onsite and offsite environmental analytical contracts. This format incorporates EPA CLP data validation codes as well as details holding time and analytical result reporting requirements. The authors support this format by using special SQL queries to the database. The data is then automatically transferred to the environmental databases for trending and geological mapping.

Critical factors for EIA implementation

DEFF Research Database (Denmark)

Zhang, Jasmine; Kørnøv, Lone; Christensen, Per

2013-01-01

After decades of development, the gap between expectations of Environment Impact Assessments (EIA) and their practical performance remains significant. Research has been done to identify the critical factors for an effective implementation of EIA. However, this research, to a large extent, has...... not been cumulated and analysed comprehensively according to the stages of the EIA process. This paper contributes to the critical review of the literature on EIA implementation and effectiveness by cumulating mainly empirical findings in an implementation theoretical perspective. It focuses on the links...... between different critical factors and how they relate to different stages in the EIA and thus influence the decision making process. After reviewing 33 refereed journal articles published between 1999 and 2011, we identified 203 notions of critical factors. Of these, 102 related to different stages...

Implementation and Rejection of Industrial Steam System Energy Efficiency Measures

Energy Technology Data Exchange (ETDEWEB)

Therkelesen, Peter [Environmental Energy Technologies Division Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States); McKane, Aimee [Environmental Energy Technologies Division Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)

2013-05-01

Steam systems consume approximately one third of energy applied at U.S. industrial facilities. To reduce energy consumption, steam system energy assessments have been conducted on a wide range of industry types over the course of five years through the Energy Savings Assessment (ESA) program administered by the U.S. Department of Energy (U.S. DOE). ESA energy assessments result in energy efficiency measure recommendations that are given potential energy and energy cost savings and potential implementation cost values. Saving and cost metrics that measure the impact recommended measures will have at facilities, described as percentages of facility baseline energy and energy cost, are developed from ESA data and used in analyses. Developed savings and cost metrics are examined along with implementation and rejection rates of recommended steam system energy efficiency measures. Based on analyses, implementation of steam system energy efficiency measures is driven primarily by cost metrics: payback period and measure implementation cost as a percentage of facility baseline energy cost (implementation cost percentage). Stated reasons for rejecting recommended measures are primarily based upon economic concerns. Additionally, implementation rates of measures are not only functions of savings and cost metrics, but time as well.

Implementing Open Innovation: The Case of Natura, IBM and Siemens

Directory of Open Access Journals (Sweden)

Cely Ades

2013-05-01

Full Text Available This paper analyses three case firms whose innovation management processes have been consolidated. The companies Natura, IBM (Brazilian Subsidiary and Siemens (ChemTech/Brazil were studied with the purpose of analysing the implementation of OI, particularly in terms of: (a its alignment with existing corporate strategy; (b its requirements such as culture, skill and motivation; (c the strategy and the implementation process; (d the results achieved (e the present barriers and enablers. The research is qualitative in nature and employs a descriptive approach. The main results of this study, obtained using a method called ‘Collective Subject Speech’ , show that the implementation of OI, both structured and non-structured, is mainly challenged by cultural issues. It has been observed that the implementation of OI process is at its embryonic stage in all case firms and that this occurs along with investments in closed innovation, meaning that OI results cannot be explored at this stage of the implementation, as there is a long way to consolidate these practices in the case firms studied.

Design and Implementation of Company Tailored Automated Material Handling

DEFF Research Database (Denmark)

Langer, Gilad; Bilberg, Arne

1996-01-01

This article focuses on the problems of analysing automation of material handling systems in order to develop an efficient automated solution that is specifically tailored to the company. The research has resulted in development of new methods for evaluating factory automation from design...... to implementation. The goals of the research were to analyse and evaluate automation in order to obtain an advantageous combination of human and automated resources. The idea is to asses different solutions in a virtual environment, where experiments and analyses can be performed so that the company can justify...... for their application with computer aided information processing tools. The framework is named the "Automated Material Handling (AMH) Preference GuideLine". The research has been carried out in close co-operation with Danish and European industry, where implementations of automation can be referred to. It is our...

Socioeconomic issues and analyses for radioactive waste disposal facilities

International Nuclear Information System (INIS)

Ulland, L.

1988-01-01

Radioactive Waste facility siting and development can raise major social and economic issues in the host area. Initial site screening and analyses have been conducted for both potential high-level and low-level radioactive waste facilities; more detailed characterization and analyses are being planned. Results of these assessments are key to developing community plans that identify and implement measures to mitigate adverse socioeconomic impacts. Preliminary impact analyses conducted at high-level sites in Texas and Nevada, and site screening activities for low-level facilities in Illinois and California have identified a number of common socioeconomic issues and characteristics as well as issues and characteristics that differ between the sites and the type of facilities. Based on these comparisons, implications for selection of an appropriate methodology for impact assessment and elements of impact mitigation are identified

On MPR-OSPF Specification and Implementation in Quagga/GTNetS

OpenAIRE

Cordero , Juan Antonio

2008-01-01

This document analyses the MPR-OSPF current specification and compares it with the implemented version for the Quagga / Zebra routing suite, adapted for the GTNetS network simulator. It presents the relationship between Quagga/Zebra core and the GTNetS simulation framework, describes the inner architecture of the MPR-OSPF extension in the OSPF Quagga general implementation and identifies the different protocol main elements in the implemented code.

Joint implementation: a pioneer mechanism within the limits of emissions - Climate study nr 33

International Nuclear Information System (INIS)

Shishlov, Igor; Bellassen, Valentin; Leguet, Benoit

2012-02-01

The authors first notice that much has been written about the Clean Development mechanism defined in the Kyoto protocol, but also that the Joint Implementation mechanism has an always increasing importance. Provided that always more countries would adopt greenhouse gas emissions thresholds and the Joint Implementation after the Durban conference, they analyse the Joint Implementation mechanism operation in comparison with the Clean Development mechanism. They address the economic and environmental background of the Joint Implementation. Then, they analyse quantitative aspects of this mechanism, develop a model for the assessment of the potential offer in carbon credits. They discuss the qualitative aspects of the Joint Implementation mechanism: environmental integrity, double accounting, perceived concurrence of national climate policies. Case studies are presented (Russia, Ukraine, France, EU, etc.)

Implementing Parallel Google Map-Reduce in Eden

DEFF Research Database (Denmark)

Berthold, Jost; Dieterle, Mischa; Loogen, Rita

2009-01-01

Recent publications have emphasised map-reduce as a general programming model (labelled Google map-reduce), and described existing high-performance implementations for large data sets. We present two parallel implementations for this Google map-reduce skeleton, one following earlier work, and one...... of the Google map-reduce skeleton in usage and performance, and deliver runtime analyses for example applications. Although very flexible, the Google map-reduce skeleton is often too general, and typical examples reveal a better runtime behaviour using alternative skeletons....

Institutional aspects of NAMA development and implementation

DEFF Research Database (Denmark)

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

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

Mixed methods for implementation research: application to evidence-based practice implementation and staff turnover in community-based organizations providing child welfare services.

Science.gov (United States)

Aarons, Gregory A; Fettes, Danielle L; Sommerfeld, David H; Palinkas, Lawrence A

2012-02-01

Many public sector service systems and provider organizations are in some phase of learning about or implementing evidence-based interventions. Child welfare service systems represent a context where implementation spans system, management, and organizational concerns. Research utilizing mixed methods that combine qualitative and quantitative design, data collection, and analytic approaches are particularly well suited to understanding both the process and outcomes of dissemination and implementation efforts in child welfare systems. This article describes the process of using mixed methods in implementation research and provides an applied example of an examination of factors impacting staff retention during an evidence-based intervention implementation in a statewide child welfare system. The authors integrate qualitative data with previously published quantitative analyses of job autonomy and staff turnover during this statewide implementation project in order to illustrate the utility of mixed method approaches in providing a more comprehensive understanding of opportunities and challenges in implementation research.

The Implementation Leadership Scale (ILS): development of a brief measure of unit level implementation leadership.

Science.gov (United States)

Aarons, Gregory A; Ehrhart, Mark G; Farahnak, Lauren R

2014-04-14

In healthcare and allied healthcare settings, leadership that supports effective implementation of evidenced-based practices (EBPs) is a critical concern. However, there are no empirically validated measures to assess implementation leadership. This paper describes the development, factor structure, and initial reliability and convergent and discriminant validity of a very brief measure of implementation leadership: the Implementation Leadership Scale (ILS). Participants were 459 mental health clinicians working in 93 different outpatient mental health programs in Southern California, USA. Initial item development was supported as part of a two United States National Institutes of Health (NIH) studies focused on developing implementation leadership training and implementation measure development. Clinician work group/team-level data were randomly assigned to be utilized for an exploratory factor analysis (n = 229; k = 46 teams) or for a confirmatory factor analysis (n = 230; k = 47 teams). The confirmatory factor analysis controlled for the multilevel, nested data structure. Reliability and validity analyses were then conducted with the full sample. The exploratory factor analysis resulted in a 12-item scale with four subscales representing proactive leadership, knowledgeable leadership, supportive leadership, and perseverant leadership. Confirmatory factor analysis supported an a priori higher order factor structure with subscales contributing to a single higher order implementation leadership factor. The scale demonstrated excellent internal consistency reliability as well as convergent and discriminant validity. The ILS is a brief and efficient measure of unit level leadership for EBP implementation. The availability of the ILS will allow researchers to assess strategic leadership for implementation in order to advance understanding of leadership as a predictor of organizational context for implementation. The ILS also holds promise as a tool for

The implementation leadership scale (ILS): development of a brief measure of unit level implementation leadership

Science.gov (United States)

2014-01-01

Background In healthcare and allied healthcare settings, leadership that supports effective implementation of evidenced-based practices (EBPs) is a critical concern. However, there are no empirically validated measures to assess implementation leadership. This paper describes the development, factor structure, and initial reliability and convergent and discriminant validity of a very brief measure of implementation leadership: the Implementation Leadership Scale (ILS). Methods Participants were 459 mental health clinicians working in 93 different outpatient mental health programs in Southern California, USA. Initial item development was supported as part of a two United States National Institutes of Health (NIH) studies focused on developing implementation leadership training and implementation measure development. Clinician work group/team-level data were randomly assigned to be utilized for an exploratory factor analysis (n = 229; k = 46 teams) or for a confirmatory factor analysis (n = 230; k = 47 teams). The confirmatory factor analysis controlled for the multilevel, nested data structure. Reliability and validity analyses were then conducted with the full sample. Results The exploratory factor analysis resulted in a 12-item scale with four subscales representing proactive leadership, knowledgeable leadership, supportive leadership, and perseverant leadership. Confirmatory factor analysis supported an a priori higher order factor structure with subscales contributing to a single higher order implementation leadership factor. The scale demonstrated excellent internal consistency reliability as well as convergent and discriminant validity. Conclusions The ILS is a brief and efficient measure of unit level leadership for EBP implementation. The availability of the ILS will allow researchers to assess strategic leadership for implementation in order to advance understanding of leadership as a predictor of organizational context for implementation

Evaluating the Accuracy of Results for Teacher Implemented Trial-Based Functional Analyses.

Science.gov (United States)

Rispoli, Mandy; Ninci, Jennifer; Burke, Mack D; Zaini, Samar; Hatton, Heather; Sanchez, Lisa

2015-09-01

Trial-based functional analysis (TBFA) allows for the systematic and experimental assessment of challenging behavior in applied settings. The purposes of this study were to evaluate a professional development package focused on training three Head Start teachers to conduct TBFAs with fidelity during ongoing classroom routines. To assess the accuracy of the TBFA results, the effects of a function-based intervention derived from the TBFA were compared with the effects of a non-function-based intervention. Data were collected on child challenging behavior and appropriate communication. An A-B-A-C-D design was utilized in which A represented baseline, and B and C consisted of either function-based or non-function-based interventions counterbalanced across participants, and D represented teacher implementation of the most effective intervention. Results showed that the function-based intervention produced greater decreases in challenging behavior and greater increases in appropriate communication than the non-function-based intervention for all three children. © The Author(s) 2015.

Job safety and awareness analysis of safety implementation among electrical workers in airport service company

Directory of Open Access Journals (Sweden)

Putra Perdana Suteja

2018-01-01

Full Text Available Electrical is a fundamental process in the company that has high risk and responsibility especially in public service company such as an airport. Hence, the company that operates activities in the airport has to identify and control the safety activities of workers. On the safety implementation, the lack of workers’ awareness is fundamental aspects to the safety failure. Therefore, this study aimed to analyse the safety awareness and identify risk in the electrical workplace. Safety awareness questionnaires are distributed to ten workers in order to analyse their awareness. Job safety analysis method used to identify the risk in the electrical workplace. The preliminary study stated that workers were not aware of personal protective equipment usage so that the awareness and behavioural need to be analysed. The result is the hazard was found such as electrical shock and noise for various intensity in the workplace. While electrical workers were aware of safety implementation but less of safety behaviour. Furthermore, the recommendation can be implemented are the implementation of behaviour-based safety (BBS, 5S implementation and accident report list.

What prevents organisations from implementing energy saving measures? Case studies of Norwegian public and commercial companies

Energy Technology Data Exchange (ETDEWEB)

Saele, Hanne; Naesje, Paal; Hagen, Oeivind [SINTEF Energy Research, Trondheim (Norway); Nordvik, Haavard [E-CO Tech, Oslo (Norway)

2005-07-01

The background for this project is analyses conducted in an industrial area with a capacity problem concerning electricity supply. To cope with the problem the network operator, in cooperation with the Norwegian Research Council, executed a project focusing on how to reduce peak loads and energy consumption. Technical and economical analyses of energy efficiency actions were offered to 40 companies and 20 out of these decided to implement the proposed actions. Two years later, 7 out of these 20 companies had not implemented the suggested actions or the starts were delayed. These cases were analysed based on personal interviews. The goal was to study the reasons for not implementing actions or for the delay. Most analyses of this kind analyse successful implementations. Here, however, the research issue is why organizations choose not to implement solutions that make sense, both economically and technically? Results suggest that information overload, bad timing, lack of personal address and formal responsibility for the report hindered companies from using the report as a basis for decision-making. Different aspects of financial management systems, such as rigid routines not allowing means for investments and aversion of less predictable costs, also hindered implementation. Despite these findings several organisations do have interest in energy saving and consumption, personnel that takes responsibility and financial incentives for reducing energy costs. Although the study is based on only a few cases to draw sound conclusions there are indications that, targeting the right organisations, energy efficiency is an interesting alternative to increasing power capacity.

GREENWAY IN ITALY: EXAMPLES OF PROJECTS AND IMPLEMENTATION

Directory of Open Access Journals (Sweden)

Pasquale Dal Sasso

2012-06-01

Full Text Available The study analyses the greenway projects implemented in Italy, summarising their characteristics in a table that contains basic information concerning the geographical location, year of implementation, the type of layout and size, the state of implementation; the Institution that proposed the implementation, the official name, the territorial feature, the socio-economic and cultural aims, references to bibliographic and web resources and to their inclusion in plans and projects. The analysis has allowed to verify the compliance of individual contributions to the definitions attributed to the greenway from national and international associations. It has been possible to verify the use of greenways as physical support to spatial planning and the promotion of economic and productive development of rural areas.

Mobilizing the Courage to Implement Sustainable Design Solutions

DEFF Research Database (Denmark)

Nielsen, Susanne Balslev; Hoffmann, Birgitte; Quitzau, Maj-Britt

2009-01-01

of design managers and others to develop socio-technical networks and storylines to integrate sustainability in the design and building processes. Implementation of sustainable design solutions takes more than courage; it requires key competences in catalysing network changes......., the work focuses on examples of successful implementation in an attempt to understand the competences required. Danish frontrunner projects are described and analysed: one case concerns the implementation of lowenergy houses and another describes innovative planning processes in the water sector in order...... networks and creative work forms constitutes the outset for change. The work is inspired by the actor-network theory, emphasizing the momentum of prevailing practices, and the need to (re)develop networks to support implementation of sustainable design solutions. Conclusions point to the importance...

Meta-regression analyses to explain statistical heterogeneity in a systematic review of strategies for guideline implementation in primary health care.

Directory of Open Access Journals (Sweden)

Susanne Unverzagt

Full Text Available This study is an in-depth-analysis to explain statistical heterogeneity in a systematic review of implementation strategies to improve guideline adherence of primary care physicians in the treatment of patients with cardiovascular diseases. The systematic review included randomized controlled trials from a systematic search in MEDLINE, EMBASE, CENTRAL, conference proceedings and registers of ongoing studies. Implementation strategies were shown to be effective with substantial heterogeneity of treatment effects across all investigated strategies. Primary aim of this study was to explain different effects of eligible trials and to identify methodological and clinical effect modifiers. Random effects meta-regression models were used to simultaneously assess the influence of multimodal implementation strategies and effect modifiers on physician adherence. Effect modifiers included the staff responsible for implementation, level of prevention and definition pf the primary outcome, unit of randomization, duration of follow-up and risk of bias. Six clinical and methodological factors were investigated as potential effect modifiers of the efficacy of different implementation strategies on guideline adherence in primary care practices on the basis of information from 75 eligible trials. Five effect modifiers were able to explain a substantial amount of statistical heterogeneity. Physician adherence was improved by 62% (95% confidence interval (95% CI 29 to 104% or 29% (95% CI 5 to 60% in trials where other non-medical professionals or nurses were included in the implementation process. Improvement of physician adherence was more successful in primary and secondary prevention of cardiovascular diseases by around 30% (30%; 95% CI -2 to 71% and 31%; 95% CI 9 to 57%, respectively compared to tertiary prevention. This study aimed to identify effect modifiers of implementation strategies on physician adherence. Especially the cooperation of different health

The Evaluation of Bivariate Mixed Models in Meta-analyses of Diagnostic Accuracy Studies with SAS, Stata and R.

Science.gov (United States)

Vogelgesang, Felicitas; Schlattmann, Peter; Dewey, Marc

2018-05-01

Meta-analyses require a thoroughly planned procedure to obtain unbiased overall estimates. From a statistical point of view not only model selection but also model implementation in the software affects the results. The present simulation study investigates the accuracy of different implementations of general and generalized bivariate mixed models in SAS (using proc mixed, proc glimmix and proc nlmixed), Stata (using gllamm, xtmelogit and midas) and R (using reitsma from package mada and glmer from package lme4). Both models incorporate the relationship between sensitivity and specificity - the two outcomes of interest in meta-analyses of diagnostic accuracy studies - utilizing random effects. Model performance is compared in nine meta-analytic scenarios reflecting the combination of three sizes for meta-analyses (89, 30 and 10 studies) with three pairs of sensitivity/specificity values (97%/87%; 85%/75%; 90%/93%). The evaluation of accuracy in terms of bias, standard error and mean squared error reveals that all implementations of the generalized bivariate model calculate sensitivity and specificity estimates with deviations less than two percentage points. proc mixed which together with reitsma implements the general bivariate mixed model proposed by Reitsma rather shows convergence problems. The random effect parameters are in general underestimated. This study shows that flexibility and simplicity of model specification together with convergence robustness should influence implementation recommendations, as the accuracy in terms of bias was acceptable in all implementations using the generalized approach. Schattauer GmbH.

Mixed Methods for Implementation Research: Application to Evidence-Based Practice Implementation and Staff Turnover in Community Based Organizations Providing Child Welfare Services

Science.gov (United States)

Aarons, Gregory A.; Fettes, Danielle L.; Sommerfeld, David H.; Palinkas, Lawrence

2013-01-01

Many public sector services systems and provider organizations are in some phase of learning about or implementing evidence-based interventions. Child welfare service systems represent a context where implementation spans system, management, and organizational concerns. Research utilizing mixed methods that combine qualitative and quantitative design, data collection, and analytic approaches are particularly well-suited to understanding both the process and outcomes of dissemination and implementation efforts in child welfare systems. This paper describes the process of using mixed methods in implementation research and provides an applied example of an examination of factors impacting staff retention during an evidence-based intervention implementation in a statewide child welfare system. We integrate qualitative data with previously published quantitative analyses of job autonomy and staff turnover during this statewide implementation project in order to illustrate the utility of mixed method approaches in providing a more comprehensive understanding of opportunities and challenges in implementation research. PMID:22146861

Cost/benefit analyses of environmental impact

International Nuclear Information System (INIS)

Goldman, M.I.

1974-01-01

Various aspects of cost-benefit analyses are considered. Some topics discussed are: regulations of the National Environmental Policy Act (NEPA); statement of AEC policy and procedures for implementation of NEPA; Calvert Cliffs decision; AEC Regulatory Guide; application of risk-benefit analysis to nuclear power; application of the as low as practicable (ALAP) rule to radiation discharges; thermal discharge restrictions proposed by EPA under the 1972 Amendment to the Water Pollution Control Act; estimates of somatic and genetic insult per unit population exposure; occupational exposure; EPA Point Source Guidelines for Discharges from Steam Electric Power Plants; and costs of closed-cycle cooling using cooling towers. (U.S.)

Development and implementation of nuclear energy in energy system in Yugoslavia

International Nuclear Information System (INIS)

Ljubic, V.; Vukovic, D.; Vrhovac, S.

1986-01-01

All electrical demand analyses made in the last years show that besides hydro and thermal power plants in further development of electric power supply system in Yugoslavia, it will be necessary to approach successively with implementation of nuclear power plants. Quite a number of scientific and professional analyses have been done with the purpose to make the necessary conditions for the construction of nuclear power plants in the future. By reason of extra complexity and the necessity of the large amount of investment, it was concluded that the implementation, of nuclear energy in Yugoslavia has to be planned on uniform policy in development and uniform technological-technical concept. In the paper all till now finished activities in implementation of nuclear power plants in energy sector in Yugoslavia as well as planned future activities have been described. (author)

Validation of the Implementation Leadership Scale (ILS) in Substance use Disorder Treatment Organizations.

Science.gov (United States)

Aarons, Gregory A; Ehrhart, Mark G; Torres, Elisa M; Finn, Natalie K; Roesch, Scott C

2016-09-01

There have been recent calls for pragmatic measures to assess factors that influence evidence-based practice (EBP) implementation processes and outcomes. The Implementation Leadership Scale (ILS) is a brief and efficient measure that can be used for research or organizational development purposes to assess leader behaviors and actions that actively support effective EBP implementation. The ILS was developed and validated in mental health settings. This study validates the ILS factor structure with providers in alcohol and other drug (AOD) use treatment agencies. Participants were 323 service providers working in 72 workgroups from three AOD use treatment agencies. Confirmatory factor analyses and reliability analyses were conducted to examine the psychometric properties of the ILS. Convergent and discriminant validity were also assessed. Confirmatory factor analyses demonstrated good fit to the hypothesized first and second order factor structure. Internal consistency reliability was excellent. Convergent and discriminant validity was supported. The ILS psychometric characteristics, reliability, and validity were supported in AOD use treatment agencies. The ILS is a brief and pragmatic measure that can be used for research and practice to assess leadership for EBP implementation in AOD use treatment agencies. Copyright © 2016 Elsevier Inc. All rights reserved.

Validation of the Implementation Leadership Scale (ILS) in Substance Use Disorder Treatment Organizations

Science.gov (United States)

Ehrhart, Mark G.; Torres, Elisa M.; Finn, Natalie K.; Roesch, Scott C.

2016-01-01

There have been recent calls for pragmatic measures to assess factors that influence evidence-based practice (EBP) implementation processes and outcomes. The Implementation Leadership Scale (ILS) is a brief and efficient measure that can be used for research or organizational development purposes to assess leader behaviors and actions that actively support effective EBP implementation. The ILS was developed and validated in mental health settings. This study validates the ILS factor structure with providers in alcohol and other drug (AOD) use treatment agencies. Participants were 323 service providers working in 72 workgroups from three AOD use treatment agencies. Confirmatory factor analyses and reliability analyses were conducted to examine the psychometric properties of the ILS. Convergent and discriminant validity were also assessed. Confirmatory factor analyses demonstrated good fit to the hypothesized first and second order factor structure. Internal consistency reliability was excellent. Convergent and discriminant validity was supported. The ILS psychometric characteristics, reliability, and validity were supported in AOD use treatment agencies. The ILS is a brief and pragmatic measure that can be used for research and practice to assess leadership for EBP implementation in AOD use treatment agencies. PMID:27431044

Material model for non-linear finite element analyses of large concrete structures

NARCIS (Netherlands)

Engen, Morten; Hendriks, M.A.N.; Øverli, Jan Arve; Åldstedt, Erik; Beushausen, H.

2016-01-01

A fully triaxial material model for concrete was implemented in a commercial finite element code. The only required input parameter was the cylinder compressive strength. The material model was suitable for non-linear finite element analyses of large concrete structures. The importance of including

Improving the implementation of marine monitoring in the northeast Atlantic.

Science.gov (United States)

Turrell, W R

2018-03-01

Marine monitoring in the northeast Atlantic is delivered within identifiable monitoring themes, established through time and defined by the geographical area and policy drivers they serve, the sampling methodologies they use, their assessment methodologies, their funding and governance structures and the people or organisations involved in their implementation. Within a monitoring theme, essential components for effective monitoring are governance, strategy and work plan, sampling protocols, quality assurance, and data and assessment structures. This simple framework is used to analyse two monitoring theme case studies; national ecosystem health monitoring, and regional fish stock monitoring. Such essential component analyses, within marine monitoring themes, can help improve monitoring implementation by identifying gaps and overlaps. Once monitoring themes are recognised, explicitly defined and streamlined, travel towards integrated monitoring may be made easier as the current lack of clarity in thematic marine monitoring implementation is one barrier to integration at both national and regional scales. Copyright © 2018 The Author. Published by Elsevier Ltd.. All rights reserved.

Implementation and rejection of industrial steam system energy efficiency measures

International Nuclear Information System (INIS)

Therkelsen, Peter; McKane, Aimee

2013-01-01

Steam systems consume approximately one third of energy applied at US industrial facilities. To reduce energy consumption, steam system energy assessments have been conducted on a wide range of industry types over the course of 5 years through the Energy Savings Assessment (ESA) program administered by the US Department of Energy (US DOE). ESA energy assessments result in energy efficiency measure recommendations that are given potential energy and energy cost savings and potential implementation cost values. Saving and cost metrics that measure the impact recommended measures will have at facilities, described as percentages of facility baseline energy and energy cost, are developed from ESA data and used in analyses. Developed savings and cost metrics are examined along with implementation and rejection rates of recommended steam system energy efficiency measures. Based on analyses, implementation of steam system energy efficiency measures is driven primarily by cost metrics: payback period and measure implementation cost as a percentage of facility baseline energy cost (implementation cost percentage). Stated reasons for rejecting recommended measures are primarily based upon economic concerns. Additionally, implementation rates of measures are not only functions of savings and cost metrics, but time as well. - Highlights: ► We examine uptake/rejection of industrial steam system energy efficiency measures. ► We examine metrics that correspond to uptake/rejection of recommended measures. ► We examine barriers hindering steam system energy efficiency measure implementation. ► Uptake/rejection of steam measures is linked to potential cost metrics. ► Increased uptake of measures and uptake of more costly measures increases with time

The role of Stakeholders on implementing Universal Services in Vietnam

DEFF Research Database (Denmark)

Do Manh, Thai; Falch, Morten; Williams, Idongesit

2015-01-01

This paper looks at the universal services policy in Vietnam (interval 2005-2010) via analysing stakeholders in order to clarify how they exerted influence and how they implemented the policy. The stakeholder theory is employed to identify and categorize the stakeholders who participated in perfo......This paper looks at the universal services policy in Vietnam (interval 2005-2010) via analysing stakeholders in order to clarify how they exerted influence and how they implemented the policy. The stakeholder theory is employed to identify and categorize the stakeholders who participated...... in performing the policy. The authors are to examine the stakeholders such as the national government, international organizations, policy intermediaries, companies, and customers/citizens via applying the qualitative method to gather data and analyse the secondary document. The qualitative approach...... of interviews on some officials was also conducted. The results demonstrate that stakeholders had a huge impact on the success of the universal service policy....

Implementation and effectiveness of antiretroviral therapy in Greenland

DEFF Research Database (Denmark)

Lohse, N.; Ladefoged, K.; Obel, N.

2008-01-01

Analyses from the Danish HIV Cohort Study showed that, despite comparable economic means and general education of healthcare personnel, antiretroviral treatment of HIV in Greenland began later and has been implemented at a slower pace with lower therapeutic effectiveness than in Denmark. However...

Clinical guideline implementation strategies for common mental health disorders.

Science.gov (United States)

Moreno, Eliana María; Moriana, Juan Antonio

2016-01-01

There has been a considerable proliferation of clinical guidelines recently, but their practical application is low, and organisations do not always implement their own ones. The aim of this study is to analyse and describe key elements of strategies and resources designed by the National Institute for Health and Care Excellence for the implementation of guidelines for common mental health disorders in adults, which are some of the most prevalent worldwide. A systematic review was performed following PRISMA model. Resources, tools and implementation materials where included and categorised considering type, objectives, target and scope. A total of 212 elements were analysed, of which 33.5 and 24.5% are related to the implementation of generalized anxiety and depression guidelines, respectively. Applied tools designed to estimate costs and assess the feasibility of the setting up at local level are the most frequent type of resource. The study highlights the important variety of available materials, classified into 3 main strategies: tools targeting the professionals (30.6%), structural (26.4%), and organizational (24%). Developing guidelines is not enough; it is also necessary to promote their implementation in order to encourage their application. The resources and strategies described in this study may be potentially applicable to other contexts, and helpful to public health managers and professionals in the design of programmes and in the process of informed decision making to help increase access to efficient treatments. Copyright © 2015. Published by Elsevier España.

Implementing practice guidelines for anxiety disorders in secondary mental health care: a case study

Directory of Open Access Journals (Sweden)

van Dijk Maarten K

2012-09-01

Full Text Available Abstract Background Recent years have seen the large-scale development of clinical practice guidelines for mental disorders in several countries. In the Netherlands, more than ten multidisciplinary guidelines for mental health care have been developed since 2003. The first dealt with the treatment of anxiety disorders. An important question was whether it is feasible to implement these guidelines because implementing practice guidelines is often difficult. Although several implementation interventions have proven effective, there seems to be no ready-made strategy that works in all circumstances. Case description The Dutch multidisciplinary guidelines for anxiety disorders were implemented in a community mental health care centre, located in the east of the Netherlands. The centre provides secondary outpatient care. The unit within the centre that specializes in the treatment of anxiety disorders has 16 team members with diverse professional backgrounds. Important steps in the process of implementing the guidelines were analysing the care provided before start of the implementation to determine the goals for improvement, and analysing the context and target group for implementation. Based on these analyses, a tailor-made multifaceted implementation strategy was developed that combined the reorganization of the care process, the development of instruction materials, the organization of educational meetings and the use of continuous quality circles to improve adherence to guidelines. Discussion and evaluation Significant improvements in adherence rates were made in the aspect of care that was targeted for change. An increase was found in the number of patients being provided with recommended forms of psychotherapeutic treatment, ranging from 43% to 54% (p  Conclusion The case study presented here shows that the implementation of practice guidelines for anxiety disorders in mental health care is feasible. Based on the results of our study, the

A comprehensive, multi-level investigation of the implementation of a novel digital substance misuse intervention, Breaking Free Online: conceptualising implementation processes within services using the MRC framework and health psychology theory.

Directory of Open Access Journals (Sweden)

Stephanie Dugdale

2015-08-01

Methods: Semi-structured qualitative interviews were conducted with staff, peer mentors and service users to investigate initial diffusion and subsequent normalisation of BFO within CRI, and the impact of BFO on peer mentors’ own substance misuse recovery journeys. Thematic analyses were conducted, and models derived from health psychology and implementation science used to conceptualise implementation processes from an organisational level. Further analyses using Interpretative Phenomenological Analysis (IPA expanded investigation down to the level of individual people within CRI, and the role of peer mentors delivering the programme within the organisation. Results: ‘Diffusion of innovation theory’ conceptualised initial implementation and diffusion of BFO throughout CRI. Although there were perceived barriers to implementation, such as lack of IT equipment, anxieties around staff and service user IT skills and the impact on staff’s professional roles, intentions to continue using BFO were reported. Analyses investigating continued implementation processes of the programme used ‘normalisation process theory’ to demonstrate how a process of normalisation of the programme is underway following initial diffusion. Findings suggested that staff were beginning to take greater ‘ownership’ of BFO since it was initially introduced into the organisation, and that the programme was influencing changes to work-role responsibilities in delivering BFO. Data using the ‘trans-theoretical model’ also indicated that peer mentors benefited from implementing BFO to support others and assist their own recovery maintenance. Conclusion: Whilst the principal focus must always be on establishing clinical effectiveness when developing and evaluating complex behaviour change interventions, such as digital interventions, implementation process analysis is also key. This analysis is important in order for interventions to be translated into real-world outcomes, as without

How GPs implement clinical guidelines in everyday clinical practice

DEFF Research Database (Denmark)

Videbæk Le, Jette; Hansen, Helle P; Riisgaard, Helle

2015-01-01

BACKGROUND: Clinical guidelines are considered to be essential for improving quality and safety of health care. However, interventions to promote implementation of guidelines have demonstrated only partial effectiveness and the reasons for this apparent failure are not yet fully understood....... OBJECTIVE: To investigate how GPs implement clinical guidelines in everyday clinical practice and how implementation approaches differ between practices. METHODS: Individual semi-structured open-ended interviews with seven GPs who were purposefully sampled with regard to gender, age and practice form....... Interviews were recorded, transcribed verbatim and then analysed using systematic text condensation. RESULTS: Analysis of the interviews revealed three different approaches to the implementation of guidelines in clinical practice. In some practices the GPs prioritized time and resources on collective...

PROJECT IMPLEMENTATION IN ORGANISATIONS OF REPETITIVE ACTIVITIES

Directory of Open Access Journals (Sweden)

Marek WIRKUS

2015-04-01

Full Text Available The study presents the implementation of projects in organisations that achieve business objectives through the imple-mentation of repetitive actions. Projects in these organisations are, on the one hand, treated as marginal activities, while the results of these projects have significant impact on the delivery of main processes, e.g. through the introduction of new products. Human capital and solutions in this field bear impact on the success of projects in these organisations, which is not always conducive to smooth implementation of projects. Conflict results from the nature of a project, which is a one-time and temporary process, so organisational solutions are also temporary. It influences on attitudes and com-mitment of the project contractors. The paper identifies and analyses factors which affect the success of the projects.

Implementing a Flipped Classroom Approach in a University Numerical Methods Mathematics Course

Science.gov (United States)

Johnston, Barbara M.

2017-01-01

This paper describes and analyses the implementation of a "flipped classroom" approach, in an undergraduate mathematics course on numerical methods. The approach replaced all the lecture contents by instructor-made videos and was implemented in the consecutive years 2014 and 2015. The sequential case study presented here begins with an…

Spacelab user implementation assessment study. (Software requirements analysis). Volume 2: Technical report

Science.gov (United States)

1976-01-01

The engineering analyses and evaluation studies conducted for the Software Requirements Analysis are discussed. Included are the development of the study data base, synthesis of implementation approaches for software required by both mandatory onboard computer services and command/control functions, and identification and implementation of software for ground processing activities.

Study On Safeguard Measures for Implementing Overall Planning of Land Use

Institute of Scientific and Technical Information of China (English)

2011-01-01

Based on minutely analysing the main problems existing in safeguard measures for implementing a new round of overall planning of land use,this paper constructs implementation security system of overall planning of land use,and puts forward the principles and basis of formulating safeguard measures for implementing overall planning of land use.Finally,this paper establishes the content system of safeguard measures:effectively strengthen social supervision;strengthen administrative management of land use planning;strengthen economic management of land use planning;reinforce the legal status of planning;establish incentive and constraint mechanism for reinforcing implementation;improve support system of planning.

Vicious and virtuous cycles in ERP implementation : a case study of interrelations between critical success factors

NARCIS (Netherlands)

Akkermans, H.A.; Helden, van K.

2002-01-01

ERP implementations are complex undertakings. Recent research has provided us with plausible critical success factors (CSFs) for such implementations. This article describes how one list of CSFs (Somers & Nelson, 2001) was used to analyse and explain project performance in one ERP implementation in

Work–life balance policies: Challenges and benefits associated with implementing flexitime

Directory of Open Access Journals (Sweden)

Caroline Downes

2011-10-01

Research purpose: The aim of this article is to report on the challenges and benefits associated with implementing flexitime as a work–life balance policy. Motivation for the study: Organisations must develop and implement work–life balance policies. This requires human resource practitioners to investigate and understand experiences and perceptions about the challenges and benefits of flexitime. Research design, approach and method: The researcher used a qualitative research design with an exploratory approach. She drew a nonprobability purposive and voluntary sample (n = 15 from the financial sector. She used semi-structured in-depth interviews to collect the data and conducted content analyses to analyse and interpret them. Main findings: The researcher extracted four main themes (individual and general challenges, the aspects organisations need to implement flexitime effectively and the benefits that would follow its implementation from the data. Its benefits vary from work–life balance to employee loyalty and commitment. Some challenges are maintaining productivity, a shortage of critical resources and understanding flexitime. Practical/managerial implications: The research identified requirements that human resource practitioners should attend to in order to ensure that organisations use flexitime more effectively. Contribution/value-add: The researcher obtained unique findings about the minimum requirements for implementing flexitime effectively. They could assist organisations to address the challenges that employees face.

Implementing a flipped classroom approach in a university numerical methods mathematics course

Science.gov (United States)

Johnston, Barbara M.

2017-05-01

This paper describes and analyses the implementation of a 'flipped classroom' approach, in an undergraduate mathematics course on numerical methods. The approach replaced all the lecture contents by instructor-made videos and was implemented in the consecutive years 2014 and 2015. The sequential case study presented here begins with an examination of the attitudes of the 2014 cohort to the approach in general as well as analysing their use of the videos. Based on these responses, the instructor makes a number of changes (for example, the use of 'cloze' summary notes and the introduction of an extra, optional tutorial class) before repeating the 'flipped classroom' approach the following year. The attitudes to the approach and the video usage of the 2015 cohort are then compared with the 2014 cohort and further changes that could be implemented for the next cohort are suggested.

Genome-wide DNA polymorphism analyses using VariScan

Directory of Open Access Journals (Sweden)

Vilella Albert J

2006-09-01

Full Text Available Abstract Background DNA sequence polymorphisms analysis can provide valuable information on the evolutionary forces shaping nucleotide variation, and provides an insight into the functional significance of genomic regions. The recent ongoing genome projects will radically improve our capabilities to detect specific genomic regions shaped by natural selection. Current available methods and software, however, are unsatisfactory for such genome-wide analysis. Results We have developed methods for the analysis of DNA sequence polymorphisms at the genome-wide scale. These methods, which have been tested on a coalescent-simulated and actual data files from mouse and human, have been implemented in the VariScan software package version 2.0. Additionally, we have also incorporated a graphical-user interface. The main features of this software are: i exhaustive population-genetic analyses including those based on the coalescent theory; ii analysis adapted to the shallow data generated by the high-throughput genome projects; iii use of genome annotations to conduct a comprehensive analyses separately for different functional regions; iv identification of relevant genomic regions by the sliding-window and wavelet-multiresolution approaches; v visualization of the results integrated with current genome annotations in commonly available genome browsers. Conclusion VariScan is a powerful and flexible suite of software for the analysis of DNA polymorphisms. The current version implements new algorithms, methods, and capabilities, providing an important tool for an exhaustive exploratory analysis of genome-wide DNA polymorphism data.

Site-Specific Analyses for Demonstrating Compliance with 10 CFR 61 Performance Objectives - 12179

Energy Technology Data Exchange (ETDEWEB)

Grossman, C.J.; Esh, D.W.; Yadav, P.; Carrera, A.G. [U.S. Nuclear Regulatory Commission, 11545 Rockville Pike, Rockville, MD 20852 (United States)

2012-07-01

The U.S. Nuclear Regulatory Commission (NRC) is proposing to amend its regulations at 10 CFR Part 61 to require low-level radioactive waste disposal facilities to conduct site-specific analyses to demonstrate compliance with the performance objectives in Subpart C. The amendments would require licensees to conduct site-specific analyses for protection of the public and inadvertent intruders as well as analyses for long-lived waste. The amendments would ensure protection of public health and safety, while providing flexibility to demonstrate compliance with the performance objectives, for current and potential future waste streams. NRC staff intends to submit proposed rule language and associated regulatory basis to the Commission for its approval in early 2012. The NRC staff also intends to develop associated guidance to accompany any proposed amendments. The guidance is intended to supplement existing low-level radioactive waste guidance on issues pertinent to conducting site-specific analyses to demonstrate compliance with the performance objectives. The guidance will facilitate implementation of the proposed amendments by licensees and assist competent regulatory authorities in reviewing the site-specific analyses. Specifically, the guidance provides staff recommendations on general considerations for the site-specific analyses, modeling issues for assessments to demonstrate compliance with the performance objectives including the performance assessment, intruder assessment, stability assessment, and analyses for long-lived waste. This paper describes the technical basis for changes to the rule language and the proposed guidance associated with implementation of the rule language. The NRC staff, per Commission direction, intends to propose amendments to 10 CFR Part 61 to require licensees to conduct site-specific analyses to demonstrate compliance with performance objectives for the protection of public health and the environment. The amendments would require a

Analysing policy interactions for promoting energy efficiency in the Hellenic sectors of buildings and transport

OpenAIRE

Dr. Popi KONIDARI; Mrs. Anna FLESSA; Ms. Aliki-Nefeli MAVRAKI; Ms. Eleni-Danai MAVRAKI

2016-01-01

Policy interactions are important parameters for the successful implementation of policies, measures and policy instruments. The parallel implementation of a number of policy instruments has the potential to create synergies or conflicts that maximize or prevent the achievement of their anticipated outcomes. This paper analyses three cases of policy interactions between two policy instruments for promoting even more the energy efficiency outcomes in Greece for two sectors, buildings and trans...

Future Perspectives of the Implementation of EU Urban Agenda

Directory of Open Access Journals (Sweden)

Olejnik Aleksandra

2017-06-01

Full Text Available This article is an overview of opinions and recommendations adopted in the European Union vis-à-vis urban policy. The author analyses the Pact of Amsterdam and future perspectives of the implementation of EU Urban Agenda.

Analysing the Effects of Flood-Resilience Technologies in Urban Areas Using a Synthetic Model Approach

Directory of Open Access Journals (Sweden)

Reinhard Schinke

2016-11-01

Full Text Available Flood protection systems with their spatial effects play an important role in managing and reducing flood risks. The planning and decision process as well as the technical implementation are well organized and often exercised. However, building-related flood-resilience technologies (FReT are often neglected due to the absence of suitable approaches to analyse and to integrate such measures in large-scale flood damage mitigation concepts. Against this backdrop, a synthetic model-approach was extended by few complementary methodical steps in order to calculate flood damage to buildings considering the effects of building-related FReT and to analyse the area-related reduction of flood risks by geo-information systems (GIS with high spatial resolution. It includes a civil engineering based investigation of characteristic properties with its building construction including a selection and combination of appropriate FReT as a basis for derivation of synthetic depth-damage functions. Depending on the real exposition and the implementation level of FReT, the functions can be used and allocated in spatial damage and risk analyses. The application of the extended approach is shown at a case study in Valencia (Spain. In this way, the overall research findings improve the integration of FReT in flood risk management. They provide also some useful information for advising of individuals at risk supporting the selection and implementation of FReT.

Knowledge translation and implementation in spinal cord injury: a systematic review.

Science.gov (United States)

Noonan, V K; Wolfe, D L; Thorogood, N P; Park, S E; Hsieh, J T; Eng, J J

2014-08-01

To conduct a systematic review examining the effectiveness of knowledge translation (KT) interventions in changing clinical practice and patient outcomes. MEDLINE/PubMed, CINAHL, EMBASE and PsycINFO were searched for studies published from January 1980 to July 2012 that reported and evaluated an implemented KT intervention in spinal cord injury (SCI) care. We reviewed and summarized results from studies that documented the implemented KT intervention, its impact on changing clinician behavior and patient outcomes as well as the facilitators and barriers encountered during the implementation. A total of 13 articles featuring 10 studies were selected and abstracted from 4650 identified articles. KT interventions included developing and implementing patient care protocols, providing clinician education and incorporating outcome measures into clinical practice. The methods (or drivers) to facilitate the implementation included organizing training sessions for clinical staff, introducing computerized reminders and involving organizational leaders. The methodological quality of studies was mostly poor. Only 3 out of 10 studies evaluated the success of the implementation using statistical analyses, and all 3 reported significant behavior change. Out of the 10 studies, 6 evaluated the effect of the implementation on patient outcomes using statistical analyses, with 4 reporting significant improvements. The commonly cited facilitators and barriers were communication and resources, respectively. The field of KT in SCI is in its infancy with only a few relevant publications. However, there is some evidence that KT interventions may change clinician behavior and improve patient outcomes. Future studies should ensure rigorous study methods are used to evaluate KT interventions.

BWR core melt progression phenomena: Experimental analyses

International Nuclear Information System (INIS)

Ott, L.J.

1992-01-01

In the BWR Core Melt in Progression Phenomena Program, experimental results concerning severe fuel damage and core melt progression in BWR core geometry are used to evaluate existing models of the governing phenomena. These include control blade eutectic liquefaction and the subsequent relocation and attack on the channel box structure; oxidation heating and hydrogen generation; Zircaloy melting and relocation; and the continuing oxidation of zirconium with metallic blockage formation. Integral data have been obtained from the BWR DF-4 experiment in the ACRR and from BWR tests in the German CORA exreactor fuel-damage test facility. Additional integral data will be obtained from new CORA BWR test, the full-length FLHT-6 BWR test in the NRU test reactor, and the new program of exreactor experiments at Sandia National Laboratories (SNL) on metallic melt relocation and blockage formation. an essential part of this activity is interpretation and use of the results of the BWR tests. The Oak Ridge National Laboratory (ORNL) has developed experiment-specific models for analysis of the BWR experiments; to date, these models have permitted far more precise analyses of the conditions in these experiments than has previously been available. These analyses have provided a basis for more accurate interpretation of the phenomena that the experiments are intended to investigate. The results of posttest analyses of BWR experiments are discussed and significant findings from these analyses are explained. The ORNL control blade/canister models with materials interaction, relocation and blockage models are currently being implemented in SCDAP/RELAP5 as an optional structural component

Sustainable tourism development on Curacao - the implementation challenge

NARCIS (Netherlands)

Dinica, V.; Brebbia, C.A; Pineda, F.D.

2006-01-01

In 1997, a comprehensive policy program for sustainable tourism was adopted by the Netherlands Antilles government. This paper is empirically-oriented and analyses the implementation of two measures of this policy on one of the five islands, Curaçao, for the period 1998-2005. It investigates the

Implementing energy efficient pavements: A socio-economic analysis of the development and implementation of energy efficient pavements with low rolling resistance

DEFF Research Database (Denmark)

Axelsen, Christian; Pettinari, Matteo; Schmidt, Bjarne

2017-01-01

for the transportation sector is to make road networks more energy efficient by implementing pavements with low rolling resistance, leading to lower fuel consumption. Through a series of projects focusing on reducing rolling resistance conducted since 2010, the Danish Road Directorate (DRD) has developed a durable......, energy-efficient asphalt pavement. Socio-economic analyses conducted to quantify the benefit to society associated with implementing these asphalt pavements have demonstrated very high benefits. The demonstrated results in terms of durability, energy efficiency and socio-economics have resulted...... in substantial government funding being provided for demonstration trials on 50 kilometers of energy-efficient pavement in 2018. The implementation of energy-efficient pavements will enable Denmark to contribute to the out-of-quota 2030-emission cuts in line with EU regulations....

Implementation and Validation of Artificial Intelligence Techniques for Robotic Surgery

OpenAIRE

Aarshay Jain; Deepansh Jagotra; Vijayant Agarwal

2014-01-01

The primary focus of this study is implementation of Artificial Intelligence (AI) technique for developing an inverse kinematics solution for the Raven-IITM surgical research robot [1]. First, the kinematic model of the Raven-IITM robot was analysed along with the proposed analytical solution [2] for inverse kinematics problem. Next, The Artificial Neural Network (ANN) techniques was implemented. The training data for the same was careful selected by keeping manipulability constraints in mind...

Implementing PAT with Standards

Science.gov (United States)

Chandramohan, Laakshmana Sabari; Doolla, Suryanarayana; Khaparde, S. A.

2016-02-01

Perform Achieve Trade (PAT) is a market-based incentive mechanism to promote energy efficiency. The purpose of this work is to address the challenges inherent to inconsistent representation of business processes, and interoperability issues in PAT like cap-and-trade mechanisms especially when scaled. Studies by various agencies have highlighted that as the mechanism evolves including more industrial sectors and industries in its ambit, implementation will become more challenging. This paper analyses the major needs of PAT (namely tracking, monitoring, auditing & verifying energy-saving reports, and providing technical support & guidance to stakeholders); and how the aforesaid reasons affect them. Though current technologies can handle these challenges to an extent, standardization activities for implementation have been scanty for PAT and this work attempts to evolve them. The inconsistent modification of business processes, rules, and procedures across stakeholders, and interoperability among heterogeneous systems are addressed. This paper proposes the adoption of specifically two standards into PAT, namely Business Process Model and Notation for maintaining consistency in business process modelling, and Common Information Model (IEC 61970, 61968, 62325 combined) for information exchange. Detailed architecture and organization of these adoptions are reported. The work can be used by PAT implementing agencies, stakeholders, and standardization bodies.

Educational Equality in China: Analysing Educational Policies for Migrant Children in Beijing

Science.gov (United States)

Liu, Shuiyun; Liu, Fuxing; Yu, Yafeng

2017-01-01

This paper focuses on the education of migrant children in Beijing. As of the late 1990s, the Chinese Government has developed several policies to address educational issues among migrant children. The present study analyses data from interviews with key education personnel in Beijing to explore the outcomes of the implementation of such migrant…

Implementing an Open Source Learning Management System: A Critical Analysis of Change Strategies

Science.gov (United States)

Uys, Philip M.

2010-01-01

This paper analyses the change and innovation strategies that Charles Sturt University (CSU) used from 2007 to 2009 during the implementation and mainstreaming of an open source learning management system (LMS), Sakai, named locally as "CSU Interact". CSU was in January 2008 the first Australian University to implement an open source…

Understanding implementation in complex public organizations – implication for practice

Directory of Open Access Journals (Sweden)

Gry Cecilie Høiland

2016-10-01

Full Text Available The effective implementation of politically initiated public service innovations to the front-lines of the public service organization, where the innovation is to be applied, is a challenge that both practitioners and researchers struggle to solve. We highlight the importance of analysing contextual factors at several levels of the implementation system, as well as the importance of considering how the practical everyday work situations of the front-line workers influence their application of the innovation in question. We illustrate this by exploring the implementation process of a specific work inclusion measure, looking at its wider context and some of its implementation outcomes at a specific public agency. The intention is to illustrate the significance of considering the contextual complexity influencing implementation work as a reminder for practitioners to take this into account in their planning and practices.

Promoting Action on Research Implementation in Health Services framework applied to TeamSTEPPS implementation in small rural hospitals.

Science.gov (United States)

Ward, Marcia M; Baloh, Jure; Zhu, Xi; Stewart, Greg L

A particularly useful model for examining implementation of quality improvement interventions in health care settings is the PARIHS (Promoting Action on Research Implementation in Health Services) framework developed by Kitson and colleagues. The PARIHS framework proposes three elements (evidence, context, and facilitation) that are related to successful implementation. An evidence-based program focused on quality enhancement in health care, termed TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), has been widely promoted by the Agency for Healthcare Research and Quality, but research is needed to better understand its implementation. We apply the PARIHS framework in studying TeamSTEPPS implementation to identify elements that are most closely related to successful implementation. Quarterly interviews were conducted over a 9-month period in 13 small rural hospitals that implemented TeamSTEPPS. Interview quotes that were related to each of the PARIHS elements were identified using directed content analysis. Transcripts were also scored quantitatively, and bivariate regression analysis was employed to explore relationships between PARIHS elements and successful implementation related to planning activities. The current findings provide support for the PARIHS framework and identified two of the three PARIHS elements (context and facilitation) as important contributors to successful implementation. This study applies the PARIHS framework to TeamSTEPPS, a widely used quality initiative focused on improving health care quality and patient safety. By focusing on small rural hospitals that undertook this quality improvement activity of their own accord, our findings represent effectiveness research in an understudied segment of the health care delivery system. By identifying context and facilitation as the most important contributors to successful implementation, these analyses provide a focus for efficient and effective sustainment of Team

Marketing Mix Implementation in Small Medium Enterprises: a Study of Galeristorey Online Business

OpenAIRE

Sari, Rora Puspita

2017-01-01

The purpose of this paper is to evaluate the implementation of marketing mix in online business company, whether the online business adopt solely the traditional marketing mix model or the internet factors is also included, since the business platform itself in on social media. Descriptive research and content analysis using interview and observation were used to analyse the marketing mix implementation in Galeristorey online business. Evidence suggested that Galeristorey implemented few elem...

MGtoolkit: A python package for implementing metagraphs

Science.gov (United States)

Ranathunga, D.; Nguyen, H.; Roughan, M.

In this paper we present MGtoolkit: an open-source Python package for implementing metagraphs - a first of its kind. Metagraphs are commonly used to specify and analyse business and computer-network policies alike. MGtoolkit can help verify such policies and promotes learning and experimentation with metagraphs. The package currently provides purely textual output for visualising metagraphs and their analysis results.

MGtoolkit: A python package for implementing metagraphs

Directory of Open Access Journals (Sweden)

D. Ranathunga

2017-01-01

Full Text Available In this paper we present MGtoolkit : an open-source Python package for implementing metagraphs - a first of its kind. Metagraphs are commonly used to specify and analyse business and computer-network policies alike. MGtoolkit can help verify such policies and promotes learning and experimentation with metagraphs. The package currently provides purely textual output for visualising metagraphs and their analysis results.

Assessment of Single European Sky Implementation in the Functional Airspace Block Central Europe

Directory of Open Access Journals (Sweden)

Tomislav Mihetec

2017-12-01

implementation is performed through sub-regional grouping of Air Navigation Service Providers in a form of Functional Airspace Blocks. This paper analyses the level of implementation of ATM-related projects in the Functional Airspace Block Central Europe and their relation to other Functional Airspace Blocks defined in Europe. From this paper it is obvious that even though the planning of Single European Sky projects is based on the collaborative implementation of Functional Airspace Block level, the real implementation is fragmented and based on national levels.

Towards Implementation of Green Technology in Sabah Construction Industry

Science.gov (United States)

Azland Jainudin, Noor; Jugah, Ivy; Nasrizal Awang Ali, Awang; Tawie, Rudy

2017-12-01

The construction industry in Sabah is one of the major roles for development of social, economic infrastructures and buildings in generating wealth to the state besides the tourism sector. The increasing number of construction projects particularly in the rapid developing city of Kota Kinabalu, green technology as a whole is becoming more significant as it helps to develop effective solutions to encounter global environmental issues. The objective of the research is to identify the awareness and implementation of green technology in construction industry in Kota Kinabalu, Sabah. The methodology of the research is through distributing the questionnaire to the contractors, developers, consultants, architects and state government agencies to the area in Kota Kinabalu only. The questionnaires had been analysed to find out the mean value. 100 questionnaires distributed to the respondents but merely 85 questionnaires collected have been analysed. Based on the findings, 83.5% organisations were aware with the concept of green technology in construction project. In terms of the implementation only 64.7% had been implemented in their organizations. More than 50% from the major players such as contractors, consultants, developers, architects and state government agencies were aware based on six green technology concepts in their organizations. As a conclusion, the awareness towards green policy concept in construction industry is very satisfied. Meanwhile, in terms of implementation need to be increased the number of organizations to be involved in green technology in construction industry.

Mobile Portal Implementation Strategy

DEFF Research Database (Denmark)

Gao, Ping; Damsgaard, Jan

2005-01-01

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

An Apple II -based bidimensional pulse height analyser

International Nuclear Information System (INIS)

Bateman, J.E.; Flesher, A.C.; Honeyman, R.N.; Pritchard, T.E.; Price, W.P.R.

1984-06-01

The implementation of a pulse height analyser function in an Apple II microcomputer using minimal purpose built hardware is described. Except for a small interface module the system consists of two suites of software, one giving a conventional one dimensional analysis on a span of 1024 channels, and the other a two dimensional analysis on a 128 x 128 image format. Using the recently introduced ACCELERATOR coprocessor card the system performs with a dead time per event of less than 50 μS. Full software facilities are provided for display, storage and processing of the data using standard Applesoft BASIC. (author)

Implementing Speed and Separation Monitoring in Collaborative Robot Workcells

Science.gov (United States)

Marvel, Jeremy A.; Norcross, Rick

2016-01-01

We provide an overview and guidance for the Speed and Separation Monitoring methodology as presented in the International Organization of Standardization's technical specification 15066 on collaborative robot safety. Such functionality is provided by external, intelligent observer systems integrated into a robotic workcell. The SSM minimum protective distance function equation is discussed in detail, with consideration for the input values, implementation specifications, and performance expectations. We provide analytical analyses and test results of the current equation, discuss considerations for implementing SSM in human-occupied environments, and provide directions for technological advancements toward standardization. PMID:27885312

Implementing evidence-based practice in community mental health agencies: a multiple stakeholder analysis.

Science.gov (United States)

Aarons, Gregory A; Wells, Rebecca S; Zagursky, Karen; Fettes, Danielle L; Palinkas, Lawrence A

2009-11-01

We sought to identify factors believed to facilitate or hinder evidence-based practice (EBP) implementation in public mental health service systems as a step in developing theory to be tested in future studies. Focusing across levels of an entire large public sector mental health service system for youths, we engaged participants from 6 stakeholder groups: county officials, agency directors, program managers, clinical staff, administrative staff, and consumers. Participants generated 105 unique statements identifying implementation barriers and facilitators. Participants rated each statement on importance and changeability (i.e., the degree to which each barrier or facilitator is considered changeable). Data analyses distilled statements into 14 factors or dimensions. Descriptive analyses suggest that perceptions of importance and changeability varied across stakeholder groups. Implementation of EBP is a complex process. Cross-system-level approaches are needed to bring divergent and convergent perspectives to light. Examples include agency and program directors facilitating EBP implementation by supporting staff, actively sharing information with policymakers and administrators about EBP effectiveness and fit with clients' needs and preferences, and helping clinicians to present and deliver EBPs and address consumer concerns.

Drivers of Adoption and Implementation of Internet-Based Marketing Channels

DEFF Research Database (Denmark)

Nielsen, Jørn Flohr; Mols, Niels Peter; Høst, Viggo

2007-01-01

This chapter analyses factors influencing manufacturers= adoption and implementation of Internet-based marketing channels, using models based on marketing channel and organisational innovation theory. Survey data from 1163 Danish, Finnish, and Swedish manufacturers form the empirical basis for te...

Implementation of an iron ore green pellet on-line size analyser at the QCMC pelletizing plant

International Nuclear Information System (INIS)

Bouajila, A.; Boivin, J.-A.; Ouellet, G.; Beaudin, S.

1999-01-01

This paper describes work into the design, implementation and performance evaluation of a 3D-image analysis system at the QCMC pelletizing plant. First, the measurement system is reviewed. Second, the ability of the system to achieve reliable, on-line results on a moving conveyor belt is presented and discussed. The problem of segregation caused by disk classification is particularly addressed, as it hinders full size distribution estimation from the top layer. Finally, pelletizing disk controllability is investigated. (author)

Implementing SO2 Emissions in China

International Nuclear Information System (INIS)

Schreifels, J.; Yang, J.

2003-01-01

Over the past 10 years, the Chinese State Environmental Protection Administration (SEPA) has actively investigated the potential to use emission trading to reduce sulphur dioxide (SO2) emissions from electricity generators and industrial sources. In 1999, SEPA partnered with the U.S. Environmental Protection Agency (U.S. EPA) to cooperate on a study to assess the feasibility of implementing SO2 emission trading in China. SEPA has also pursued emission trading pilot projects in several cities and provinces. The authors, using information from the feasibility study and pilot projects, introduce the circumstances necessary for SO2 emission trading in China, outline the experience to date, and analyse implementation opportunities and barriers in China. The contents of the paper are: (1) SO2 emission control policies in China; (2) institutional requirements and the basis for introducing SO2 emission trading in China; (3) case studies of emission trading in China; (4) opportunities and barriers to implementing emission trading in China; (5) recommendations to transition from pilot projects to a nationwide SO2 emission trading program; and (6) conclusions and suggestions

Constraint Solver Techniques for Implementing Precise and Scalable Static Program Analysis

DEFF Research Database (Denmark)

Zhang, Ye

solver using unification we could make a program analysis easier to design and implement, much more scalable, and still as precise as expected. We present an inclusion constraint language with the explicit equality constructs for specifying program analysis problems, and a parameterized framework...... developers to build reliable software systems more quickly and with fewer bugs or security defects. While designing and implementing a program analysis remains a hard work, making it both scalable and precise is even more challenging. In this dissertation, we show that with a general inclusion constraint...... data flow analyses for C language, we demonstrate a large amount of equivalences could be detected by off-line analyses, and they could then be used by a constraint solver to significantly improve the scalability of an analysis without sacrificing any precision....

Dynamic analyses, FPGA implementation and engineering ...

Indian Academy of Sciences (India)

QIANG LAI

2017-12-14

Dec 14, 2017 ... the model of the generalised Sprott C system and anal- yses its equilibria. ..... the Matlab simulations. ... RNG design processes are given in Algorithm 1 as the ... RNG applications (simulation, modelling, arts, data hiding ...

IMPLEMENTING THE COMPUTER-BASED NATIONAL EXAMINATION IN INDONESIAN SCHOOLS: THE CHALLENGES AND STRATEGIES

Directory of Open Access Journals (Sweden)

Heri Retnawati

2017-12-01

Full Text Available In line with technological development, the computer-based national examination (CBNE has become an urgent matter as its implementation faces various challenges, especially in developing countries. Strategies in implementing CBNE are thus needed to face the challenges. The aim of this research was to analyse the challenges and strategies of Indonesian schools in implementing CBNE. This research was qualitative phenomenological in nature. The data were collected through a questionnaire and a focus group discussion. The research participants were teachers who were test supervisors and technicians at junior high schools and senior high schools (i.e. Level 1 and 2 and vocational high schools implementing CBNE in Yogyakarta, Indonesia. The data were analysed using the Bogdan and Biklen model. The results indicate that (1 in implementing CBNE, the schools should initially make efforts to provide the electronic equipment supporting it; (2 the implementation of CBNE is challenged by problems concerning the Internet and the electricity supply; (3 the test supervisors have to learn their duties by themselves and (4 the students are not yet familiar with the beneficial use of information technology. To deal with such challenges, the schools employed strategies by making efforts to provide the standard electronic equipment through collaboration with the students’ parents and improving the curriculum content by adding information technology as a school subject.

Implementation of physical coordination training and cognitive behavioural training interventions at cleaning workplaces - secondary analyses of a randomised controlled trial

DEFF Research Database (Denmark)

Jørgensen, Marie B; Faber, Anne; Jespersen, Tobias

2012-01-01

intervention effects, more research on implementation is needed. Trial registration: ISRCTN96241850. Practitioner summary: Both physical coordination training and cognitive behavioural training are potential effective workplace interventions among low educated job groups with high physical work demands......This study evaluates the implementation of physical coordination training (PCT) and cognitive behavioural training (CBTr) interventions in a randomised controlled trial at nine cleaners' workplaces. Female cleaners (n = 294) were randomised into a PCT, a CBTr or a reference (REF) group. Both 12...

Implementation of wind energy in the Netherlands: the importance of the social-institutional setting

International Nuclear Information System (INIS)

Agterbosch, Susanne; Vermeulen, Walter; Glasbergen, Pieter

2004-01-01

This paper analyses the differences in performance of the different types of wind power entrepreneurs now active on the wind power supply market in the Netherlands. The development of the market is divided into three successive market periods: Monopoly powers (1989-1995), Interbellum (1996-1997) and Free market (1998-2002). For each of these periods, the interdependency between various systemic conditions--technical, economic, institutional and social conditions--is analysed, with the focus on the relative importance of the institutional and social settings for market development. This interdependency is analysed using the implementation capacity concept. Implementation capacity is defined as the total of those systemic conditions and mutual interdependencies that influence the behaviour of wind power entrepreneurs. It indicates the feasibility for wind power entrepreneurs to adopt wind turbines. From the analysis it was concluded that no overall implementation capacity exists, and implementation capacities differ for entrepreneurial groups with different entrepreneurial features. With respect to the relative importance of institutional and social conditions, it became clear, that it is mainly these conditions that differentiate between the various entrepreneurial groups. The dynamic configuration of institutional and social conditions facilitates some and hinders other types of wind power entrepreneurs, and as a result determines the development and composition of the market. Finally, the analysis explains the changing roles of entrepreneurial groups throughout the 1990s

Statistical Analyses and Modeling of the Implementation of Agile Manufacturing Tactics in Industrial Firms

Directory of Open Access Journals (Sweden)

Mohammad D. AL-Tahat

2012-01-01

Full Text Available This paper provides a review and introduction on agile manufacturing. Tactics of agile manufacturing are mapped into different production areas (eight-construct latent: manufacturing equipment and technology, processes technology and know-how, quality and productivity improvement, production planning and control, shop floor management, product design and development, supplier relationship management, and customer relationship management. The implementation level of agile manufacturing tactics is investigated in each area. A structural equation model is proposed. Hypotheses are formulated. Feedback from 456 firms is collected using five-point-Likert-scale questionnaire. Statistical analysis is carried out using IBM SPSS and AMOS. Multicollinearity, content validity, consistency, construct validity, ANOVA analysis, and relationships between agile components are tested. The results of this study prove that the agile manufacturing tactics have positive effect on the overall agility level. This conclusion can be used by manufacturing firms to manage challenges when trying to be agile.

THE ROLE OF INFORMATION COMUNICATION TECHNOLOGY IN SIX SIGMA APPROACH IMPLEMENTATION

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Živko Kondić

2006-06-01

Full Text Available The article discusses Six Sigma Methodology as business philosophy assuring excellent product or service quality and continuous process improving to realise highest customer satisfaction level. There are analysed methodology advantages allowing defects and costs reduction and customer satisfaction improvement. Also, authors discuss methodology successful implementation according to gathering data on business processes regulation indicators values variation, and issued products or services performances. The results of implementation process of the Six Sigma Methodology in business system depend on prompt and correct data needed for statistical analysis, and its accessibility via organisation’ information system. Correlation between implementation of Six Sigma Methodology and information system development is so strong that non-conformances could cause the Six Sigma Methodology implementation fall.

Evidence of "Implemented Anticipation" in Mathematising by Beginning Modellers

Science.gov (United States)

Stillman, Gloria; Brown, Jill P.

2014-01-01

Data from open modelling sessions for year 10 and 11 students at an extracurricular modelling event and from a year 9 class participating in a programme of structured modelling of real situations were analysed for evidence of Niss's theoretical construct, "implemented anticipation," during mathematisation. Evidence was found for all…

Secondary Data Analyses of Subjective Outcome Evaluation Data Based on Nine Databases

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Daniel T. L. Shek

2012-01-01

Full Text Available The purpose of this study was to evaluate the effectiveness of the Tier 1 Program of the Project P.A.T.H.S. (Positive Adolescent Training through Holistic Social Programmes in Hong Kong by analyzing 1,327 school-based program reports submitted by program implementers. In each report, program implementers were invited to write down five conclusions based on an integration of the subjective outcome evaluation data collected from the program participants and program implementers. Secondary data analyses were carried out by aggregating nine databases, with 14,390 meaningful units extracted from 6,618 conclusions. Results showed that most of the conclusions were positive in nature. The findings generally showed that the workers perceived the program and program implementers to be positive, and they also pointed out that the program could promote holistic development of the program participants in societal, familial, interpersonal, and personal aspects. However, difficulties encountered during program implementation (2.15% and recommendations for improvement were also reported (16.26%. In conjunction with the evaluation findings based on other strategies, the present study suggests that the Tier 1 Program of the Project P.A.T.H.S. is beneficial to the holistic development of the program participants.

An evaluation system for electronic retrospective analyses in radiation oncology: implemented exemplarily for pancreatic cancer

Science.gov (United States)

Kessel, Kerstin A.; Jäger, Andreas; Bohn, Christian; Habermehl, Daniel; Zhang, Lanlan; Engelmann, Uwe; Bougatf, Nina; Bendl, Rolf; Debus, Jürgen; Combs, Stephanie E.

2013-03-01

To date, conducting retrospective clinical analyses is rather difficult and time consuming. Especially in radiation oncology, handling voluminous datasets from various information systems and different documentation styles efficiently is crucial for patient care and research. With the example of patients with pancreatic cancer treated with radio-chemotherapy, we performed a therapy evaluation by using analysis tools connected with a documentation system. A total number of 783 patients have been documented into a professional, web-based documentation system. Information about radiation therapy, diagnostic images and dose distributions have been imported. For patients with disease progression after neoadjuvant chemoradiation, we designed and established an analysis workflow. After automatic registration of the radiation plans with the follow-up images, the recurrence volumes are segmented manually. Based on these volumes the DVH (dose-volume histogram) statistic is calculated, followed by the determination of the dose applied to the region of recurrence. All results are stored in the database and included in statistical calculations. The main goal of using an automatic evaluation system is to reduce time and effort conducting clinical analyses, especially with large patient groups. We showed a first approach and use of some existing tools, however manual interaction is still necessary. Further steps need to be taken to enhance automation. Already, it has become apparent that the benefits of digital data management and analysis lie in the central storage of data and reusability of the results. Therefore, we intend to adapt the evaluation system to other types of tumors in radiation oncology.

LOCA, LOFA and LOVA analyses pertaining to NET/ITER safety design guidance

International Nuclear Information System (INIS)

Ebert, E.; Raeder, J.

1991-01-01

The analyses presented pertain to loss of coolant accidents (LOCA), loss of coolant flow accidents (LOFA) and loss of vacuum accidents (LOVA). These types of accidents may jeopardise components and plasma vessel integrity and cause radioactivity mobilisation. The analyses reviewed have been performed under the assumption that the plasma facing components are protected by a carbon based armour. Accidental temperatures and pressure transients are quantified, the possibility of reaction products combustion is investigated and worst case accidental public doses are assessed. On this basis, design recommendations are given and design features such as low plasma facing components armour temperatures (on almost the entire surface) and inert gas adjacent to the vacuum vessel have been implemented. (orig.)

National Inspection Program of Conventional Industries: implement, results and evaluation- 1981 to 1984

International Nuclear Information System (INIS)

Gloria, M.B.; Silva, F.C.A. da; Leocadio, J.C.; Valenca, J.R.M.; Farias, C.

1986-01-01

The methodology adopted by the Instutute of Radiation Protection and Dosimetry to implement the National Inspection Program of Conventional Industries is present. This methodology is being efficient because of many technical and administrative problems about radiation protection could be identified, analysed and solved gradually. Many workplaces of gammagraphy are analysed in relation to radiation safety, geographyc localization and social-economics aspects. (Author) [pt

Implementing new health interventions in developing countries: why do we lose a decade or more?

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Brooks Alan

2012-08-01

Full Text Available Abstract Background It is unclear how long it takes for health interventions to transition from research and development (R&D to being used against diseases prevalent in resource-poor countries. We undertook an analysis of the time required to begin implementation of four vaccines and three malaria interventions. We evaluated five milestones for each intervention, and assessed if the milestones were associated with beginning implementation. Methods The authors screened World Health Organization (WHO databases to determine the number of years between first regulatory approval of interventions, and countries beginning implementation. Descriptive analyses of temporal patterns and statistical analyses using logistic regression and Cox proportional hazard models were used to evaluate associations between five milestones and the beginning of implementation for each intervention. The milestones were: (A presence of a coordinating group focused on the intervention; (B availability of an intervention tailored to developing country health systems; (C international financing commitment, and; (D initial and (E comprehensive WHO recommendations. Countries were categorized by World Bank income criteria. Results Five years after regulatory approval, no low-income countries (LICs had begun implementing any of the vaccines, increasing to an average of only 4% of LICs after 10 years. Each malaria intervention was used by an average of 7% of LICs after five years and 37% after 10 years. Four of the interventions had similar implementation rates to hepatitis B vaccine (HepB, while one was slower and one was faster than HepB. A financing commitment and initial WHO recommendation appeared to be temporally associated with the beginning of implementation. The initial recommendation from WHO was the only milestone associated in all statistical analyses with countries beginning implementation (relative rate = 1.97, P  Conclusions Although possible that four

The long-term health and economic benefits of DOTS implementation in Ecuador.

Science.gov (United States)

Oxlade, Olivia; Vaca, Judyth; Romero, Elizabeth; Schwartzman, Kevin; Graham, Brian; Hernandez, Lucero; Tannenbaum, Terry; Menzies, Dick

2006-01-01

Between April 2001 and March 2004, the Directly Observed Therapy-Short course (DOTS) program was successfully implemented by the National Tuberculosis control program, with assistance from the Canadian Lung Association, in three provinces of Ecuador, where 52% of the population of the country reside. Markov modelling was used to project TB-related morbidity, mortality and costs if the former TB control program (status quo) had continued or if the newly expanded DOTS program is maintained over 20 years. Extensive sensitivity analyses were used to determine the effect on projected outcomes of varying key assumptions. If DOTS is maintained over the next 20 years, we predict that 18,760 cases and 15,812 TB-related deaths will be prevented, resulting in societal savings of dollars 203 million and government savings of dollars 7.1 million (all costs in dollars US). These findings were robust in extensive sensitivity analyses. Given the initial investment of dollars 3 million for DOTS implementation, this would mean a cost of dollars 190 per life saved. Implementation of DOTS could yield very substantial public health and economic benefits for Ecuador. These results demonstrate the benefits from Canadian government support for DOTS implementation in low- and middle-income countries.

Impact of implementation choices on quantitative predictions of cell-based computational models

Science.gov (United States)

Kursawe, Jochen; Baker, Ruth E.; Fletcher, Alexander G.

2017-09-01

'Cell-based' models provide a powerful computational tool for studying the mechanisms underlying the growth and dynamics of biological tissues in health and disease. An increasing amount of quantitative data with cellular resolution has paved the way for the quantitative parameterisation and validation of such models. However, the numerical implementation of cell-based models remains challenging, and little work has been done to understand to what extent implementation choices may influence model predictions. Here, we consider the numerical implementation of a popular class of cell-based models called vertex models, which are often used to study epithelial tissues. In two-dimensional vertex models, a tissue is approximated as a tessellation of polygons and the vertices of these polygons move due to mechanical forces originating from the cells. Such models have been used extensively to study the mechanical regulation of tissue topology in the literature. Here, we analyse how the model predictions may be affected by numerical parameters, such as the size of the time step, and non-physical model parameters, such as length thresholds for cell rearrangement. We find that vertex positions and summary statistics are sensitive to several of these implementation parameters. For example, the predicted tissue size decreases with decreasing cell cycle durations, and cell rearrangement may be suppressed by large time steps. These findings are counter-intuitive and illustrate that model predictions need to be thoroughly analysed and implementation details carefully considered when applying cell-based computational models in a quantitative setting.

Exploring physiotherapists' experiences of implementing a cognitive behavioural approach for managing low back pain and identifying barriers to long-term implementation.

Science.gov (United States)

Richmond, Helen; Hall, Amanda M; Hansen, Zara; Williamson, Esther; Davies, David; Lamb, Sarah E

2018-03-01

Our objectives were two-fold: (i) to describe physiotherapists' experiences of implementing a cognitive behavioural approach (CBA) for managing low back pain (LBP) after completing an extensive online training course (iBeST), and (ii) to identify how iBeST could be enhanced to support long-term implementation before scale up for widespread use. We conducted semi-structured interviews with 11 physiotherapists from six National Health Service departments in the Midlands, Oxfordshire and Derbyshire. Questions centred on (i) using iBeST to support implementation, (ii) what barriers they encountered to implementation and (iii) what of information or resources they required to support sustained implementation. Interviews were transcribed and thematically analysed using NVivo. Themes were categorised using the Theoretical Domains Framework (TDF). Evidence-based techniques were identified using the behaviour change technique taxonomy to target relevant TDF domains. Three themes emerged from interviews: anxieties about using a CBA, experiences of implementing a CBA, and sustainability for future implementation of a CBA. Themes crossed multiple TDF domains and indicated concerns with knowledge, beliefs about capabilities and consequences, social and professional roles, social influences, emotion, and environmental context and resources. We identified evidence-based strategies that may support sustainable implementation of a CBA for LBP in a physiotherapy setting. This study highlighted potential challenges for physiotherapists in the provision of evidence-based LBP care within the current UK NHS. Using the TDF provided the foundation to develop a tailored, evidence-based, implementation intervention to support long term use of a CBA by physiotherapists managing LBP within UK NHS outpatient departments. Copyright © 2017 Chartered Society of Physiotherapy. All rights reserved.

Measuring Collaboration and Communication to Increase Implementation of Evidence-Based Practices: The Cultural Exchange Inventory

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Palinkas, Lawrence A.; Garcia, Antonio; Aarons, Gregory; Finno-Velasquez, Megan; Fuentes, Dahlia; Holloway, Ian; Chamberlain, Patricia

2018-01-01

The Cultural Exchange Inventory (CEI) is a 15-item instrument designed to measure the process (7 items) and outcomes (8 items) of exchanges of knowledge, attitudes and practices between members of different organisations collaborating in implementing evidence-based practice. We conducted principal axis factor analyses and parallel analyses of data…

Baseline Analyses of SIG Applications and SIG-Eligible and SIG-Awarded Schools. NCEE 2011-4019

Science.gov (United States)

Hurlburt, Steven; Le Floch, Kerstin Carlson; Therriault, Susan Bowles; Cole, Susan

2011-01-01

The Study of School Turnaround is an examination of the implementation of School Improvement Grants (SIG) authorized under Title I section 1003(g) of the "Elementary and Secondary Education Act" and supplemented by the "American Recovery and Reinvestment Act of 2009." "Baseline Analyses of SIG Applications and SIG-Eligible…

Less is less: a systematic review of graph use in meta-analyses.

Science.gov (United States)

Schild, Anne H E; Voracek, Martin

2013-09-01

Graphs are an essential part of scientific communication. Complex datasets, of which meta-analyses are textbook examples, benefit the most from visualization. Although a number of graph options for meta-analyses exist, the extent to which these are used was hitherto unclear. A systematic review on graph use in meta-analyses in three disciplines (medicine, psychology, and business) and nine journals was conducted. Interdisciplinary differences, which are mirrored in the respective journals, were revealed, that is, graph use correlates with external factors rather than methodological considerations. There was only limited variation in graph types (with forest plots as the most important representatives), and diagnostic plots were very rare. Although an increase in graph use over time could be observed, it is unlikely that this phenomenon is specific to meta-analyses. There is a gaping discrepancy between available graphic methods and their application in meta-analyses. This may be rooted in a number of factors, namely, (i) insufficient dissemination of new developments, (ii) unsatisfactory implementation in software packages, and (iii) minor attention on graphics in meta-analysis reporting guidelines. Using visualization methods to their full capacity is a further step in using meta-analysis to its full potential. Copyright © 2013 John Wiley & Sons, Ltd.

Applications of MIDAS regression in analysing trends in water quality

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Penev, Spiridon; Leonte, Daniela; Lazarov, Zdravetz; Mann, Rob A.

2014-04-01

We discuss novel statistical methods in analysing trends in water quality. Such analysis uses complex data sets of different classes of variables, including water quality, hydrological and meteorological. We analyse the effect of rainfall and flow on trends in water quality utilising a flexible model called Mixed Data Sampling (MIDAS). This model arises because of the mixed frequency in the data collection. Typically, water quality variables are sampled fortnightly, whereas the rain data is sampled daily. The advantage of using MIDAS regression is in the flexible and parsimonious modelling of the influence of the rain and flow on trends in water quality variables. We discuss the model and its implementation on a data set from the Shoalhaven Supply System and Catchments in the state of New South Wales, Australia. Information criteria indicate that MIDAS modelling improves upon simplistic approaches that do not utilise the mixed data sampling nature of the data.

Implementing health promotion tools in Australian Indigenous primary health care.

Science.gov (United States)

Percival, Nikki A; McCalman, Janya; Armit, Christine; O'Donoghue, Lynette; Bainbridge, Roxanne; Rowley, Kevin; Doyle, Joyce; Tsey, Komla

2018-02-01

In Australia, significant resources have been invested in producing health promotion best practice guidelines, frameworks and tools (herein referred to as health promotion tools) as a strategy to improve Indigenous health promotion programmes. Yet, there has been very little rigorous implementation research about whether or how health promotion tools are implemented. This paper theorizes the complex processes of health promotion tool implementation in Indigenous comprehensive primary healthcare services. Data were derived from published and grey literature about the development and the implementation of four Indigenous health promotion tools. Tools were theoretically sampled to account for the key implementation types described in the literature. Data were analysed using the grounded-theory methods of coding and constant comparison with construct a theoretical implementation model. An Indigenous Health Promotion Tool Implementation Model was developed. Implementation is a social process, whereby researchers, practitioners and community members collectively interacted in creating culturally responsive health promotion to the common purpose of facilitating empowerment. The implementation of health promotion tools was influenced by the presence of change agents; a commitment to reciprocity and organizational governance and resourcing. The Indigenous Health Promotion Tool Implementation Model assists in explaining how health promotion tools are implemented and the conditions that influence these actions. Rather than simply developing more health promotion tools, our study suggests that continuous investment in developing conditions that support empowering implementation processes are required to maximize the beneficial impacts and effectiveness of health promotion tools. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Implementing healthier foodservice guidelines in hospital and federal worksite cafeterias: barriers, facilitators and keys to success.

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Jilcott Pitts, S B; Graham, J; Mojica, A; Stewart, L; Walter, M; Schille, C; McGinty, J; Pearsall, M; Whitt, O; Mihas, P; Bradley, A; Simon, C

2016-12-01

Healthy foodservice guidelines are being implemented in worksites and healthcare facilities to increase access to healthy foods by employees and public populations. However, little is known about the barriers to and facilitators of implementation. The present study aimed to examine barriers to and facilitators of implementation of healthy foodservice guidelines in federal worksite and hospital cafeterias. Using a mixed-methods approach, including a quantitative survey followed by a qualitative, in-depth interview, we examined: (i) barriers to and facilitators of implementation; (ii) behavioural design strategies used to promote healthier foods and beverages; and (iii) how implementation of healthy foodservice guidelines influenced costs and profitability. We used a purposive sample of five hospital and four federal worksite foodservice operators who recently implemented one of two foodservice guidelines: the United States Department of Health and Human Services/General Services Administration Health and Sustainability Guidelines ('Guidelines') in federal worksites or the Partnership for a Healthier America Hospital Healthier Food Initiative ('Initiative') in hospitals. Descriptive statistics were used to analyse quantitative survey data. Qualitative data were analysed using a deductive approach. Implementation facilitators included leadership support, adequate vendor selections and having dietitians assist with implementation. Implementation barriers included inadequate selections from vendors, customer complaints and additional expertise required for menu labelling. Behavioural design strategies used most frequently included icons denoting healthier options, marketing using social media and placement of healthier options in prime locations. Lessons learned can guide subsequent steps for future healthy foodservice guideline implementation in similar settings. © 2016 The British Dietetic Association Ltd.

Empirical Evidence for Niss' "Implemented Anticipation" in Mathematising Realistic Situations

Science.gov (United States)

Stillman, Gloria; Brown, Jill P.

2012-01-01

Mathematisation of realistic situations is an on-going focus of research. Classroom data from a Year 9 class participating in a program of structured modelling of real situations was analysed for evidence of Niss's theoretical construct, implemented anticipation, during mathematisation. Evidence was found for two of three proposed aspects. In…

Patient-centred and professional-directed implementation strategies for diabetes guidelines: a cluster-randomized trial-based cost-effectiveness analysis.

NARCIS (Netherlands)

Dijkstra, R.F.; Niessen, L.W.; Braspenning, J.C.C.; Adang, E.M.M.; Grol, R.P.T.M.

2006-01-01

AIMS: Economic evaluations of diabetes interventions do not usually include analyses on effects and cost of implementation strategies. This leads to optimistic cost-effectiveness estimates. This study reports empirical findings on the cost-effectiveness of two implementation strategies compared with

Competing Through Lean – Towards Sustainable Resource-Oriented Implementation Framework

Directory of Open Access Journals (Sweden)

Rymaszewska Anna

2014-11-01

Full Text Available This paper addresses the needs of SMEs manufacturing companies which due to their limited resources are often unable to introduce radical changes in their strategies. The main focus is on analyzing the principles of lean manufacturing and management regarding their potential contribution to building a company's competitive advantage. The paper analyses lean from a strategic management viewpoint while combining its implementation with achieving a competitive advantage. The ultimate result is a framework for lean implementation aimed at building a competitive advantage for companies. The proposed framework focuses on the idea of a closed loop with embedded sustainability.

System for Automated Geoscientific Analyses (SAGA) v. 2.1.4

Science.gov (United States)

Conrad, O.; Bechtel, B.; Bock, M.; Dietrich, H.; Fischer, E.; Gerlitz, L.; Wehberg, J.; Wichmann, V.; Böhner, J.

2015-07-01

The System for Automated Geoscientific Analyses (SAGA) is an open source geographic information system (GIS), mainly licensed under the GNU General Public License. Since its first release in 2004, SAGA has rapidly developed from a specialized tool for digital terrain analysis to a comprehensive and globally established GIS platform for scientific analysis and modeling. SAGA is coded in C++ in an object oriented design and runs under several operating systems including Windows and Linux. Key functional features of the modular software architecture comprise an application programming interface for the development and implementation of new geoscientific methods, a user friendly graphical user interface with many visualization options, a command line interpreter, and interfaces to interpreted languages like R and Python. The current version 2.1.4 offers more than 600 tools, which are implemented in dynamically loadable libraries or shared objects and represent the broad scopes of SAGA in numerous fields of geoscientific endeavor and beyond. In this paper, we inform about the system's architecture, functionality, and its current state of development and implementation. Furthermore, we highlight the wide spectrum of scientific applications of SAGA in a review of published studies, with special emphasis on the core application areas digital terrain analysis, geomorphology, soil science, climatology and meteorology, as well as remote sensing.

Organizational factors affecting safety implementation in food companies in Thailand.

Science.gov (United States)

Chinda, Thanwadee

2014-01-01

Thai food industry employs a massive number of skilled and unskilled workers. This may result in an industry with high incidences and accident rates. To improve safety and reduce the accident figures, this paper investigates factors influencing safety implementation in small, medium, and large food companies in Thailand. Five factors, i.e., management commitment, stakeholders' role, safety information and communication, supportive environment, and risk, are found important in helping to improve safety implementation. The statistical analyses also reveal that small, medium, and large food companies hold similar opinions on the risk factor, but bear different perceptions on the other 4 factors. It is also found that to improve safety implementation, the perceptions of safety goals, communication, feedback, safety resources, and supervision should be aligned in small, medium, and large companies.

Cross-Validation of the Implementation Leadership Scale (ILS) in Child Welfare Service Organizations.

Science.gov (United States)

Finn, Natalie K; Torres, Elisa M; Ehrhart, Mark G; Roesch, Scott C; Aarons, Gregory A

2016-08-01

The Implementation Leadership Scale (ILS) is a brief, pragmatic, and efficient measure that can be used for research or organizational development to assess leader behaviors and actions that actively support effective implementation of evidence-based practices (EBPs). The ILS was originally validated with mental health clinicians. This study validates the ILS factor structure with providers in community-based organizations (CBOs) providing child welfare services. Participants were 214 service providers working in 12 CBOs that provide child welfare services. All participants completed the ILS, reporting on their immediate supervisor. Confirmatory factor analyses were conducted to examine the factor structure of the ILS. Internal consistency reliability and measurement invariance were also examined. Confirmatory factor analyses showed acceptable fit to the hypothesized first- and second-order factor structure. Internal consistency reliability was strong and there was partial measurement invariance for the first-order factor structure when comparing child welfare and mental health samples. The results support the use of the ILS to assess leadership for implementation of EBPs in child welfare organizations. © The Author(s) 2016.

Non-Formal Education Implementations in Turkey: Issues and Latest Challenges

Science.gov (United States)

Bilir, Mehmet

2007-01-01

The aim of this article is to analyse the latest implementations and issues raised in Turkish non-formal education from a historical perspective in Turkey. The high population rate and lack of adequate educational opportunities for adults and migration from rural areas to urban areas caused many educational, social and cultural problems in…

Implementation of Perioperative Music Using the Consolidated Framework for Implementation Research.

Science.gov (United States)

Carter, Jessica E; Pyati, Srinivas; Kanach, Frances A; Maxwell, Ann Miller W; Belden, Charles M; Shea, Christopher M; Van de Ven, Thomas; Thompson, Jillian; Hoenig, Helen; Raghunathan, Karthik

2018-06-12

Complementary integrative health therapies have a perioperative role in the reduction of pain, analgesic use, and anxiety, and increasing patient satisfaction. However, long implementation lags have been quantified. The Consolidated Framework for Implementation Research (CFIR) can help mitigate this translational problem. We reviewed evidence for several nonpharmacological treatments (CFIR domain: characteristics of interventions) and studied external context and organizational readiness for change by surveying providers at 11 Veterans Affairs (VA) hospitals (domains: outer and inner settings). We asked patients about their willingness to receive music and studied the association between this and known risk factors for opioid use (domain: characteristics of individuals). We implemented a protocol for the perioperative use of digital music players loaded with veteran-preferred playlists and evaluated its penetration in a subgroup of patients undergoing joint replacements over a 6-month period (domain: process of implementation). We then extracted data on postoperative recovery time and other outcomes, comparing them with historic and contemporary cohorts. Evidence varied from strong and direct for perioperative music and acupuncture, to modest or weak and indirect for mindfulness, yoga, and tai chi, respectively. Readiness for change surveys completed by 97 perioperative providers showed overall positive scores (mean >0 on a scale from -2 to +2, equivalent to >2.5 on the 5-point Likert scale). Readiness was higher at Durham (+0.47) versus most other VA hospitals (range +0.05 to +0.63). Of 3307 veterans asked about willingness to receive music, approximately 68% (n = 2252) answered "yes." In multivariable analyses, a positive response (acceptability) was independently predicted by younger age and higher mean preoperative pain scores (>4 out of 10 over 90 days before admission), factors associated with opioid overuse. Penetration was modest in the targeted subset (39

Identifikation af referencevandløb til implementering af vandrammedirektivet i Danmark

DEFF Research Database (Denmark)

Kristensen, Esben Astrup; Baattrup-Pedersen, Annette; Skriver, Jens

Definition og beskrivelse af referencetilstanden er centralt for implementering af vandrammedirektivet, da bedømmelse af den økologiske tilstand sker som afvigelsen fra den upåvirkede referencetilstand. I denne rapport præsenteres analyser af danske, udenlandske og historiske data med det formål...

Analyser Framework to Verify Software Components

Directory of Open Access Journals (Sweden)

Rolf Andreas Rasenack

2009-01-01

Full Text Available Today, it is important for software companies to build software systems in a short time-interval, to reduce costs and to have a good market position. Therefore well organized and systematic development approaches are required. Reusing software components, which are well tested, can be a good solution to develop software applications in effective manner. The reuse of software components is less expensive and less time consuming than a development from scratch. But it is dangerous to think that software components can be match together without any problems. Software components itself are well tested, of course, but even if they composed together problems occur. Most problems are based on interaction respectively communication. Avoiding such errors a framework has to be developed for analysing software components. That framework determines the compatibility of corresponding software components. The promising approach discussed here, presents a novel technique for analysing software components by applying an Abstract Syntax Language Tree (ASLT. A supportive environment will be designed that checks the compatibility of black-box software components. This article is concerned to the question how can be coupled software components verified by using an analyzer framework and determines the usage of the ASLT. Black-box Software Components and Abstract Syntax Language Tree are the basis for developing the proposed framework and are discussed here to provide the background knowledge. The practical implementation of this framework is discussed and shows the result by using a test environment.

Assessing citation networks for dissemination and implementation research frameworks.

Science.gov (United States)

Skolarus, Ted A; Lehmann, Todd; Tabak, Rachel G; Harris, Jenine; Lecy, Jesse; Sales, Anne E

2017-07-28

A recent review of frameworks used in dissemination and implementation (D&I) science described 61 judged to be related either to dissemination, implementation, or both. The current use of these frameworks and their contributions to D&I science more broadly has yet to be reviewed. For these reasons, our objective was to determine the role of these frameworks in the development of D&I science. We used the Web of Science™ Core Collection and Google Scholar™ to conduct a citation network analysis for the key frameworks described in a recent systematic review of D&I frameworks (Am J Prev Med 43(3):337-350, 2012). From January to August 2016, we collected framework data including title, reference, publication year, and citations per year and conducted descriptive and main path network analyses to identify those most important in holding the current citation network for D&I frameworks together. The source article contained 119 cited references, with 50 published articles and 11 documents identified as a primary framework reference. The average citations per year for the 61 frameworks reviewed ranged from 0.7 to 103.3 among articles published from 1985 to 2012. Citation rates from all frameworks are reported with citation network analyses for the framework review article and ten highly cited framework seed articles. The main path for the D&I framework citation network is presented. We examined citation rates and the main paths through the citation network to delineate the current landscape of D&I framework research, and opportunities for advancing framework development and use. Dissemination and implementation researchers and practitioners may consider frequency of framework citation and our network findings when planning implementation efforts to build upon this foundation and promote systematic advances in D&I science.

Strategies for Effecting System-Wide Pedagogical Change: Identifying and Addressing the Gap between Organizational and Pedagogical Implementation

Science.gov (United States)

Weinberger, Yehudith

2018-01-01

The study described here analyses a faculty-wide change designed to foster the communication proficiencies of students in a large teacher education college, gathering data from various sources over three years of the new agenda's implementation. Qualitative and quantitative data analysis revealed that implementation was progressing on two distinct…

Analyzing the Role of Multi-level Learning in Implementing computerized HIS in Developing Countries

DEFF Research Database (Denmark)

Mengiste, Shegaw Anagaw

2008-01-01

This paper presents a perspective for looking at the development and implementation of large scale computerised HIS as a multi-level learning process. Drawing on the empirical evidences from the ongoing Health Information systems program ( HISP) initiatives on the development, customization...... and implementation of computerised HIS in Ethiopia, the paper analyses the learning mechanisms, learning outcomes and obstacles for learning at individual, group, and organizational levels. Empirical data on two distinct phases of software development and customization (District health Information Software (DHIS......) versions 1.3 and 2.0) are contrasted. More specifically, we tried to show the dynamics of learning and the specific learning mechanisms by analysing and contrasting the interaction between IS developers and public health care domain experts, technological capacity at individual, group, and organizational...

The layered learning practice model: Lessons learned from implementation.

Science.gov (United States)

Pinelli, Nicole R; Eckel, Stephen F; Vu, Maihan B; Weinberger, Morris; Roth, Mary T

2016-12-15

Pharmacists' views about the implementation, benefits, and attributes of a layered learning practice model (LLPM) were examined. Eligible and willing attending pharmacists at the same institution that had implemented an LLPM completed an individual, 90-minute, face-to-face interview using a structured interview guide developed by the interdisciplinary study team. Interviews were digitally recorded and transcribed verbatim without personal identifiers. Three researchers independently reviewed preliminary findings to reach consensus on emerging themes. In cases where thematic coding diverged, the researchers discussed their analyses until consensus was reached. Of 25 eligible attending pharmacists, 24 (96%) agreed to participate. The sample was drawn from both acute and ambulatory care practice settings and all clinical specialty areas. Attending pharmacists described several experiences implementing the LLPM and perceived benefits of the model. Attending pharmacists identified seven key attributes for hospital and health-system pharmacy departments that are needed to design and implement effective LLPMs: shared leadership, a systematic approach, good communication, flexibility for attending pharmacists, adequate resources, commitment, and evaluation. Participants also highlighted several potential challenges and obstacles for organizations to consider before implementing an LLPM. According to attending pharmacists involved in an LLPM, successful implementation of an LLPM required shared leadership, a systematic approach, communication, flexibility, resources, commitment, and a process for evaluation. Copyright © 2016 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

Implementing voice over Internet protocol in mobile ad hoc network – analysing its features regarding efficiency, reliability and security

Directory of Open Access Journals (Sweden)

Naveed Ahmed Sheikh

2014-05-01

Full Text Available Providing secure and efficient real-time voice communication in mobile ad hoc network (MANET environment is a challenging problem. Voice over Internet protocol (VoIP has originally been developed over the past two decades for infrastructure-based networks. There are strict timing constraints for acceptable quality VoIP services, in addition to registration and discovery issues in VoIP end-points. In MANETs, ad hoc nature of networks and multi-hop wireless environment with significant packet loss and delays present formidable challenges to the implementation. Providing a secure real-time VoIP service on MANET is the main design objective of this paper. The authors have successfully developed a prototype system that establishes reliable and efficient VoIP communication and provides an extremely flexible method for voice communication in MANETs. The authors’ cooperative mesh-based MANET implementation can be used for rapidly deployable VoIP communication with survivable and efficient dynamic networking using open source software.

EUREST PLUS - European Regulatory Science on Tobacco: Policy implementation to reduce lung diseases - Proposal (Horizon2020

Directory of Open Access Journals (Sweden)

Constantine Vardavas

2016-03-01

Full Text Available EUREST-PLUS, a thirteen –partner EU joint proposal, coordinated by ENSP (Coordinator: Constantine Vardavas, aims to monitor and evaluate the impact of the TPD at an EU level. The specific objectives of the proposal are: 1. To evaluate the psychosocial and behavioural impact of TPD implementation and FCTC implementation, through the creation of a longitudinal cohort of adult smokers in 6 EU MS (Germany, Greece, Hungary, Poland, Romania, Spain in a pre- vs. post- study design. 2. To assess support for TPD implementation through secondary dataset analyses of the 2015 Special Eurobarometer on Tobacco Survey (SETS, and through trend analyses on the merged datasets of the 2009, 2012 and2015 SETS datasets. 3. To document changes in e-cigarette product parameters (technical design, labelling, packaging and chemical composition following implementation of Article 20 of the TPD. 4. To enhance innovative joint research collaborations, through the pooling and comparisons across both other EU countries of the International Tobacco Control (ITC Project, and other non-EU countries.

Sensory System for Implementing a Human—Computer Interface Based on Electrooculography

Directory of Open Access Journals (Sweden)

Sergio Ortega

2010-12-01

Full Text Available This paper describes a sensory system for implementing a human–computer interface based on electrooculography. An acquisition system captures electrooculograms and transmits them via the ZigBee protocol. The data acquired are analysed in real time using a microcontroller-based platform running the Linux operating system. The continuous wavelet transform and neural network are used to process and analyse the signals to obtain highly reliable results in real time. To enhance system usability, the graphical interface is projected onto special eyewear, which is also used to position the signal-capturing electrodes.

Analysing Implementation of the European Standards and Guidelines for Quality Assurance at Institutional Level : Outcomes of the IBAR Project

NARCIS (Netherlands)

Westerheijden, Donald F.; Kohoutek, Jan

2013-01-01

The IBAR project studied barriers higher education institutions experienced to implementing the ESG part 1. Our paper reports on the major findings of this project. After sketching our conceptual approach, we conclude that the ESG Part 1 seem to be functioning as a codification of many policies and

Assessment of compliance costs resulting from implementation of the proposed Great Lakes water quality guidance

International Nuclear Information System (INIS)

Fenner, K.; Podar, M.; Snyder, B.

1993-01-01

The primary purpose of the study was to develop an estimate of the incremental cost to direct dischargers resulting from the implementation of the proposed Great Lakes Water Quality Guidance (GLWQG). This estimate reflects the incremental cost of complying with permit requirements developed using the Implementation Procedures and water quality criteria proposed in the GLWQG versus permit requirements based on existing State water quality standards. Two secondary analyses were also performed, one to develop a preliminary estimate of the costs that would be incurred by indirect dischargers to publicly owned treatment works (POTWs), and another to evaluate the cost-effectiveness of the GLWQG. Finally, several sensitivity analyses were performed to evaluate the impact of several major assumptions on the estimated compliance costs. To estimate compliance costs, permit limitations and conditions based on existing State water quality standards were compared to water quality-based limitations and conditions based on the proposed GLWQG criteria and Implementation Procedures for a sample of plants. The control measures needed to comply with the proposed GLWQG-based effluent limitations were evaluated. Individual plant compliance costs were estimated for these control measures based on information on treatment technology and cost analyses available in the literature. An overall compliance cost was projected from the sample based on statistical methods

Estimating the Cost-Effectiveness of Implementation: Is Sufficient Evidence Available?

Science.gov (United States)

Whyte, Sophie; Dixon, Simon; Faria, Rita; Walker, Simon; Palmer, Stephen; Sculpher, Mark; Radford, Stefanie

2016-01-01

Timely implementation of recommended interventions can provide health benefits to patients and cost savings to the health service provider. Effective approaches to increase the implementation of guidance are needed. Since investment in activities that improve implementation competes for funding against other health generating interventions, it should be assessed in term of its costs and benefits. In 2010, the National Institute for Health and Care Excellence released a clinical guideline recommending natriuretic peptide (NP) testing in patients with suspected heart failure. However, its implementation in practice was variable across the National Health Service in England. This study demonstrates the use of multi-period analysis together with diffusion curves to estimate the value of investing in implementation activities to increase uptake of NP testing. Diffusion curves were estimated based on historic data to produce predictions of future utilization. The value of an implementation activity (given its expected costs and effectiveness) was estimated. Both a static population and a multi-period analysis were undertaken. The value of implementation interventions encouraging the utilization of NP testing is shown to decrease over time as natural diffusion occurs. Sensitivity analyses indicated that the value of the implementation activity depends on its efficacy and on the population size. Value of implementation can help inform policy decisions of how to invest in implementation activities even in situations in which data are sparse. Multi-period analysis is essential to accurately quantify the time profile of the value of implementation given the natural diffusion of the intervention and the incidence of the disease. Copyright © 2016 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Implementing risk-informed life-cycle design

International Nuclear Information System (INIS)

Hill, Ralph S.

2009-01-01

This paper describes a design process based on risk-informed probabilistic design methodologies that cover a facility's life-cycle from start of conceptual design through decontamination and decommissioning. The concept embodies use of probabilistic risk assessments to establish target reliabilities for facility systems and components. The target reliabilities are used for system based code margin exchange and performance simulation analyses to optimize design over all phases (design, construction, operation and decommissioning) of a facility's life-cycle. System based code margin exchange reduces excessive level of construction margins for passive components to appropriate levels resulting in a more flexible structure of codes and standards that improves facility reliability and cost. System and subsystem simulation analyses determine the optimum combination of initial system and component construction reliability, maintenance frequency, and inspection frequency for both active and passive components. The paper includes a description of these risk-informed life-cycle design processes, a summary of work being done, and a discussion of additional work needed to implement the process.

The implementation of a multi-annual agreement for energy efficiency in The Netherlands

International Nuclear Information System (INIS)

Dinica, Valentina; Bressers, Hans Th. A.; Bruijn, Theo de

2007-01-01

The paper analyses the implementation of the second multi-annual agreement for energy efficiency concluded in the Netherlands with industrial sectors for the period 2002-2010. It aims to investigate whether the multi-annual agreement MJA2, as a voluntary instrument, is sufficiently stimulating behavioral change at the target group level, and sustained transformation of production and management patterns towards significant gains in energy efficiency. The analysis uses a Structure-Conduct-Performance analytical framework for implementation processes in order to: (a) analyze the setting of implementation, actor roles, attitudes and interactions; (b) discuss emerging obstacles and positive experiences with the implementation of the three core policy instruments envisaged: energy management system, process efficiency measures, and 'expansion themes' measures. Based on this policy recommendations are formulated regarding voluntary agreements in general, using the Structure-Conduct-Performance framework of implementation analysis, and regarding how the implementation process of MJA2 in particular could be improved

Implementing the LifeSkills Training drug prevention program: factors related to implementation fidelity.

Science.gov (United States)

Mihalic, Sharon F; Fagan, Abigail A; Argamaso, Susanne

2008-01-18

Widespread replication of effective prevention programs is unlikely to affect the incidence of adolescent delinquency, violent crime, and substance use until the quality of implementation of these programs by community-based organizations can be assured. This paper presents the results of a process evaluation employing qualitative and quantitative methods to assess the extent to which 432 schools in 105 sites implemented the LifeSkills Training (LST) drug prevention program with fidelity. Regression analysis was used to examine factors influencing four dimensions of fidelity: adherence, dosage, quality of delivery, and student responsiveness. Although most sites faced common barriers, such as finding room in the school schedule for the program, gaining full support from key participants (i.e., site coordinators, principals, and LST teachers), ensuring teacher participation in training workshops, and classroom management difficulties, most schools involved in the project implemented LST with very high levels of fidelity. Across sites, 86% of program objectives and activities required in the three-year curriculum were delivered to students. Moreover, teachers were observed using all four recommended teaching practices, and 71% of instructors taught all the required LST lessons. Multivariate analyses found that highly rated LST program characteristics and better student behavior were significantly related to a greater proportion of material taught by teachers (adherence). Instructors who rated the LST program characteristics as ideal were more likely to teach all lessons (dosage). Student behavior and use of interactive teaching techniques (quality of delivery) were positively related. No variables were related to student participation (student responsiveness). Although difficult, high implementation fidelity by community-based organizations can be achieved. This study suggests some important factors that organizations should consider to ensure fidelity, such as

Implementing the LifeSkills Training drug prevention program: factors related to implementation fidelity

Directory of Open Access Journals (Sweden)

Fagan Abigail A

2008-01-01

Full Text Available Abstract Background Widespread replication of effective prevention programs is unlikely to affect the incidence of adolescent delinquency, violent crime, and substance use until the quality of implementation of these programs by community-based organizations can be assured. Methods This paper presents the results of a process evaluation employing qualitative and quantitative methods to assess the extent to which 432 schools in 105 sites implemented the LifeSkills Training (LST drug prevention program with fidelity. Regression analysis was used to examine factors influencing four dimensions of fidelity: adherence, dosage, quality of delivery, and student responsiveness. Results Although most sites faced common barriers, such as finding room in the school schedule for the program, gaining full support from key participants (i.e., site coordinators, principals, and LST teachers, ensuring teacher participation in training workshops, and classroom management difficulties, most schools involved in the project implemented LST with very high levels of fidelity. Across sites, 86% of program objectives and activities required in the three-year curriculum were delivered to students. Moreover, teachers were observed using all four recommended teaching practices, and 71% of instructors taught all the required LST lessons. Multivariate analyses found that highly rated LST program characteristics and better student behavior were significantly related to a greater proportion of material taught by teachers (adherence. Instructors who rated the LST program characteristics as ideal were more likely to teach all lessons (dosage. Student behavior and use of interactive teaching techniques (quality of delivery were positively related. No variables were related to student participation (student responsiveness. Conclusion Although difficult, high implementation fidelity by community-based organizations can be achieved. This study suggests some important factors that

Reframing implementation as an organisational behaviour problem.

Science.gov (United States)

Clay-Williams, Robyn; Braithwaite, Jeffrey

2015-01-01

The purpose of this paper is to report on a process evaluation of a randomised controlled trial (RCT) intervention study that tested the effectiveness of classroom- and simulation-based crew resource management courses, alone and in combination, and identifies organisational barriers and facilitators to implementation of team training programmes in healthcare. The RCT design consisted of a before and after study with a team training intervention. Quantitative data were gathered on utility and affective reactions to training, and on teamwork knowledge, attitudes, and behaviours of the learners. A sample of participants was interviewed at the conclusion of the study. Interview responses were analysed, alongside qualitative elements of the classroom course critique, to search for evidence, context, and facilitation clues to the implementation process. The RCT method provided scientifically robust data that supported the benefits of classroom training. Qualitative data identified a number of facilitators to implementation of team training, and shed light on some of the ways that learning was diffused throughout the organisation. Barriers to successful implementation were also identified, including hospital time and resource constraints and poor organisational communication. Quantitative randomised methods have intermittently been used to evaluate team training interventions in healthcare. Despite two decades of team training trials, however, the authors do not know as well as the authors would like what goes on inside the "black box" of such RCTs. While results are usually centred on outcomes, this study also provides insight into the context and mechanisms associated with those outcomes and identifies barriers and facilitators to successful intervention implementation.

Managing Change: the people side of implementing CRM processes

OpenAIRE

Hann, David

2006-01-01

This report has been produced with the remit of analysing the people side of change management with regard to a Customer Relationship Management (CRM) process implementation at Jupiter Design (Jupiter). An increasing churn of clients and 12- years of growth has made Jupiter realise they must maximise revenues from existing clients. The adoption of a CRM approach has been suggested as a possible solution.

Analysis of the Implementation of Child Rights Law in Nigeria | Udoh ...

African Journals Online (AJOL)

The aim of the study was to analyse the implementation of Child Rights Law in Nigeria so far. To accomplish this: three research questions and three hypotheses were formulated to guide the investigation. Descriptive survey research was employed carrying out the study. Stratified random sampling technique was used to ...

Detailed semantic analyses of human error incidents occurring at domestic nuclear power plants to fiscal year 2000

International Nuclear Information System (INIS)

Tsuge, Tadashi; Hirotsu, Yuko; Takano, Kenichi; Ebisu, Mitsuhiro; Tsumura, Joji

2003-01-01

Analysing and evaluating observed cases of human error incidents with the emphasis on human factors and behavior involved was essential for preventing recurrence of those. CRIEPI has been conducting detailed and structures analyses of all incidents reported during last 35 year based on J-HPES, from the beginning of the first Tokai nuclear power operation till fiscal year of 2000, in which total 212 human error cases are identified. Results obtained by the analyses have been stored into the J-HPES data-base. This summarized the semantic analyses on all case-studies stored in the above data-base to grasp the practical and concrete contents and trend of more frequently observed human errors (as are called trigger actions here), causal factors and preventive measures. These semantic analyses have been executed by classifying all those items into some categories that could be considered as having almost the same meaning using the KJ method. Followings are obtained typical results by above analyses: (1) Trigger action-Those could be classified into categories of operation or categories of maintenance. Operational timing errors' and 'operational quantitative errors' were major actions in trigger actions of operation, those occupied about 20% among all actions. At trigger actions of maintenance, 'maintenance quantitative error' were major actions, those occupied quarter among all actions; (2) Causal factor- 'Human internal status' were major factors, as in concrete factors, those occupied 'improper persistence' and 'lack of knowledge'; (3) Preventive measure-Most frequent measures got were job management changes in procedural software improvements, which was from 70% to 80%. As for preventive measures of operation, software improvements have been implemented on 'organization and work practices' and 'individual consciousness'. Concerning preventive measures of maintenance, improvements have been implemented on 'organization and work practices'. (author)

Perspectives on implementing energy efficiency in existing Swedish detached houses

Energy Technology Data Exchange (ETDEWEB)

Joelsson, Anna; Gustavsson, Leif [Ecotechnology, Department of Engineering, Physics and Mathematics, Mid Sweden University, SE-831 25 Oestersund (Sweden)

2008-01-15

In this study, we first analyse energy-efficiency measures in existing electrically heated houses in Sweden from a societal economic perspective. Measures to a house envelopes and to energy supply chains are evaluated through a system analysis approach and we include the external costs of climate change and the effect of different Swedish climatic zones. We find that in a typical house from the 1970s, conversion from electric heating is highly motivated since the mitigation cost of conversion is lower than the estimated external costs of emitted CO{sub 2}. Both conversions and house envelope measures are more motivated in the northern part of the country, where there is a higher heat demand. A successful implementation of changes requires them to be attractive for consumers to adopt. We therefore secondly analyse the economic conditions for Swedish house owners to implement societal economic cost-efficient measures. We include the economic influence of an investment subsidy for heating system conversion, an income tax deduction for changing windows, customer electricity tax, real estate tax and of the cost of purchased energy from different energy suppliers. Apart from the economics, several other factors affect a house owner's decision to change heating systems. We therefore thirdly analyse house owners' perceptions of different heating supply alternatives based on the results of two comprehensive questionnaires. These different perspectives are combined in a discussion whether the studied policy instruments encourage house owners to implement changes in accordance with the energy-efficiency goals of decision makers. We find that the investment subsidy could be useful to break the lock-in effect of resistance heaters, which house owners seemed to experience. The electricity tax makes heating systems in line with national goals more competitive and efficiency measures to the house envelope more profitable. The reduction of the electricity tax in the northern part

Perspectives on implementing energy efficiency in existing Swedish detached houses

International Nuclear Information System (INIS)

Joelsson, Anna; Gustavsson, Leif

2008-01-01

In this study, we first analyse energy-efficiency measures in existing electrically heated houses in Sweden from a societal economic perspective. Measures to a house envelopes and to energy supply chains are evaluated through a system analysis approach and we include the external costs of climate change and the effect of different Swedish climatic zones. We find that in a typical house from the 1970s, conversion from electric heating is highly motivated since the mitigation cost of conversion is lower than the estimated external costs of emitted CO 2 . Both conversions and house envelope measures are more motivated in the northern part of the country, where there is a higher heat demand. A successful implementation of changes requires them to be attractive for consumers to adopt. We therefore secondly analyse the economic conditions for Swedish house owners to implement societal economic cost-efficient measures. We include the economic influence of an investment subsidy for heating system conversion, an income tax deduction for changing windows, customer electricity tax, real estate tax and of the cost of purchased energy from different energy suppliers. Apart from the economics, several other factors affect a house owner's decision to change heating systems. We therefore thirdly analyse house owners' perceptions of different heating supply alternatives based on the results of two comprehensive questionnaires. These different perspectives are combined in a discussion whether the studied policy instruments encourage house owners to implement changes in accordance with the energy-efficiency goals of decision makers. We find that the investment subsidy could be useful to break the lock-in effect of resistance heaters, which house owners seemed to experience. The electricity tax makes heating systems in line with national goals more competitive and efficiency measures to the house envelope more profitable. The reduction of the electricity tax in the northern part of

Advantages and contributions in the balanced scorecard implementation

Directory of Open Access Journals (Sweden)

Patrícia Quesado

2018-02-01

Full Text Available Purpose: In this paper we aim to identify and analyse a set of advantages and contributions derived from the Balanced Scorecard (BSC implementation. Design/methodology/approach: In order to answer the research question, we have carried out a qualitative research based on the exclusively bibliographical review of theoretical / conceptual and empirical works previously done on the subject (systematic review of the literature. Findings: The results allow us to conclude that the BSC is more than a simple performance evaluation system, to become a true strategic management tool able to clarify and translate the mission and organizational strategy, making possible the communication process, the strategic alignment and the organizational learning. Originality/value: The study presents a contribution to the current state of knowledge, since the identification of the advantages and contributions in the BSC introduction and implementation can facilitate its adoption and development in the organizations that intend to implement this tool. In addition, a theoretical basis is provided for subsequent research, evidencing the breadth of research on the topic studied.

Implementing enhanced recovery pathways: a literature review with realist synthesis.

Science.gov (United States)

Coxon, Astrid; Nielsen, Karina; Cross, Jane; Fox, Chris

2017-10-01

Enhanced Recovery Pathways (ERPs) are an increasingly popular, evidenced-based approach to surgery, designed to improve patient outcomes and reduce costs. Despite evidence demonstrating the benefits of these pathways, implementation and adherence have been inconsistent. Using realist synthesis, this review explored the current literature surrounding the implementation of ERPs in the UK. Knowledge consolidation between authors and consulting with field experts helped to guide the search strategy. Relevant medical and social science databases were searched from 2000 to 2016, as well as a general web search. A total of 17 papers were identified, including original research, reviews, case studies and guideline documents. Full texts were analysed, cross-examined, and data extracted and synthesised. Several implementation strategies were identified, including the contexts in which these operated, the subsequent mechanisms of action that were triggered, and the outcome patterns they produced. Context-Mechanism-Outcome (CMO) configurations were generated, tested, and refined. These were grouped to develop two programme theories concerning ERP implementation, one related to the strategy of consulting with staff, the other with appointing a change agent to coordinate and drive the implementation process. These theories highlight instances in which implementation could be improved. Current literature in ERP research is primarily focussed on measuring patient outcomes and cost effectiveness, and as a result, important detail regarding the implementation process is often not reported or described robustly. This review not only provides recommendations for future improvements in ERP implementation, but also highlights specific areas of focus for furthering ERP implementation research.

Chapter No.4. Safety analyses

International Nuclear Information System (INIS)

2002-01-01

for NPP V-1 Bohunice and on review of the impact of the modelling of selected components to the results of calculation safety analysis (a sensitivity study for NPP Mochovce). In 2001 UJD joined a new European project Alternative Approaches to the Safety Performance Indicators. The project is aimed at the information collecting and determining of approaches and recommendations for implementation of the risk oriented indicators, identification of the impact of the safety culture level and organisational culture on safety and applying of indicators to the needs of regulators and operators. In frame of the PHARE project UJD participated in the task focused on severe accident mitigation for nuclear power plants with VVER-440/V213 units. The main results of the analyses of nuclear power plants responses to severe accidents were summarised and the state of their analytical base performed in the past was evaluated within the project. Possible severe accident mitigation and preventative measures were proposed and their applicability for the nuclear power plants with VVER-440/V213 was investigated. The obtained results will be used in assessment activities and accident management of UJD. UJD has been involved also in EVITA project which makes a part of the 5 th EC Framework Programme. The project aims at validation of the European computer code ASTEC dedicated for severe accidents modelling. In 2001 the ASTEC computer code was tested on different platforms. The results of the testing are summarised in the technical report of EC issued in September 2001. Further activities within this project were focused on performing of selected accident scenarios analyses and comparison of the obtained results with the analyses realised with the help of other computer codes. The work on the project will continue in 2002. In 2001 a groundwork on establishing the Centre for Nuclear Safety in Central and Eastern Europe (CENS), the seat of which is going to be in Bratislava, has continued. The

A new device for X-ray Diffraction analyses of irradiated materials

International Nuclear Information System (INIS)

Valot, Christophe; Blay, Thierry; Caillot, Laurent; Ferroud-Plattet, Marie Pierre

2008-01-01

A new X-Ray Diffraction (XRD) equipment is being implemented in the LECA (Cea - Cadarache) hot laboratory. The device will be dedicated to structural characterization on irradiated fuels, as PWR fuels, transmutation targets and innovative fuels. The paper will present the specific design that was decided in order to reduce the number of components in contaminated volume and to make servicing easier. The analytical performances of this new equipment will be illustrated on some model samples: -) micro-diffraction capabilities will be detailed on heterogeneous material; -) strain and stress analyses on fresh uranium oxide pellets. (authors)

Design and Implementation of Demand Response Information Interactive Service Platform Based on “Internet Plus” Smart Energy

Science.gov (United States)

Cui, Gaoying; Fan, Jie; Qin, Yuchen; Wang, Dong; Chen, Guangyan

2017-05-01

In order to promote the effective use of demand response load side resources, promote the interaction between supply and demand, enhance the level of customer service and achieve the overall utilization of energy, this paper briefly explain the background significance of design demand response information platform and current situation of domestic and foreign development; Analyse the new demand of electricity demand response combined with the application of Internet and big data technology; Design demand response information platform architecture, construct demand responsive system, analyse process of demand response strategy formulate and intelligent execution implement; study application which combined with the big data, Internet and demand response technology; Finally, from information interaction architecture, control architecture and function design perspective design implementation of demand response information platform, illustrate the feasibility of the proposed platform design scheme implemented in a certain extent.

Implementation into a CFD code of neutron kinetics and fuel pin models for nuclear reactor transient analyses

International Nuclear Information System (INIS)

Chen Zhao; Chen, Xue-Nong; Rineiski, Andrei; Zhao Pengcheng; Chen Hongli

2014-01-01

Safety analysis is an important tool for justifying the safety of nuclear reactors. The traditional method for nuclear reactor safety analysis is performed by means of system codes, which use one-dimensional lumped-parameter method to model real reactor systems. However, there are many multi-dimensional thermal-hydraulic phenomena cannot be predicated using traditional one-dimensional system codes. This problem is extremely important for pool-type nuclear systems. Computational fluid dynamics (CFD) codes are powerful numerical simulation tools to solve multi-dimensional thermal-hydraulics problems, which are widely used in industrial applications for single phase flows. In order to use general CFD codes to solve nuclear reactor transient problems, some additional models beyond general ones are required. Neutron kinetics model for power calculation and fuel pin model for fuel pin temperature calculation are two important models of these additional models. The motivation of this work is to develop an advance numerical simulation method for nuclear reactor safety analysis by implementing neutron kinetics model and fuel pin model into general CFD codes. In this paper, the Point Kinetics Model (PKM) and Fuel Pin Model (FPM) are implemented into a general CFD code FLUENT. The improved FLUENT was called as FLUENT/PK. The mathematical models and implementary method of FLUENT/PK are descripted and two demonstration application cases, e.g. the unprotected transient overpower (UTOP) accident of a Liquid Metal cooled Fast Reactor (LMFR) and the unprotected beam overpower (UBOP) accident of an Accelerator Driven System (ADS), are presented. (author)

Implementation of evidence-based home visiting programs aimed at reducing child maltreatment: A meta-analytic review.

Science.gov (United States)

Casillas, Katherine L; Fauchier, Angèle; Derkash, Bridget T; Garrido, Edward F

2016-03-01

In recent years there has been an increase in the popularity of home visitation programs as a means of addressing risk factors for child maltreatment. The evidence supporting the effectiveness of these programs from several meta-analyses, however, is mixed. One potential explanation for this inconsistency explored in the current study involves the manner in which these programs were implemented. In the current study we reviewed 156 studies associated with 9 different home visitation program models targeted to caregivers of children between the ages of 0 and 5. Meta-analytic techniques were used to determine the impact of 18 implementation factors (e.g., staff selection, training, supervision, fidelity monitoring, etc.) and four study characteristics (publication type, target population, study design, comparison group) in predicting program outcomes. Results from analyses revealed that several implementation factors, including training, supervision, and fidelity monitoring, had a significant effect on program outcomes, particularly child maltreatment outcomes. Study characteristics, including the program's target population and the comparison group employed, also had a significant effect on program outcomes. Implications of the study's results for those interested in implementing home visitation programs are discussed. A careful consideration and monitoring of program implementation is advised as a means of achieving optimal study results. Copyright © 2015 Elsevier Ltd. All rights reserved.

Guidelines for a graph-theoretic implementation of structural equation modeling

Science.gov (United States)

Grace, James B.; Schoolmaster, Donald R.; Guntenspergen, Glenn R.; Little, Amanda M.; Mitchell, Brian R.; Miller, Kathryn M.; Schweiger, E. William

2012-01-01

Structural equation modeling (SEM) is increasingly being chosen by researchers as a framework for gaining scientific insights from the quantitative analyses of data. New ideas and methods emerging from the study of causality, influences from the field of graphical modeling, and advances in statistics are expanding the rigor, capability, and even purpose of SEM. Guidelines for implementing the expanded capabilities of SEM are currently lacking. In this paper we describe new developments in SEM that we believe constitute a third-generation of the methodology. Most characteristic of this new approach is the generalization of the structural equation model as a causal graph. In this generalization, analyses are based on graph theoretic principles rather than analyses of matrices. Also, new devices such as metamodels and causal diagrams, as well as an increased emphasis on queries and probabilistic reasoning, are now included. Estimation under a graph theory framework permits the use of Bayesian or likelihood methods. The guidelines presented start from a declaration of the goals of the analysis. We then discuss how theory frames the modeling process, requirements for causal interpretation, model specification choices, selection of estimation method, model evaluation options, and use of queries, both to summarize retrospective results and for prospective analyses. The illustrative example presented involves monitoring data from wetlands on Mount Desert Island, home of Acadia National Park. Our presentation walks through the decision process involved in developing and evaluating models, as well as drawing inferences from the resulting prediction equations. In addition to evaluating hypotheses about the connections between human activities and biotic responses, we illustrate how the structural equation (SE) model can be queried to understand how interventions might take advantage of an environmental threshold to limit Typha invasions. The guidelines presented provide for

Evaluating the Implementation of Home-Based Videoconferencing for Providing Mental Health Services.

Science.gov (United States)

Interian, Alejandro; King, Arlene R; St Hill, Lauren M; Robinson, Claire H; Damschroder, Laura J

2018-01-01

The Veterans Health Administration (VHA) has recently implemented video-to-home (V2H) telehealth as part of a strategy to improve access to mental health treatment. Implementation research of this modality is needed, given that V2H telehealth transforms the traditional face-to-face delivery of mental health services. To address this need, V2H implementation was evaluated by examining barriers and facilitators that were associated with level of staff V2H experience and factors that differentiated facilities with various levels of V2H performance. Semistructured interviews with VHA personnel (N=33) from three facilities were conducted. The facilities were selected by overall number of mental health V2H visits during fiscal year (FY) 2015 as well as by growth in number of visits from FY 2014 through FY 2015. Factors influencing implementation were identified through qualitative analyses that contrasted responses by groups of participants with three different levels of V2H experience (no experience, limited experience, most experience) as well as three facilities that differed in V2H productivity (high visit count, high visit growth, and low visit count and low visit growth). Providers seemed to encounter different barriers and facilitators depending on their level of experience with V2H. Site-level analyses illustrated the importance of logistical support, especially for providers who are newly adopting the technology. Other factors that differentiated the facilities were also identified and described. Key factors related to implementation of V2H telehealth pertained to provider buy-in and logistical support. Facility-level strategies that address these factors may enhance provider progression from nonuse to sustained use.

An add-in implementation of the RESAMPLING syntax under Microsoft EXCEL.

Science.gov (United States)

Meineke, I

2000-10-01

The RESAMPLING syntax defines a set of powerful commands, which allow the programming of probabilistic statistical models with few, easily memorized statements. This paper presents an implementation of the RESAMPLING syntax using Microsoft EXCEL with Microsoft WINDOWS(R) as a platform. Two examples are given to demonstrate typical applications of RESAMPLING in biomedicine. Details of the implementation with special emphasis on the programming environment are discussed at length. The add-in is available electronically to interested readers upon request. The use of the add-in facilitates numerical statistical analyses of data from within EXCEL in a comfortable way.

Implementation of computer-based patient records in primary care: the societal health economic effects.

OpenAIRE

Arias-Vimárlund, V.; Ljunggren, M.; Timpka, T.

1996-01-01

OBJECTIVE: Exploration of the societal health economic effects occurring during the first year after implementation of Computerised Patient Records (CPRs) at Primary Health Care (PHC) centres. DESIGN: Comparative case studies of practice processes and their consequences one year after CPR implementation, using the constant comparison method. Application of transaction-cost analyses at a societal level on the results. SETTING: Two urban PHC centres under a managed care contract in Ostergötland...

Implementing China`s Agenda 21: From National Strategy to Local Actions

Energy Technology Data Exchange (ETDEWEB)

Gan, Lin

1998-12-01

This report analyses the process of adaptation of the Chinese governmental policy in response to sustainable development. It reviews the historical roots from which response to sustainable development arises. By examining the policy-making and implementation processes of China`s Agenda 21, the author studies (1) the dynamic forces that contribute to the establishment of the national and regional Agenda 21 and the relationships between different institutional preferences, arrangements and their obstacles, (2) the driving forces that pro-active responses to implement Agenda 21 projects, and the role of local governments in the process, (3) the relationship between international environmental aid and national capacity building for the environment, (4) the obstacles and conflicting interests that limit the implementation of Agenda 21 and sustainable development in China. 22 refs., 2 tabs.

Design and Testing of an Agricultural Implement for Underground Application of Rodenticide Bait

Directory of Open Access Journals (Sweden)

Hugo Malón

2015-01-01

Full Text Available An agricultural implement for underground application of rodenticide bait to control the Mediterranean pocket gopher (Microtus Duodecimcostatus in fruit orchards has been designed and tested. The main objective of this research was to design and test the implement by using the finite element method (FEM and considering a range of loads generated on most commonly used furrow openers in agricultural implements. As a second step, the prototype was tested in the field by analysing the effects of forward speed and application depth on the mechanical behaviour of the implement structure. The FEM was used in the design phase and a prototype was manufactured. The structural strains on the prototype chassis under working conditions were tested by using strain gauges to validate the design phase. Three forward speeds (4.5, 5.5, and 7.0 km/h, three application depths (0.12, 0.15, and 0.17 m, and two types of soil (clayey-silty-loam and clayey-silty-sandy were considered. The prototype was validated successfully by analysing the information obtained from the strain gauges. The Von Mises stresses indicated a safety coefficient of 1.9 for the most critical load case. Although both forward speed and application depth had a significant effect on the stresses generated on the chassis, the latter parameter critically affected the structural behaviour of the implement. The effects of the application depth on the strains were linear such that strains increased with depth. In contrast, strains remained roughly constant regardless of variation in the forward speed.

FINANCIAL TECHNOLOGY (FINTECH) AND ITS IMPLEMENTATION ON THE ROMANIAN NON-BANKING CAPITAL MARKET

OpenAIRE

Ion MICU; Alexandra MICU

2016-01-01

This paper presents the particularities of the financial technology industry, how is FinTech defined and how can the financial technology solutions implemented by companies be categorised. Also it approaches FinTech’s appeal to the consumer and the effects, both disruptive and positive, that it had on the financial industry, as well as the growth this industry has seen in recent years. It will also analyse the implementation of FinTech solutions by the financial service providers active o...

Hybrid and Parallel Domain-Decomposition Methods Development to Enable Monte Carlo for Reactor Analyses

International Nuclear Information System (INIS)

Wagner, John C.; Mosher, Scott W.; Evans, Thomas M.; Peplow, Douglas E.; Turner, John A.

2010-01-01

This paper describes code and methods development at the Oak Ridge National Laboratory focused on enabling high-fidelity, large-scale reactor analyses with Monte Carlo (MC). Current state-of-the-art tools and methods used to perform real commercial reactor analyses have several undesirable features, the most significant of which is the non-rigorous spatial decomposition scheme. Monte Carlo methods, which allow detailed and accurate modeling of the full geometry and are considered the gold standard for radiation transport solutions, are playing an ever-increasing role in correcting and/or verifying the deterministic, multi-level spatial decomposition methodology in current practice. However, the prohibitive computational requirements associated with obtaining fully converged, system-wide solutions restrict the role of MC to benchmarking deterministic results at a limited number of state-points for a limited number of relevant quantities. The goal of this research is to change this paradigm by enabling direct use of MC for full-core reactor analyses. The most significant of the many technical challenges that must be overcome are the slow, non-uniform convergence of system-wide MC estimates and the memory requirements associated with detailed solutions throughout a reactor (problems involving hundreds of millions of different material and tally regions due to fuel irradiation, temperature distributions, and the needs associated with multi-physics code coupling). To address these challenges, our research has focused on the development and implementation of (1) a novel hybrid deterministic/MC method for determining high-precision fluxes throughout the problem space in k-eigenvalue problems and (2) an efficient MC domain-decomposition (DD) algorithm that partitions the problem phase space onto multiple processors for massively parallel systems, with statistical uncertainty estimation. The hybrid method development is based on an extension of the FW-CADIS method, which

Hybrid and parallel domain-decomposition methods development to enable Monte Carlo for reactor analyses

International Nuclear Information System (INIS)

Wagner, J.C.; Mosher, S.W.; Evans, T.M.; Peplow, D.E.; Turner, J.A.

2010-01-01

This paper describes code and methods development at the Oak Ridge National Laboratory focused on enabling high-fidelity, large-scale reactor analyses with Monte Carlo (MC). Current state-of-the-art tools and methods used to perform 'real' commercial reactor analyses have several undesirable features, the most significant of which is the non-rigorous spatial decomposition scheme. Monte Carlo methods, which allow detailed and accurate modeling of the full geometry and are considered the 'gold standard' for radiation transport solutions, are playing an ever-increasing role in correcting and/or verifying the deterministic, multi-level spatial decomposition methodology in current practice. However, the prohibitive computational requirements associated with obtaining fully converged, system-wide solutions restrict the role of MC to benchmarking deterministic results at a limited number of state-points for a limited number of relevant quantities. The goal of this research is to change this paradigm by enabling direct use of MC for full-core reactor analyses. The most significant of the many technical challenges that must be overcome are the slow, non-uniform convergence of system-wide MC estimates and the memory requirements associated with detailed solutions throughout a reactor (problems involving hundreds of millions of different material and tally regions due to fuel irradiation, temperature distributions, and the needs associated with multi-physics code coupling). To address these challenges, our research has focused on the development and implementation of (1) a novel hybrid deterministic/MC method for determining high-precision fluxes throughout the problem space in k-eigenvalue problems and (2) an efficient MC domain-decomposition (DD) algorithm that partitions the problem phase space onto multiple processors for massively parallel systems, with statistical uncertainty estimation. The hybrid method development is based on an extension of the FW-CADIS method

Nuclear Knowledge Loss Risk Management (Lessons Learned, Implementation Experiences)

International Nuclear Information System (INIS)

Květoňová, Romana

2014-01-01

In the years 2007/2008 the Knowledge Management has emerged as one of the prime concerns in our HRM system. Based on the KM best practice data gathering, surveys and analyses, the detailed concept has been proposed and implemented primarily in our nuclear production units. Main objectives: • To identify, maintain and develop the unique knowledge; • To share the critical knowledge and the best practices; • To save the organization from critical capabilities and minimize the duplication effort; • To set up the succession planning system for the knowledge holders with potential knowledge loss; • To create effective system for the knowledge record sharing and its updating; • Further implementation of KM within production division as well as extension into another divisions

HARDWARE IMPLEMENTATION OF PIPELINE BASED ROUTER DESIGN FOR ON-CHIP NETWORK

Directory of Open Access Journals (Sweden)

U. Saravanakumar

2012-12-01

Full Text Available As the feature size is continuously decreasing and integration density is increasing, interconnections have become a dominating factor in determining the overall quality of a chip. Due to the limited scalability of system bus, it cannot meet the requirement of current System-on-Chip (SoC implementations where only a limited number of functional units can be supported. Long global wires also cause many design problems, such as routing congestion, noise coupling, and difficult timing closure. Network-on-Chip (NoC architectures have been proposed to be an alternative to solve the above problems by using a packet-based communication network. In this paper, the Circuit-Switched (CS Router was designed and analysed the various parameters such as power, timing and area. The CS router has taken more number of cycles to transfer the data from source to destination. So the pipelining concept was implemented by adding registers in the CS router architecture. The proposed architecture increases the speed of operation and reduces the critical path of the circuit. The router has been implemented using Verilog HDL. The parameters area, power and timing were calculated in 130 nm CMOS technology using Synopsys tool with nominal operating voltage of 1V and packet size is 39 bits. Finally power, area and time of these two routers have been analysed and compared.

Design and implementation of a modular program system for the carrying-through of statistical analyses

International Nuclear Information System (INIS)

Beck, W.

1984-01-01

From the complexity of computer programs for the solution of scientific and technical problems results a lot of questions. Typical questions concern the strength and weakness of computer programs, the propagation of incertainties among the input data, the sensitivity of input data on output data and the substitute of complex models by more simple ones, which provide equivalent results in certain ranges. Those questions have a general practical meaning, principle answers may be found by statistical methods, which are based on the Monte Carlo Method. In this report the statistical methods are chosen, described and valuated. They are implemented into the modular program system STAR, which is an own component of the program system RSYST. The design of STAR considers users with different knowledge of data processing and statistics. The variety of statistical methods, generating and evaluating procedures. The processing of large data sets in complex structures. The coupling to other components of RSYST and RSYST foreign programs. That the system can be easily modificated and enlarged. Four examples are given, which demonstrate the application of STAR. (orig.) [de

QuickRNASeq lifts large-scale RNA-seq data analyses to the next level of automation and interactive visualization.

Science.gov (United States)

Zhao, Shanrong; Xi, Li; Quan, Jie; Xi, Hualin; Zhang, Ying; von Schack, David; Vincent, Michael; Zhang, Baohong

2016-01-08

RNA sequencing (RNA-seq), a next-generation sequencing technique for transcriptome profiling, is being increasingly used, in part driven by the decreasing cost of sequencing. Nevertheless, the analysis of the massive amounts of data generated by large-scale RNA-seq remains a challenge. Multiple algorithms pertinent to basic analyses have been developed, and there is an increasing need to automate the use of these tools so as to obtain results in an efficient and user friendly manner. Increased automation and improved visualization of the results will help make the results and findings of the analyses readily available to experimental scientists. By combing the best open source tools developed for RNA-seq data analyses and the most advanced web 2.0 technologies, we have implemented QuickRNASeq, a pipeline for large-scale RNA-seq data analyses and visualization. The QuickRNASeq workflow consists of three main steps. In Step #1, each individual sample is processed, including mapping RNA-seq reads to a reference genome, counting the numbers of mapped reads, quality control of the aligned reads, and SNP (single nucleotide polymorphism) calling. Step #1 is computationally intensive, and can be processed in parallel. In Step #2, the results from individual samples are merged, and an integrated and interactive project report is generated. All analyses results in the report are accessible via a single HTML entry webpage. Step #3 is the data interpretation and presentation step. The rich visualization features implemented here allow end users to interactively explore the results of RNA-seq data analyses, and to gain more insights into RNA-seq datasets. In addition, we used a real world dataset to demonstrate the simplicity and efficiency of QuickRNASeq in RNA-seq data analyses and interactive visualizations. The seamless integration of automated capabilites with interactive visualizations in QuickRNASeq is not available in other published RNA-seq pipelines. The high degree

Teachers implementing context-based teaching materials : a framework for case-analysis in chemistry

NARCIS (Netherlands)

Vos, M.A.J.; Taconis, R.; Jochems, W.M.G.; Pilot, A.

2010-01-01

We present a framework for analysing the interplay between context-based teaching material and teachers, and for evaluating the adequacy of the resulting implementation of context-based pedagogy in chemistry classroom practice. The development of the framework is described, including an account of

Reasons for Implementing Movement in Kinetic Architecture

Science.gov (United States)

Cudzik, Jan; Nyka, Lucyna

2017-10-01

The paper gives insights into different forms of movement in contemporary architecture and examines them based on the reasons for their implementation. The main objective of the paper is to determine: the degree to which the complexity of kinematic architecture results from functional and spatial needs and what other motivations there are. The method adopted to investigate these questions involves theoretical studies and comparative analyses of architectural objects with different forms of movement imbedded in their structure. Using both methods allowed delving into reasons that lie behind the implementation of movement in contemporary kinetic architecture. As research shows, there is a constantly growing range of applications with kinematic solutions inserted in buildings’ structures. The reasons for their implementation are manifold and encompass pursuits of functional qualities, environmental performance, spatial effects, social interactions and new aesthetics. In those early projects based on simple mechanisms, the main motives were focused on functional values and in later experiments - on improving buildings’ environmental performance. Additionally, in recent proposals, a significant quest could be detected toward kinematic solutions that are focused on factors related to alternative aesthetics and innovative spatial effects. Research reveals that the more complicated form of movement, the more often the reason for its implementation goes beyond the traditionally understood “function”. However, research also shows that the effects resulting from investigations on spatial qualities of architecture and new aesthetics often appear to provide creative insights into new functionalities in architecture.

Establishing a framework to implement 4D XCAT Phantom for 4D radiotherapy research

Directory of Open Access Journals (Sweden)

Raj K Panta

2012-01-01

Conclusions: An integrated computer program has been developed to generate, review, analyse, process, and export the 4D XCAT images. A framework has been established to implement the 4D XCAT phantom for 4D RT research.

Implementation of structural response sensitivity calculations in a large-scale finite-element analysis system

Science.gov (United States)

Giles, G. L.; Rogers, J. L., Jr.

1982-01-01

The implementation includes a generalized method for specifying element cross-sectional dimensions as design variables that can be used in analytically calculating derivatives of output quantities from static stress, vibration, and buckling analyses for both membrane and bending elements. Limited sample results for static displacements and stresses are presented to indicate the advantages of analytically calclating response derivatives compared to finite difference methods. Continuing developments to implement these procedures into an enhanced version of the system are also discussed.

Developing a system dynamics model to analyse environmental problem in construction site

Science.gov (United States)

Haron, Fatin Fasehah; Hawari, Nurul Nazihah

2017-11-01

This study aims to develop a system dynamics model at a construction site to analyse the impact of environmental problem. Construction sites may cause damages to the environment, and interference in the daily lives of residents. A proper environmental management system must be used to reduce pollution, enhance bio-diversity, conserve water, respect people and their local environment, measure performance and set targets for the environment and sustainability. This study investigates the damaging impact normally occur during the construction stage. Environmental problem will cause costly mistake in project implementation, either because of the environmental damages that are likely to arise during project implementation, or because of modification that may be required subsequently in order to make the action environmentally acceptable. Thus, findings from this study has helped in significantly reducing the damaging impact towards environment, and improve the environmental management system performance at construction site.

Factors in Organisational Environmental Management System Implementation – Developed vs. Developing Country Contexts

Directory of Open Access Journals (Sweden)

Constance Kola-Lawal

2014-12-01

Full Text Available Country specificities and national cultures influence Environmental Management Systems (EMS implementation and pro-environmental behaviour in organisations. Previous studies have focused on organisations in developed or emerging economies, creating a need to establish the extent to which findings are applicable to developing counterparts. This paper presents EMS implementation from a developing country perspective, reporting on EMS implementation factors (drivers, benefits, barriers affecting Nigerian organisations’ pro-environmental behaviour, by analysing questionnaire responses from 136 Nigerian organisational respondents. Most commonly cited drivers were ‘environmental concern’ and ‘desire for improved organisational efficiency’. Key barriers were ‘cost of implementation/budget barriers’ and ‘regulatory agency bureaucracy’. Key benefits were ‘reduced environmental accidents and improved site safety’, ‘enhanced corporate image’ and ‘more efficient resource use’. To situate findings within a global construct, results were compared with previous studies in more developed economies. EMS implementation factors differed from those in more developed economies. Plausible explanations for differences are discussed.

The management and implementation of energy-thrift in hospitals. V. 1 and 2

Energy Technology Data Exchange (ETDEWEB)

Adderley, A E

1989-07-01

The 1984 Auditor General's report on energy-thrift in the Health Service claimed that energy-thrift programmes in hospitals were not achieving their performance targets. In order to determine the reasons for this failure, twenty hospital energy-audits were analysed. It was discovered that the two principle factors impairing the performance were the thermal conflict between thrift measures implemented on the same thermal system, and inefficient implementation strategies. In order to investigate the influences of thermal conflict and implementation strategy on the out-comes of energy-thrift programmes, it was decided to develop a computer model which was capable of simultaneously thermally modelling the implementation of energy-thrift measures on several hospital sites; to use the model to predict the thermal and financial out-comes of various implementation strategies; to test the sensitivity of the out-comes to changes of unit fuel prices and capital costs, and to compare the predicted results with those actually obtained. (author).

Ergonomics in the development and implementation of organisational strategy for sustainability.

Science.gov (United States)

Ryan, Brendan; Wilson, John R

2013-01-01

This is the first phase of an ergonomics study of sustainability in a rail organisation, particularly environmental sustainability. The main emphasis has been on the use of a qualitative approach to carry out in-depth consultation with those in influential and policy setting roles in the organisation, collecting and analysing perceptions on sustainability policy and related business processes. The study identified factors affecting implementation of policy on sustainability and these have been developed to produce a list of requirements for implementing the policy. The findings are valuable in understanding the range of attitudes, aspirations and perceived constraints, from the perspective of those in senior roles in the company, and development of a sustainability strategy for a rail infrastructure owner. There is need for wider consultation, both within the organisation and externally, to validate and refine the understanding of barriers to the implementation of the policy. The role of ergonomics in supporting the work on sustainability is discussed. The study collects in-depth views from senior managers on the challenges of implementing a policy on sustainability in a rail organisation. Outputs include a list of factors affecting implementation of policy and requirements for better implementation of policy in this area. Potential contributions of ergonomics to sustainability in organisational contexts are discussed.

Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation.

Science.gov (United States)

Aarons, Gregory A; Ehrhart, Mark G; Farahnak, Lauren R; Hurlburt, Michael S

2015-01-16

Leadership is important in the implementation of innovation in business, health, and allied health care settings. Yet there is a need for empirically validated organizational interventions for coordinated leadership and organizational development strategies to facilitate effective evidence-based practice (EBP) implementation. This paper describes the initial feasibility, acceptability, and perceived utility of the Leadership and Organizational Change for Implementation (LOCI) intervention. A transdisciplinary team of investigators and community stakeholders worked together to develop and test a leadership and organizational strategy to promote effective leadership for implementing EBPs. Participants were 12 mental health service team leaders and their staff (n = 100) from three different agencies that provide mental health services to children and families in California, USA. Supervisors were randomly assigned to the 6-month LOCI intervention or to a two-session leadership webinar control condition provided by a well-known leadership training organization. We utilized mixed methods with quantitative surveys and qualitative data collected via surveys and a focus group with LOCI trainees. Quantitative and qualitative analyses support the LOCI training and organizational strategy intervention in regard to feasibility, acceptability, and perceived utility, as well as impact on leader and supervisee-rated outcomes. The LOCI leadership and organizational change for implementation intervention is a feasible and acceptable strategy that has utility to improve staff-rated leadership for EBP implementation. Further studies are needed to conduct rigorous tests of the proximal and distal impacts of LOCI on leader behaviors, implementation leadership, organizational context, and implementation outcomes. The results of this study suggest that LOCI may be a viable strategy to support organizations in preparing for the implementation and sustainment of EBP.

Multicentre evaluation of the new ORTHO VISION® analyser.

Science.gov (United States)

Lazarova, E; Scott, Y; van den Bos, A; Wantzin, P; Atugonza, R; Solkar, S; Carpio, N

2017-10-01

Implementation of fully automated analysers has become a crucial security step in the blood bank; it reduces human errors, allows standardisation and improves turnaround time (TAT). We aimed at evaluating the ease of use and the efficiency of the ORTHO VISION ® Analyser (VISION) in comparison to the ORTHO AutoVue ® Innova System (AutoVue) in six different laboratories. After initial training and system configuration, VISION was used in parallel to AutoVue following the daily workload, both automates being based on ORTHO BioVue ® System column agglutination technology. Each participating laboratory provided data and scored the training, system configuration, quality control, maintenance and system efficiency. A total of 1049 individual samples were run: 266 forward and reverse grouping and antibody screens with 10 urgent samples, 473 ABD forward grouping and antibody screens with 22 urgent samples, 160 ABD forward grouping, 42 antibody screens and a series of 108 specific case profiles. The VISION instrument was more rapid than the AutoVue with a mean performing test time of 27·9 min compared to 36 min; for various test type comparisons, the TAT data obtained from VISION was shorter than that from AutoVue. Moreover, VISION analysed urgent STAT samples faster. Regarding the ease of use, VISION was intuitive and user friendly. VISION is a robust, reproducible system performing the most types of analytical determinations needed for pre-transfusion testing today, thus accommodating a wide range of clinical needs. VISION brings appreciated new features that could further secure blood transfusions. © 2017 The Authors. Transfusion Medicine published by John Wiley & Sons Ltd on behalf of British Blood Transfusion Society.

Canada's Implementation of the Right to Education for Students with Disabilities

Science.gov (United States)

Shah, Seema

2010-01-01

This article analyses the content and legal implementation of the right to education as a human right in Canada. It seeks to expose the extent to which Canadian legislative mechanisms have succeeded in protecting the right to education of students with disabilities by using students with epilepsy as a test case. To that end, the article examines…

Impact of Human Resources on Implementing an Evidence-based HIV Prevention Intervention

Science.gov (United States)

McKay, Virginia R.; Dolcini, M. Margaret; Catania, Joseph A.

2016-01-01

Evidence-based interventions (EBIs) often require competent staff, or human resources (HR), for implementation. The empirical evidence characterizing the influence of HR fluctuations on EBI delivery is limited and conflicting. Using the Interactive Systems Framework, we explored staff fluctuation and the subsequent influence on RESPECT, an HIV prevention EBI. Methods We conducted interviews with staff in two waves (n=53, Wave I; n=37, Wave II) in a national sample of organizations delivering RESPECT (N=29). We analyzed interviews qualitatively to describe changes among RESPECT staff and explore the subsequent influences on RESPECT implementation. Results Organizations reported downsizing, turnover, and expansion of staff positions. Staff changes had multiple influences on RESPECT implementation including clients reached, fidelity to specific RESPECT protocols, and overall sustainability of RESPECT over time. Discussion HR fluctuations are common, and our analyses provide an initial characterization of the relationship between HR fluctuation and EBI implementation. Given the prominent influence of HR on EBI implementation, the Interactive Systems Framework is a useful guiding tool for future examinations. PMID:27150896

Implementation of internet-delivered cognitive behavior therapy within community mental health clinics: a process evaluation using the consolidated framework for implementation research.

Science.gov (United States)

Hadjistavropoulos, H D; Nugent, M M; Dirkse, D; Pugh, N

2017-09-12

Depression and anxiety are prevalent and under treated conditions that create enormous burden for the patient and the health system. Internet-delivered cognitive behavior therapy (ICBT) improves patient access to treatment by providing therapeutic information via the Internet, presented in sequential lessons, accompanied by brief weekly therapist support. While there is growing research supporting ICBT, use of ICBT within community mental health clinics is limited. In a recent trial, an external unit specializing in ICBT facilitated use of ICBT in community mental health clinics in one Canadian province (ISRCTN42729166; registered November 5, 2013). Patient outcomes were very promising and uptake was encouraging. This paper reports on a parallel process evaluation designed to understand facilitators and barriers impacting the uptake and implementation of ICBT. Therapists (n = 22) and managers (n = 11) from seven community mental health clinics dispersed across one Canadian province who were involved in implementing ICBT over ~2 years completed an online survey (including open and closed-ended questions) about ICBT experiences. The questions were based on the Consolidated Framework for Implementation Research (CFIR), which outlines diverse constructs that have the potential to impact program implementation. Analyses suggested ICBT implementation was perceived to be most prominently facilitated by intervention characteristics (namely the relative advantages of ICBT compared to face-to-face therapy, the quality of the ICBT program that was delivered, and evidence supporting ICBT) and implementation processes (namely the use of an external facilitation unit that aided with engaging patients, therapists, and managers and ICBT implementation). The inner setting was identified as the most significant barrier to implementation as a result of limited resources for ICBT combined with greater priority given to face-to-face care. The results contribute to understanding

Multichannel amplitude analyser for nuclear spectrometry

International Nuclear Information System (INIS)

Jankovic, S.; Milovanovic, B.

2003-01-01

A multichannel amplitude analyser with 4096 channels was designed. It is based on a fast 12-bit analog-to-digital converter. The intended purpose of the instrument is recording nuclear spectra by means of scintillation detectors. The computer link is established through an opto-isolated serial connection cable, thus reducing instrument sensitivity to disturbances originating from digital circuitry. Refreshing of the data displayed on the screen occurs on every 2.5 seconds. The impulse peak detection is implemented through the differentiation of the amplified input signal, while the synchronization with the data coming from the converter output is established by taking advantage of the internal 'pipeline' structure of the converter itself. The mode of operation of the built-in microcontroller provides that there are no missed impulses, and the simple logic network prevents the initiation of the amplitude reading sequence for the next impulse in case it appears shortly after its precedent. The solution proposed here demonstrated a good performance at a comparatively low manufacturing cost, and is thus suitable for educational purposes (author)

Cost-effectiveness analysis of implementing an antimicrobial stewardship program in critical care units.

Science.gov (United States)

Ruiz-Ramos, Jesus; Frasquet, Juan; Romá, Eva; Poveda-Andres, Jose Luis; Salavert-Leti, Miguel; Castellanos, Alvaro; Ramirez, Paula

2017-06-01

To evaluate the cost-effectiveness of antimicrobial stewardship (AS) program implementation focused on critical care units based on assumptions for the Spanish setting. A decision model comparing costs and outcomes of sepsis, community-acquired pneumonia, and nosocomial infections (including catheter-related bacteremia, urinary tract infection, and ventilator-associated pneumonia) in critical care units with or without an AS was designed. Model variables and costs, along with their distributions, were obtained from the literature. The study was performed from the Spanish National Health System (NHS) perspective, including only direct costs. The Incremental Cost-Effectiveness Ratio (ICER) was analysed regarding the ability of the program to reduce multi-drug resistant bacteria. Uncertainty in ICERs was evaluated with probabilistic sensitivity analyses. In the short-term, implementing an AS reduces the consumption of antimicrobials with a net benefit of €71,738. In the long-term, the maintenance of the program involves an additional cost to the system of €107,569. Cost per avoided resistance was €7,342, and cost-per-life-years gained (LYG) was €9,788. Results from the probabilistic sensitivity analysis showed that there was a more than 90% likelihood that an AS would be cost-effective at a level of €8,000 per LYG. Wide variability of economic results obtained from the implementation of this type of AS program and short information on their impact on patient evolution and any resistance avoided. Implementing an AS focusing on critical care patients is a long-term cost-effective tool. Implementation costs are amortized by reducing antimicrobial consumption to prevent infection by multidrug-resistant pathogens.

Evaluation of fracture mechanics analyses used in RPV integrity assessment regarding brittle fracture

International Nuclear Information System (INIS)

Moinereau, D.; Faidy, C.; Valeta, M.P.; Bhandari, S.; Guichard, D.

1997-01-01

Electricite de France has conducted during these last years some experimental and numerical research programmes in order to evaluate fracture mechanics analyses used in nuclear reactor pressure vessels structural integrity assessment, regarding the risk of brittle fracture. These programmes included cleavage fracture tests on large scale cladded specimens containing subclad flaws with their interpretations by 2D and 3D numerical computations, and validation of finite element codes for pressurized thermal shocks analyses. Four cladded specimens made of ferritic steel A508 C13 with stainless steel cladding, and containing shallow subclad flaws, have been tested in four point bending at very low temperature in order to obtain cleavage failure. The specimen failure was obtained in each case in base metal by cleavage fracture. These tests have been interpreted by two-dimensional and three-dimensional finite element computations using different fracture mechanics approaches (elastic analysis with specific plasticity corrections, elastic-plastic analysis, local approach to cleavage fracture). The failure of specimens are conservatively predicted by different analyses. The comparison between the elastic analyses and elastic-plastic analyses shows the conservatism of specific plasticity corrections used in French RPV elastic analyses. Numerous finite element calculations have also been performed between EDF, CEA and Framatome in order to compare and validate several fracture mechanics post processors implemented in finite element programmes used in pressurized thermal shock analyses. This work includes two-dimensional numerical computations on specimens with different geometries and loadings. The comparisons show a rather good agreement on main results, allowing to validate the finite element codes and their post-processors. (author). 11 refs, 24 figs, 3 tabs

Evaluation of fracture mechanics analyses used in RPV integrity assessment regarding brittle fracture

Energy Technology Data Exchange (ETDEWEB)

Moinereau, D [Electricite de France, Dept. MTC, Moret-sur-Loing (France); Faidy, C [Electricite de France, SEPTEN, Villeurbanne (France); Valeta, M P [Commisariat a l` Energie Atomique, Dept. DMT, Gif-sur-Yvette (France); Bhandari, S; Guichard, D [Societe Franco-Americaine de Constructions Atomiques (FRAMATOME), 92 - Paris-La-Defense (France)

1997-09-01

Electricite de France has conducted during these last years some experimental and numerical research programmes in order to evaluate fracture mechanics analyses used in nuclear reactor pressure vessels structural integrity assessment, regarding the risk of brittle fracture. These programmes included cleavage fracture tests on large scale cladded specimens containing subclad flaws with their interpretations by 2D and 3D numerical computations, and validation of finite element codes for pressurized thermal shocks analyses. Four cladded specimens made of ferritic steel A508 C13 with stainless steel cladding, and containing shallow subclad flaws, have been tested in four point bending at very low temperature in order to obtain cleavage failure. The specimen failure was obtained in each case in base metal by cleavage fracture. These tests have been interpreted by two-dimensional and three-dimensional finite element computations using different fracture mechanics approaches (elastic analysis with specific plasticity corrections, elastic-plastic analysis, local approach to cleavage fracture). The failure of specimens are conservatively predicted by different analyses. The comparison between the elastic analyses and elastic-plastic analyses shows the conservatism of specific plasticity corrections used in French RPV elastic analyses. Numerous finite element calculations have also been performed between EDF, CEA and Framatome in order to compare and validate several fracture mechanics post processors implemented in finite element programmes used in pressurized thermal shock analyses. This work includes two-dimensional numerical computations on specimens with different geometries and loadings. The comparisons show a rather good agreement on main results, allowing to validate the finite element codes and their post-processors. (author). 11 refs, 24 figs, 3 tabs.

Lost in Implementation: EU Law Application in Albanian Legal System

Directory of Open Access Journals (Sweden)

Hajdini Bojana

2017-06-01

Full Text Available Considering the growing importance of the researchers in the area of Europeanization in the candidate countries, the purpose of this paper is to analyse whether, and to what extent EU as a legal normative power has influenced Albania to approximate existing and future legislation and to ensure proper implementation. The paper argues that the Europeanization process is pushing Albania toward greater convergence with EU acquis by developing a modern legal framework. However, the paper points out that weak implementation has hampered the application of EU law in Albania due to: a weak bureaucracy or uneven distribution of human capacities; b the lack of an established practice of consultation with interest groups on specific draft legislation, and c the inability to put in sound planning mechanisms and to carry out a realistic assessment. The paper concludes that effective adjustment of Albanian legal system with EU norms requires cooperation between different actors involved in the approximation and implementation process.

Domestic climate regimes and incentives for private sector involvement in joint implementation

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-12-31

This report analyses how effective incentive structures can be put in place for private sector involvement in pilot projects (AIJ, Activities Implemented Jointly) and, in due time, joint implementation (JI). Due to the short time record of AIJ/JI experience, lessons are drawn from other related policy areas: studies of public/private interface in environmental- and climate policy in the Netherlands, USA, Norway and Costa Rica. The report concludes with status and prospects for private sector incentives in the pilot phase and then provides lessons and proposals for such incentives in a more mature and ambitious JI regime with crediting. 22 refs.

STATUS OF THE LINUX PC CLUSTER FOR BETWEEN-PULSE DATA ANALYSES AT DIII-D

International Nuclear Information System (INIS)

PENG, Q; GROEBNER, R.J; LAO, L.L; SCHACHTER, J.; SCHISSEL, D.P; WADE, M.R.

2001-08-01

OAK-B135 Some analyses that survey experimental data are carried out at a sparse sample rate between pulses during tokamak operation and/or completed as a batch job overnight because the complete analysis on a single fast workstation cannot fit in the narrow time window between two pulses. Scientists therefore miss the opportunity to use these results to guide experiments quickly. With a dedicated Beowulf type cluster at a cost less than that of a workstation, these analyses can be accomplished between pulses and the analyzed data made available for the research team during the tokamak operation. A Linux PC cluster comprises of 12 processors was installed at DIII-D National Fusion Facility in CY00 and expanded to 24 processors in CY01 to automatically perform between-pulse magnetic equilibrium reconstructions using the EFIT code written in Fortran, CER analyses using CERQUICK code written in IDL and full profile fitting analyses (n e , T e , T i , V r , Z eff ) using IDL code ZIPFIT. This paper reports the current status of the system and discusses some problems and concerns raised during the implementation and expansion of the system

Total Quality Management Implementation and Guest Satisfaction in Hospitality

Directory of Open Access Journals (Sweden)

Miroslav Knežević

2017-02-01

Full Text Available Total quality management (TQM has become a modern system of constant improvement of the quality of all company activities. The purpose of this study is to measure the expectations and satisfaction of the guests concerning the attribute quality of the hotel product. Furthermore obtained results were compared in such a way as to analyse particularly the reviews of hotels which have implemented TQM and have the ISO 9001 certificates with reviews from hotels which have not implemented TQM and do not have the ISO 9001 certificates. The conducted analysis included 55 hotels in Serbia belonging to the 4- and 5-star categories, i.e. 1308 guests who have stayed in them. The results show that between the observed groups of guests there are fewer differences in expectations than in perception, and that generally speaking guests who have stayed in the hotels that have implemented TQM are more satisfied. The biggest difference concerning the guest satisfaction with the quality of service in the observed hotels is noticeable in relation to the employees and the value-for-money.

Analysis of factors that inhibiting implementation of Information Security Management System (ISMS) based on ISO 27001

Science.gov (United States)

Tatiara, R.; Fajar, A. N.; Siregar, B.; Gunawan, W.

2018-03-01

The purpose of this research is to determine multi factors that inhibiting the implementation of the ISMS based on ISO 2700. It is also to propose a follow-up recommendation on the factors that inhibit the implementation of the ISMS. Data collection is derived from questionnaires to 182 respondents from users in data center operation (DCO) at bca, Indonesian telecommunication international (telin), and data centre division at Indonesian Ministry of Health. We analysing data collection with multiple linear regression analysis and paired t-test. The results are multiple factors which inhibiting the implementation of the ISMS from the three organizations which has implement and operate the ISMS, ISMS documentation management, and continual improvement. From this research, we concluded that the processes of implementation in ISMS is the necessity of the role of all parties in succeeding the implementation of the ISMS continuously.

The implementation of Mask-Ed: reflections of academic participants.

Science.gov (United States)

Reid-Searl, Kerry; Levett-Jones, Tracy; Cooper, Simon; Happell, Brenda

2014-09-01

This paper profiles the findings from a study that explored the perspectives and experiences of nurse educators who implemented a novel simulation approach termed Mask-Ed. The technique involves the educator wearing a silicone mask and or body parts and transforming into a character. The premise of this approach is that the masked educator has domain specific knowledge related to the simulation scenario and can transmit this to learners in a way that is engaging, realistic, spontaneous and humanistic. Nurse educators charged with the responsibility of implementing Mask-Ed in three universities were invited to participate in the study by attending an introductory workshop, implementing the technique and then journaling their experiences, insights and perspectives over a 12 month period. The journal entries were then thematically analysed. Key themes were categorised under the headings of Preparation, Implementation and Impact; Reflexivity and Responsiveness; Student Engagement and Ownership; and Teaching and Learning. Mask-Ed is a simulation approach which allows students to interact with the 'characters' in humanistic ways that promote person-centred care and therapeutic communication. This simulation approach holds previously untapped potential for a range of learning experiences, however, to be effective, adequate resourcing, training, preparation and practice is required. Copyright © 2014 Elsevier Ltd. All rights reserved.

76 FR 80727 - Flexible Implementation of the Mercury and Air Toxics Standards Rule

Science.gov (United States)

2011-12-27

... needed to implement the MATS Rule while maintaining the reliability of the electric power system.... These new standards will promote the transition to a cleaner and more efficient U.S. electric power... ensures electric reliability. Analyses conducted by the EPA and the Department of Energy (DOE) indicate...

New version of the reactor dynamics code DYN3D for Sodium cooled Fast Reactor analyses

Energy Technology Data Exchange (ETDEWEB)

Nikitin, Evgeny [Ecole Polytechnique Federale de Lausanne (Switzerland); Helmholtz-Zentrum Dresden-Rossendorf (HZDR) e.V., Dresden (Germany); Fridman, Emil; Bilodid, Yuri; Kliem, Soeren [Helmholtz-Zentrum Dresden-Rossendorf (HZDR) e.V., Dresden (Germany)

2017-07-15

The reactor dynamics code DYN3D being developed at the Helmholtz-Zentrum Dresden-Rossendorf is currently under extension for Sodium cooled Fast Reactor analyses. This paper provides an overview on the new version of DYN3D to be used for SFR core calculations. The current article shortly describes the newly implemented thermal mechanical models, which can account for thermal expansion effects of the reactor core. Furthermore, the methodology used in Sodium cooled Fast Reactor analyses to generate homogenized few-group cross sections is summarized. The conducted and planned verification and validation studies are briefly presented. Related publications containing more detailed descriptions are outlined for the completeness of this overview.

Analyses of bundle experiment data using MATRA-h

Energy Technology Data Exchange (ETDEWEB)

Lim, In Cheol; Chea, Hee Taek [Korea Atomic Energy Research Institute, Taejon (Korea)

1998-06-01

When the construction and operation license for HANARO was renewed in 1995, 25% of CHF penalty was imposed. The reason for this was that the validation work related to the CHF design calculation was not enough for the assurance of CHF margin. As a part of the works to recover this CHF penalty, MATRA-h was developed by implementing the new correlations for the heat transfer, CHF prediction, subcooled void to the MATRA-a, which is the modified version of COBRA-IV-I done by KAERI. Using MATRA-h, the subchannel analyses for the bundle experiment data were performed. The comparison of the code predictions with the experimental results, it was found that the code would give the conservative predictions as far as the CHF in the bundle geometry is concerned. (author). 12 refs., 25 figs., 16 tabs.

Barriers to the Implementation of Strategic Corporate Social Responsibility in Shipping

Directory of Open Access Journals (Sweden)

Kum Fai Yuen, PhD Candidate

2016-03-01

Full Text Available Strategic corporate social responsibility (CSR involves the voluntary practice of social and environment activities to satisfy firms’ stakeholders, with the intention of generating profits. Companies, especially those within the shipping industry, often face challenges when implementing strategic CSR. The paper therefore, seeks to identify, rank, and discuss the barriers to the implementation of strategic CSR in shipping. A list of barriers was first identified from reviewing the literature. Subsequently, a survey was administered to 600 shipping companies in Singapore and the collected data were analysed using structural equation modelling. The results showed that factors relating to lack of resources, lack of strategic vision, lack of measurement system, high regulatory standards, and low willingness to pay for CSR are significant barriers to implementing strategic CSR in shipping. The findings imply that the practice of strategic CSR is contingent on both the firm's macro-environment and micro-environment, albeit to a lesser extent. Understanding these potential barriers can help companies avoid or overcome these barriers and improve their chances of successfully implementing strategic CSR.

A Versatile Software Package for Inter-subject Correlation Based Analyses of fMRI

Directory of Open Access Journals (Sweden)

Jukka-Pekka eKauppi

2014-01-01

Full Text Available In the inter-subject correlation (ISC based analysis of the functional magnetic resonance imaging (fMRI data, the extent of shared processing across subjects during the experiment is determined by calculating correlation coefficients between the fMRI time series of the subjects in the corresponding brain locations. This implies that ISC can be used to analyze fMRI data without explicitly modelling the stimulus and thus ISC is a potential method to analyze fMRI data acquired under complex naturalistic stimuli. Despite of the suitability of ISC based approach to analyze complex fMRI data, no generic software tools have been made available for this purpose, limiting a widespread use of ISC based analysis techniques among neuroimaging community. In this paper, we present a graphical user interface (GUI based software package, ISC Toolbox, implemented in Matlab for computing various ISC based analyses. Many advanced computations such as comparison of ISCs between different stimuli, time window ISC, and inter-subject phase synchronization are supported by the toolbox. The analyses are coupled with re-sampling based statistical inference. The ISC based analyses are data and computation intensive and the ISC toolbox is equipped with mechanisms to execute the parallel computations in a cluster environment automatically and with an automatic detection of the cluster environment in use. Currently, SGE-based (Oracle Grid Engine, Son of a Grid Engine or Open Grid Scheduler and Slurm environments are supported. In this paper, we present a detailed account on the methods behind the ISC Toolbox, the implementation of the toolbox and demonstrate the possible use of the toolbox by summarizing selected example applications. We also report the computation time experiments both using a single desktop computer and two grid environments demonstrating that parallelization effectively reduces the computing time. The ISC Toolbox is available in https://code.google.com/p/isc-toolbox/.

A versatile software package for inter-subject correlation based analyses of fMRI.

Science.gov (United States)

Kauppi, Jukka-Pekka; Pajula, Juha; Tohka, Jussi

2014-01-01

In the inter-subject correlation (ISC) based analysis of the functional magnetic resonance imaging (fMRI) data, the extent of shared processing across subjects during the experiment is determined by calculating correlation coefficients between the fMRI time series of the subjects in the corresponding brain locations. This implies that ISC can be used to analyze fMRI data without explicitly modeling the stimulus and thus ISC is a potential method to analyze fMRI data acquired under complex naturalistic stimuli. Despite of the suitability of ISC based approach to analyze complex fMRI data, no generic software tools have been made available for this purpose, limiting a widespread use of ISC based analysis techniques among neuroimaging community. In this paper, we present a graphical user interface (GUI) based software package, ISC Toolbox, implemented in Matlab for computing various ISC based analyses. Many advanced computations such as comparison of ISCs between different stimuli, time window ISC, and inter-subject phase synchronization are supported by the toolbox. The analyses are coupled with re-sampling based statistical inference. The ISC based analyses are data and computation intensive and the ISC toolbox is equipped with mechanisms to execute the parallel computations in a cluster environment automatically and with an automatic detection of the cluster environment in use. Currently, SGE-based (Oracle Grid Engine, Son of a Grid Engine, or Open Grid Scheduler) and Slurm environments are supported. In this paper, we present a detailed account on the methods behind the ISC Toolbox, the implementation of the toolbox and demonstrate the possible use of the toolbox by summarizing selected example applications. We also report the computation time experiments both using a single desktop computer and two grid environments demonstrating that parallelization effectively reduces the computing time. The ISC Toolbox is available in https://code.google.com/p/isc-toolbox/

Teacher change in implementing a research-developed representation construction pedagogy

Science.gov (United States)

Hubber, Peter; Chittleborough, Gail

2016-05-01

The Representations in Learning Science (RiLS) project developed a representation construction approach to teaching and learning in science, which has successfully demonstrated enhanced student learning through sustained engagement with ideas, and enhancement of teachers' pedagogical knowledge and understandings of how knowledge in science is developed and communicated. The current Constructing Representations in Science Pedagogy (CRISP) project aims at wider scale implementation of the representation construction approach. This paper explores a range of issues that confronted four Year-8 teachers in implementing this research-developed approach, such as: preparedness of the teacher in terms of epistemological positioning and positioning as a learner, significant support for planning and modelling by the university expert, and a team ethos where teachers share ideas and plan jointly. The Year-8 teachers implemented a representation construction approach to the teaching of the topic of astronomy. The Interconnected Model of Teacher Growth (IMTG) (Clarke and Hollingworth, Teach. Educ., 18 (2001) 947) was used to analyse the teachers' experience in planning and delivering the teaching sequence. This model was found to be flexible in identifying the experiences of teachers in different situations and useful in identifying issues for implementation of a research-developed pedagogy.

Implementation of ergonomics in a service unit: challenges and advances.

Science.gov (United States)

Penteado, Eliane Villas Bôas de Freitas; de França, Maria Goretti; Ramalhoto, Ana Maria de Brito; de Oliveira, Ana Maria; Machado, Bruno Rangel Cortoppassi; Genipapeiro, Joana Angélica Matos

2012-01-01

This article discusses the implementation of ergonomics in a service unit of a major company in the energy sector. From the perspective of management, it analyses the process of implementation of ergonomics programmes in four operational areas. The objective was to diagnose the level of implementation of ergonomics. The study is descriptive, undertaken through the interaction with the technical staff of the operational areas involved, incorporating the perception of these role players concerning their work routines. The results indicated significant differences in the level of implementation of the programmes, especially those concerning structural conditions. Important conquests were registered, such as the investment in the training of specialists, the establishment of a facilitator network and the improvement of the standard for the directioning and alignment of the execution of initiatives. The linking in of the programmes with those of occupational health management emphasises its contribution to the safety and well-being of the workforce through interventions aimed mainly at eliminating and reducing ergonomic biomechanical risks. However, the need to broaden and deepen the ergonomic approach regarding organizational and cognitive aspects, as well as the insertion of ergonomics in project design of new work spaces and processes were also identified.

Policy Options for Effective REDD+ Implementation in Indonesia

DEFF Research Database (Denmark)

Saito-Jensen, Moeko; Sikor, Thomas; Kurniawan, Y.

2015-01-01

Indonesia, which contains the third-largest area of tropical forest in the world, is currently exploring policy options for the effective implementation of REDD+, the global initiative to reduce emissions from deforestation and forest degradation. This article analyses the major questions regarding...... degradation, due to high opportunity costs. REDD+ finance may be more effectively used to reward small-scale dispersed activities that enhance carbon stocks, such as those already happening under Indonesia's community nursery programme. The analysis indicates the necessity for forest tenure reform...

Creating an enabling environment for WR&R implementation.

Science.gov (United States)

Stathatou, P-M; Kampragou, E; Grigoropoulou, H; Assimacopoulos, D; Karavitis, C; Gironás, J

2017-09-01

Reclaimed water is receiving growing attention worldwide as an effective solution for alleviating the growing water scarcity in many areas. Despite the various benefits associated with reclaimed water, water recycling and reuse (WR&R) practices are not widely applied around the world. This is mostly due to complex and inadequate local legal and institutional frameworks and socio-economic structures, which pose barriers to wider WR&R implementation. An integrated approach is therefore needed while planning the implementation of WR&R schemes, considering all the potential barriers, and aiming to develop favourable conditions for enhancing reclaimed water use. This paper proposes a comprehensive methodology supporting the development of an enabling environment for WR&R implementation. The political, economic, social, technical, legal and institutional factors that may influence positively (drivers) or negatively (barriers) WR&R implementation in the regional water systems are identified, through the mapping of local stakeholder perceptions. The identified barriers are further analysed, following a Cross-Impact/System analysis, to recognize the most significant barriers inhibiting system transition, and to prioritize the enabling instruments and arrangements that are needed to boost WR&R implementation. The proposed methodology was applied in the Copiapó River Basin in Chile, which faces severe water scarcity. Through the analysis, it was observed that barriers outweigh drivers for the implementation of WR&R schemes in the Copiapó River Basin, while the key barriers which could be useful for policy formulation towards an enabling environment in the area concern the unclear legal framework regarding the ownership of treated wastewater, the lack of environmental policies focusing on pollution control, the limited integration of reclaimed water use in current land use and development policies, the limited public awareness on WR&R, and the limited availability of

Pilot Implementations

DEFF Research Database (Denmark)

Manikas, Maria Ie

by conducting a literature review. The concept of pilot implementation, although commonly used in practice, is rather disregarded in research. In the literature, pilot implementations are mainly treated as secondary to the learning outcomes and are presented as merely a means to acquire knowledge about a given...... objective. The prevalent understanding is that pilot implementations are an ISD technique that extends prototyping from the lab and into test during real use. Another perception is that pilot implementations are a project multiple of co-existing enactments of the pilot implementation. From this perspective......This PhD dissertation engages in the study of pilot (system) implementation. In the field of information systems, pilot implementations are commissioned as a way to learn from real use of a pilot system with real data, by real users during an information systems development (ISD) project and before...

Implementing interorganizational cooperation in labour market reintegration: a case study.

Science.gov (United States)

Ståhl, Christian

2012-06-01

To bring people with complex medical, social and vocational needs back to the labour market, interorganizational cooperation is often needed. Yet, studies of processes and strategies for achieving sustainable interorganizational cooperation are sparse. The aim of this study was to analyse the implementation processes of Swedish legislation on financial coordination, with specific focus on different strategies for and perspectives on implementing interorganizational cooperation. A multiple-case study was used, where two local associations for financial coordination were studied in order to elucidate and compare the development of cooperative work in two settings. The material, collected during a 3-year period, consisted of documents, individual interviews with managers, and focus groups with officials. Two different implementation strategies were identified. In case 1, a linear strategy was used to implement cooperative projects, which led to difficulties in maintaining cooperative work forms due to a fragmented and time-limited implementation process. In case 2, an interactive strategy was used, where managers and politicians were continuously involved in developing a central cooperation team that became a central part of a developing structure for interorganizational cooperation. An interactive cooperation strategy with long-term joint financing was here shown to be successful in overcoming organizational barriers to cooperation. It is suggested that a strategy based on adaptation to local conditions, flexibility and constant evaluation is preferred for developing sustainable interorganizational cooperation when implementing policies or legislation affecting interorganizational relationships.

Good Practice in Designing and Implementing National Monitoring Systems for Adaptation to Climate Change

DEFF Research Database (Denmark)

Naswa, Prakriti; Trærup, Sara Lærke Meltofte; Bouroncle, Claudia

In this report, we identify, analyse and compare international good practices in the design and implementation of national monitoring and evaluating indicator systems for climate change adaptation. This first chapter provides an introduction to the context and key terminology in the domain...

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

Directory of Open Access Journals (Sweden)

Rora Puspita Sari

2017-03-01

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

Types of internal facilitation activities in hospitals implementing evidence-based interventions.

Science.gov (United States)

Baloh, Jure; Zhu, Xi; Ward, Marcia M

2017-01-25

Implementation models, frameworks, and theories recognize the importance of activities that facilitate implementation success. However, little is known about internal facilitation activities that hospital personnel engage in during implementation efforts. The aim of the study was to examine internal facilitation activities at 10 critical access hospitals in rural Iowa during their implementation of TeamSTEPPS, a patient safety intervention, and to identify characteristics that distinguish different types of facilitation activities. We followed 10 critical access hospitals for 2 years after the onset of implementation, conducting quarterly interviews with key informants. On the basis of the transcripts from the first two quarters, a coding template was developed using inductive analyses. The template was then applied deductively to code all interview transcripts. Using comparative analysis, we examined the characteristics that distinguish between the facilitation types. We identified four types of facilitation activities-Leadership, Buy-in, Customization, and Accountability. Individuals and teams engaged in different types of facilitation activities, both in a planned and an ad hoc manner. These activities targeted at both people and practices and exhibited varying temporal patterns (start and peak time). There are four types of facilitation activities that hospitals engage in while implementing evidence-based practices, offering a parsimonious way to characterize facilitation activities. New theoretical and empirical research opportunities are discussed. Understanding the types of facilitation activities and their distinguishing characteristics can assist managers in planning and executing implementations of evidence-based interventions.

A review of multivariate analyses in imaging genetics

Directory of Open Access Journals (Sweden)

Jingyu eLiu

2014-03-01

Full Text Available Recent advances in neuroimaging technology and molecular genetics provide the unique opportunity to investigate genetic influence on the variation of brain attributes. Since the year 2000, when the initial publication on brain imaging and genetics was released, imaging genetics has been a rapidly growing research approach with increasing publications every year. Several reviews have been offered to the research community focusing on various study designs. In addition to study design, analytic tools and their proper implementation are also critical to the success of a study. In this review, we survey recent publications using data from neuroimaging and genetics, focusing on methods capturing multivariate effects accommodating the large number of variables from both imaging data and genetic data. We group the analyses of genetic or genomic data into either a prior driven or data driven approach, including gene-set enrichment analysis, multifactor dimensionality reduction, principal component analysis, independent component analysis (ICA, and clustering. For the analyses of imaging data, ICA and extensions of ICA are the most widely used multivariate methods. Given detailed reviews of multivariate analyses of imaging data available elsewhere, we provide a brief summary here that includes a recently proposed method known as independent vector analysis. Finally, we review methods focused on bridging the imaging and genetic data by establishing multivariate and multiple genotype-phenotype associations, including sparse partial least squares, sparse canonical correlation analysis, sparse reduced rank regression and parallel ICA. These methods are designed to extract latent variables from both genetic and imaging data, which become new genotypes and phenotypes, and the links between the new genotype-phenotype pairs are maximized using different cost functions. The relationship between these methods along with their assumptions, advantages, and

Zero-based budgeting: Pathway to sustainable budget implementation in Nigeria

Directory of Open Access Journals (Sweden)

Udeh Francis Nnoli

2017-10-01

Full Text Available This paper investigates the application of Zero-Based Budgeting (ZBB system to budget implementation by the Federal Government of Nigeria by ascertaining among others, the relationship between ZBB approach and budget performance indices in Nigeria. To achieve the above, primary data were obtained through questionnaires that were specifically designed for this study. The data obtained were analysed with the SPSS version 21. The statistical tools employed were Analysis of Variance (ANOVA and Pearson Correlation Coefficiant (PCC. The Cronbach’s Alpha reliability test was used to test the internal consistency/reliability of the instrument used for the study. On the basis of the analysis, we found that there is significant difference in the effectiveness of ZBB in terms of budget implementation compared to the Traditional Budgeting System (TBS. It was also found that the application of ZBB tend to be performance-driven and is able to detect the redundant programmes/projects and staff, thereby recommending either realignment, discharge, transfer or redeployment of projects or resources. The study therefore, recommends among others that ZBB should be encouraged as a good means of budget implementation and also close monitoring of budget execution should be enshrined in work ethics at every stage of budget preparation and implementation in the country. This is believed would go a long way to strengthen measures aimed at mitigating poor budget implementation in the country.

Implementation gap between the theory and practice of biodiversity offset multipliers

DEFF Research Database (Denmark)

Bull, Joseph William; Lloyd, Samuel P.; Strange, Niels

2017-01-01

literature on multipliers. Then, we collate data on multipliers implemented in practice, rep- resenting the most complete such assessment to date. Finally, we explore remaining design gaps relating to social, ethical, and governance considerations. Multiplier values should theoretically be tens or hundreds...... when considering, for example, ecological uncertainties. We propose even larger multipliers required to satisfy previously ignored considerations – including prospect theory, taboo trades, and power relationships. Conversely, our data analyses show that multipliers are smaller in practice, regularly...... for the implementation gap we have identified. At the same time, there is a need to explore when and where the social, ethical, and governance requirements for NNL reviewed here can be met through approaches other than multipliers....

Implementing national strategies on antimicrobial resistance in Thailand: potential challenges and solutions.

Science.gov (United States)

Sommanustweechai, A; Tangcharoensathien, V; Malathum, K; Sumpradit, N; Kiatying-Angsulee, N; Janejai, N; Jaroenpoj, S

2018-04-01

Thailand has developed a national strategic plan on antimicrobial resistance (NSP-AMR) and endorsed by the Cabinet in August 2016. This study reviewed the main contents of the NSP-AMR and the mandates of relevant implementing agencies and identified challenges and recommends actions to mitigate implementation gaps. This study analysed the contents of NSP-AMR, reviewed institutional mandates and assessed the implementation gaps among agencies responsible for NSP-AMR. Two of six strategies are related to monitoring and surveillance of AMR and antimicrobial consumption in human and animal. Two other strategies aim to improve antibiotic stewardship and control the spread of AMR in both clinical and farm settings. The remaining two strategies aim to increase knowledge and public awareness on AMR and establish national governance for inter-sectoral actions. Strategies to overcome implementation challenges are sustaining cross-sectoral policy commitments, effective cross-sectoral coordination using One Health approach, generating evidence which guides policy implementation, and improving enforcement capacities in regulatory authorities. To address AMR, Thailand requires significant improvements in implementation capacities in two dimensions. First, technical capacities among implementing agencies are needed to translate policies into practice. Second, governance and organizational capacities enable effective multi-sectoral actions across human, animal, and environmental sectors. Copyright © 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Policy options for effective REDD+ implementation in Indonesia

DEFF Research Database (Denmark)

Saito, Moeko; Sikor, T.; Kurniawan, Y.

2015-01-01

Indonesia, which contains the third-largest area of tropical forest in the world, is currently exploring policy options for the effective implementation of REDD+, the global initiative to reduce emissions from deforestation and forest degradation. This article analyses the major questions regarding...... the effective distribution of benefits on the basis of three village case studies in Kutai Barat district in the province of East Kalimantan. The case studies demonstrate that companies are unlikely to take up compensation payments for stopping large-scale activities that cause deforestation and forest...

Implementing a 6-day physiotherapy service in rehabilitation: exploring staff perceptions.

Science.gov (United States)

Caruana, Erin L; Kuys, Suzanne S; Clarke, Jane; Brauer, Sandra G

2017-11-20

Objective Australian weekend rehabilitation therapy provision is increasing. Staff engagement optimises service delivery. The present mixed-methods process evaluation explored staff perceptions regarding implementation of a 6-day physiotherapy service in a private rehabilitation unit. Methods All multidisciplinary staff working in the rehabilitation unit were surveyed regarding barriers, facilitators and perceptions of the effect of a 6-day physiotherapy service on length of stay (LOS) and patient goal attainment at three time points: before and after implementation, as well as after modification of a 6-day physiotherapy service. Descriptive statistics and thematic analysis was used to analyse the data. Results Fifty-one staff (50%) responded. Before implementation, all staff identified barriers, the most common being staffing (62%) and patient selection (29%). After implementation, only 30% of staff identified barriers, which differed to those identified before implementation, and included staff rostering and experience (20%), timing of therapy (10%) and increasing the allocation of patients (5%). Over time, staff perceptions changed from being unsure to being positive about the effect of the 6-day service on LOS and patient goal attainment. Conclusion Staff perceived a large number of barriers before implementation of a 6-day rehabilitation service, but these did not eventuate following implementation. Staff perceived improved LOS and patient goal attainment after implementation of a 6-day rehabilitation service incorporating staff feedback. What is known about this topic? Rehabilitation weekend services improve patient quality of life and functional independence while reducing LOS. What does this study add? Staff feedback during implementation and modification of new services is important to address potential barriers and ensure staff satisfaction and support. What are the implications for practitioners? Staff engagement and open communication are important to

Analysis and Design of Implementation of Class F Airspace in the Czech Republic

Directory of Open Access Journals (Sweden)

Filip Červený

2014-05-01

Full Text Available This article analyses the airspace of the Czech Republic and suggests the implementation of class F airspace in the Czech Republic for IFR flights at uncontrolled aerodromes. It also suggests procedures and technologies for increasing of safety when performing IFR flights at these aerodromes in class F airspace.

Pharmaceutical information systems and possible implementations of informed consent - developing an heuristic

DEFF Research Database (Denmark)

Ploug, Thomas; Holm, Søren

2012-01-01

Background Denmark has implemented a comprehensive, nationwide pharmaceutical information system, and this system has been evaluated by the Danish Council of Ethics. The system can be seen as an exemplar of a comprehensive health information system for clinical use. Analysis The paper analyses 1......) how informed consent can be implemented in the system and how different implementations create different impacts on autonomy and control of information, and 2) arguments directed towards justifying not seeking informed consent in this context. Results and Conclusion Based on the analysis a heuristic...... is provided which enables a ranking and estimation of the impact on autonomy and control of information of different options for consent to entry of data into the system and use of data from the system. The danger of routinisation of consent is identified. The Danish pharmaceutical information system raises...

How GPs implement clinical guidelines in everyday clinical practice--a qualitative interview study.

Science.gov (United States)

Le, Jette V; Hansen, Helle P; Riisgaard, Helle; Lykkegaard, Jesper; Nexøe, Jørgen; Bro, Flemming; Søndergaard, Jens

2015-12-01

Clinical guidelines are considered to be essential for improving quality and safety of health care. However, interventions to promote implementation of guidelines have demonstrated only partial effectiveness and the reasons for this apparent failure are not yet fully understood. To investigate how GPs implement clinical guidelines in everyday clinical practice and how implementation approaches differ between practices. Individual semi-structured open-ended interviews with seven GPs who were purposefully sampled with regard to gender, age and practice form. Interviews were recorded, transcribed verbatim and then analysed using systematic text condensation. Analysis of the interviews revealed three different approaches to the implementation of guidelines in clinical practice. In some practices the GPs prioritized time and resources on collective implementation activities and organized their everyday practice to support these activities. In other practices GPs discussed guidelines collectively but left the application up to the individual GP whilst others again saw no need for discussion or collective activities depending entirely on the individual GP's decision on whether and how to manage implementation. Approaches to implementation of clinical guidelines vary substantially between practices. Supporting activities should take this into account. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Pilot implementation

DEFF Research Database (Denmark)

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

2012-01-01

A recurrent problem in information-systems development (ISD) is that many design shortcomings are not detected during development, but first after the system has been delivered and implemented in its intended environment. Pilot implementations appear to promise a way to extend prototyping from...... the laboratory to the field, thereby allowing users to experience a system design under realistic conditions and developers to get feedback from realistic use while the design is still malleable. We characterize pilot implementation, contrast it with prototyping, propose a iveelement model of pilot...... implementation and provide three empirical illustrations of our model. We conclude that pilot implementation has much merit as an ISD technique when system performance is contingent on context. But we also warn developers that, despite their seductive conceptual simplicity, pilot implementations can be difficult...

Implementing The Safeguards-By-Design Process

International Nuclear Information System (INIS)

Whitaker, J. Michael; McGinnis, Brent; Laughter, Mark D.; Morgan, Jim; Bjornard, Trond; Bean, Robert; Durst, Phillip; Hockert, John; DeMuth, Scott; Lockwood, Dunbar

2010-01-01

The Safeguards-by-Design (SBD) approach incorporates safeguards into the design and construction of nuclear facilities at the very beginning of the design process. It is a systematic and structured approach for fully integrating international and national safeguards for material control and accountability (MC and A), physical protection, and other proliferation barriers into the design and construction process for nuclear facilities. Implementing SBD is primarily a project management or project coordination challenge. This paper focuses specifically on the design process; the planning, definition, organization, coordination, scheduling and interaction of the safeguards experts and stakeholders as they participate in the design and construction of a nuclear facility. It delineates the steps in a nuclear facility design and construction project in order to provide the project context within which the safeguards design activities take place, describes the involvement of the safeguards experts in the design process, the nature of their analyses, interactions and decisions, and describes the documents created and how they are used. This report highlights the project context of safeguards activities, and identifies the safeguards community (nuclear facility operator, designer/builder, state regulator, SSAC and IAEA) must accomplish in order to implement SBD within the project.

Swiss-Slovak cooperation program: a training strategy for safety analyses

International Nuclear Information System (INIS)

Husarcek, J.

2000-01-01

During the 1996-1999 period, a new training strategy for safety analyses was implemented at the Slovak Nuclear Regulatory Authority (UJD) within the Swiss-Slovak cooperation programme in nuclear safety (SWISSLOVAK). The SWISSLOVAK project involved the recruitment, training, and integration of the newly established team into UJD's organizational structure. The training strategy consisted primarily of the following two elements: a) Probabilistic Safety Analysis (PSA) applications (regulatory review and technical evaluation of Level-1/Level-2 PSAs; PSA-based operational events analysis, PSA applications to assessment of Technical Specifications; and PSA-based hardware and/or procedure modifications) and b) Deterministic accident analyses (analysis of accidents and regulatory review of licensee Safety Analysis Reports; analysis of severe accidents/radiological releases and the potential impact of the containment and engineered safety systems, including the development of technical bases for emergency response planning; and application of deterministic methods for evaluation of accident management strategies/procedure modifications). The paper discusses the specific aspects of the training strategy performed at UJD in both the probabilistic and deterministic areas. The integration of team into UJD's organizational structure is described and examples of contributions of the team to UJD's statutory responsibilities are provided. (author)

Comparative biochemical analyses of venous blood and peritoneal fluid from horses with colic using a portable analyser and an in-house analyser.

Science.gov (United States)

Saulez, M N; Cebra, C K; Dailey, M

2005-08-20

Fifty-six horses with colic were examined over a period of three months. The concentrations of glucose, lactate, sodium, potassium and chloride, and the pH of samples of blood and peritoneal fluid, were determined with a portable clinical analyser and with an in-house analyser and the results were compared. Compared with the in-house analyser, the portable analyser gave higher pH values for blood and peritoneal fluid with greater variability in the alkaline range, and lower pH values in the acidic range, lower concentrations of glucose in the range below 8.3 mmol/l, and lower concentrations of lactate in venous blood in the range below 5 mmol/l and in peritoneal fluid in the range below 2 mmol/l, with less variability. On average, the portable analyser underestimated the concentrations of lactate and glucose in peritoneal fluid in comparison with the in-house analyser. Its measurements of the concentrations of sodium and chloride in peritoneal fluid had a higher bias and were more variable than the measurements in venous blood, and its measurements of potassium in venous blood and peritoneal fluid had a smaller bias and less variability than the measurements made with the in-house analyser.

Implementation of BNCT treatment planning procedures

International Nuclear Information System (INIS)

Capala, J.; Ma, R.; Diaz, A.Z.; Chanana, A.D.; Coderre, J.A.

2001-01-01

Estimation of radiation doses delivered during boron neutron capture therapy (BNCT) requires combining data on spatial distribution of both the thermal neutron fluence and the 10 B concentration, as well as the relative biological effectiveness of various radiation dose components in the tumor and normal tissues. Using the treatment planning system created at Idaho National Engineering and Environmental Laboratory and the procedures we had developed for clinical trials, we were able to optimize the treatment position, safely deliver the prescribed BNCT doses, and carry out retrospective analyses and reviews. In this paper we describe the BNCT treatment planning process and its implementation in the ongoing dose escalation trials at Brookhaven National Laboratory. (author)

Implementation of Lean Six Sigma in small- and medium-sized manufacturing enterprises in the Netherlands

NARCIS (Netherlands)

Timans, W.; Antony, J.; Ahaus, K.; van Solingen, R.

In this paper we provide an exploration and analysis of Lean Six Sigma (LSS) implementation in Dutch manufacturing/engineering small- and medium-sized enterprises (SMEs). Critical success factors (CSFs) and impeding factors are identified and analysed. Exploratory empirical evidence about LSS

Understanding effects in reviews of implementation interventions using the Theoretical Domains Framework.

Science.gov (United States)

Little, Elizabeth A; Presseau, Justin; Eccles, Martin P

2015-06-17

Behavioural theory can be used to better understand the effects of behaviour change interventions targeting healthcare professional behaviour to improve quality of care. However, the explicit use of theory is rarely reported despite interventions inevitably involving at least an implicit idea of what factors to target to implement change. There is a quality of care gap in the post-fracture investigation (bone mineral density (BMD) scanning) and management (bisphosphonate prescription) of patients at risk of osteoporosis. We aimed to use the Theoretical Domains Framework (TDF) within a systematic review of interventions to improve quality of care in post-fracture investigation. Our objectives were to explore which theoretical factors the interventions in the review may have been targeting and how this might be related to the size of the effect on rates of BMD scanning and osteoporosis treatment with bisphosphonate medication. A behavioural scientist and a clinician independently coded TDF domains in intervention and control groups. Quantitative analyses explored the relationship between intervention effect size and total number of domains targeted, and as number of different domains targeted. Nine randomised controlled trials (RCTs) (10 interventions) were analysed. The five theoretical domains most frequently coded as being targeted by the interventions in the review included "memory, attention and decision processes", "knowledge", "environmental context and resources", "social influences" and "beliefs about consequences". Each intervention targeted a combination of at least four of these five domains. Analyses identified an inverse relationship between both number of times and number of different domains coded and the effect size for BMD scanning but not for bisphosphonate prescription, suggesting that the more domains the intervention targeted, the lower the observed effect size. When explicit use of theory to inform interventions is absent, it is possible to

Implementation between Tradition and Management: Structuration and Styles of Implementation

NARCIS (Netherlands)

Terpstra, Jan; Havinga, Tetty

2001-01-01

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

Probabilistic and Nonprobabilistic Sensitivity Analyses of Uncertain Parameters

Directory of Open Access Journals (Sweden)

Sheng-En Fang

2014-01-01

Full Text Available Parameter sensitivity analyses have been widely applied to industrial problems for evaluating parameter significance, effects on responses, uncertainty influence, and so forth. In the interest of simple implementation and computational efficiency, this study has developed two sensitivity analysis methods corresponding to the situations with or without sufficient probability information. The probabilistic method is established with the aid of the stochastic response surface and the mathematical derivation proves that the coefficients of first-order items embody the parameter main effects on the response. Simultaneously, a nonprobabilistic interval analysis based method is brought forward for the circumstance when the parameter probability distributions are unknown. The two methods have been verified against a numerical beam example with their accuracy compared to that of a traditional variance-based method. The analysis results have demonstrated the reliability and accuracy of the developed methods. And their suitability for different situations has also been discussed.

Evaluation of the Influence of Selected Factors on a Successful ERP Software Implementation

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Grażyna Hołodnik-Janczura

2010-01-01

Full Text Available Based on a pilot study, a list of critical success factors for an IT project was developed. These factors were subjected to statistical analysis on the basis of the results of a questionnaire. Two samples of projects, called "success" and "failure" respectively, were analysed. The groups were distinguished in order to evaluate the influence of selected factors on the success of an implementation project. Furthermore, a non-parametric test was applied, in order to conduct statistical data analysis, which confirmed the influence of the majority of the selected factors on the success of an implementation project. (original abstract

Analysis and Implement of Broadcast Program Monitoring Data

Directory of Open Access Journals (Sweden)

Song Jin Bao

2016-01-01

Full Text Available With the rapid development of the radio and TV industry and the implementation of INT (the integration of telecommunications networks, cable TV networks and the Internet, the contents of programs and advertisements is showing massive, live and interactive trends. In order to meet the security of radio and television, the broadcast of information have to be controlled and administered. In order to master the latest information of public opinion trends through radio and television network, it is necessary research the specific industry applications of broadcast program monitoring. In this paper, the importance of broadcast monitoring in public opinion analysis is firstly analysed. The monitoring radio and television programs broadcast system architecture is proposed combining with the practice, focusing on the technical requirements and implementation process of program broadcast, advertisement broadcast and TV station broadcast monitoring. The more efficient information is generated through statistical analysis, which provides data analysis for radio and television public opinion analysis.

PERFORMANCE ANALYSIS OF PROJECTS IMPLEMENTATION IN HEIS

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Sergiu-Vlad PETCU

2015-04-01

Full Text Available According to the European Commission, Romania is still facing significant mismatch between the skills of graduates of tertiary education and the market needs. This paper is highly relevant for the future implementation of HEIs, since they have a strong economic role and they can significantly influence long-term national social and economical development. Romania did not manage to materialize community funds allocated for the 2007-2013 programming period to its full potential. Accordingly, the proposed thesis intends to analyse how Romanian HEIs were able to manage community resources attracted by grants and how the implemented projects achieved their set objectives. According to the data collected so far, the results will show that the performance of the projects is directly dependent on the proportion of fully dedicated staff in organizational design of the project. The originality of the undertaken study is that it starts from a realistic approach, according to which the rules of the game should be adapted, depending on the players (in our case – HEIs.

Zero-based budgeting: Pathway to sustainable budget implementation in Nigeria

OpenAIRE

Udeh Francis Nnoli; Sopekan Sam Adeyemi; Oraka Azubuike Onuora

2017-01-01

This paper investigates the application of Zero-Based Budgeting (ZBB) system to budget implementation by the Federal Government of Nigeria by ascertaining among others, the relationship between ZBB approach and budget performance indices in Nigeria. To achieve the above, primary data were obtained through questionnaires that were specifically designed for this study. The data obtained were analysed with the SPSS version 21. The statistical tools employed were Analysis of Variance (ANOVA) and ...

Performing dynamic time history analyses by extension of the response spectrum method

International Nuclear Information System (INIS)

Hulbert, G.M.

1983-01-01

A method is presented to calculate the dynamic time history response of finite-element models using results from response spectrum analyses. The proposed modified time history method does not represent a new mathamatical approach to dynamic analysis but suggests a more efficient ordering of the analytical equations and procedures. The modified time history method is considerably faster and less expensive to use than normal time hisory methods. This paper presents the theory and implementation of the modified time history approach along with comparisons of the modified and normal time history methods for a prototypic seismic piping design problem

Mobile Genome Express (MGE: A comprehensive automatic genetic analyses pipeline with a mobile device.

Directory of Open Access Journals (Sweden)

Jun-Hee Yoon

Full Text Available The development of next-generation sequencing (NGS technology allows to sequence whole exomes or genome. However, data analysis is still the biggest bottleneck for its wide implementation. Most laboratories still depend on manual procedures for data handling and analyses, which translates into a delay and decreased efficiency in the delivery of NGS results to doctors and patients. Thus, there is high demand for developing an automatic and an easy-to-use NGS data analyses system. We developed comprehensive, automatic genetic analyses controller named Mobile Genome Express (MGE that works in smartphones or other mobile devices. MGE can handle all the steps for genetic analyses, such as: sample information submission, sequencing run quality check from the sequencer, secured data transfer and results review. We sequenced an Actrometrix control DNA containing multiple proven human mutations using a targeted sequencing panel, and the whole analysis was managed by MGE, and its data reviewing program called ELECTRO. All steps were processed automatically except for the final sequencing review procedure with ELECTRO to confirm mutations. The data analysis process was completed within several hours. We confirmed the mutations that we have identified were consistent with our previous results obtained by using multi-step, manual pipelines.

Mobile Genome Express (MGE): A comprehensive automatic genetic analyses pipeline with a mobile device.

Science.gov (United States)

Yoon, Jun-Hee; Kim, Thomas W; Mendez, Pedro; Jablons, David M; Kim, Il-Jin

2017-01-01

The development of next-generation sequencing (NGS) technology allows to sequence whole exomes or genome. However, data analysis is still the biggest bottleneck for its wide implementation. Most laboratories still depend on manual procedures for data handling and analyses, which translates into a delay and decreased efficiency in the delivery of NGS results to doctors and patients. Thus, there is high demand for developing an automatic and an easy-to-use NGS data analyses system. We developed comprehensive, automatic genetic analyses controller named Mobile Genome Express (MGE) that works in smartphones or other mobile devices. MGE can handle all the steps for genetic analyses, such as: sample information submission, sequencing run quality check from the sequencer, secured data transfer and results review. We sequenced an Actrometrix control DNA containing multiple proven human mutations using a targeted sequencing panel, and the whole analysis was managed by MGE, and its data reviewing program called ELECTRO. All steps were processed automatically except for the final sequencing review procedure with ELECTRO to confirm mutations. The data analysis process was completed within several hours. We confirmed the mutations that we have identified were consistent with our previous results obtained by using multi-step, manual pipelines.

The Implementation and Impact of Evidence-Based Mathematics Reforms in High-Poverty Middle Schools: A Multi-Site, Multi-Year Study

Science.gov (United States)

Balfanz, Robert; Mac Iver, Douglas J.; Byrnes, Vaughan

2006-01-01

This article reports on the first 4 years of an effort to develop comprehensive and sustainable mathematics education reforms in high poverty middle schools. In four related analyses, we examine the levels of implementation achieved and impact of the reforms on various measures of achievement in the first 3 schools to implement the Talent…

Ukraine and the Council of Europe common activity in implementation of key principles of participatory democracy

Directory of Open Access Journals (Sweden)

Mykhaliuk Nazar Yuriyovych

2015-12-01

Full Text Available The article analyses the main forms of mutual cooperation of Ukraine and the Council of Europe in order to implement basic principles of participatory democracy, to conform the legislation of Ukraine to standards of the European Union. The article examines the main legal documents, phases, and the main areas of cooperation between Ukraine and the Council of Europe. The author also assesses the processes of implementation of key principles of participatory democracy in Ukraine.

Engagement in Training as a Mechanism to Understanding Fidelity of Implementation of the Responsive Classroom Approach.

Science.gov (United States)

Wanless, Shannon B; Rimm-Kaufman, Sara E; Abry, Tashia; Larsen, Ross A; Patton, Christine L

2015-11-01

Fidelity of implementation of classroom interventions varies greatly, a reality that is concerning because higher fidelity of implementation relates to greater effectiveness of the intervention. We analyzed 126 fourth and fifth grade teachers from the treatment group of a randomized controlled trial of the Responsive Classroom® (RC) approach. Prior to training in the intervention, we assessed factors that had the potential to represent a teacher's readiness to implement with fidelity. These included teachers' observed emotional support, teacher-rated use of intervention practices, teacher-rated self-efficacy, teacher-rated collective responsibility, education level, and years of experience, and they were not directly related to observed fidelity of implementation 2 years later. Further analyses indicated, however, that RC trainers' ratings of teachers' engagement in the initial weeklong RC training mediated the relation between initial observed emotional support and later observed fidelity of implementation. We discuss these findings as a way to advance understanding of teachers' readiness to implement new interventions with fidelity.

Using ethnography in implementation research to improve nutrition interventions in populations

Science.gov (United States)

Neufeld, Lynnette M.; Pelto, Gretel H.

2015-01-01

Abstract ‘Implementation research in nutrition’ is an emerging area of study aimed at building evidence‐based knowledge and sound theory to design and implement programs that will effectively deliver nutrition interventions. This paper describes some of the basic features of ethnography and illustrates its applications in components of the implementation process. We review the central purpose of ethnography, which is to obtain the emic view – the insider's perspective – and how ethnography has historically interfaced with nutrition. We present examples of ethnographic studies in relation to an analytic framework of the implementation process, situating them with respect to landscape analysis, formative research, process evaluation and impact evaluation. These examples, conducted in various parts of the world by different investigators, demonstrate how ethnography provided important, often essential, insights that influenced programming decisions or explained programme outcomes. Key messages Designing, implementing and evaluating interventions requires knowledge about the populations and communities in which interventions are situated, including knowledge from the ‘emic’ (insider's) perspective.Obtaining emic perspectives and analysing them in relation to cultural, economic and structural features of social organisation in societies is a central purpose of ethnography.Ethnography is an essential aspect of implementation research in nutrition, as it provides important insights for making decisions about appropriate interventions and delivery platforms; determining how best to fit aspects of programme design and implementation into different environmental and cultural contexts; opening the ‘black box’ in interventions to understand how delivery and utilisation processes affect programme outcomes or impacts; and understanding how programme impacts were achieved, or not. PMID:26778802

Using ethnography in implementation research to improve nutrition interventions in populations.

Science.gov (United States)

Tumilowicz, Alison; Neufeld, Lynnette M; Pelto, Gretel H

2015-12-01

'Implementation research in nutrition' is an emerging area of study aimed at building evidence-based knowledge and sound theory to design and implement programs that will effectively deliver nutrition interventions. This paper describes some of the basic features of ethnography and illustrates its applications in components of the implementation process. We review the central purpose of ethnography, which is to obtain the emic view--the insider's perspective--and how ethnography has historically interfaced with nutrition. We present examples of ethnographic studies in relation to an analytic framework of the implementation process, situating them with respect to landscape analysis, formative research, process evaluation and impact evaluation. These examples, conducted in various parts of the world by different investigators, demonstrate how ethnography provided important, often essential, insights that influenced programming decisions or explained programme outcomes. Key messages Designing, implementing and evaluating interventions requires knowledge about the populations and communities in which interventions are situated, including knowledge from the 'emic' (insider's) perspective. Obtaining emic perspectives and analysing them in relation to cultural, economic and structural features of social organisation in societies is a central purpose of ethnography. Ethnography is an essential aspect of implementation research in nutrition, as it provides important insights for making decisions about appropriate interventions and delivery platforms; determining how best to fit aspects of programme design and implementation into different environmental and cultural contexts; opening the 'black box' in interventions to understand how delivery and utilisation processes affect programme outcomes or impacts; and understanding how programme impacts were achieved, or not. © 2015 John Wiley & Sons Ltd.

The multidisciplinary depression guideline for children and adolescents: an implementation study.

Science.gov (United States)

Hermens, Marleen L M; Oud, Matthijs; Sinnema, Henny; Nauta, Maaike H; Stikkelbroek, Yvonne; van Duin, Daniëlle; Wensing, Michel

2015-10-01

It is important that depressed patients receive adequate and safe care as described in clinical guidelines. The aim of this study was to evaluate the implementation of the Dutch depression guideline for children and adolescents, and to identify factors that were associated with the uptake of the guideline recommendations. The study took place in specialised child and adolescent mental healthcare. An implementation project was initiated to enhance the implementation of the guideline. An evaluation study was performed alongside the implementation project, using structured registration forms and interviews with healthcare professionals. Six multidisciplinary teams participated in the implementation study. The records of 655 patients were analysed. After 1 year, 72% of all eligible patients had been screened for depression and 38% were diagnosed with the use of a diagnostic instrument. The severity of the depression was assessed in 77% of the patients during the diagnostic process, and 41% of the patients received the recommended intervention based on the depression severity. Of the patients that received antidepressants, 25% received weekly checks for suicidal thoughts in the first 6 weeks. Monitoring of the patients' response was recorded in 32% of the patients. A wide range of factors were perceived to influence the uptake of guideline recommendations, e.g. the availability of capable professionals, available time, electronic tools and reminders, and the professionals' skills and attitudes. With the involvement of the teams, recommendations were provided for nationwide implementation of the guideline. In conclusion, a systematic implementation programme using stepped care principles for the allocation of depression interventions seems successful, but there remains room for further improvement.

Implementing evidence-based medicine in general practice: a focus group based study

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Aertgeerts Bert

2005-09-01

Full Text Available Abstract Background Over the past years concerns are rising about the use of Evidence-Based Medicine (EBM in health care. The calls for an increase in the practice of EBM, seem to be obstructed by many barriers preventing the implementation of evidence-based thinking and acting in general practice. This study aims to explore the barriers of Flemish GPs (General Practitioners to the implementation of EBM in routine clinical work and to identify possible strategies for integrating EBM in daily work. Methods We used a qualitative research strategy to gather and analyse data. We organised focus groups between September 2002 and April 2003. The focus group data were analysed using a combined strategy of 'between-case' analysis and 'grounded theory approach'. Thirty-one general practitioners participated in four focus groups. Purposeful sampling was used to recruit participants. Results A basic classification model documents the influencing factors and actors on a micro-, meso- as well as macro-level. Patients, colleagues, competences, logistics and time were identified on the micro-level (the GPs' individual practice, commercial and consumer organisations on the meso-level (institutions, organisations and health care policy, media and specific characteristics of evidence on the macro-level (policy level and international scientific community. Existing barriers and possible strategies to overcome these barriers were described. Conclusion In order to implement EBM in routine general practice, an integrated approach on different levels needs to be developed.

Critical success factors for offshoring of enterprise resource planning (ERP implementations

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Rajneesh Chauhan

2012-01-01

Full Text Available Background: In recent years, offshoring enterprise resource planning (ERP implementation has been an emerging trend in the field of offshoring information technology (IT. However, both ERP implementations and IT offshoring are fraught with risks, and when both ERP implementation and IT offshoring happen together, the risks become even more pronounced. Therefore, it is important to understand and identify the issues of ERP implementation in an offshoring situation. Objectives: The purpose of this paper is to highlight the key factors that enable successful offshoring ERP implementation from the client and the vendor perspective. Methods/Approach: The paper uses literature as a basis for identifying a critical success factor, data collected through semi-structured interviews with ERP managers at various levels of the subject organizations, and eventually their analysis. Results: The findings of the paper reveal that various factors are critical while implementing offshoring ERP. They include: offshoring partnership, project management, project team composition, people issues, communications and compliance of the onsite team composition. It is also noticed that ten factors are grouped into three categories: the client side, the vendor side, and both. Conclusions: Organizations are currently undertaking or considering the offshoring ERP implementation particularly from India. This paper will enable them to understand the possible challenges and areas of offshoring the ERP implementation program. The value and originality of the paper comes from the fact that up to now, ERP implementation in offshoring has not been comprehensively explored. This research provides a complete understanding of the critical success factors from the client, the vendor or both the client and the vendor perspective. It also enables researchers to analyse ili rethink ili review offshoring in different service areas.

Adaption of the PARCS Code for Core Design Audit Analyses

Energy Technology Data Exchange (ETDEWEB)

Kim, Hyong Chol; Lee, Young Jin; Uhm, Jae Beop; Kim, Hyunjik [Nuclear Safety Evaluation, Daejeon (Korea, Republic of); Jeong, Hun Young; Ahn, Seunghoon; Woo, Swengwoong [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

2013-05-15

The eigenvalue calculation also includes quasi-static core depletion analyses. PARCS has implemented variety of features and has been qualified as a regulatory audit code in conjunction with other NRC thermal-hydraulic codes such as TRACE or RELAP5. In this study, as an adaptation effort for audit applications, PARCS is applied for an audit analysis of a reload core design. The lattice physics code HELIOS is used for cross section generation. PARCS-HELIOS code system has been established as a core analysis tool. Calculation results have been compared on a wide spectrum of calculations such as power distribution, critical soluble boron concentration, and rod worth. A reasonable agreement between the audit calculation and the reference results has been found.

Advancing theory development: exploring the leadership-climate relationship as a mechanism of the implementation of cultural competence.

Science.gov (United States)

Guerrero, Erick G; Fenwick, Karissa; Kong, Yinfei

2017-11-14

Leadership style and specific organizational climates have emerged as critical mechanisms to implement targeted practices in organizations. Drawing from relevant theories, we propose that climate for implementation of cultural competence reflects how transformational leadership may enhance the organizational implementation of culturally responsive practices in health care organizations. Using multilevel data from 427 employees embedded in 112 addiction treatment programs collected in 2013, confirmatory factor analysis showed adequate fit statistics for our measure of climate for implementation of cultural competence (Cronbach's alpha = .88) and three outcomes: knowledge (Cronbach's alpha = .88), services (Cronbach's alpha = .86), and personnel (Cronbach's alpha = .86) practices. Results from multilevel path analyses indicate a positive relationship between employee perceptions of transformational leadership and climate for implementation of cultural competence (standardized indirect effect = .057, bootstrap p climate in the implementation of cultural competence in addiction health service organizations.

Effect of relative humidity and temperature control on in-cabin thermal comfort state: Thermodynamic and psychometric analyses

International Nuclear Information System (INIS)

Alahmer, A.; Omar, M.A.; Mayyas, A.; Dongri, Shan

2011-01-01

This manuscript discusses the effect of manipulating the Relative Humidity RH of in-cabin environment on the thermal comfort and human occupants' thermal sensation. The study uses thermodynamic and psychometric analyses, to incorporate the effect of changing RH along with the dry bulb temperature on human comfort. Specifically, the study computes the effect of changing the relative humidity on the amount of heat rejected from the passenger compartment and the effect of relative humidity on occupants comfort zone. A practical system implementation is also discussed in terms of an evaporative cooler design. The results show that changing the RH along with dry bulb temperature inside vehicular cabins can improve the air conditioning efficiency by reducing the heat removed while improving the Human comfort sensations as measured by the Predicted Mean Value PMV and the Predicted Percentage Dissatisfied PPD indices. - Highlights: → Investigates the effect of controlling the RH and dry bulb temperature on in-cabin thermal comfort and sensation. → Conducts the thermodynamic and psychometric analyses for changing the RH and temperature for in-cabin air conditioning. → Discusses a possible system implementation through an evaporative cooler design.

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

Science.gov (United States)

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

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

A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.

Science.gov (United States)

Wakefield, Douglas S; Ward, Marcia M; Loes, Jean L; O'Brien, John

2010-01-01

We report how seven independent critical access hospitals collaborated with a rural referral hospital to standardize workflow policies and procedures while jointly implementing the same health information technologies (HITs) to enhance medication care processes. The study hospitals implemented the same electronic health record, computerized provider order entry, pharmacy information systems, automated dispensing cabinets (ADC), and barcode medication administration systems. We conducted interviews and examined project documents to explore factors underlying the successful implementation of ADC and barcode medication administration across the network hospitals. These included a shared culture of collaboration; strategic sequencing of HIT component implementation; interface among HIT components; strategic placement of ADCs; disciplined use and sharing of workflow analyses linked with HIT applications; planning for workflow efficiencies; acquisition of adequate supply of HIT-related devices; and establishing metrics to monitor HIT use and outcomes.

Barriers and Critical Success Factors for the Implementation of Cooperation Mechanisms

DEFF Research Database (Denmark)

Hansen, Lise-Lotte Pade; Klinge Jacobsen, Henrik

This document reports activities and results of Task 3.1 of the Intelligent Energy Europe supported project RES4Less. This work is the initial analyses and survey of barriers for implementing cooperation mechanisms in the EU countries. This work builds on earlier Intelligent Energy Europe projects...... also shared and enriched by comments from other members of the RES4Less Team during internal meetings of the project....

Barriers to the implementation of advanced clinical pharmacy services at Portuguese hospitals.

Science.gov (United States)

Brazinha, Isabel; Fernandez-Llimos, Fernando

2014-10-01

In some countries, such as Portugal, clinical pharmacy services in the hospital setting may be implemented to a lower extent than desirable. Several studies have analysed the perceived barriers to pharmacy service implementation in community pharmacy. To identify the barriers towards the implementation of advanced clinical pharmacy services at a hospital level in Portugal, using medication follow-up as an example. Hospital pharmacies in Portugal. A qualitative study based on 20 face-to-face semi-structured interviews of strategists and hospital pharmacists. The interview guide was based on two theoretical frameworks, the Borum's theory of organisational change and the Social Network Theory, and then adapted for the Portuguese reality and hospital environments. A constant comparison process with previously analysed interviews, using an inductive approach, was carried out to allow themes to emerge. Themes were organised following the Leavitt's Organizational Model: functions and objectives; hospital pharmacist; structure of pharmacy services; environment; technology; and medication follow-up based on the study topic. Barriers towards practice change. Medication follow-up appeared not to be a well-known service in Portuguese hospital pharmacies. The major barriers at the pharmacist level were their mind-set, resistance to change, and lack of readiness. Lack of time, excessive bureaucratic and administrative workload, reduced workforce, and lack of support from the head of the service and other colleagues were identified as structural barriers. Lack of access to patients' clinical records and cumbersome procedures to implement medication follow-up were recognised as technological barriers. Poor communication with other healthcare professionals, and lack of support from professional associations were the major environmental barriers. Few of the barriers identified by Portuguese hospital pharmacists were consistent with previous reports from community pharmacy. The mind

The implementation of national and European environmental legislation in Germany: three case studies

Energy Technology Data Exchange (ETDEWEB)

Bueltmann, A.; Waetzold, F. [UFZ - Umweltforschungszentrum Leipzig-Halle GmbH, Leipzig (Germany). Sektion Oekonomie, Soziologie und Recht

2000-07-01

This report traces the implementation of the EMAS Regulation in Germany, i.e. it describes what kind of an institutional setting was chosen, in what way it was established and how it is working in practice. Moreover, the outcome of the implementation process is analysed in terms of efficiency and environmental effectiveness. To gain the relevant data and information we conducted expert interviews, reviewed the relevant literature and carried out a questionnaire survey. Chapter 2 provides some background information about EMAS, including the main contents of the EMAS Regulation and the political process that preceded the adoption of the EMAS Regulation and the implementation requirements imposed on the Member States. Chapter 3 describes the implementation of the EMAS Regulation and companies' motives to participate in the scheme. In chapter 4 the outcome of the implementation process is assessed in terms of the attainment of the Regulation's environmental goals and efficiency. To this end the criteria of efficiency (allocative, productive and administrative efficiency) and environmental effectiveness are adapted to the case of EMAS and indicators are developed for their assessment. Finally, data for the indicators are provided for Germany. Chapter 5 develops some hypotheses on how goal attainment and efficiency have been influenced by specific features of the implementation process. (orig.)

Economic evaluation of an implementation strategy for the management of low back pain in general practice.

Science.gov (United States)

Jensen, Cathrine Elgaard; Riis, Allan; Petersen, Karin Dam; Jensen, Martin Bach; Pedersen, Kjeld Møller

2017-05-01

In connection with the publication of a clinical practice guideline on the management of low back pain (LBP) in general practice in Denmark, a cluster randomised controlled trial was conducted. In this trial, a multifaceted guideline implementation strategy to improve general practitioners' treatment of patients with LBP was compared with a usual implementation strategy. The aim was to determine whether the multifaceted strategy was cost effective, as compared with the usual implementation strategy. The economic evaluation was conducted as a cost-utility analysis where cost collected from a societal perspective and quality-adjusted life years were used as outcome measures. The analysis was conducted as a within-trial analysis with a 12-month time horizon consistent with the follow-up period of the clinical trial. To adjust for a priori selected covariates, generalised linear models with a gamma family were used to estimate incremental costs and quality-adjusted life years. Furthermore, both deterministic and probabilistic sensitivity analyses were conducted. Results showed that costs associated with primary health care were higher, whereas secondary health care costs were lower for the intervention group when compared with the control group. When adjusting for covariates, the intervention was less costly, and there was no significant difference in effect between the 2 groups. Sensitivity analyses showed that results were sensitive to uncertainty. In conclusion, the multifaceted implementation strategy was cost saving when compared with the usual strategy for implementing LBP clinical practice guidelines in general practice. Furthermore, there was no significant difference in effect, and the estimate was sensitive to uncertainty.

Updated action plan for the implementation of measures as a consequence of the Fukushima reactor accident

International Nuclear Information System (INIS)

2014-01-01

The action plan of the German government concerning the measures following the Fukushima reactor accident include the decision on the future of nuclear power in Germany, safety analyses, investigations and measures for nuclear power plants in a national frame, investigations in an international frame, planning for the implementation of CNS (Convention on nuclear safety) topics 1-3, i.e. measures to increase the robustness in German nuclear power plants, and the planning of implementation of further measures (CNS topics 4-6).

Implementation of SSYST-1 on the GRS computer and first verification calculations

International Nuclear Information System (INIS)

Schubert, J.D.; Ullrich, R.

1981-09-01

The program system SSYST-1, being developed in Karlsruhe, has been implemented on the AMDAHL-computer together with special modulus for the items eccentric stress and probabilistic analysis. First computations for the REBEKA-3 experiment and other test examples, done to verify the new implementation, showed satisfactory results, especially a good correspondence with measurements for the instant of bursting, the bursting temperature and the difference in temperature on the periphere. Initial difficulties arised from using the model for circumvariable stress and temperature analyses. The reason was, that this modulus is meant for the program SSYST-2, thus its use in SSYST-1 led to interface problems which, however, are resolved now. (orig.) [de

Implementing a Quality Management Framework in a Higher Education Organisation: A Case Study

Science.gov (United States)

O'Mahony, Kim; Garavan, Thomas N.

2012-01-01

Purpose: This paper aims to report and analyse the lessons learned from a case study on the implementation of a quality management system within an IT Division in a higher education (HE) organisation. Design/methodology/approach: The paper is based on a review of the relevant literatures and the use of primary sources such as document analysis,…

A Pragmatic Approach to Guide Implementation Evaluation Research: Strategy Mapping for Complex Interventions

Directory of Open Access Journals (Sweden)

Alexis K. Huynh

2018-05-01

for producing valid and reliable process evaluation data, mapping implementation strategies has informed development of a pragmatic blueprint for implementation and longitudinal analyses and evaluation activities.DiscussionWe update recent recommendations on specification of implementation strategies by considering the implications for multi-strategy frameworks and propose an approach for mapping the use of implementation strategies within complex, multi-level interventions, in support of rigorous evaluation. Developing pragmatic tools to aid in operationalizing the conduct of implementation and evaluation activities is essential to enacting sound implementation research.

ERP system implementation costs and selection factors of an implementation approach

DEFF Research Database (Denmark)

Johansson, Björn; Sudzina, Frantisek; Newman, Mike

2011-01-01

, which influence the implementation approach in an ERP project, cause also an increase of the project cost in a European context? Our survey was conducted in Denmark, Slovakia and Slovenia and focused on this issue. Our main findings are that: 1) the number of implemented modules influences selection......Different approaches on implementation of enterprise resource planning (ERPs) systems exist. In this article, we investigate relationship between factors influencing selection of implementation approach and companies' ability to stay within budget when implementing ERPs. The question is: do factors...... of an implementation approach; 2) companies with information strategies are more likely to stay within budget regarding ERP systems implementation. However, we also found that: 3) implementation approach does not significantly influence ability to stay within budget; 4) a clear relationship between factors influencing...

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

Science.gov (United States)

Aversano, Lerina; Tortorella, Maria

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

CHART in lung cancer: Economic evaluation and incentives for implementation

International Nuclear Information System (INIS)

Lievens, Yolande; Kesteloot, Katrien; Bogaert, Walter van den

2005-01-01

Background and purpose: To investigate the financial consequences and the impact on daily implementation of CHART in lung cancer. Patients and methods: A cost-effectiveness and cost-utility analysis were performed using Markov models, comparing the early and delayed costs and effects of CHART for NSCLC over a 4-year time span from a societal viewpoint. The outcome estimates were based on the CHART literature, the cost estimates on the standard practice of the Leuven University Hospitals, the radiotherapy costs being derived from an activity-based costing (ABC) programme developed in the department. Results: The additional societal cost per life-year gained was EURO 9164, the incremental cost per quality-adjusted life-year EURO 11,576. Sensitivity analyses confirmed the robustness of these results, the incremental cost-utility ratio remaining well under 20,000 EURO /QALY in all tested circumstances. The threshold analyses found the results of the study to be sensitive to the cost of CHART and to the quality of life after treatment. More specifically, standard treatment would become the optimal treatment if CHART would have a higher cost or would result in more long-term side effects. Conclusion: CHART should not be denied to patients with NSCLC on the basis of clinical or economic arguments. Other factors such as socio-economical, institutional, practical departmental and physician-bound barriers most probably explain the lack of implementation into daily practice

Planning support concept to implementation of sustainable parking development projects in ancient Mediterranean cities

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Nikša Jajac

2014-12-01

Full Text Available This paper proposes a planning support concept (PSC to implementation of sustainable parking development projects (SPDP in ancient Mediterranean cities. It is conceptualized by the logic of decision support systems and a multicriteria analysis approach. The purpose of the concept is to support setting of implementation priorities for subprojects (construction of new and/or improvement of existing parking within a SPDP. Analysing the existing and a planned state of parking within the city a goal tree is established. Subprojects are defined accordingly. Objectives from the last hierarchy level within the goal tree are used as criteria for assessment of defined subprojects. Representatives of stakeholders provided criteria weights by application of AHP and SAW methods. PROMETHEE II was used for priority ranking and PROMETHEE V ensured a definition of project’s implementation phases. The result of the presented concept is the implementation plan for such projects. The concept is tested on the city of Trogir.

Implementering & Performative Potentialer

DEFF Research Database (Denmark)

Damkjer, Annemarie

organizational boundaries. Furthermore, the analysis reflect how specific modes of ordering in the local process of implementation perform and displace the technology of performance management. The study provides an alternative view of the performative potentials in implementation processes and specifically...... challenge the traditional models of implementation. It is suggested, that we view implementation practices as performative in relation to the co-configuration of technology and organizational practices and that both the co-configurative perspective and the materiality of implementation practices is included......This thesis investigates how technology is constituted as an object of implementation. Using the theoretical lens of actor-network theory the thesis investigates how the technology of performance management becomes a matter of implementation in the Danish Defence and how the technology...

IMPLEMENTATION OF BASEL III IN THE EUROPEAN BANKING SECTOR

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Ioana Sbarcea

2015-06-01

Full Text Available In this work, which is part of a larger research project aimed at the expected impact of Basel III on commercial banks in Romania, I decided to analyse the implementation and transposition of the new international prudential requirements into European regulations, which are of particular interest for the Romanian banking sector. I started this analysis by highlighting the peculiarities of the European banking sector at aggregate level, but also as a cross-country survey, to later highlight the views of European regulations on prudential supervision and differences to international regulations.

Operations Strategy and –Innovation? -A Contractor Implementing Lean

DEFF Research Database (Denmark)

Koch, Christian; Simonsen, Rolf

2006-01-01

Traditional strategic management and operations strategy wants us to believe that the implementation of management concepts is a simple strategic choice made by top managers. In this paper we introduce the story of Lean Construction entering into the organisation of a Danish contractor. Lean...... concepts. The paper presents findings from empirical work in collaboration with a large Danish contractor. The case is analysed from the perspective of operation strategy and political process. It is observed how the management concept is socially constructed and negotiated through political action of key...

Development of reliability databases and the particular requirements of probabilistic risk analyses

International Nuclear Information System (INIS)

Meslin, T.

1989-01-01

Nuclear utilities have an increasing need to develop reliability databases for their operating experience. The purposes of these databases are often multiple, including both equipment maintenance aspects and probabilistic risk analyses. EDF has therefore been developing experience feedback databases, including the Reliability Data Recording System (SRDF) and the Event File, as well as the history of numerous operating documents. Furthermore, since the end of 1985, EDF has been preparing a probabilistic safety analysis applied to one 1,300 MWe unit, for which a large amount of data of French origin is necessary. This data concerns both component reliability parameters and initiating event frequencies. The study has thus been an opportunity for trying out the performance databases for a specific application, as well as in-depth audits of a number of nuclear sites to make it possible to validate numerous results. Computer aided data collection is also on trial in a number of plants. After describing the EDF operating experience feedback files, we discuss the particular requirements of probabilistic risk analyses, and the resources implemented by EDF to satisfy them. (author). 5 refs

Long-term follow-up of trauma patients before and after implementation of a Physician-Staffed Helicopter

DEFF Research Database (Denmark)

Funder, K.S.; Rasmussen, Lars S.; Lohse, Nicolai

2016-01-01

Introduction: The first Danish Helicopter Emergency Medical Service (HEMS) was introduced May 1st2010. The implementation was associated with lower 30-day mortality in severely injured patients. Theaim of this study was to assess the long-term effects of HEMS on labour market affiliation and mort......Introduction: The first Danish Helicopter Emergency Medical Service (HEMS) was introduced May 1st2010. The implementation was associated with lower 30-day mortality in severely injured patients. Theaim of this study was to assess the long-term effects of HEMS on labour market affiliation...... adjusted for sex,age and Injury Severity Score. Results: Of the total 1994 patients, 1790 were eligible for mortality analyses and 1172 (n = 297 preHEMSand n = 875 post-HEMS) for labour market analyses. Incidence rates of involuntary earlyretirement or death were 2.40 per 100 person-years pre-HEMS and 2...

Comparison study of inelastic analyses for high temperature structure subjected to cyclic creep loading

International Nuclear Information System (INIS)

Kim, J. B.; Lee, H. Y.; Lee, J. H.

2002-01-01

It is necessary to develop a reliable numerical analysis method to simulate the plasticity and creep behavior of LMR high temperature structures. Since general purpose finite element analysis codes such as ABAQUS and ANSYS provide various models for plastic hardening and creep equation of Norton's power law, it is possible to perform the separate iscoplasticity analysis. In this study, the high temperature structural analysis program(NONSTA-VP) implementing Chaboche's unified visco plasticity equation into ABAQUS has been developed and the viscoplastic response of the 316 SS plate having a circular hole subjected to a cyclic creep loading has been analyzed. The results among the separate visco plasticity analyses and the unified visco plasticity analysis using NONSTA-VP have been compared and the results from NONSTA-VP shows remarkable responses of stress relaxation and creep behavior during hold time compared to those from separate visco plasticity analyses. Also, it is anticipated to reduce the conservatism arising from using elastic approach for creep-fatigue damage analysis since the stress range and the strain range from the unified visco plasticity analysis has been greatly reduced compared to those from separate visco plasticity analyses and elastic analysis

The spirit of democracy in the implementation of public information policy at the provincial government of West Java

Science.gov (United States)

Sjoraida, D. F.; Asmawi, A.; Anwar, R. K.

2018-03-01

This article analyses the implementation of Law Number 14/2008 on Public Information Disclosure on the Provincial Government of West Java. This descriptive-qualitative study presents a discussion of the spirit of democracy in the implementation of the abovem-entioned policy in West Java Province. With the theory of policy implementation and democratization, data obtains that the element of democratic spirit in the implementation of public information policy in the government of West Java is quite thick. Therefore, there must be a massification of the implementation of the law in West Java, especially its socialization to districts/cities and society in general. It was found that the democratization of the West Java Provincial Government in implementing the Act has been well received in the community. However, the lack of publicity about this Law can reduce the strength of moral messages that exist in the law to the public.

Strategic niche management for biofuels: Analysing past experiments for developing new biofuel policies

International Nuclear Information System (INIS)

Laak, W.W.M. van der; Raven, R.P.J.M.; Verbong, G.P.J.

2007-01-01

Biofuels have gained a lot of attention since the implementation of the 2003 European Directive on biofuels. In the Netherlands the contribution of biofuels is still very limited despite several experiments in the past. This article aims to contribute to the development of successful policies for stimulating biofuels by analysing three experiments in depth. The approach of strategic niche management (SNM) is used to explain success and failure of these projects. Based on the analysis as well as recent innovation literature we develop a list of guidelines that is important to consider when developing biofuel policies

MODEL - INTEGRAL METHODOLOGY FOR SUCCESSFUL DESIGNING AND IMPLEMENTING OF TQM SYSTEM IN MACEDONIAN COMPANIES

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Elizabeta Mitreva

2011-12-01

Full Text Available The subject of this paper is linked with the valorization of the meaning and the perspectives of Total Quality Management (TQM system design and implementation within the domestic companies and creating a model-methodology for improved performance, efficiency and effectiveness. The research is designed as an attempt to depict the existing condition in the Macedonian companies regarding quality system design and implementation, analysed through 4 polls in the "house of quality" whose top is the ultimate management, and as its bases measurement, evaluation, analyzing and comparison of the quality are used. This "house" is being held by 4 subsystems e.g. internal standardization, methods and techniques for flawless work performance, education and motivation and analyses of the quality costs. The data received from the research and the proposal of the integral methodology for designing and implementing of TQM system are designed in turn to help and present useful directions to all Macedonian companies tending to become "world class" organizations. The basis in the creation of this model is the redesign of the business processes which afterword begins as a new phase of the business performance - continued improvement, rolling of Deming's Quality Circle (Plan-Do-Check-Act. The model-methodology proposed in this paper is integral and universal which means that it is applicable to all companies regardless of the business area.

Development and implementation of a low cost micro computer system for LANDSAT analysis and geographic data base applications

Science.gov (United States)

Faust, N.; Jordon, L.

1981-01-01

Since the implementation of the GRID and IMGRID computer programs for multivariate spatial analysis in the early 1970's, geographic data analysis subsequently moved from large computers to minicomputers and now to microcomputers with radical reduction in the costs associated with planning analyses. Programs designed to process LANDSAT data to be used as one element in a geographic data base were used once NIMGRID (new IMGRID), a raster oriented geographic information system, was implemented on the microcomputer. Programs for training field selection, supervised and unsupervised classification, and image enhancement were added. Enhancements to the color graphics capabilities of the microsystem allow display of three channels of LANDSAT data in color infrared format. The basic microcomputer hardware needed to perform NIMGRID and most LANDSAT analyses is listed as well as the software available for LANDSAT processing.

The influence of context and process when implementing e-health

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Heaney David

2009-01-01

Full Text Available Abstract Background Investing in computer-based information systems is notoriously risky, since many systems fail to become routinely used as part of everyday working practices, yet there is clear evidence about the management practices which improve the acceptance and integration of such systems. Our aim in this study was to identify to what extent these generic management practices are evident in e-health projects, and to use that knowledge to develop a theoretical model of e-health implementation. This will support the implementation of appropriate e-health systems. Methods This study consisted of qualitative semi-structured interviews with managers and health professionals in Scotland, UK. We contacted the Scottish Ethics Committee, who advised that formal application to that body was not necessary for this study. The interview guide aimed to identify the issues which respondents believed had affected the successful implementation of e-health projects. We drew on our research into information systems in other sectors to identify likely themes and questions, which we piloted and revised. Eighteen respondents with experience of e-health projects agreed to be interviewed. These were recorded, transcribed, coded, and then analysed with 'Nvivo' data analysis software. Results Respondents identified factors in the context of e-health projects which had affected implementation, including clarity of the strategy; supportive structures and cultures; effects on working processes; and how staff perceived the change. The results also identified useful implementation practices such as balancing planning with adaptability; managing participation; and using power effectively. Conclusion The interviews confirmed that the contextual factors that affect implementation of information systems in general also affect implementation of e-health projects. As expected, these take place in an evolving context of strategies, structures, cultures, working processes and

Advanced Materials, Technologies, and Complex Systems Analyses: Emerging Opportunities to Enhance Urban Water Security.

Science.gov (United States)

Zodrow, Katherine R; Li, Qilin; Buono, Regina M; Chen, Wei; Daigger, Glen; Dueñas-Osorio, Leonardo; Elimelech, Menachem; Huang, Xia; Jiang, Guibin; Kim, Jae-Hong; Logan, Bruce E; Sedlak, David L; Westerhoff, Paul; Alvarez, Pedro J J

2017-09-19

Innovation in urban water systems is required to address the increasing demand for clean water due to population growth and aggravated water stress caused by water pollution, aging infrastructure, and climate change. Advances in materials science, modular water treatment technologies, and complex systems analyses, coupled with the drive to minimize the energy and environmental footprints of cities, provide new opportunities to ensure a resilient and safe water supply. We present a vision for enhancing efficiency and resiliency of urban water systems and discuss approaches and research needs for overcoming associated implementation challenges.

Status on DEMO Helium Cooled Lithium Lead breeding blanket thermo-mechanical analyses

Energy Technology Data Exchange (ETDEWEB)

Aubert, J., E-mail: julien.aubert@cea.fr [CEA-Saclay, DEN, DM2S, F-91191 Gif-sur-Yvette (France); Aiello, G.; Jaboulay, J.-C. [CEA-Saclay, DEN, DM2S, F-91191 Gif-sur-Yvette (France); Kiss, B. [Institute of Nuclear Techniques, Budapest University of Technology and Economics, Budapest (Hungary); Morin, A. [CEA-Saclay, DEN, DM2S, F-91191 Gif-sur-Yvette (France)

2016-11-01

Highlights: • CEA with the support of Wigner-RCP and IPP-CR, is in charge of the design of the HCLL blanket for DEMO. The DEMO HCLL breeding blanket design capitalizes on the experience acquired on the HCLL Test Blanket Module designed for ITER. Design improvements are being implemented to adapt the design to DEMO specifications and performance objectives. • Thermal and mechanical analyses have been carried out in order to justify the design of the HCLL breeding blanket showing promising results for tie rods modules’ attachments system and relatively good behavior of the box in case of LOCA when comparing to RCC-MRx criteria. • CFD thermal analyses on generic breeding unit have enabled the consolidation of the results obtained with previous FEM design analyses. - Abstract: The EUROfusion Consortium develops a design of a fusion power demonstrator (DEMO) in the framework of the European “Horizon 2020” innovation and research program. One of the key components in the fusion reactor is the breeding blanket surrounding the plasma, ensuring tritium self-sufficiency, heat removal for conversion into electricity, and neutron shielding. The Helium Cooled Lithium Lead (HCLL) blanket is one of the concepts which is investigated for DEMO. It is made of a Eurofer structure and uses the eutectic liquid lithium–lead as tritium breeder and neutron multiplier, and helium gas as coolant. Within the EUROfusion organization, CEA with the support of Wigner-RCP and IPP-CR, is in charge of the design of the HCLL blanket for DEMO. This paper presents the status of the thermal and mechanical analyses carried out on the HCLL breeding blanket in order to justify the design. CFD thermal analyses on generic breeding unit including stiffening plates and cooling plates have been performed with ANSYS in order to consolidate results obtained with previous FEM design analyses. Moreover in order to expand the justification of the HCLL Breeding blanket design, the most loaded area of

Designing Caregiver-Implemented Shared-Reading Interventions to Overcome Implementation Barriers

Science.gov (United States)

Logan, Jessica R.; Damschroder, Laura

2015-01-01

Purpose This study presents an application of the theoretical domains framework (TDF; Michie et al., 2005), an integrative framework drawing on behavior-change theories, to speech-language pathology. Methods A multistep procedure was used to identify barriers affecting caregivers' implementation of shared-reading interventions with their children with language impairment (LI). The authors examined caregiver-level data corresponding to implementation issues from two randomized controlled trials and mapped these to domains in the TDF as well as empirically validated behavior-change techniques. Results Four barriers to implementation were identified as potentially affecting caregivers' implementation: time pressures, reading difficulties, discomfort with reading, and lack of awareness of benefits. These were mapped to 3 TDF domains: intentions, beliefs about capabilities, and skills. In turn, 4 behavior-change techniques were identified as potential vehicles for affecting these domains: reward, feedback, model, and encourage. An ongoing study is described that is determining the effects of these techniques for improving caregivers' implementation of a shared-reading intervention. Conclusions A description of the steps to identifying barriers to implementation, in conjunction with an ongoing experiment that will explicitly determine whether behavior-change techniques affect these barriers, provides a model for how implementation science can be used to identify and overcome implementation barriers in the treatment of communication disorders. PMID:26262941

The Concept of Basic Income: Global Experience and Implementation Possibilities in Lithuania

Directory of Open Access Journals (Sweden)

Algimantas Laurinavičius

2016-06-01

Full Text Available The article gives an overview of universal basic income as one of the instruments of the asset-based policy, analyses its theoretical concept and practical examples. Latest trends in Europe, especially in Finland and Switzerland, are overviewed and possibilities to implement such an instrument in Lithuania are evaluated. Research methods of scientific literature analysis, comparative and logical analysis of statistical data, data grouping and presentation were used. Article finds out that the concept of basic income is being implemented on a small scale in the US state of Alaska and in a small autonomous territory of China – Macao. Finland and Switzerland are determined to fully implement the concept of basic income by providing monthly benefits to all their citizens. Although Lithuania is categorized as a country with high income inequality and high level of poverty risk, currently it is not possible to implement the concept of basic income in Lithuania: the state social insurance fund budget would not be able to fund sufficient benefits, and the benefits that could be provided by the budget would not comply with the objectives of the concept of basic income.

Implementation perspective of a Radiological Agent Identification Laboratory - LIAR at CTEx

International Nuclear Information System (INIS)

Santos, Avelino; Silva, Jorge A.V.; Oliveira, Luciano S.R.; Vilela, Paulo R.T.

2011-01-01

Radiometric analysis at Centro Tecnologico do Exercito, CTEx, have been performed since 1980s, to be applied in the course of pre-operational and operational stages of a subcritical nuclear assembly which was set up into the extinct Instituto de Pesquisas Especiais, IPE. In that time, monitoring, that were based in analytical techniques of gamma spectrometry and total alpha/beta counting, were performed. Nowadays, the aptness of identify radiological and nuclear agents in environmental samples is a deficiency of Division of Defesa Quimica, Biologica e Nuclear, DDQBN, which is legatee of IPE nuclear duty. With the implementation of Laboratorio de Identificacao de Agentes Radiologicos, LIAR, the obsolescence of DDQBN equipment is been solved by the acquisition of modern spectroscopy systems which are supposed able to analyze CTEx environmental matrix samples, according to specific CNEN standard, as well as to perform works that concern diverse activities on civil defense, security, scientific advisory, research, and foreign trade areas. So, this work describes the implementation of LIAR at DDQBN of CTEx and analyses perspectives of its use. Basic functionality, stage of implementation, systems and analytical techniques are described. Finally, the work considers the importance and the foreseen outcomes of LIAR implementation on scientific, technological, economic, social and environmental areas. (author)

Implementation perspective of a Radiological Agent Identification Laboratory - LIAR at CTEx

Energy Technology Data Exchange (ETDEWEB)

Santos, Avelino; Silva, Jorge A.V.; Oliveira, Luciano S.R.; Vilela, Paulo R.T., E-mail: avelino@ctex.eb.br, E-mail: jalberto@ctex.eb.br, E-mail: luciano@ctex.eb.br, E-mail: pauloric@ctex.eb.br [Centro Tecnologico do Exercito (DDQBN/CTEx), Rio de Janeiro, RJ (Brazil). Div. de Defesa Quimica, Biologica e Nuclear

2011-07-01

Radiometric analysis at Centro Tecnologico do Exercito, CTEx, have been performed since 1980s, to be applied in the course of pre-operational and operational stages of a subcritical nuclear assembly which was set up into the extinct Instituto de Pesquisas Especiais, IPE. In that time, monitoring, that were based in analytical techniques of gamma spectrometry and total alpha/beta counting, were performed. Nowadays, the aptness of identify radiological and nuclear agents in environmental samples is a deficiency of Division of Defesa Quimica, Biologica e Nuclear, DDQBN, which is legatee of IPE nuclear duty. With the implementation of Laboratorio de Identificacao de Agentes Radiologicos, LIAR, the obsolescence of DDQBN equipment is been solved by the acquisition of modern spectroscopy systems which are supposed able to analyze CTEx environmental matrix samples, according to specific CNEN standard, as well as to perform works that concern diverse activities on civil defense, security, scientific advisory, research, and foreign trade areas. So, this work describes the implementation of LIAR at DDQBN of CTEx and analyses perspectives of its use. Basic functionality, stage of implementation, systems and analytical techniques are described. Finally, the work considers the importance and the foreseen outcomes of LIAR implementation on scientific, technological, economic, social and environmental areas. (author)

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

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Linus Grabenhenrich

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

Appraisal of CRM implementation as business strategy option in times of recession: The role of perceived value and benefits

OpenAIRE

Chrysa; Sotirios; Dimitrios

2018-01-01

The present work investigates Customer Relationship Management (CRM) implementation and performance during the fiscal crisis in Greece based on an appropriate questionnaire. All acquired responses using the questionnaire are suitably analysed using advanced statistical techniques, and show that Greek companies employ CRM, harvesting many of its benefits. Specifically, survey results show that most companies are satisfied by the implementation of CRM strategy and seem to recognize the vital st...

From Policies to Implementation of Open Distance Learning in Rwanda: A Genealogical and Governmentality Analysis

Science.gov (United States)

Mukama, Evode

2018-01-01

The purpose of this paper is to analyse the interplay between policy formulation and implementation in terms of the historical practices of open distance learning (ODL) in Rwanda. This paper draws on the Foucauldian genealogical and governmentality analysis. The paper examines government aspirations as depicted in policy statements starting from…

Impact of the implementation of electronic guidelines for cardiovascular prevention in primary care: study protocol

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Eva Comin

2013-03-01

Full Text Available Background The electronic medical records software of the Catalan Institute of Health has recently incorporated an electronic version of clinical practice guidelines (e-CPGs. This study aims to assess the impact of the implementation of e-CPGs on the diagnosis, treatment, control and management of hypercholesterolaemia, diabetes mellitus type 2 and hypertension.Methods Eligible study participants are those aged 35–74 years assigned to family practitioners (FPs of the Catalan Institute of Health. Routinely collected data from electronic primary care registries covering 80% of the Catalan population will be analysed using two approaches: (1 a cross-sectional study to describe the characteristics of the sample before e-CPG implementation; (2 a controlled before-and-after study with 1-year follow-up to ascertain the effect of e-CPG implementation. Patients of FPs who regularly use the e-CPGs will constitute the intervention group; the control group will comprise patients assigned to FPs not regularly using the e-CPG. The outcomes are: (1 suspected and confirmed diagnoses, (2 control of clinical variables, (3 requests for tests and (4 proportions of patients with adequate drug prescriptions.Results This protocol should represent a reproducible process to assess the impact of the implementation of e-CPGs. We anticipate reporting results in late 2013.Conclusion This project will assess the effectiveness of e-CPGs to improve clinical decisions and healthcare procedures in the three disorders analysed. The results will shed light on the use of evidence-based medicine to improve clinical practice of FPs.

Policy Implementation of Working Procedures of Information and Documentation Officer at Cimahi City

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Karina Intan Permatasari

2015-12-01

Full Text Available Since one year after the enactment of Public Information Disclosure Rights Number 14 of 2008 in April 2010, all government in Indonesia shall establish Information and Documentation Officer (PPID and all supporting instruments. Cimahi itself had made Cimahi Mayor Regulation No. 4 of 2011 on the Working Procedures and Documentation Information Management Officer at Cimahi in response to the main policy. However, despite being implemented for 3 years, implementation of this policy is not in accordance with UU KIP sought to assess and analyse the factors that cause these obstacles by using the theory of Charles O. Jones who focuses on organizational aspects, aspects of the interpretation and application of aspects of using qualitative research methods.

Learning Analytics: Readiness and Rewards / L’analyse de l’apprentissage : état de préparation et récompenses

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Norm Friesen

2013-12-01

Full Text Available This paper introduces the relatively new field of learning analytics, first by considering the relevant meanings of both “learning” and “analytics,” and then by looking at two main levels at which learning analytics can be or has been implemented in educational organizations. Although turnkey systems or modules are not yet available for review, specific technologies for analyzing online student activities have been implemented and piloted. As a result, this paper recommends an incremental approach to institutional preparedness. Ce rapport présente le domaine relativement nouveau de l’analyse de l’apprentissage en considérant d’abord la pertinence des deux termes “apprentissage” et “analyse”, puis en examinant les deux principaux niveaux auxquels l’analyse de l’apprentissage peut être ou a été mise en œuvre dans les organisations éducatives. Bien que des systèmes ou des modules « clés en main » intégrés ne puissent pas encore être examinés, des technologies spécifiques pour analyser les activités en ligne des étudiants ont été mises en place et testées. En conséquence, cet essai conseille en conclusion une approche progressive de préparation institutionnelle.

Implementing a Business Intelligence Environment in Local Market of Pakistan

Directory of Open Access Journals (Sweden)

FARIA JAMEEL

2017-04-01

Full Text Available The BI (Business Intelligence has gained great success during the last decade throughout the world to aid in decision support with the availability of necessary knowledge to reduce costs, increase revenues and minimize risks. The local market of Pakistan is still not very much aware of its benefits, except some multinationals which are using these tools since almost 7-8 years and earning more revenues and improved performances and a few others are under the process of implementation. The small and medium sized businesses of our local market are focused for the implementation of BI. The pros and cons are identified by analysing the BI tools being used by other large companies here in Pakistan and feasibility of these tools at small and medium enterprises is discussed so that they too may focus on their KPIs (Key Performance Indicator to increase their performance level.

Athletic Training Student Core Competency Implementation During Patient Encounters.

Science.gov (United States)

Cavallario, Julie M; Van Lunen, Bonnie L; Hoch, Johanna M; Hoch, Matthew; Manspeaker, Sarah A; Pribesh, Shana L

2018-03-01

  Health care research evidence suggests that early patient encounters (PEs), as well as the purposeful implementation of professional core competencies (CCs), for athletic training students (ATSs) may be beneficial to their ability to provide care. However, no investigators have related facets of the clinical education experience with CC implementation as a form of summative assessment of the clinical experience.   To determine the relationship between the frequency and length of PEs, as well as the student's role and clinical site during PEs, and the students' perceived CC implementation during these encounters.   Cross-sectional study.   Professional athletic training program, National Collegiate Athletic Association Division I institution.   We purposefully recruited 1 athletic training program that used E*Value software; 40 participants (31 females, 9 males) enrolled in the professional phase (12 first year, 14 second year, 14 third year) participated.   Participants viewed a 20-minute recorded CC educational module followed by educational handouts, which were also posted online for reference throughout the semester. The E*Value software was used to track PEs, including the type of encounter (ie, actual patient, practice encounter, didactic practice scenario), the type of site where the encounter occurred (university, high school), and the participant's role (observed, assisted, performed), as well as responses to an added block of questions indicating which, if any, of the CCs were implemented during the PE.   Variables per patient were PE length (minutes), participant role, site at which the encounter occurred, and whether any of the 6 CCs were implemented ( yes/ no). Variables per participant were average encounter length (minutes), encounter frequency, modal role, clinical site assignment, and the number of times each CC was implemented. Separate 1-way analyses of variance were used to examine the relationships between role or clinical site

Comparative assessment of PSI air oxidation model implementation in SCDAPSim3.5, MELCOR 1.8.6 and MELCOR 2.1

International Nuclear Information System (INIS)

Fernandez-Moguel, Leticia

2015-01-01

Highlights: • The PSI air oxidation model has been successfully implemented in MELCOR. • The model treats oxygen as an active species and nitrogen as a catalyst. • The implementation has been assessed against the previous post-test analyses for QUENCH-16. • The pre-oxidation and air phase were consistent when similar modelling options were used. • All code versions were in fair agreement with the experimental data. - Abstract: The PSI air oxidation model has been successfully implemented in the lump parameter code MELCOR. The PSI air oxidation model treats oxygen as an active species and nitrogen as a catalyst that accelerates the oxidation kinetics. The essential feature of the model is the transition from parabolic to linear kinetics. The implementation has been assessed against the previous post-test analyses for the air ingress experiment QUENCH-16 performed with a local version of RELAP5/SCDAPSim3.5. This version contains the PSI air oxidation model. The pre-oxidation and air phase were consistent when similar modelling options were used and all code versions were in fair agreement with the experimental data, showing consistency in the implementation of the model. The PSI air oxidation model will be used in the future for analysis of spent fuel pool uncovery sequences where steam/air mixture is the prototypical environment

Implementation of Energy Strategies in Communities (Annex 63) Volume 2: Development of strategic measures

DEFF Research Database (Denmark)

Kellenberger, Daniel; Schmid, Christian; Quitzau, Maj-Britt

This report describes the further development of the analysed measures from Volume 1 into strategic measures. As with the term measure, a strategic measure refers to an essential measure in concept that can be used to develop individual implementation strategies on a local level for part...... or the whole life cycle of a project (from the first vision to monitoring of the implemented solution). The developed strategic measures deal with the following topics: Setting Vision and Targets Developing Renewable Energy Strategies Making Full use of Legal Frameworks Designing an Urban Competition Processes...... a summary of each strategic measure supported by nine appendices, each a detailed description of each strategic measure....

How best to measure implementation of school health curricula: a comparison of three measures.

Science.gov (United States)

Resnicow, K; Davis, M; Smith, M; Lazarus-Yaroch, A; Baranowski, T; Baranowski, J; Doyle, C; Wang, D T

1998-06-01

The impact of school health education programs is often attenuated by inadequate teacher implementation. Using data from a school-based nutrition education program delivered in a sample of fifth graders, this study examines the discriminant and predictive validity of three measures of curriculum implementation: class-room observation of fidelity, and two measures of completeness, teacher self-report questionnaire and post-implementation interview. A fourth measure, obtained during teacher observations, that assessed student and teacher interaction and student receptivity to the curriculum (labeled Rapport) was also obtained. Predictive validity was determined by examining the association of implementation measures with three study outcomes; health knowledge, asking behaviors related to fruit and vegetables, and fruit and vegetable intake, assessed by 7-day diary. Of the 37 teachers observed, 21 were observed for two sessions and 16 were observed once. Implementation measures were moderately correlated, an indication of discriminant validity. Predictive validity analyses indicated that the observed fidelity, Rapport and interview measures were significantly correlated with post-test student knowledge. The association between health knowledge and observed fidelity (based on dual observation only), Rapport and interview measures remained significant after adjustment for pre-test knowledge values. None of the implementation variables were significantly associated with student fruit and vegetable intake or asking behaviors controlling for pre-test values. These results indicate that the teacher self-report questionnaire was not a valid measure of implementation completeness in this study. Post-implementation completeness interviews and dual observations of fidelity and Rapport appear to be more valid, and largely independent methods of implementation assessment.

A new support measure to quantify the impact of local optima in phylogenetic analyses.

KAUST Repository

Brammer, Grant

2011-09-29

Phylogentic analyses are often incorrectly assumed to have stabilized to a single optimum. However, a set of trees from a phylogenetic analysis may contain multiple distinct local optima with each optimum providing different levels of support for each clade. For situations with multiple local optima, we propose p-support which is a clade support measure that shows the impact optima have on a final consensus tree. Our p-support measure is implemented in our PeakMapper software package. We study our approach on two published, large-scale biological tree collections. PeakMapper shows that each data set contains multiple local optima. p-support shows that both datasets contain clades in the majority consensus tree that are only supported by a subset of the local optima. Clades with low p-support are most likely to benefit from further investigation. These tools provide researchers with new information regarding phylogenetic analyses beyond what is provided by other support measures alone.

Gen IV Materials Handbook Implementation Plan

International Nuclear Information System (INIS)

Rittenhouse, P.; Ren, W.

2005-01-01

A Gen IV Materials Handbook is being developed to provide an authoritative single source of highly qualified structural materials information and materials properties data for use in design and analyses of all Generation IV Reactor Systems. The Handbook will be responsive to the needs expressed by all of the principal government, national laboratory, and private company stakeholders of Gen IV Reactor Systems. The Gen IV Materials Handbook Implementation Plan provided here addresses the purpose, rationale, attributes, and benefits of the Handbook and will detail its content, format, quality assurance, applicability, and access. Structural materials, both metallic and ceramic, for all Gen IV reactor types currently supported by the Department of Energy (DOE) will be included in the Gen IV Materials Handbook. However, initial emphasis will be on materials for the Very High Temperature Reactor (VHTR). Descriptive information (e.g., chemical composition and applicable technical specifications and codes) will be provided for each material along with an extensive presentation of mechanical and physical property data including consideration of temperature, irradiation, environment, etc. effects on properties. Access to the Gen IV Materials Handbook will be internet-based with appropriate levels of control. Information and data in the Handbook will be configured to allow search by material classes, specific materials, specific information or property class, specific property, data parameters, and individual data points identified with materials parameters, test conditions, and data source. Details on all of these as well as proposed applicability and consideration of data quality classes are provided in the Implementation Plan. Website development for the Handbook is divided into six phases including (1) detailed product analysis and specification, (2) simulation and design, (3) implementation and testing, (4) product release, (5) project/product evaluation, and (6) product

Assessing the Expected Value of Research Studies in Reducing Uncertainty and Improving Implementation Dynamics.

Science.gov (United States)

Grimm, Sabine E; Dixon, Simon; Stevens, John W

2017-07-01

With low implementation of cost-effective health technologies being a problem in many health systems, it is worth considering the potential effects of research on implementation at the time of health technology assessment. Meaningful and realistic implementation estimates must be of dynamic nature. To extend existing methods for assessing the value of research studies in terms of both reduction of uncertainty and improvement in implementation by considering diffusion based on expert beliefs with and without further research conditional on the strength of evidence. We use expected value of sample information and expected value of specific implementation measure concepts accounting for the effects of specific research studies on implementation and the reduction of uncertainty. Diffusion theory and elicitation of expert beliefs about the shape of diffusion curves inform implementation dynamics. We illustrate use of the resulting dynamic expected value of research in a preterm birth screening technology and results are compared with those from a static analysis. Allowing for diffusion based on expert beliefs had a significant impact on the expected value of research in the case study, suggesting that mistakes are made where static implementation levels are assumed. Incorporating the effects of research on implementation resulted in an increase in the expected value of research compared to the expected value of sample information alone. Assessing the expected value of research in reducing uncertainty and improving implementation dynamics has the potential to complement currently used analyses in health technology assessments, especially in recommendations for further research. The combination of expected value of research, diffusion theory, and elicitation described in this article is an important addition to the existing methods of health technology assessment.

Bio-economic evaluation of implementing trawl fishing gear with different selectivity

DEFF Research Database (Denmark)

Grønbæk Kronbak, Lone; Nielsen, J. Rasmus; Jørgensen, Ole A.

2009-01-01

The paper develops a biological-economic evaluation tool to analyse the consequences for trawl fishers of implementing more selective fishing technologies. This is done by merging a dynamic biological population model and an economic cost-benefit evaluation framework to describe the consequences...... with a baseline. The results from the evaluation are indicators for the consequences on ecological and economic levels. The results show that implementation of different selective fishing gear in the Kattegat and Skagerrak mixed trawl fisheries generally implies a trade off over time between rebuilding the stocks...... for the fish stocks, fishermen and society. The bio-economic evaluation is applied to the case of the Danish trawl fishery in Kattegat and Skagerrak, which experiences a high level of discards and byratches of several species. Four different kinds of selectivity scenarios are evaluated in comparison...

Bio-economic evaluation of implementing trawl fishing gear with different selectivity

DEFF Research Database (Denmark)

Kronbak, Lone Grønbæk; Nielsen, J. Rasmus; Jørgensen, Ole A.

2009-01-01

The paper develops a biological-economic evaluation tool to analyse the consequences for trawl fishers of implementing more selective fishing technologies. This is done by merging a dynamic biological population model and an economic cost-benefit evaluation framework to describe the consequences...... with a baseline. The results from the evaluation are indicators for the consequences on ecological and economic levels. The results show that implementation of different selective fishing gear in the Kattegat and Skagerrak mixed trawl fisheries generally implies a trade off over time between rebuilding the stocks...... for the fish stocks, fishermen and society. The bio-economic evaluation is applied to the case of the Danish trawl fishery in Kattegat and Skagerrak, which experiences a high level of discards and bycatches of several species. Four different kinds of selectivity scenarios are evaluated in comparison...

Contrasting the core beliefs regarding the effective implementation of wind power: an international study of stakeholder perspectives

NARCIS (Netherlands)

Wolsink, M.; Breukers, S.

2010-01-01

This paper analyses patterns in beliefs about the implementation of wind power as part of a geographical comparison of onshore wind power developments in the Netherlands, North-Rhine Westphalia and England. Q methodology is applied, in order to systematically compare the patterns in stakeholder

Implementing database system for LHCb publications page

CERN Document Server

Abdullayev, Fakhriddin

2017-01-01

The LHCb is one of the main detectors of Large Hadron Collider, where physicists and scientists work together on high precision measurements of matter-antimatter asymmetries and searches for rare and forbidden decays, with the aim of discovering new and unexpected forces. The work does not only consist of analyzing data collected from experiments but also in publishing the results of those analyses. The LHCb publications are gathered on LHCb publications page to maximize their availability to both LHCb members and to the high energy community. In this project a new database system was implemented for LHCb publications page. This will help to improve access to research papers for scientists and better integration with current CERN library website and others.

Implementing a framework for goal setting in community based stroke rehabilitation: a process evaluation.

Science.gov (United States)

Scobbie, Lesley; McLean, Donald; Dixon, Diane; Duncan, Edward; Wyke, Sally

2013-05-24

Goal setting is considered 'best practice' in stroke rehabilitation; however, there is no consensus regarding the key components of goal setting interventions or how they should be optimally delivered in practice. We developed a theory-based goal setting and action planning framework (G-AP) to guide goal setting practice. G-AP has 4 stages: goal negotiation, goal setting, action planning & coping planning and appraisal & feedback. All stages are recorded in a patient-held record. In this study we examined the implementation, acceptability and perceived benefits of G-AP in one community rehabilitation team with people recovering from stroke. G-AP was implemented for 6 months with 23 stroke patients. In-depth interviews with 8 patients and 8 health professionals were analysed thematically to investigate views of its implementation, acceptability and perceived benefits. Case notes of interviewed patients were analysed descriptively to assess the fidelity of G-AP implementation. G-AP was mostly implemented according to protocol with deviations noted at the planning and appraisal and feedback stages. Each stage was felt to make a useful contribution to the overall process; however, in practice, goal negotiation and goal setting merged into one stage and the appraisal and feedback stage included an explicit decision making component. Only two issues were raised regarding G-APs acceptability: (i) health professionals were concerned about the impact of goal non-attainment on patient's well-being (patients did not share their concerns), and (ii) some patients and health professionals found the patient-held record unhelpful. G-AP was felt to have a positive impact on patient goal attainment and professional goal setting practice. Collaborative partnerships between health professionals and patients were apparent throughout the process. G-AP has been perceived as both beneficial and broadly acceptable in one community rehabilitation team; however, implementation of novel

Implementing a framework for goal setting in community based stroke rehabilitation: a process evaluation

Science.gov (United States)

2013-01-01

Background Goal setting is considered ‘best practice’ in stroke rehabilitation; however, there is no consensus regarding the key components of goal setting interventions or how they should be optimally delivered in practice. We developed a theory-based goal setting and action planning framework (G-AP) to guide goal setting practice. G-AP has 4 stages: goal negotiation, goal setting, action planning & coping planning and appraisal & feedback. All stages are recorded in a patient-held record. In this study we examined the implementation, acceptability and perceived benefits of G-AP in one community rehabilitation team with people recovering from stroke. Methods G-AP was implemented for 6 months with 23 stroke patients. In-depth interviews with 8 patients and 8 health professionals were analysed thematically to investigate views of its implementation, acceptability and perceived benefits. Case notes of interviewed patients were analysed descriptively to assess the fidelity of G-AP implementation. Results G-AP was mostly implemented according to protocol with deviations noted at the planning and appraisal and feedback stages. Each stage was felt to make a useful contribution to the overall process; however, in practice, goal negotiation and goal setting merged into one stage and the appraisal and feedback stage included an explicit decision making component. Only two issues were raised regarding G-APs acceptability: (i) health professionals were concerned about the impact of goal non-attainment on patient’s well-being (patients did not share their concerns), and (ii) some patients and health professionals found the patient-held record unhelpful. G-AP was felt to have a positive impact on patient goal attainment and professional goal setting practice. Collaborative partnerships between health professionals and patients were apparent throughout the process. Conclusions G-AP has been perceived as both beneficial and broadly acceptable in one community

Critical factors for EIA implementation: literature review and research options.

Science.gov (United States)

Zhang, Jie; Kørnøv, Lone; Christensen, Per

2013-01-15

After decades of development, the gap between expectations of Environment Impact Assessments (EIA) and their practical performance remains significant. Research has been done to identify the critical factors for an effective implementation of EIA. However, this research, to a large extent, has not been cumulated and analysed comprehensively according to the stages of the EIA process. This paper contributes to the critical review of the literature on EIA implementation and effectiveness by cumulating mainly empirical findings in an implementation theoretical perspective. It focuses on the links between different critical factors and how they relate to different stages in the EIA and thus influence the decision making process. After reviewing 33 refereed journal articles published between 1999 and 2011, we identified 203 notions of critical factors. Of these, 102 related to different stages defined in our comprehensive EIA implementation model, and 101 were identified as general factors related to the whole EIA system. The number of notions of stage factors and general factors is thus about equal. An overlap between stage factors and general factors was found, which demonstrates that critical factors function differently in different cases. The function of the critical factors is complex and it is difficult to determine contingencies and causations. In the sources we examined, there is evidently an imbalance between in-depth empirical research and general knowledge, and the paper offers some suggestions for future research. Copyright © 2012 Elsevier Ltd. All rights reserved.

Numerical Analyses of Earthquake Induced Liquefaction and Deformation Behaviour of an Upstream Tailings Dam

Directory of Open Access Journals (Sweden)

Muhammad Auchar Zardari

2017-01-01

Full Text Available Much of the seismic activity of northern Sweden consists of micro-earthquakes occurring near postglacial faults. However, larger magnitude earthquakes do occur in Sweden, and earthquake statistics indicate that a magnitude 5 event is likely to occur once every century. This paper presents dynamic analyses of the effects of larger earthquakes on an upstream tailings dam at the Aitik copper mine in northern Sweden. The analyses were performed to evaluate the potential for liquefaction and to assess stability of the dam under two specific earthquakes: a commonly occurring magnitude 3.6 event and a more extreme earthquake of magnitude 5.8. The dynamic analyses were carried out with the finite element program PLAXIS using a recently implemented constitutive model called UBCSAND. The results indicate that the magnitude 5.8 earthquake would likely induce liquefaction in a limited zone located below the ground surface near the embankment dikes. It is interpreted that stability of the dam may not be affected due to the limited extent of the liquefied zone. Both types of earthquakes are predicted to induce tolerable magnitudes of displacements. The results of the postseismic slope stability analysis, performed for a state after a seismic event, suggest that the dam is stable during both the earthquakes.

Never the twain shall meet?--a comparison of implementation science and policy implementation research.

Science.gov (United States)

Nilsen, Per; Ståhl, Christian; Roback, Kerstin; Cairney, Paul

2013-06-10

Many of society's health problems require research-based knowledge acted on by healthcare practitioners together with implementation of political measures from governmental agencies. However, there has been limited knowledge exchange between implementation science and policy implementation research, which has been conducted since the early 1970s. Based on a narrative review of selective literature on implementation science and policy implementation research, the aim of this paper is to describe the characteristics of policy implementation research, analyze key similarities and differences between this field and implementation science, and discuss how knowledge assembled in policy implementation research could inform implementation science. Following a brief overview of policy implementation research, several aspects of the two fields were described and compared: the purpose and origins of the research; the characteristics of the research; the development and use of theory; determinants of change (independent variables); and the impact of implementation (dependent variables). The comparative analysis showed that there are many similarities between the two fields, yet there are also profound differences. Still, important learning may be derived from several aspects of policy implementation research, including issues related to the influence of the context of implementation and the values and norms of the implementers (the healthcare practitioners) on implementation processes. Relevant research on various associated policy topics, including The Advocacy Coalition Framework, Governance Theory, and Institutional Theory, may also contribute to improved understanding of the difficulties of implementing evidence in healthcare. Implementation science is at a relatively early stage of development, and advancement of the field would benefit from accounting for knowledge beyond the parameters of the immediate implementation science literature. There are many common issues in

Never the twain shall meet? - a comparison of implementation science and policy implementation research

Science.gov (United States)

2013-01-01

Background Many of society’s health problems require research-based knowledge acted on by healthcare practitioners together with implementation of political measures from governmental agencies. However, there has been limited knowledge exchange between implementation science and policy implementation research, which has been conducted since the early 1970s. Based on a narrative review of selective literature on implementation science and policy implementation research, the aim of this paper is to describe the characteristics of policy implementation research, analyze key similarities and differences between this field and implementation science, and discuss how knowledge assembled in policy implementation research could inform implementation science. Discussion Following a brief overview of policy implementation research, several aspects of the two fields were described and compared: the purpose and origins of the research; the characteristics of the research; the development and use of theory; determinants of change (independent variables); and the impact of implementation (dependent variables). The comparative analysis showed that there are many similarities between the two fields, yet there are also profound differences. Still, important learning may be derived from several aspects of policy implementation research, including issues related to the influence of the context of implementation and the values and norms of the implementers (the healthcare practitioners) on implementation processes. Relevant research on various associated policy topics, including The Advocacy Coalition Framework, Governance Theory, and Institutional Theory, may also contribute to improved understanding of the difficulties of implementing evidence in healthcare. Implementation science is at a relatively early stage of development, and advancement of the field would benefit from accounting for knowledge beyond the parameters of the immediate implementation science literature. Summary

The prevalence of implementation of mental health measures in companies and its association with sickness absence.

Science.gov (United States)

Pas, L Willemijn; Boot, Cécile R L; van der Beek, Allard J; Proper, Karin I

2016-03-01

The main objective was to determine the prevalence of implementation of mental health measures aimed at the prevention of high workload (workload measures) and the promotion of work engagement (engagement measures) in companies and sectors. Additionally, its associations with sickness absence was explored. Cross-sectional survey. An internet-based survey among 12,894 company representatives in the Netherlands. Descriptive analyses were performed to determine the prevalence, and differences between sectors were tested using Chi-squared tests. ANOVA was performed to examine the association between companies with or without mental health measures and sickness absence rates. 32.8% and 21.7% of the companies reported to have implemented 'continuously or often' workload measures and engagement measures, respectively. The sectors 'health care and welfare' and 'education' reported to have implemented measures most often. Having implemented engagement measures was significantly associated with lower sickness absence (4.1% vs 4.5%). Overall, workload measures were more often implemented than engagement measures. Future research is recommended to determine reasons for implementation as well as causality in the association between mental health measures and sickness absence. Copyright © 2015. Published by Elsevier Ltd.

Factors associated with physical therapists' implementation of physical activity interventions in The Netherlands.

Science.gov (United States)

Huijg, Johanna M; Dusseldorp, Elise; Gebhardt, Winifred A; Verheijden, Marieke W; van der Zouwe, Nicolette; Middelkoop, Barend J C; Duijzer, Geerke; Crone, Mathilde R

2015-04-01

Physical therapists play an important role in the promotion of physical activity (PA) and the effectiveness of PA interventions. However, little is known about the extent to which they implement PA interventions following the intervention protocol and about the factors influencing their implementation behaviors. The study objective was to investigate physical therapists' implementation fidelity regarding PA interventions, including completeness and quality of delivery, and influencing factors with a Theoretical Domains Framework-based questionnaire. The study was based on a cross-sectional design. A total of 268 physical therapists completed the Determinants of Implementation Behavior Questionnaire. Questions about completeness and quality of delivery were based on components and tasks of PA interventions as described by the Royal Dutch Society for Physical Therapy. Multilevel regression analyses were used to identify factors associated with completeness and quality of delivery. High implementation fidelity was found for the physical therapists, with higher scores for completeness of delivery than for quality of delivery. Physical therapists' knowledge, skills, beliefs about capabilities and consequences, positive emotions, behavioral regulation, and the automaticity of PA intervention delivery were the most important predictors of implementation fidelity. Together, the Theoretical Domains Framework accounted for 23% of the variance in both total completeness and total quality scores. The cross-sectional design precluded the determination of causal relationships. Also, the use of a self-report measure to assess implementation fidelity could have led to socially desirable responses, possibly resulting in more favorable ratings for completeness and quality. This study enhances the understanding of how physical therapists implement PA interventions and which factors influence their behaviors. Knowledge about these factors may assist in the development of strategies to

Architecture Level Safety Analyses for Safety-Critical Systems

Directory of Open Access Journals (Sweden)

K. S. Kushal

2017-01-01

Full Text Available The dependency of complex embedded Safety-Critical Systems across Avionics and Aerospace domains on their underlying software and hardware components has gradually increased with progression in time. Such application domain systems are developed based on a complex integrated architecture, which is modular in nature. Engineering practices assured with system safety standards to manage the failure, faulty, and unsafe operational conditions are very much necessary. System safety analyses involve the analysis of complex software architecture of the system, a major aspect in leading to fatal consequences in the behaviour of Safety-Critical Systems, and provide high reliability and dependability factors during their development. In this paper, we propose an architecture fault modeling and the safety analyses approach that will aid in identifying and eliminating the design flaws. The formal foundations of SAE Architecture Analysis & Design Language (AADL augmented with the Error Model Annex (EMV are discussed. The fault propagation, failure behaviour, and the composite behaviour of the design flaws/failures are considered for architecture safety analysis. The illustration of the proposed approach is validated by implementing the Speed Control Unit of Power-Boat Autopilot (PBA system. The Error Model Annex (EMV is guided with the pattern of consideration and inclusion of probable failure scenarios and propagation of fault conditions in the Speed Control Unit of Power-Boat Autopilot (PBA. This helps in validating the system architecture with the detection of the error event in the model and its impact in the operational environment. This also provides an insight of the certification impact that these exceptional conditions pose at various criticality levels and design assurance levels and its implications in verifying and validating the designs.

Problems with the implementation of bus transport contracting in South Africa

Directory of Open Access Journals (Sweden)

Jackie Walters

2012-11-01

Full Text Available South Africa has had a policy of competitive tendering for the provision of public transport services (subsidised commuter bus services since the mid-1980s. Although this policy approach was conceptualised by the previous government, prior to the transfer of political power in 1994, it was reaffirmed in a 1996 White Paper on National Transport Policy. Despite the nearly 25 years that have passed since the intention to tender services, only about 32% of the subsidy budget is currently spent on some form of contracting. The majority of services are still operated on authorisations (interim contracts which formalised services that operators were operating pre-1994. The purpose of this paper is to analyse the reasons why public transport contracting policy progress has been so slow in South Africa. The paper relies on an extensive study that was conducted regarding policy implementation obstacles in general, as well as a questionnaire survey among the subsidised commuter bus operators to solicit their views on the reasons for the delay in the implementation of the contracting system in the country. The findings of the survey indicate that the major issues hindering the implementation of the contracting system are to be found in a lack of funding, lack of capacity to implement policy and major operational issues in the permit offices.

Economic Evaluation of a Multifaceted Implementation Strategy for the Prevention of Hand Eczema Among Healthcare Workers in Comparison with a Control Group: The Hands4U Study.

Science.gov (United States)

van der Meer, Esther W C; van Dongen, Johanna M; Boot, Cécile R L; van der Gulden, Joost W J; Bosmans, Judith E; Anema, Johannes R

2016-05-01

The aim of this study was to evaluate the cost-effectiveness of a multifaceted implementation strategy for the prevention of hand eczema in comparison with a control group among healthcare workers. A total of 48 departments (n=1,649) were randomly allocated to the implementation strategy or the control group. Data on hand eczema and costs were collected at baseline and every 3 months. Cost-effectiveness analyses were performed using linear multilevel analyses. The probability of the implementation strategy being cost-effective gradually increased with an increasing willingness-to-pay, to 0.84 at a ceiling ratio of €590,000 per person with hand eczema prevented (societal perspective). The implementation strategy appeared to be not cost-effective in comparison with the control group (societal perspective), nor was it cost-beneficial to the employer. However, this study had some methodological problems which should be taken into account when interpreting the results.

Trigeneration Possibilities of Implementation at CERN

CERN Document Server

Kühnl-Kinel, J

1999-01-01

Optimum distribution of energy supply systems can result in large savings in industrial facilities and production devices. Identifying the configuration of existing equipment and its loading, in order to minimize total energy consumption and at the same time satisfy given load demands, has very high payback potential. This paper presents the principle of trigeneration, the technology that can offer a highly efficient way of converting primary fuel (gas, oil) into useful energy as electricity, heat and chilled water simultaneously. It explains different factors that must be considered for such systems to be economically feasible. Some examples of industrial trigeneration systems are analysed and discussed to illustrate the application. Also the possibility of implementation of trigeneration at CERN is discussed, taking into account the existing cogeneration system, power supply structure, secondary energy demands, as well as future developments in our energy policy.

Implementing risk-informed life-cycle design

International Nuclear Information System (INIS)

Hill, Ralph S. III

2007-01-01

This paper describes a design process based on risk-informed probabilistic methodologies that cover a facility's life-cycle from start of conceptual design through decontamination and decommissioning. The concept uses probabilistic risk assessments to identify target reliabilities for facility systems and components. Target reliabilities are used in system and subsystem simulation analyses to determine the optimum combination of initial system and component construction reliability, maintenance frequency, and inspection frequency for both active and passive components. The target reliabilities are also used for system based code margin exchange to reduce excessive level of margins to appropriate levels resulting in a more flexible structure of codes and standards that improves facility reliability and cost. The paper includes a description of a risk informed life-cycle design process, a summary of work being done, and a discussion of work needed to implement the process. (author)

AGA: Interactive pipeline for reproducible gene expression and DNA methylation data analyses [version 2; referees: 2 approved

Directory of Open Access Journals (Sweden)

Michael Considine

2015-10-01

Full Text Available Automated Genomics Analysis (AGA is an interactive program to analyze high-throughput genomic data sets on a variety of platforms. An easy to use, point and click, guided pipeline is implemented to combine, define, and compare datasets, and customize their outputs. In contrast to other automated programs, AGA enables flexible selection of sample groups for comparison from complex sample annotations. Batch correction techniques are also included to further enable the combination of datasets from diverse studies in this comparison. AGA also allows users to save plots, tables and data, and log files containing key portions of the R script run for reproducible analyses. The link between the interface and R supports collaborative research, enabling advanced R users to extend preliminary analyses generated from bioinformatics novices.

Participatory redesign of work organisation in hospital nursing: A study of the implementation process.

Science.gov (United States)

Stab, Nicole; Hacker, Winfried

2018-05-01

The main goal of the study was to apply and analyse a moderated participatory small-group procedure with registered nurses, which aims at the development and implementation of measures to improve work organisation in hospital wards and nursing units. Participation in job redesign is an essential prerequisite of the successful implementation of improvement measures in nursing. The study was carried out in a public hospital of maximum care in Germany. We selected 25 wards with the most critical reported exhaustion and general health and applied a series of moderated small-group sessions in which the registered nurses jointly identified deficits in their work organisation, developed improvement measures, and then implemented and assessed them. Registered nurses of 22 wards actively took part in the small-group procedure. All nursing units jointly identified organisational deficits, developed possible improvement measures, and implemented them. The nursing teams then evaluated the implemented measures which were already assessable at the end of our research period; nearly all (99.0%) showed improvements, while 69.4% actually attained the desired goals. Participatory small-group activities may be successfully applied in hospital nursing in order to improve work organisation. Participatory assessment and redesign of nurses' work organisation should be integrated into regular team meetings. The nursing management should actively support the implementation process. © 2018 John Wiley & Sons Ltd.

Estimated incremental costs for NRC licensees to implement the US/IAEA safeguards agreement

International Nuclear Information System (INIS)

Clark, R.G.; Brouns, R.J.; Chockie, A.D.; Davenport, L.C.; Merrill, J.A.

1979-01-01

A study was recently completed for the US Nuclear Regulatory Commision (NRC) by the Pacific Northwest Laboratory (PNL) to identify the incremental cost of implementing the US/IAEA safeguards treaty agreement to eligible NRC licensees. Sources for the study were cost estimates from several licensees who will be affected by the agreement and cost analyses by PNL staff. The initial cost to all eligible licensees to implement the agreement is estimated by PNL to range from $1.9 to $7.2 million. The annual cost to these same licensees for the required accounting and reporting activities is estimated at $0.5 to $1.5 million. Annual inspection costs to the industry for the limited IAEA inspection being assumed is estimated at $80,000 to $160,000

FINANCIAL TECHNOLOGY (FINTECH AND ITS IMPLEMENTATION ON THE ROMANIAN NON-BANKING CAPITAL MARKET

Directory of Open Access Journals (Sweden)

Ion MICU

2016-07-01

Full Text Available This paper presents the particularities of the financial technology industry, how is FinTech defined and how can the financial technology solutions implemented by companies be categorised. Also it approaches FinTech’s appeal to the consumer and the effects, both disruptive and positive, that it had on the financial industry, as well as the growth this industry has seen in recent years. It will also analyse the implementation of FinTech solutions by the financial service providers active on the Bucharest Stock Exchange (BVB, which were determined by the market institutions or by the regulatory framework set by Romanian Financial Supervisory Authority as well as solutions aimed to provide better services to their customers, in the form on online trading platforms.

Implementation of a model of emergency care in an Australian hospital.

Science.gov (United States)

Millichamp, Tracey; Bakon, Shannon; Christensen, Martin; Stock, Kate; Howarth, Sarah

2017-11-10

Emergency departments are characterised by a fast-paced, quick turnover and high acuity workload, therefore appropriate staffing is vital to ensure positive patient outcomes. Models of care are frameworks in which safe and effective patient-to-nurse ratios can be ensured. The aim of this study was to implement a supportive and transparent model of emergency nursing care that provides structure - regardless of nursing staff profile, business or other demands; improvement to nursing workloads; and promotes individual responsibility and accountability for patient care. A convergent parallel mixed-method approach was used. Quantitative data were analysed using descriptive statistics and the qualitative data used a thematic analysis to identify recurrent themes. Data post-implementation of the model of emergency nursing care indicate improved staff satisfaction in relation to workload, patient care and support structures. The development and implementation of a model of care in an emergency department improved staff workload and staff's perception of their ability to provide care. ©2017 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

Understanding influential factors on implementing green supply chain management practices: An interpretive structural modelling analysis.

Science.gov (United States)

Agi, Maher A N; Nishant, Rohit

2017-03-01

In this study, we establish a set of 19 influential factors on the implementation of Green Supply Chain Management (GSCM) practices and analyse the interaction between these factors and their effect on the implementation of GSCM practices using the Interpretive Structural Modelling (ISM) method and the "Matrice d'Impacts Croisés Multiplication Appliquée à un Classement" (MICMAC) analysis on data compiled from interviews with supply chain (SC) executives based in the Gulf countries (Middle East region). The study reveals a strong influence and driving power of the nature of the relationships between SC partners on the implementation of GSCM practices. We especially found that dependence, trust, and durability of the relationship with SC partners have a very high influence. In addition, the size of the company, the top management commitment, the implementation of quality management and the employees training and education exert a critical influence on the implementation of GSCM practices. Contextual elements such as the industry sector and region and their effect on the prominence of specific factors are also highlighted through our study. Finally, implications for research and practice are discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.

Earthquake behavior of steel cushion-implemented reinforced concrete frames

Science.gov (United States)

Özkaynak, Hasan

2018-04-01

The earthquake performance of vulnerable structures can be increased by the implementation of supplementary energy-dissipative metallic elements. The main aim of this paper is to describe the earthquake behavior of steel cushion-implemented reinforced concrete frames (SCI-RCFR) in terms of displacement demands and energy components. Several quasi-static experiments were performed on steel cushions (SC) installed in reinforced concrete (RC) frames. The test results served as the basis of the analytical models of SCs and a bare reinforced concrete frame (B-RCFR). These models were integrated in order to obtain the resulting analytical model of the SCI-RCFR. Nonlinear-time history analyses (NTHA) were performed on the SCI-RCFR under the effects of the selected earthquake data set. According to the NTHA, SC application is an effective technique for increasing the seismic performance of RC structures. The main portion of the earthquake input energy was dissipated through SCs. SCs succeeded in decreasing the plastic energy demand on structural elements by almost 50% at distinct drift levels.

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

Science.gov (United States)

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

2015-07-01

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

[Building and implementation of management system in laboratories of the National Institute of Hygiene].

Science.gov (United States)

Rozbicka, Beata; Brulińska-Ostrowska, Elzbieta

2008-01-01

The rules of good laboratory practice have always been observed in the laboratories of National Institute of Hygiene (NIH) and the reliability of the results has been carefully cared after when performing tests for clients. In 2003 the laboratories performing analyses related to food safety were designated as the national reference laboratories. This, added to the necessity of compliance with work standards and requirements of EU legislation and to the need of confirmation of competence by an independent organisation, led to a decision to seek accreditation of Polish Centre of Accreditation (PCA). The following stages of building and implementation of management system were presented: training, modifications of Institute's organisational structure, elaboration of management system's documentation, renovation and refurbishment of laboratory facilities, implementation of measuring and test equipment's supervision, internal audits and management review. The importance of earlier experiences and achievements with regard to validation of analytical methods and guarding of the quality of the results through organisation and participation in proficiency tests was highlighted. Current status of accreditation of testing procedures used in NIH laboratories that perform analyses in the field of chemistry, microbiology, radiobiology and medical diagnostic tests was presented.

Quality assurance in CT: implementation of the updated national diagnostic reference levels using an automated CT dose monitoring system.

Science.gov (United States)

Appel, E; Kröpil, P; Bethge, O T; Aissa, J; Thomas, C; Antoch, G; Boos, J

2018-03-20

To evaluate the implementation of the updated computed tomography (CT) diagnostic reference levels (DRLs) from the German Federal Office for Radiation Protection into clinical routine using an automatic CT dose monitoring system. CT radiation exposure was analysed before and after implementing the updated national DRLs into routine clinical work in 2016. After the implementation process, institutional CT protocols were mapped to the anatomical regions for which DRLs were provided. Systematically, protocols that exceeded the thresholds were optimised and analysed in detail. The CT radiation output parameters analysed were volumetric CT dose index (CTDIvol) and dose-length product (DLP). Three radiologists evaluated subjective image quality using a three-point Likert scale. The study included 94,258 CT series (from 27,103 CT examinations) in adult patients performed in 2016. When averaged over all body regions with available DRL, institutional CTDIvol/DLP values were always below the DRLs (65.2±32.9%/67.3±41.5% initially; 59.4±32%/60.5±39.9% after optimisation). Values exceeding the national DRLs were found for pelvis (n=268; CTDIvol 107.7±65.7%/DLP 106.3±79.3%), lumbar spine (n=91; 160.8±74.7%/175.2±104.1%), and facial bones (n=527; 108±39%/152.7±75.7%). After optimisation, CTDIvol and DLP were 87.9±73%/87.8±80.8% for the pelvis, 67.8±33.2%/74.5±50.6% for the lumbar spine and 95.1±45.8%/133.3±74.6% for the viscerocranium. An automatic CT dose monitoring system enabled not only comprehensive monitoring of a DRL implementation process but can also help to optimise radiation exposure. Copyright © 2018 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Time-delayed chameleon: Analysis, synchronization and FPGA implementation

Science.gov (United States)

Rajagopal, Karthikeyan; Jafari, Sajad; Laarem, Guessas

2017-12-01

In this paper we report a time-delayed chameleon-like chaotic system which can belong to different families of chaotic attractors depending on the choices of parameters. Such a characteristic of self-excited and hidden chaotic flows in a simple 3D system with time delay has not been reported earlier. Dynamic analysis of the proposed time-delayed systems are analysed in time-delay space and parameter space. A novel adaptive modified functional projective lag synchronization algorithm is derived for synchronizing identical time-delayed chameleon systems with uncertain parameters. The proposed time-delayed systems and the synchronization algorithm with controllers and parameter estimates are then implemented in FPGA using hardware-software co-simulation and the results are presented.

Treaty implementation

International Nuclear Information System (INIS)

Dunn, L.A.

1990-01-01

This paper touches on three aspects of the relationship between intelligence and treaty implementation, a two-way association. First the author discusses the role of intelligence as a basis for compliance monitoring and treaty verification. Second the authors discusses payoffs of intelligence gathering and the intelligence process of treaty implementation, in particular on-site inspection. Third, the author goes in another direction and discusses some of the tensions between the intelligence gathering and treaty-implementation processes, especially with regard to extensive use of on-site inspection, such as we are likely to see in monitoring compliance of future arms control treaties

Challenges of Implementing Renewable Energy Policies at Community Scale: The Case of Strategic Energy Plans in Denmark

DEFF Research Database (Denmark)

Petersen, Jens-Phillip

2017-01-01

The implementation of national energy efficiency targets requires policies at the local scale. It is widely acknowledged that local communities play an important tole to implement these policies: as arena where renewable energy technologies can be combined with socio-economic interests of local...... stakeholders. Although a vast amount of demo projects are well-documented, insufficient attention has been given to the average performing municipalities and their challenges in linking technical energy scenarios with their socio-economic realities in practice. This paper analyses the Strategic Energy Plans...... (SEP) of 17 Danish municipalities on their development, inclusion of local communities, affected stakeholders, and on their impact on the municipalities’ working procedures. The main technical, physical, organisational and socio-economic challenges for local energy policy implementation are illustrated...

A 4-year sequential assessment of the Families First Edmonton partnership: challenges to synergy in the implementation stage.

Science.gov (United States)

Gray, Erin; Mayan, Maria; Lo, Sanchia; Jhangri, Gian; Wilson, Douglas

2012-03-01

This article assesses the partnership functioning of Families First Edmonton, a multisectored collaborative effort formed to determine the best health and recreation service delivery model for families with low income. Partners' evaluations of the collaborative process are examined across the formation, implementation, and maintenance stages of development. Statistical analyses of questionnaire data reveal a significant decrease in the partnership's capacity to maximize synergy-a main indicator of a successful collaborative process-in the implementation stage of the partnership. Implications for partnership practice are addressed.

Health information technology and implementation science: partners in progress in the VHA.

Science.gov (United States)

Hynes, Denise M; Whittier, Erika R; Owens, Arika

2013-03-01

The Department of Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) has demonstrated how implementation science can enhance the quality of health care. During this time an increasing number of implementation research projects have developed or utilized health information technology (HIT) innovations to leverage the VA's electronic health record and information systems. To describe the HIT approaches used and to characterize the facilitators and barriers to progress within implementation research projects in the VA QUERI program. Nine case studies were selected from among 88 projects and represented 8 of 14 HIT categories identified. Each case study included key informants whose roles on the project were principal investigator, implementation science and informatics development. We conducted documentation analysis and semistructured in-person interviews with key informants for each of the 9 case studies. We used qualitative analysis software to identify and thematically code information and interview responses. : Thematic analyses revealed 3 domains or pathways critical to progression through the QUERI steps. These pathways addressed: (1) compliance and collaboration with information technology policies and procedures; (2) operating within organizational policies and building collaborations with end users, clinicians, and administrators; and (3) obtaining and maintaining research resources and approvals. Sustained efforts in HIT innovation and in implementation science in the Veterans Health Administration demonstrates the interdependencies of these initiatives and the critical pathways that can contribute to progress. Other health care quality improvement efforts that rely on HIT can learn from the Veterans Health Administration experience.

Health care managers' views on and approaches to implementing models for improving care processes.

Science.gov (United States)

Andreasson, Jörgen; Eriksson, Andrea; Dellve, Lotta

2016-03-01

To develop a deeper understanding of health-care managers' views on and approaches to the implementation of models for improving care processes. In health care, there are difficulties in implementing models for improving care processes that have been decided on by upper management. Leadership approaches to this implementation can affect the outcome. In-depth interviews with first- and second-line managers in Swedish hospitals were conducted and analysed using grounded theory. 'Coaching for participation' emerged as a central theme for managers in handling top-down initiated process development. The vertical approach in this coaching addresses how managers attempt to sustain unit integrity through adapting and translating orders from top management. The horizontal approach in the coaching refers to managers' strategies for motivating and engaging their employees in implementation work. Implementation models for improving care processes require a coaching leadership built on close manager-employee interaction, mindfulness regarding the pace of change at the unit level, managers with the competence to share responsibility with their teams and engaged employees with the competence to share responsibility for improving the care processes, and organisational structures that support process-oriented work. Implications for nursing management are the importance of giving nurse managers knowledge of change management. © 2015 John Wiley & Sons Ltd.

Best practices of Building Information Modelling (BIM) implementation in design phase for construction project

Science.gov (United States)

Kasim, N.; Zainal Abidin, N. A.; Zainal, R.; Sarpin, N.; Rahim, M. H. I. Abd; Saikah, M.

2017-11-01

Implementation of Building Information Modelling (BIM) was expected to bring improvement in current practices of Malaysian construction industry. In the design phase, there is a lack of a ready pool of skilled workers who are able to develop BIM strategic plan and effectively utilise it. These create boundaries for BIM nature in Malaysian construction industry specifically in the design phase to achieve its best practices. Therefore, the objectives of this research are to investigate the current practices of BIM implementation in the design phase as well as the best practices factors of BIM implementation in the design phase. The qualitative research approach is carried out through semi-structured interviews with the designers of different organisations which adopt BIM in the design phase. Data collection is analysed by executing content analysis method. From the findings, the best practices factors of BIM implementation in design phase such as the incentive for BIM training, formal approach to monitoring automated Level of Detailing (LOD), run a virtual meeting and improve Industry Foundation Class (IFC). Thus, best practices factors which lead to practices improvements in the design phase of project development which subsequently improves the implementation of BIM in the design phase of Malaysian construction industry.

Examining the Knowledge and Capacity of Elementary Teachers to Implement Classroom Physical Activity Breaks

Directory of Open Access Journals (Sweden)

Danae M. DINKEL

2016-09-01

Full Text Available This study examined teachers’ zone of proximal development for classroom physical activity breaks by assessing teachers’ knowledge and capacity for implementing classroom physical activity breaks. Five school districts of various sizes (n=346 teachers took part in a short online survey. Descriptive statistics were calculated and chi-square analyses were used to identify differences between districts. Almost all teachers utilized classroom physical activity to some extent. A third of teachers who stated they implemented classroom physical activity, experienced barriers to implementation. A majority of teachers were interested in learning more about classroom physical activity. There were significant differences between districts on the number of days per week classroom physical activity was integrated, the frequency of collaboration that occurred between teachers, the percentage of teachers who experienced barriers, and preferred delivery method of professional development. These findings support the importance of identifying teachers’ zone of proximal development to increase the use of classroom physical activity breaks. Understanding teachers’ knowledge and capacity for implementing classroom physical activity breaks can allow educational professionals to shift the implementation of classroom physical activity beyond sporadic use by isolated teachers and schools to a more systematic and consistent delivery across classrooms and throughout districts.

Deliberate and emergent strategies for implementing person-centred care: a qualitative interview study with researchers, professionals and patients.

Science.gov (United States)

Naldemirci, Öncel; Wolf, Axel; Elam, Mark; Lydahl, Doris; Moore, Lucy; Britten, Nicky

2017-08-04

The introduction of innovative models of healthcare does not necessarily mean that they become embedded in everyday clinical practice. This study has two aims: first, to analyse deliberate and emergent strategies adopted by healthcare professionals to overcome barriers to normalization of a specific framework of person-centred care (PCC); and secondly, to explore how the recipients of PCC understand these strategies. This paper is based on a qualitative study of the implementation of PCC in a Swedish context. It draws on semi-structured interviews with 18 researchers and 17 practitioners who adopted a model of PCC on four different wards and 20 patients who were cared for in one of these wards. Data from these interviews were first coded inductively and emerging themes are analysed in relation to normalization process theory (NPT). In addition to deliberate strategies, we identify emergent strategies to normalize PCC by (i) creating and sustaining coherence in small but continuously communicating groups (ii) interpreting PCC flexibly when it meets specific local situations and (iii) enforcing teamwork between professional groups. These strategies resulted in patients perceiving PCC as bringing about (i) a sense of ease (ii) appreciation of inter-professional congruity (ii) non-hierarchical communication. NPT is useful to identify and analyse deliberate and emergent strategies relating to mechanisms of normalization. Emergent strategies should be interpreted not as trivial solutions to problems in implementation, but as a possible repertoire of tools, practices and skills developed in situ. As professionals and patients may have different understandings of implementation, it is also crucial to include patients' perceptions to evaluate outcomes.

Implementing a province-wide mandatory vaccinate-or-mask policy at healthcare facilities in British Columbia, Canada.

Science.gov (United States)

Nunn, Alexandra; Campbell, Audrey C; Naus, Monika; Kwong, Jeffrey C; Puddicombe, David; Quach, Susan; Henry, Bonnie

2018-01-08

In 2012, British Columbia (BC) became the first Canadian province to implement an influenza prevention policy requiring healthcare workers (HCW) to either be vaccinated annually against influenza or wear a mask in patient care areas during the influenza season. This study describes an evaluation of influenza policy implementation processes and identifies supports and challenges related to successful policy implementation at the level of healthcare facilities, during the second policy year (2013/14). Implementation leaders from 262 long-term care (LTC) and acute care facilities, mostly in three of BC's five regional Health Authorities, were invited to participate in an online survey following the 2013/14 influenza season. Descriptive quantitative and qualitative analyses identified common and effective strategies for improving vaccination coverage and policy compliance. A total of 127 respondents completed the survey on behalf of 33 acute care and 99 LTC facilities, representing 36% of acute care and 27% of LTC facilities in BC. Respondents agreed that the policy was successfully implemented at 89% of facilities, and implementation was reported to be easy at 52% of facilities. The findings elaborate on communication and leadership strategies, campaign logistics and enforcement approaches involved in policy implementation. Implementation of a vaccinate-or-mask influenza policy is complex. This study provides insight for other jurisdictions considering implementing such a policy and offers practical recommendations for facilities and health authorities. Copyright © 2017 Elsevier Ltd. All rights reserved.

Quality Management Principles and Benefits of their Implementation in Central Banks

Directory of Open Access Journals (Sweden)

Luburić Radoica

2015-09-01

Full Text Available This article discusses the principles of quality management and benefits of their implementation in central banks. It is based on new principles of quality management, in particular to: customer focus, leadership, engagement of people, process approach, improvement, evidence-based decision making, and, relationship management. With a view to continuously improving their performance and achieving sustained success, central banks have a realistic opportunity to use these principles in an efficient and effective manner whereby the top management certainly holds the most responsibility. Quality management principles are analysed herein both in their original form and in terms of their implementation in the financial system and its most prominent entity - central bank. The article also incorporates new standard-related terms such as `context` and `risk-based thinking` that significantly strengthen quality management principles and contribute to a more effective and efficient achievement of sustainable success.

The Implementation of hydrogen mitigation techniques: summary and conclusions: OECD Workshop

International Nuclear Information System (INIS)

1996-01-01

The OECD Workshop on the Implementation of Hydrogen Mitigation Techniques was held in Winnipeg, Canada from 1996 May 13 to 15. Sixty-five experts from twelve OECD Member countries and the Russian Federation attended the meeting. Thirty-five papers were presented in six sessions: accident management and analyses, relevant aspects of hydrogen production, distribution and mixing, engineering, technology, possible side-effects and consequences, new designs. The objectives of the Workshop were to establish the state-of-the-art of hydrogen mitigation techniques, with emphasis on igniters and catalytic recombiners, to exchange information on Member countries' strategies in managing hydrogen mitigation and to establish dialogue as to differences in approach, to determine whether there is now an adequate technical basis for such strategies or whether more work - in which areas - is desirable, and to exchange information on future plans for implementation of hydrogen mitigation techniques

Integrated approach for fusion multi-physics coupled analyses based on hybrid CAD and mesh geometries

Energy Technology Data Exchange (ETDEWEB)

Qiu, Yuefeng, E-mail: yuefeng.qiu@kit.edu; Lu, Lei; Fischer, Ulrich

2015-10-15

Highlights: • Integrated approach for neutronics, thermal and structural analyses was developed. • MCNP5/6, TRIPOLI-4 were coupled with CFX, Fluent and ANSYS Workbench. • A novel meshing approach has been proposed for describing MC geometry. - Abstract: Coupled multi-physics analyses on fusion reactor devices require high-fidelity neutronic models, and flexible, accurate data exchanging between various calculation codes. An integrated coupling approach has been developed to enable the conversion of CAD, mesh, or hybrid geometries for Monte Carlo (MC) codes MCNP5/6, TRIPOLI-4, and translation of nuclear heating data for CFD codes Fluent, CFX and structural mechanical software ANSYS Workbench. The coupling approach has been implemented based on SALOME platform with CAD modeling, mesh generation and data visualization capabilities. A novel meshing approach has been developed for generating suitable meshes for MC geometry descriptions. The coupling approach has been concluded to be reliable and efficient after verification calculations of several application cases.

PreP+07: improvements of a user friendly tool to preprocess and analyse microarray data

Directory of Open Access Journals (Sweden)

Claros M Gonzalo

2009-01-01

Full Text Available Abstract Background Nowadays, microarray gene expression analysis is a widely used technology that scientists handle but whose final interpretation usually requires the participation of a specialist. The need for this participation is due to the requirement of some background in statistics that most users lack or have a very vague notion of. Moreover, programming skills could also be essential to analyse these data. An interactive, easy to use application seems therefore necessary to help researchers to extract full information from data and analyse them in a simple, powerful and confident way. Results PreP+07 is a standalone Windows XP application that presents a friendly interface for spot filtration, inter- and intra-slide normalization, duplicate resolution, dye-swapping, error removal and statistical analyses. Additionally, it contains two unique implementation of the procedures – double scan and Supervised Lowess-, a complete set of graphical representations – MA plot, RG plot, QQ plot, PP plot, PN plot – and can deal with many data formats, such as tabulated text, GenePix GPR and ArrayPRO. PreP+07 performance has been compared with the equivalent functions in Bioconductor using a tomato chip with 13056 spots. The number of differentially expressed genes considering p-values coming from the PreP+07 and Bioconductor Limma packages were statistically identical when the data set was only normalized; however, a slight variability was appreciated when the data was both normalized and scaled. Conclusion PreP+07 implementation provides a high degree of freedom in selecting and organizing a small set of widely used data processing protocols, and can handle many data formats. Its reliability has been proven so that a laboratory researcher can afford a statistical pre-processing of his/her microarray results and obtain a list of differentially expressed genes using PreP+07 without any programming skills. All of this gives support to scientists

Factors that affect implementation of a nurse staffing directive: results from a qualitative multi-case evaluation.

Science.gov (United States)

Robinson, Claire H; Annis, Ann M; Forman, Jane; Krein, Sarah L; Yankey, Nicholas; Duffy, Sonia A; Taylor, Beth; Sales, Anne E

2016-08-01

To assess implementation of the Veterans Health Administration staffing methodology directive. In 2010 the Veterans Health Administration promulgated a staffing methodology directive for inpatient nursing units to address staffing and budget forecasting. A qualitative multi-case evaluation approach assessed staffing methodology implementation. Semi-structured telephone interviews were conducted from March - June 2014 with Nurse Executives and their teams at 21 facilities. Interviews focused on the budgeting process, implementation experiences, use of data, leadership support, and training. An implementation score was created for each facility using a 4-point rating scale. The scores were used to select three facilities (low, medium and high implementation) for more detailed case studies. After analysing interview summaries, the evaluation team developed a four domain scoring structure: (1) integration of staffing methodology into budget development; (2) implementation of the Directive elements; (3) engagement of leadership and staff; and (4) use of data to support the staffing methodology process. The high implementation facility had leadership understanding and endorsement of staffing methodology, confidence in and ability to work with data, and integration of staffing methodology results into the budgeting process. The low implementation facility reported poor leadership engagement and little understanding of data sources and interpretation. Implementation varies widely across facilities. Implementing staffing methodology in facilities with complex and changing staffing needs requires substantial commitment at all organizational levels especially for facilities that have traditionally relied on historical levels to budget for staffing. Published 2016. This article is a U.S. Government work and is in the public domain in the USA.

Implementing a Capital Plan.

Science.gov (United States)

Daigneau, William A.

2003-01-01

Addresses four questions regarding implementation of a long-term capital plan to manage a college's facilities portfolio: When should the projects be implemented? How should the capital improvements be implemented? What will it actually cost in terms of project costs as well as operating costs? Who will implement the plan? (EV)

Design and Execution of make-like, distributed Analyses based on Spotify’s Pipelining Package Luigi

Science.gov (United States)

Erdmann, M.; Fischer, B.; Fischer, R.; Rieger, M.

2017-10-01

In high-energy particle physics, workflow management systems are primarily used as tailored solutions in dedicated areas such as Monte Carlo production. However, physicists performing data analyses are usually required to steer their individual workflows manually which is time-consuming and often leads to undocumented relations between particular workloads. We present a generic analysis design pattern that copes with the sophisticated demands of end-to-end HEP analyses and provides a make-like execution system. It is based on the open-source pipelining package Luigi which was developed at Spotify and enables the definition of arbitrary workloads, so-called Tasks, and the dependencies between them in a lightweight and scalable structure. Further features are multi-user support, automated dependency resolution and error handling, central scheduling, and status visualization in the web. In addition to already built-in features for remote jobs and file systems like Hadoop and HDFS, we added support for WLCG infrastructure such as LSF and CREAM job submission, as well as remote file access through the Grid File Access Library. Furthermore, we implemented automated resubmission functionality, software sandboxing, and a command line interface with auto-completion for a convenient working environment. For the implementation of a t \\overline{{{t}}} H cross section measurement, we created a generic Python interface that provides programmatic access to all external information such as datasets, physics processes, statistical models, and additional files and values. In summary, the setup enables the execution of the entire analysis in a parallelized and distributed fashion with a single command.

PNNL Technical Support to The Implementation of EMTA and EMTA-NLA Models in Autodesk® Moldflow® Packages

Energy Technology Data Exchange (ETDEWEB)

Nguyen, Ba Nghiep; Wang, Jin

2012-12-01

Under the Predictive Engineering effort, PNNL developed linear and nonlinear property prediction models for long-fiber thermoplastics (LFTs). These models were implemented in PNNL’s EMTA and EMTA-NLA codes. While EMTA is a standalone software for the computation of the composites thermoelastic properties, EMTA-NLA presents a series of nonlinear models implemented in ABAQUS® via user subroutines for structural analyses. In all these models, it is assumed that the fibers are linear elastic while the matrix material can exhibit a linear or typical nonlinear behavior depending on the loading prescribed to the composite. The key idea is to model the constitutive behavior of the matrix material and then to use an Eshelby-Mori-Tanaka approach (EMTA) combined with numerical techniques for fiber length and orientation distributions to determine the behavior of the as-formed composite. The basic property prediction models of EMTA and EMTA-NLA have been subject for implementation in the Autodesk® Moldflow® software packages. These models are the elastic stiffness model accounting for fiber length and orientation distributions, the fiber/matrix interface debonding model, and the elastic-plastic models. The PNNL elastic-plastic models for LFTs describes the composite nonlinear stress-strain response up to failure by an elastic-plastic formulation associated with either a micromechanical criterion to predict failure or a continuum damage mechanics formulation coupling damage to plasticity. All the models account for fiber length and orientation distributions as well as fiber/matrix debonding that can occur at any stage of loading. In an effort to transfer the technologies developed under the Predictive Engineering project to the American automotive and plastics industries, PNNL has obtained the approval of the DOE Office of Vehicle Technologies to provide Autodesk, Inc. with the technical support for the implementation of the basic property prediction models of EMTA and

DupTree: a program for large-scale phylogenetic analyses using gene tree parsimony.

Science.gov (United States)

Wehe, André; Bansal, Mukul S; Burleigh, J Gordon; Eulenstein, Oliver

2008-07-01

DupTree is a new software program for inferring rooted species trees from collections of gene trees using the gene tree parsimony approach. The program implements a novel algorithm that significantly improves upon the run time of standard search heuristics for gene tree parsimony, and enables the first truly genome-scale phylogenetic analyses. In addition, DupTree allows users to examine alternate rootings and to weight the reconciliation costs for gene trees. DupTree is an open source project written in C++. DupTree for Mac OS X, Windows, and Linux along with a sample dataset and an on-line manual are available at http://genome.cs.iastate.edu/CBL/DupTree

Implementation of oral health initiatives by Australian rural communities: Factors for success.

Science.gov (United States)

Taylor, Judy; Carlisle, Karen; Farmer, Jane; Larkins, Sarah; Dickson-Swift, Virginia; Kenny, Amanda

2018-01-01

In this paper, we consider factors significant in the success of community participation in the implementation of new oral health services. Our analysis draws on data from the Rural Engaging Communities in Oral Health (Rural ECOH) study (2014-2016). We aimed to assess the Australian relevance of a Scottish community participation framework for health service development; Remote Service Futures. Internationally, community participation in planning of health initiatives is common, but less common in new service implementation. Health managers query the legitimacy of "lay" community members, whether they will persist, and whether they can act as change agents. Our data provide evidence that helps answer these queries. Six communities, located within regions covered by two large rural primary healthcare organisations (Medicare Locals), were selected in two Australian states. Two university-based facilitators worked with a group of local residents (for each community) to monitor implementation of new oral health initiatives designed through participatory processes. Data about implementation were collected through interviews with 28 key stakeholders at the beginning of implementation and 12 months later. Data were coded, themed and analysed abductively. Five themes emerged; the inter-relationship between community motivation to participate with the fortunes of the oral health initiatives, having the "right" people involved, continuing involvement of sponsors and/or significant people, trusting working relationships between participants and perceiving benefits from participation. Findings provide evidence of a role for community participation in implementing new community services if solid partnerships with relevant providers can be negotiated and services are seen to be relevant and useful to the community. © 2017 John Wiley & Sons Ltd.

Evaluating the Implementation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil)

Science.gov (United States)

Wong, Eunice C.; Jaycox, Lisa H.; Ayer, Lynsay; Batka, Caroline; Harris, Racine; Naftel, Scott; Paddock, Susan M.

2015-01-01

Abstract A RAND team conducted an independent implementation evaluation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) Program, a system of care designed to screen, assess, and treat posttraumatic stress disorder and depression among active duty service members in the Army's primary care settings. Evaluating the Implementation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) presents the results from RAND's assessment of the implementation of RESPECT-Mil in military treatment facilities and makes recommendations to improve the delivery of mental health care in these settings. Analyses were based on existing program data used to monitor fidelity to RESPECT-Mil across the Army's primary care clinics, as well as discussions with key stakeholders. During the time of the evaluation, efforts were under way to implement the Patient Centered Medical Home, and uncertainties remained about the implications for the RESPECT-Mil program. Consideration of this transition was made in designing the evaluation and applying its findings more broadly to the implementation of collaborative care within military primary care settings. PMID:28083389

Planning, implementing and evaluating a social and communication skills course for riding instructors

OpenAIRE

Seefeld, Annika

2016-01-01

Social and emotional skills are very important for effective coaching. As research in this field is still very limited, the purpose of this study was to plan, implement and evaluate a course teaching social and emotional skills to riding instructors. The objective of this research project was to analyse the usefulness and feasibility of a social and communication skills course for riding instructors. The present research study is an educational action research case study approa...

Thermal analyses. Information on the expected baking process; Thermische analyses. Informatie over een te verwachten bakgedrag

Energy Technology Data Exchange (ETDEWEB)

Van Wijck, H. [Stichting Technisch Centrum voor de Keramische Industrie TCKI, Velp (Netherlands)

2009-09-01

The design process and the drying process for architectural ceramics and pottery partly determine the characteristics of the final product, but the largest changes occur during the baking process. An overview is provided of the different thermal analyses and how the information from these analyses can predict the process in practice. (mk) [Dutch] Het vormgevingsproces en het droogproces voor bouwkeramische producten en aardewerk bepalen voor een deel de eigenschappen van de eindproducten, maar de grootste veranderingen treden op bij het bakproces. Een overzicht wordt gegeven van de verschillende thermische analyses en hoe de informatie uit deze analyses het in de praktijk te verwachten gedrag kan voorspellen.

Critical factors in the implementation process of integrated management systems

Directory of Open Access Journals (Sweden)

Ademir Antonio Ferreira

2015-09-01

Full Text Available This study is the result of research whose purpose was to study the implementation process of integrated management systems, called ERP Enterprise Resource Planning in the business environment. This study, more specifically, tried to identify the variables in this process and that, somehow, made it easy or caused some type of difficulty implementing the system. Based on the mixed method approach (Creswell, 2003, the study was performed by means of the content analysis of technical and scientific publications about this theme and by means of a field research for data collection from primary sources. The content analysis was based on the per mile procedure by Bardin (1977, making it possible to identify critical factors that may be found in the implementation of ERP system projects. Primary data was collected from structured interviews with the managers in charge of the implementation of the system, in each of the 12 companies in different sectors of the economy and based in Brazil. Based on this information, it was possible to test the factors extracted from the content analysis and then develop a list of factors that may effectively influence the implementation process of the system. In order to recognize the possible relations between the selected factors, the Spearman (rsp correlation coefficient was applied and the multiple regression analysis was performed by means of the stepwise procedure. The purpose of the regression analysis was to determine the relation of the “Assessment of the Implementation” dependent variable with other dependent variables in the selected categories. The results of these analyses showed that the support of the top management, the communication process for the clear evidence of this support, the technical support of the ERP program provider together with the project team expertise, training and qualification processes of the team in the system operation are significantly correlated and relevant factors for a

Improving radiopharmaceutical supply chain safety by implementing bar code technology.

Science.gov (United States)

Matanza, David; Hallouard, François; Rioufol, Catherine; Fessi, Hatem; Fraysse, Marc

2014-11-01

The aim of this study was to describe and evaluate an approach for improving radiopharmaceutical supply chain safety by implementing bar code technology. We first evaluated the current situation of our radiopharmaceutical supply chain and, by means of the ALARM protocol, analysed two dispensing errors that occurred in our department. Thereafter, we implemented a bar code system to secure selected key stages of the radiopharmaceutical supply chain. Finally, we evaluated the cost of this implementation, from overtime, to overheads, to additional radiation exposure to workers. An analysis of the events that occurred revealed a lack of identification of prepared or dispensed drugs. Moreover, the evaluation of the current radiopharmaceutical supply chain showed that the dispensation and injection steps needed to be further secured. The bar code system was used to reinforce product identification at three selected key stages: at usable stock entry; at preparation-dispensation; and during administration, allowing to check conformity between the labelling of the delivered product (identity and activity) and the prescription. The extra time needed for all these steps had no impact on the number and successful conduct of examinations. The investment cost was reduced (2600 euros for new material and 30 euros a year for additional supplies) because of pre-existing computing equipment. With regard to the radiation exposure to workers there was an insignificant overexposure for hands with this new organization because of the labelling and scanning processes of radiolabelled preparation vials. Implementation of bar code technology is now an essential part of a global securing approach towards optimum patient management.

Can the theoretical domains framework account for the implementation of clinical quality interventions?

Science.gov (United States)

Lipworth, Wendy; Taylor, Natalie; Braithwaite, Jeffrey

2013-12-21

The health care quality improvement movement is a complex enterprise. Implementing clinical quality initiatives requires attitude and behaviour change on the part of clinicians, but this has proven to be difficult. In an attempt to solve this kind of behavioural challenge, the theoretical domains framework (TDF) has been developed. The TDF consists of 14 domains from psychological and organisational theory said to influence behaviour change. No systematic research has been conducted into the ways in which clinical quality initiatives map on to the domains of the framework. We therefore conducted a qualitative mapping experiment to determine to what extent, and in what ways, the TDF is relevant to the implementation of clinical quality interventions. We conducted a thematic synthesis of the qualitative literature exploring clinicians' perceptions of various clinical quality interventions. We analysed and synthesised 50 studies in total, in five domains of clinical quality interventions: clinical quality interventions in general, structural interventions, audit-type interventions, interventions aimed at making practice more evidence-based, and risk management interventions. Data were analysed thematically, followed by synthesis of these themes into categories and concepts, which were then mapped to the domains of the TDF. Our results suggest that the TDF is highly relevant to the implementation of clinical quality interventions. It can be used to map most, if not all, of the attitudinal and behavioural barriers and facilitators of uptake of clinical quality interventions. Each of these 14 domains appeared to be relevant to many different types of clinical quality interventions. One possible additional domain might relate to perceived trustworthiness of those instituting clinical quality interventions. The TDF can be usefully applied to a wide range of clinical quality interventions. Because all 14 of the domains emerged as relevant, and we did not identify any

Analysing policy interventions to prohibit over-the-counter antibiotic sales in four Latin American countries.

Science.gov (United States)

Wirtz, V J; Herrera-Patino, J J; Santa-Ana-Tellez, Y; Dreser, A; Elseviers, M; Vander Stichele, R H

2013-06-01

To describe and evaluate policies implemented in Chile, Colombia, Venezuela and Mexico (1995-2009) to prohibit antibiotic OTC sales and explore limitations in available data. We searched and analysed legislation, grey literature and peer-reviewed publications on regulatory interventions and implementation strategies to enforce prohibition of OTC antibiotic sales. We also assessed the impact using private sector retail sales data of antibiotics studying changes in level and consumption trends before and after the policy change using segmented time series analysis. Finally, we assessed the completeness and data quality through an established checklist to test the suitability of the data for analysis of the interventions. Whereas Chile implemented a comprehensive package of interventions to accompany regulation changes, Colombia's reform was limited to the capital district and Venezuela's limited to only some antibiotics and without awareness campaigns. In Mexico, no enforcement was enacted. The data showed a differential effect of the intervention among the countries studied with a significant change in level of consumption in Chile (-5.56 DID) and in Colombia (-1.00DID). In Venezuela and Mexico, no significant change in level and slope was found. Changes in population coverage were identified as principal limitations of using sales data for evaluating the reform impact. Retail sales data can be useful when assessing policy impact but should be supplemented by other data sources such as public sector sales and prescription data. Implementing regulatory enforcement has shown some impact, but a sustainable, concerted approach will be needed to address OTC sales in the future. © 2013 John Wiley & Sons Ltd.

Facilitating the implementation of clinical technology in healthcare: what role does a national agency play?

Science.gov (United States)

Harvey, Gill; Llewellyn, Sue; Maniatopoulos, Greg; Boyd, Alan; Procter, Rob

2018-05-10

Accelerating the implementation of new technology in healthcare is typically complex and multi-faceted. One strategy is to charge a national agency with the responsibility for facilitating implementation. This study examines the role of such an agency in the English National Health Service. In particular, it compares two different facilitation strategies employed by the agency to support the implementation of insulin pump therapy. The research involved an empirical case study of four healthcare organisations receiving different levels of facilitation from the national agency: two received active hands-on facilitation; one was the intended recipient of a more passive, web-based facilitation strategy; the other implemented the technology without any external facilitation. The primary method of data collection was semi-structured qualitative interviews with key individuals involved in implementation. The integrated-PARIHS framework was applied as a conceptual lens to analyse the data. The two sites that received active facilitation from an Implementation Manager in the national agency made positive progress in implementing the technology. In both sites there was a high level of initial receptiveness to implementation. This was similar to a site that had successfully introduced insulin pump therapy without facilitation support from the national agency. By contrast, a site that did not have direct contact with the national agency made little progress with implementation, despite the availability of a web-based implementation resource. Clinicians expressed differences of opinion around the value and effectiveness of the technology and contextual barriers related to funding for implementation persisted. The national agency's intended roll out strategy using passive web-based facilitation appeared to have little impact. When favourable conditions exist, in terms of agreement around the value of the technology, clinician receptiveness and motivation to change, active

Implementing the Health Promoting University approach in culturally different contexts: a systematic review.

Science.gov (United States)

Suárez-Reyes, Mónica; Van den Broucke, Stephan

2016-03-01

Universities represent a valuable opportunity to promote health and well-being. Based on the setting approach, the Health Promoting Universities concept has been developed in different countries and contexts. However, the implementation process remains poorly documented. This systematic review aims to describe how universities have implemented the Health Promoting University concept in different cultural contexts. Pubmed, Medline, Lilacs and Scielo were searched for articles on Health Promoting Universities, published between 1995 and 2015. Studies detailing the implementation of a Health Promoting University approach were included. Selected articles were content analysed paying attention to: (a) the definition of a Health Promoting University; (b) priority areas of action; (c) items of work; (d) coordination of the project; (e) evaluation; and (f) adaptation to the cultural context. Twelve studies were identified for in-depth analysis. Of those, three were theoretical papers, and nine were intervention studies. The programmes described in the selected studies are mostly based on the guidelines of the Edmonton Charter. They incorporated the main areas of action and items of works proposed by the Health Promoting University framework. The implementation of healthy policies and incorporation of health promotion in the curriculum are remaining challenges. Strategies to facilitate adaptation to context include: stakeholder participation in planning and implementation, adaptation of educational material and analysis of needs. The review suggests that most of the universities work towards similar goals, relying on the Health Promoting University framework, yet that the way in which initiatives are implemented depends on the context. © The Author(s) 2015.

Team Training in the Perioperative Arena: A Methodology for Implementation and Auditing Behavior.

Science.gov (United States)

Rhee, Amanda J; Valentin-Salgado, Yessenia; Eshak, David; Feldman, David; Kischak, Pat; Reich, David L; LoPachin, Vicki; Brodman, Michael

Preventable medical errors in the operating room are most often caused by ineffective communication and suboptimal team dynamics. TeamSTEPPS is a government-funded, evidence-based program that provides tools and education to improve teamwork in medicine. The study hospital implemented TeamSTEPPS in the operating room and merged the program with a surgical safety checklist. Audits were performed to collect both quantitative and qualitative information on time out (brief) and debrief conversations, using a standardized audit tool. A total of 1610 audits over 6 months were performed by live auditors. Performance was sustained at desired levels or improved for all qualitative metrics using χ 2 and linear regression analyses. Additionally, the absolute number of wrong site/side/person surgery and unintentionally retained foreign body counts decreased after TeamSTEPPS implementation.

Implementation of evidence-based knowledge in general practice.

Science.gov (United States)

Le, Jette Videbæk

2017-12-01

Background Keeping up with the evidence and implementing it into the daily care for patients are fundamental prerequisites for delivering a high quality of care in general practice. However, despite many years of research into dissemination and implementation of evidence-based recommendations, significant challenges remain. In recent years, organisational factors have become widely acknowledged as vitally important for ensuring successful implementation. Further knowledge is needed to understand more about which factors affect the seeking and implementation of evidence-based knowledge in general practice. Aim The overall aim was to investigate how evidence-based knowledge is sought and implemented in general practice and to analyse associations with GP characteristics and quality of care. Three separate studies, each covering a specific part of the overall aim, were undertaken: I. To examine how GPs implement clinical practice guidelines in everyday clinical practice, and how implementation approaches differ between practices. II. To assess GPs’ information seeking behaviour with regard to the use and perceived importance of scientific medical information sources and to investigate associations with GP characteristics. III. To investigate if there are associations between specific formalised implementation activities within general practice and quality of care – exemplified by the use of spirometry testing among first-time users of medication against obstructive lung diseases. Methods The study was designed as a mixed methods study combining qualitative interviews, questionnaire and register data. Study I was a qualitative interview study that involved purposefully selected GPs representing seven different practices. The interviews were analysed using systematic text condensation, and results were used to qualify the development of a national survey of general practitioners regarding their seeking and implementation of evidence-based knowledge. This survey was

Trend analyses of the emergency diesel generator problem events in Japanese and U.S. nuclear power plants

International Nuclear Information System (INIS)

Shimada, Yoshio

2011-01-01

Up to 2009, the author and a colleague conducted trend analyses of problem events related to main generators, emergency diesel generators, breakers, motors and transformers which are more likely to cause problems than other electric components in nuclear power plants. Among the electric components with high frequency of defect occurrence, i.e., emergency diesel generators, several years have passed since the last analyses. These are very important components needed to stop a nuclear reactor safely and to cool it down during external power supply loses. Then trend analyses were conducted for the second time. The trend analyses were performed on 80 problem events with emergency diesel generators which had occurred in U.S. nuclear power plants in the five years from 2005 through 2009 among events reported in the Licensee Event Reports (LERs: event reports submitted to NRC by U.S. nuclear power plants) which have been registered in the nuclear information database of the Institute of Nuclear Safety System, Inc. (INSS) , as well as 40 events registered in the Nuclear Information Archives (NUCIA), which occurred in Japanese nuclear power plants in the same time period. It was learned from the trend analyses of the problem events with emergency diesel generators that frequency of defect occurrence are high in both Japanese and US plants during plant operations and functional tests (that is, defects can be discovered effectively in advance), so that implementation of periodical functional tests under plant operation is an important task for the future. (author)

Finding common ground in implementation: towards a theory of gradual commonality.

Science.gov (United States)

Ter Haar, Marian; Aarts, Noelle; Verhoeven, Piet

2016-03-01

This article reports on an empirical study that aimed to design a practice-based theory about collaboration on the local implementation of a nationally developed health-promoting intervention. The study's objective is to better understand the dynamic process of complex collaboration. The research is based on a Delphi study among some 100 individuals in local and regional networks, in which various professionals work together to implement the BeweegKuur, which translates as 'course of exercise'. The BeweegKuur is a combined lifestyle intervention aimed at promoting sufficient physical exercise and a healthy diet among people in the Netherlands who are overweight and at risk of diabetes. The Delphi study in three rounds systematically and interactively constructs a common perspective on implementation, reflecting stakeholders' ideas about the collaboration and providing an insight into how these ideas are influenced by the context of the implementation. The statistical and qualitative analyses of the responses to the feedback in the Delphi study form the basis for this practice-based theory on complex collaboration, called the theory of gradual commonality. During interaction, consensus gradually emerges about co-creation as a collaboration strategy. Co-creation leaves room for various ways of achieving the ambitions of the BeweegKuur. This article discusses the importance of this practice-based theory and the value of the Delphi research strategy for promoting health. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Implementation of Balanced Scorecard and the Successful of Implementation Strategy: a Review

OpenAIRE

Ellitan, Lena; Anatan, Lina

2008-01-01

The balanced scorecard is a formal management technique for development, implementation and management of business strategy. It is difficult to ascertain the success of the technique as most of the literature on its implementation is put out by those with a vested interest in its success as a commercial product. Much has been written about barriers to strategy implementation but not specifically to the implementation of balanced scorecard. This paper presents a review of the factors that cont...

Contesting Citizenship: Comparative Analyses

DEFF Research Database (Denmark)

Siim, Birte; Squires, Judith

2007-01-01

importance of particularized experiences and multiple ineequality agendas). These developments shape the way citizenship is both practiced and analysed. Mapping neat citizenship modles onto distinct nation-states and evaluating these in relation to formal equality is no longer an adequate approach....... Comparative citizenship analyses need to be considered in relation to multipleinequalities and their intersections and to multiple governance and trans-national organisinf. This, in turn, suggests that comparative citizenship analysis needs to consider new spaces in which struggles for equal citizenship occur...

From targeting to implementation: The role of identification of fuel poor households

International Nuclear Information System (INIS)

Dubois, Ute

2012-01-01

This paper proposes to evaluate the efficiency of fuel poverty policies by looking at them as a three-step process. These steps are policy targeting, identification of households and implementation of measures. Each of these steps are costly and can face feasibility problems. This is particularly true in the case of fuel poverty policies, because of the multidimensional aspect of fuel poverty. Therefore, public policies in that field are necessarily imperfect, and this should be taken into account in the analysis of policies. This three-step framework is applied to the French fuel poverty policy, which has been developed in 2010. As its practical modalities of implementation are still under discussion, we mainly discuss the choices made in terms of targeting and highlight the role of identification of fuel poor households as a key factor for the success of that policy. The general idea behind this discussion is that the efficiency of such policies has to be viewed in a comprehensive way, which includes the three policy steps. - Highlights: ► This paper analyses fuel poverty policy as a three-step process. ► The steps are targeting, identification and implementation. ► Feasibility and implementation problems should be considered in policy formulation. ► Errors of inclusion and exclusion limit the effectiveness of fuel poverty policy. ► We apply this framework to the recent French fuel poverty policy.

Water quality management and climate change mitigation: cost-effectiveness of joint implementation in the Baltic Sea region

DEFF Research Database (Denmark)

Nainggolan, Doan; Hasler, Berit; Andersen, Hans Estrup

2018-01-01

of contrasting strategies: single environmental objective management versus joint implementation strategy. The results show that implementing land-based measures with a sole focus on water quality (to meet the HELCOM's 2013 Baltic Sea Action Plan nutrient abatement targets) can produce climate change mitigation......This paper explores the scope for simultaneously managing nutrient abatement and climate change mitigation in the Baltic Sea (BS) region through the implementation of a selection of measures. The analysis is undertaken using a cost-minimisation model for the entire BS region, the BALTCOST model....... In the present research, the model has been extended to include greenhouse gas (GHG) emissions effects, enabling us to analyse the tradeoffs between cost-effective GHG and nutrient load reductions. We run the model for four different scenarios in order to compare the environmental and economic consequences...

Building integrated business environments: analysing open-source ESB

Science.gov (United States)

Martínez-Carreras, M. A.; García Jimenez, F. J.; Gómez Skarmeta, A. F.

2015-05-01

Integration and interoperability are two concepts that have gained significant prominence in the business field, providing tools which enable enterprise application integration (EAI). In this sense, enterprise service bus (ESB) has played a crucial role as the underpinning technology for creating integrated environments in which companies may connect all their legacy-applications. However, the potential of these technologies remains unknown and some important features are not used to develop suitable business environments. The aim of this paper is to describe and detail the elements for building the next generation of integrated business environments (IBE) and to analyse the features of ESBs as the core of this infrastructure. For this purpose, we evaluate how well-known open-source ESB products fulfil these needs. Moreover, we introduce a scenario in which the collaborative system 'Alfresco' is integrated in the business infrastructure. Finally, we provide a comparison of the different open-source ESBs available for IBE requirements. According to this study, Fuse ESB provides the best results, considering features such as support for a wide variety of standards and specifications, documentation and implementation, security, advanced business trends, ease of integration and performance.

Barriers and facilitators to the implementation of orthodontic mini implants in clinical practice: a systematic review.

Science.gov (United States)

Meursinge Reynders, Reint; Ronchi, Laura; Ladu, Luisa; Di Girolamo, Nicola; de Lange, Jan; Roberts, Nia; Mickan, Sharon

2016-09-23

Numerous surveys have shown that orthodontic mini implants (OMIs) are underused in clinical practice. To investigate this implementation issue, we conducted a systematic review to (1) identify barriers and facilitators to the implementation of OMIs for all potential stakeholders and (2) quantify these implementation constructs, i.e., record their prevalence. We also recorded the prevalence of clinicians in the eligible studies that do not use OMIs. Methods were based on our published protocol. Broad-spectrum eligibility criteria were defined. A barrier was defined as any variable that impedes or obstructs the use of OMIs and a facilitator as any variable that eases and promotes their use. Over 30 databases including gray literature were searched until 15 January 2016. The Joanna Briggs Institute tool for studies reporting prevalence and incidence data was used to critically appraise the included studies. Outcomes were qualitatively synthesized, and meta-analyses were only conducted when pre-set criteria were fulfilled. Three reviewers conducted all research procedures independently. We also contacted authors of eligible studies to obtain additional information. Three surveys fulfilled the eligibility criteria. Seventeen implementation constructs were identified in these studies and were extracted from a total of 165 patients and 1391 clinicians. Eight of the 17 constructs were scored by more than 50 % of the pertinent stakeholders. Three of these constructs overlapped between studies. Contacting of authors clarified various uncertainties but was not always successful. Limitations of the eligible studies included (1) the small number of studies; (2) not defining the research questions, i.e., the primary outcomes; (3) the research design (surveys) of the studies and the exclusive use of closed-ended questions; (4) not consulting standards for identifying implementation constructs; (5) the lack of pilot testing; (6) high heterogeneity; (7) the risk of reporting bias

Bologna Trends 2010: The Implementation of the Bologna Process and a Move towards a "New Global Regionalism"

Science.gov (United States)

Observatory on Borderless Higher Education, 2010

2010-01-01

The European University Association, whose members include European higher educations institutions across 46 countries, just published Trends 2010, the sixth in the Trends series, its flagship pan-European report. The principal aim of the 2010 report is to situate and analyse the implementation of the Bologna Process, an initiative to create a…

Public policy for children in Brazil – the process of implementation of a new model

Directory of Open Access Journals (Sweden)

Rodrigo Stumpf González

2015-06-01

Full Text Available Recently happened the 25th anniversary of the approval of the Child and Adolescent Statute. Which goals are achieved? What changed? This work analyses the Brazilian case in implementation of a new paradigm of children rights and his impact in the definition of aconcrete agenda of public policies, doing an evaluation of the new model and the changes, with focus of the development of a agenda of policies in four subjects: creation of councils, attention for the young lawbreakers, exploitation of child labour and sexual violence against children. At the end are discussed motivation for partial success in implementation of the agenda and responsibilities of the institutional actors involved.

FoamVis, A Visualization System for Foam Research: Design and Implementation

Directory of Open Access Journals (Sweden)

Dan R. Lipsa

2015-03-01

Full Text Available Liquid foams are used in areas such as mineral separation, oil recovery, food and beverage production, sanitation and fire fighting. To improve the quality of products and the efficiency of processes in these areas, foam scientists wish to understand and control foam behaviour. To this end, foam scientists have used foam simulations to model foam behaviour; however, analysing these simulations presents difficult challenges. We describe the main foam research challenges and present the design of FoamVis, the only existing visualization, exploration and analysis application created to address them. We describe FoamVis’ main features, together with relevant design and implementation notes. Our goal is to provide a global overview and individual feature implementation details that would allow a visualization scientist to extend the FoamVis system with new algorithms and adapt it to new requirements. The result is a detailed presentation of the software that is not provided in previous visualization research papers.

Characteristics and critical success factors for implementing problem-based learning in a human resource-constrained country.

Science.gov (United States)

Giva, Karen R N; Duma, Sinegugu E

2015-08-31

Problem-based learning (PBL) was introduced in Malawi in 2002 in order to improve the nursing education system and respond to the acute nursing human resources shortage. However, its implementation has been very slow throughout the country. The objectives of the study were to explore and describe the goals that were identified by the college to facilitate the implementation of PBL, the resources of the organisation that facilitated the implementation of PBL, the factors related to sources of students that facilitated the implementation of PBL, and the influence of the external system of the organisation on facilitating the implementation of PBL, and to identify critical success factors that could guide the implementation of PBL in nursing education in Malawi. This is an ethnographic, exploratory and descriptive qualitative case study. Purposive sampling was employed to select the nursing college, participants and documents for review.Three data collection methods, including semi-structured interviews, participant observation and document reviews, were used to collect data. The four steps of thematic analysis were used to analyse data from all three sources. Four themes and related subthemes emerged from the triangulated data sources. The first three themes and their subthemes are related to the characteristics related to successful implementation of PBL in a human resource-constrained nursing college, whilst the last theme is related to critical success factors that contribute to successful implementation of PBL in a human resource-constrained country like Malawi. This article shows that implementation of PBL is possible in a human resource-constrained country if there is political commitment and support.

Eurosites insights; image, implementation, interpretation and integration of Natura 2000 in European perspective; United Kingdom, Sweden, Spain, France and Hungary

NARCIS (Netherlands)

Neven, M.G.G.; Kistenkas, F.H.; Apeldoorn, van R.C.

2005-01-01

This comparative study analyses Natura 2000 nature conservation (EU Birds- and Habitats Directives) alongside the key issues of image, implementation, interpretation and integration. Having quickscanned the EU25, five member states have been selected for further investigation: UK, Sweden, Spain,

Lessons learnt from implementation of the International Health Regulations: a systematic review

Science.gov (United States)

Allen, Lisa G; Cifuentes, Sara; Dye, Christopher; Nagata, Jason M

2018-01-01

Abstract Objective To respond to the World Health Assembly call for dissemination of lessons learnt from countries that have begun implementing the International Health Regulations, 2005 revision; IHR (2005). Methods In November 2015, we conducted a systematic search of the following online databases and sources: PubMed®, Embase®, Global Health, Scopus, World Health Organization (WHO) Global Index Medicus, WHO Bulletin on IHR Implementation and the International Society for Disease Surveillance. We included identified studies and reports summarizing national experience in implementing any of the IHR (2005) core capacities or their components. We excluded studies that were theoretical or referred to IHR (1969). Qualitative systematic review methodology, including meta-ethnography, was used for qualitative synthesis. Findings We analysed 51 articles from 77 countries representing all WHO Regions. The meta-syntheses identified a total of 44 lessons learnt across the eight core capacities of IHR (2005). Major themes included the need to mobilize and sustain political commitment; to adapt global requirements based on local sociocultural, epidemiological, health system and economic contexts; and to conduct baseline and follow-up assessments to monitor the status of IHR (2005) implementation. Conclusion Although experiences of IHR (2005) implementation covered a wide global range, more documentation from Africa and Eastern Europe is needed. We did not find specific areas of weakness in monitoring IHR (2005); sustained monitoring of all core capacities is required to ensure effective systems. These lessons learnt could be adapted by countries in the process of meeting IHR (2005) requirements. PMID:29403114

Development and implementation of the Ontario Stroke System: the use of evidence

Directory of Open Access Journals (Sweden)

Jill I. Cameron

2007-08-01

Full Text Available Introduction The Ontario Stroke System was developed to enhance the quality and continuity of stroke care provided across the care continuum. Research Objective To identify the role evidence played in the development and implementation of the Ontario Stroke System. Methods This study employed a qualitative case study design. In-depth interviews were conducted with six members of the Ontario Stroke System provincial steering committee. Nine focus groups were conducted with: Regional Program Managers, Regional Education Coordinators, and seven acute care teams. To supplement these findings interviews were conducted with eight individuals knowledgeable about national and international models of integrated service delivery. Results Our analyses identified six themes. The first four themes highlight the use of evidence to support the process of system development and implementation including: 1 informing system development; 2 mobilizing governmental support; 3 getting the system up and running; and 4 integrating services across the continuum of care. The final two themes describe the foundation required to support this process: 1 human capacity and 2 mechanisms to share evidence. Conclusion This study provides guidance to support the development and implementation of evidence-based models of integrated service delivery.

Evaluating the Potential Business Benefits of Ecodesign Implementation: A Logic Model Approach

Directory of Open Access Journals (Sweden)

Vinícius P. Rodrigues

2018-06-01

Full Text Available The business benefits attained from ecodesign programs in manufacturing companies have been regularly documented by several studies from both the academic and corporate spheres. However, there are still significant challenges for adopting ecodesign, especially regarding the evaluation of these potential business benefits prior to the actual ecodesign implementation. To address such gap, this study proposes an exploratory and theory-driven framework based on logic models to support the development of business cases for ecodesign implementation. The objective is to offer an outlook into how ecodesign implementation can potentially affect key corporate performance outcomes. This paper is based on a three-stage research methodology with six steps. Two full systematic literature reviews were performed, along with two thematic analyses and a grounded theory approach with the aim of developing the business case framework, which was then evaluated by seven industry experts. This research contributes to the literature of ecodesign especially by laying out an ecodesign-instantiated logic model, which is readily available to be adapted and customized for further test and use in practice. Discussions on the usefulness and applicability of the framework and directions for future research are presented.

Operational Implementation of the MARSSIM Process at the Wayne Interim Storage Site

International Nuclear Information System (INIS)

Hays, D. C. Jr.; Trujillo, P. A. IV.; Zoller, S. G.

2002-01-01

This paper describes the methodologies behind the operational implementation of the Multi Agency Radiation Site Survey and Investigation Manual (MARSSIM) process at the Wayne Interim Storage Site (WISS). The United States Army Corps of Engineers (USACE) and Environmental Chemical Corporation (ECC) have implemented the MARSSIM process using various surveys producing raw data. The final remedial status of a survey unit is derived through data reduction, while maintaining a high degree of efficiency in the construction aspects of the remedial action. Data reduction of field measurements is accomplished by merging the data outputs of a Digital Global Positioning System, an exposure rate meter, and laboratory analyses to produce maps which present exposure rates, elevations, survey unit boundaries, direct measurement locations, and sampling locations on a single map. The map serves as a data-posting plot and allows the project team to easily judge the survey unit's remedial status. The operational implementation of the MARSSIM process has been successful in determining the eligibility of survey units for final status surveys at the WISS and also in demonstrating final status radiological and chemical conditions while maintaining an efficient remedial action effort

Implementing community-based education in basic nursing education programs in South Africa.

Science.gov (United States)

Mtshali, N G

2009-03-01

Education of health professionals using principles of community-based education is the recommended national policy in South Africa. A paradigm shift to community-based education is reported in a number of nursing education institutions in South Africa. Reviewed literature however revealed that in some educational institutions planning, implementation and evaluation of Community-based Educational (CBE) programmes tended to be haphazard, uncoordinated and ineffective, resulting in poor student motivation. Therefore the purpose of this study was to analyse the implementation of community-based education in basic nursing education programmes in South Africa. Strauss and Corbin's (1990) grounded theory approach guided the research process. Data were collected by means of observation, interviews and document analysis. The findings revealed that collaborative decision-making involving all stakeholders was crucial especially during the curriculum planning phase. Furthermore, special criteria should be used when selecting community learning sites to ensure that the selected sites are able to facilitate the development of required graduate competencies. Collaborative effort, true partnership between academic institutions and communities, as well as government support and involvement emerged as necessary conditions for the successful implementation of community-based education programmes.

Implementing community-based education in basic nursing education programs in South Africa

Directory of Open Access Journals (Sweden)

N.G. Mtshali

2009-09-01

Full Text Available Education of health professionals using principles of community-based education is the recommended national policy in South Africa. A paradigm shift to community based education is reported in a number of nursing education institutions in South Africa. Reviewed literature however revealed that in some educational institutions planning, implementation and evaluation of Community-based Educational (CBE programmes tended to be haphazard, uncoordinated and ineffective, resulting in poor student motivation. Therefore the purpose of this study was to analyse the implementation of community-based education in basic nursing education programmes in South Africa. Strauss and Corbin’s (1990 grounded theory approach guided the research process. Data were collected by means of observation, interviews and document analysis. The findings revealed that collaborative decision-making involving all stakeholders was crucial especially during the curriculum planning phase. Furthermore, special criteria should be used when selecting community learning sites to ensure that the selected sites are able to facilitate the development of required graduate competencies. Collaborative effort, true partnership between academic institutions and communities, as well as government support and involvement emerged as necessary conditions for the successful implementation of community-based education programmes.

Psychiatric service staff perceptions of implementing a shared decision-making tool: a process evaluation study.

Science.gov (United States)

Schön, Ulla-Karin; Grim, Katarina; Wallin, Lars; Rosenberg, David; Svedberg, Petra

2018-12-01

Shared decision making, SDM, in psychiatric services, supports users to experience a greater sense of involvement in treatment, self-efficacy, autonomy and reduced coercion. Decision tools adapted to the needs of users have the potential to support SDM and restructure how users and staff work together to arrive at shared decisions. The aim of this study was to describe and analyse the implementation process of an SDM intervention for users of psychiatric services in Sweden. The implementation was studied through a process evaluation utilizing both quantitative and qualitative methods. In designing the process evaluation for the intervention, three evaluation components were emphasized: contextual factors, implementation issues and mechanisms of impact. The study addresses critical implementation issues related to decision-making authority, the perceived decision-making ability of users and the readiness of the service to increase influence and participation. It also emphasizes the importance of facilitation, as well as suggesting contextual adaptations that may be relevant for the local organizations. The results indicate that staff perceived the decision support tool as user-friendly and useful in supporting participation in decision-making, and suggest that such concrete supports to participation can be a factor in implementation if adequate attention is paid to organizational contexts and structures.

Implementation of renewable energy in the European Union until 2010

Energy Technology Data Exchange (ETDEWEB)

Harmelink, M.; Voogt, M.; Joosen, S.; De Jager, D. [Ecofys, Utrecht (Netherlands); Palmers, G.; Shaw, S. [3E, Brussels (Belgium); Cremer, C. [Fraunhofer-Institut fuer Systemtechnik und Innovationsforschung ISI, Karlsruhe (Germany)

2002-08-01

PRETIR is the acronym for Progress of Renewable Energy: Target Setting, Implementation and Realisation. The PRETIR project aims at developing a monitoring protocol, including a set of transparent indicators, through which monitoring of policy development with regard to renewable energy sources in the 15 European Union (EU) Member States can take place; i.e. the degree to which the national and European targets are translated to national action plans and policy instruments to realise the targeted implementation of renewable energy sources. By analysing the results of this monitoring process conclusions can be drawn on the likeliness of achieving the goals as set in the White Paper, the Directive on electricity from renewable energy sources, the draft Directive on biofuels and the Campaign for Take-Off. This report holds the results of the monitoring of renewable energy policies for the European Union. Chapters 2 and 3 start with a brief outline of the used definitions and monitoring methodology. A more detailed description of the methodology is available in the monitoring report, published separately. Chapter 4 provides an overview of the renewable energy policies in the EU Member States and is followed by chapters dealing with each of the distinguished renewable energy sources. Finally, chapter 11 holds the conclusions on the progress on implementation of renewable energy sources in the European Union.

Surges and ebbs: National politics and international influence in the formulation and implementation of IWRM in Zimbabwe

Directory of Open Access Journals (Sweden)

Emmanuel Manzungu

2016-10-01

Full Text Available In the 1990s, the Government of Zimbabwe undertook water reforms to redress racially defined inequitable access to agricultural water. This paper analyses how a water reform process, seemingly informed by a clear political economy objective, was hijacked by efforts directed at implementing Integrated Water Resources Management (IWRM. It uses the notion of policy articulation to analyse why and how IWRM 'travelled' to and in Zimbabwe and with what outcomes. The paper shows that attempts at introducing and implementing IWRM in Zimbabwe have had a chequered history. The efforts of Zimbabwe in pioneering implementation of IWRM in southern Africa, have subsequently waned, and prospects for resurrecting IWRM in its original form are low. Introduced in the 1990s when Western donors jumped on the bandwagon of the liberal economic agenda inspired by the IMF/World Bank, it declined between 2000 and 2009 due to a combination of poor economic performance, national-level politics and international isolation. In 2011 IWRM was reintroduced as the country re-engaged with the international community. The re-emergence of IWRM, however, seems to be largely rhetorical as the focus is now on fixing a crisis-ridden water sector, with a new political dispensation adding another layer of complexity. The paper concludes that the development of IWRM in Zimbabwe mirrors broader national-level socio-political processes and their complex relationship with the international community.

From policy to practice: implementation of physical activity and food policies in schools

Science.gov (United States)

2013-01-01

Purpose Public policies targeting the school setting are increasingly being used to address childhood obesity; however, their effectiveness depends on their implementation. This study explores the factors which impeded or facilitated the implementation of publicly mandated school-based physical activity and nutrition guidelines in the province of British Columbia (BC), Canada. Methods Semi-structured interviews were conducted with 50 school informants (17 principals - 33 teacher/school informants) to examine the factors associated with the implementation of the mandated Daily Physical Activity (DPA) and Food and Beverage Sales in Schools (FBSS) guidelines. Coding used a constructivist grounded theory approach. The first five transcripts and every fifth transcript thereafter were coded by two independent coders with discrepancies reconciled by a third coder. Data was coded and analysed in the NVivo 9 software. Concept maps were developed and current theoretical perspectives were integrated in the later stages of analysis. Results The Diffusion of Innovations Model provided an organizing framework to present emergent themes. With the exception of triability (not relevant in the context of mandated guidelines/policies), the key attributes of the Diffusion of Innovations Model (relative advantage, compatibility, complexity, and observability) provided a robust framework for understanding themes associated with implementation of mandated guidelines. Specifically, implementation of the DPA and FBSS guidelines was facilitated by perceptions that they: were relatively advantageous compared to status quo; were compatible with school mandates and teaching philosophies; had observable positive impacts and impeded when perceived as complex to understand and implement. In addition, a number of contextual factors including availability of resources facilitated implementation. Conclusions The enactment of mandated policies/guidelines for schools is considered an essential step in

Maternal and neonatal implementation for equitable systems. A study design paper.

Science.gov (United States)

Ekirapa-Kiracho, Elizabeth; Tetui, Moses; Bua, John; Muhumuza Kananura, Rornald; Waiswa, Peter; Makumbi, Fred; Atuyambe, Lynn; Ajeani, Judith; George, Asha; Mutebi, Aloysuis; Kakaire, Ayub; Namazzi, Gertrude; Paina, Ligia; Namusoke Kiwanuka, Suzanne

2017-08-01

Evidence on effective ways of improving maternal and neonatal health outcomes is widely available. The challenge that most low-income countries grapple with is implementation at scale and sustainability. The study aimed at improving access to quality maternal and neonatal health services in a sustainable manner by using a participatory action research approach.  The  study consisted of a quasi-experimental design, with a participatory action research approach to implementation in three rural districts (Pallisa, Kibuku and Kamuli) in Eastern Uganda. The intervention had two main components; namely, community empowerment for comprehensive birth preparedness, and health provider and management capacity-building. We collected data using both quantitative and qualitative methods using household and facility-level structured surveys, record reviews, key informant interviews and focus group discussions. We purposively selected the participants for the qualitative data collection, while for the surveys we interviewed all eligible participants in the sampled households and health facilities. Descriptive statistics were used to describe the data, while the difference in difference analysis was used to measure the effect of the intervention. Qualitative data were analysed using thematic analysis. This study was implemented to generate evidence on how to increase access to quality maternal and newborn health services in a sustainable manner using a multisectoral participatory  approach.

Exploring Factors Affecting Implementation of Public Private Partnership Housing Projects in Bauchi State, Nigeria

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Mohammed Sani

2018-03-01

Full Text Available Public Private Partnership (PPP Housing scheme in Nigeria is intended to complement government effort toward increasing housing stock and providing affordable housing in the country. However, Bauchi state government adopted the construction of 5,000 phases PPP Housing. But 6 years after the commencement of the scheme, only a few numbers of housing units were completed and commissioned. Therefore, it becomes imperative to carry out research on the impact level of those factors affecting the implementation of the scheme. The aim of the study is to investigate impact level of factors affecting the implementation of PPP housing projects in Bauchi state with a view to find out possible ways that will improve the implementation of the scheme. The descriptive and explorative research design was adopted for this study. 54 structured Questionnaires were administered to construction professional’s staff under private housing developers and relevant government agencies in Bauchi state. 42 valid Questionnaires were retrieved and analysed with SPSS software. The result of the quantitative data analysis shows that creation of favourable investment environment and government support have very high Impact on the implementation of Bauchi PPP housing projects. Therefore, this study recommends that government and other stakeholders should give more attention to the creation of favourable investment environment, support in policy formulation and managerial strategies in the future for improving the implementation of PPP housing projects.

A Ravenscar-Java profile implementation

DEFF Research Database (Denmark)

Thomsen, Bent; Ravn, Anders Peter; Søndergaard, Hans

2006-01-01

This paper presents an implementation of the Ravenscar-Java profile. While most implementations of the profile are reference-implementations showing that it is possible to implement the profile, our implementation is aimed at industrial applications. It uses a dedicated real-time Java processor......, since we want to investigate if the Ravenscar-Java profile, implemented on a Java processor, is efficient for real applications. During the implementation some ambiguities and weaknesses of the profile were uncovered. However, test examples indicate that the profile is suitable for development...... of realistic real-time programs....

TECHNOLOGICAL IMPLEMENTATION PLAN

DEFF Research Database (Denmark)

Bellini, Anna

2004-01-01

This document has the purpose to describe the technological implementation plan in the IDEAL project.......This document has the purpose to describe the technological implementation plan in the IDEAL project....

Factors associated with early childhood education and care service implementation of healthy eating and physical activity policies and practices in Australia: a cross-sectional study.

Science.gov (United States)

Wolfenden, Luke; Finch, Meghan; Nathan, Nicole; Weaver, Natasha; Wiggers, John; Yoong, Sze Lin; Jones, Jannah; Dodds, Pennie; Wyse, Rebecca; Sutherland, Rachel; Gillham, Karen

2015-09-01

Many early childhood education and care (ECEC) services fail to implement recommended policies and practices supportive of healthy eating and physical activity. The purpose of this study was to assess whether certain theoretically-based factors are associated with implementation of healthy eating and physical activity policies and practices in a sample of ECEC services. A cross-sectional survey was conducted with Service Managers of ECEC services. The survey assessed the operational characteristics, policy, and practice implementation, and 13 factors were suggested by Damschroder's Consolidated Framework for Implementation Research to impede or promote implementation. Logistic regression analyses found a significant association between implementation factor score and full implementation (OR 1.38; 95% CI 1.18-1.61; p = <0.01), indicating that for every one point increase in implementation score, ECEC services were 38 % more likely to be fully implementing the policies and practices. The findings highlight the opportunities for improving implementation of obesity prevention interventions in this setting by developing interventions that address such factors.

Association of school performance indicators with implementation of the Healthy Kids, Smart Kids program: case study

Science.gov (United States)

Nansel, Tonja R.; Huang, Terry T.K.; Rovner, Alisha J.; Sanders-Butler, Yvonne

2009-01-01

Objective: The purpose of this analysis was to examine secular trends in school performance indicators in relationship to the implementation of a program targeting the school food and physical activity environment. Design: Data on available school performance indicators were obtained; retrospective analyses were conducted to assess trends in indicators in association with program implementation; each outcome was regressed on year, beginning with the year prior to program implementation. Setting: The Healthy Kids, Smart Kids program was a grass-roots effort to enhance the school food and physical activity environment in the Browns Mill Elementary School in Georgia. Subjects: Data included publicly available school records from the years 1995 to 2006. Results: The number of nurse, counseling, and disciplinary referrals per 100 students demonstrated a downward trend, while standardized test scores demonstrated an upward trend beginning the year of program implementation. School year was a significant predictor of all indicators. Conclusions: Promoting nutrition and physical activity within the school environment may be a promising approach for enhancing both student health and educational outcomes. PMID:19454125

Analysing the hidden curriculum: use of a cultural web.

Science.gov (United States)

Mossop, Liz; Dennick, Reg; Hammond, Richard; Robbé, Iain

2013-02-01

Major influences on learning about medical professionalism come from the hidden curriculum. These influences can contribute positively or negatively towards the professional enculturation of clinical students. The fact that there is no validated method for identifying the components of the hidden curriculum poses problems for educators considering professionalism. The aim of this study was to analyse whether a cultural web, adapted from a business context, might assist in the identification of elements of the hidden curriculum at a UK veterinary school. A qualitative approach was used. Seven focus groups consisting of three staff groups and four student groups were organised. Questioning was framed using the cultural web, which is a model used by business owners to assess their environment and consider how it affects their employees and customers. The focus group discussions were recorded, transcribed and analysed thematically using a combination of a priori and emergent themes. The cultural web identified elements of the hidden curriculum for both students and staff. These included: core assumptions; routines; rituals; control systems; organisational factors; power structures, and symbols. Discussions occurred about how and where these issues may affect students' professional identity development. The cultural web framework functioned well to help participants identify elements of the hidden curriculum. These aspects aligned broadly with previously described factors such as role models and institutional slang. The influence of these issues on a student's development of a professional identity requires discussion amongst faculty staff, and could be used to develop learning opportunities for students. The framework is promising for the analysis of the hidden curriculum and could be developed as an instrument for implementation in other clinical teaching environments. © Blackwell Publishing Ltd 2013.

A comparison of two coaching approaches to enhance implementation of a recovery-oriented service model.

Science.gov (United States)

Deane, Frank P; Andresen, Retta; Crowe, Trevor P; Oades, Lindsay G; Ciarrochi, Joseph; Williams, Virginia

2014-09-01

Moving to recovery-oriented service provision in mental health may entail retraining existing staff, as well as training new staff. This represents a substantial burden on organisations, particularly since transfer of training into practice is often poor. Follow-up supervision and/or coaching have been found to improve the implementation and sustainment of new approaches. We compared the effect of two coaching conditions, skills-based and transformational coaching, on the implementation of a recovery-oriented model following training. Training followed by coaching led to significant sustained improvements in the quality of care planning in accordance with the new model over the 12-month study period. No interaction effect was observed between the two conditions. However, post hoc analyses suggest that transformational coaching warrants further exploration. The results support the provision of supervision in the form of coaching in the implementation of a recovery-oriented service model, and suggest the need to better elucidate the mechanisms within different coaching approaches that might contribute to improved care.

Key elements on implementing an occupational health and safety management system using ISO 45001 standard

Directory of Open Access Journals (Sweden)

Darabont Doru Costin

2017-01-01

Full Text Available Occupational health and safety (OHS management system is one of the main elements of the company’s general management system. During last decade, Romanian companies gained a valuable experience on implementing this type of management systems, using OHSAS 18001 referential and standard. However, the projected release of the ISO 45001 represents a new approach which requires the companies to take in consideration new key elements for a successful implementation of the OHS management system. The aim of the paper is to identify and analyse these key elements, by integration of the following issues: standard requirements, Romanian OHS legislation and good practice examples, including the general control measures for new and emerging risks such as psycho-social risks, workforce ageing and new technologies. The study results represent an important work instrument for each company interested to implement or upgrade its OHS management system using ISO 45001 standard and could be used regardless the company size or activity domain.

Ecodesign Implementation and LCA

DEFF Research Database (Denmark)

McAloone, Tim C.; Pigosso, Daniela Cristina Antelmi

2018-01-01

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

Analysing and Comparing Encodability Criteria

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Kirstin Peters

2015-08-01

Full Text Available Encodings or the proof of their absence are the main way to compare process calculi. To analyse the quality of encodings and to rule out trivial or meaningless encodings, they are augmented with quality criteria. There exists a bunch of different criteria and different variants of criteria in order to reason in different settings. This leads to incomparable results. Moreover it is not always clear whether the criteria used to obtain a result in a particular setting do indeed fit to this setting. We show how to formally reason about and compare encodability criteria by mapping them on requirements on a relation between source and target terms that is induced by the encoding function. In particular we analyse the common criteria full abstraction, operational correspondence, divergence reflection, success sensitiveness, and respect of barbs; e.g. we analyse the exact nature of the simulation relation (coupled simulation versus bisimulation that is induced by different variants of operational correspondence. This way we reduce the problem of analysing or comparing encodability criteria to the better understood problem of comparing relations on processes.

Tax revenue in Mississippi communities following implementation of smoke-free ordinances: an examination of tourism and economic development tax revenues.

Science.gov (United States)

McMillen, Robert; Shackelford, Signe

2012-10-01

There is no safe level of exposure to tobacco smoke. More than 60 Mississippi communities have passed smoke-free ordinances in the past six years. Opponents claim that these ordinances harm local businesses. Mississippi law allows municipalities to place a tourism and economic development (TED) tax on local restaurants and hotels/motels. The objective of this study is to examine the impact of these ordinances on TED tax revenues. This study applies a pre/post quasi-experimental design to compare TED tax revenue before and after implementing ordinances. Descriptive analyses indicated that inflation-adjusted tax revenues increased during the 12 months following implementation of smoke-free ordinances while there was no change in aggregated control communities. Multivariate fixed-effects analyses found no statistically significant effect of smoke-free ordinances on hospitality tax revenue. No evidence was found that smoke-free ordinances have an adverse effect on the local hospitality industry.

78 FR 41731 - Source Specific Federal Implementation Plan for Implementing Best Available Retrofit Technology...

Science.gov (United States)

2013-07-11

... ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 49 [EPA-R09-OAR-2013-0489; FRL-9830-5] Source Specific Federal Implementation Plan for Implementing Best Available Retrofit Technology for Four Corners Power... Implementation Plan (FIP) to implement the Best Available Retrofit Technology (BART) requirement of the Regional...

ATHENA/INTRA analyses for ITER, NSSR-2

International Nuclear Information System (INIS)

Shen, Kecheng; Eriksson, John; Sjoeberg, A.

1999-02-01

The present report is a summary report including thermal-hydraulic analyses made at Studsvik Eco and Safety AB for the ITER NSSR-2 safety documentation. The objective of the analyses was to reveal the safety characteristics of various heat transfer systems at specified operating conditions and to indicate the conditions for which there were obvious risks of jeopardising the structural integrity of the coolant systems. In the latter case also some analyses were made to indicate conceivable mitigating measures for maintaining the integrity.The analyses were primarily concerned with the First Wall and Divertor heat transfer systems. Several enveloping transients were analysed with associated specific flow and heat load boundary conditions. The analyses were performed with the ATHENA and INTRA codes

ATHENA/INTRA analyses for ITER, NSSR-2

Energy Technology Data Exchange (ETDEWEB)

Shen, Kecheng; Eriksson, John; Sjoeberg, A

1999-02-01

The present report is a summary report including thermal-hydraulic analyses made at Studsvik Eco and Safety AB for the ITER NSSR-2 safety documentation. The objective of the analyses was to reveal the safety characteristics of various heat transfer systems at specified operating conditions and to indicate the conditions for which there were obvious risks of jeopardising the structural integrity of the coolant systems. In the latter case also some analyses were made to indicate conceivable mitigating measures for maintaining the integrity.The analyses were primarily concerned with the First Wall and Divertor heat transfer systems. Several enveloping transients were analysed with associated specific flow and heat load boundary conditions. The analyses were performed with the ATHENA and INTRA codes 8 refs, 14 figs, 15 tabs

The use of collaboration to implement evidence-based safe practices.

Science.gov (United States)

Clarke, John R

2013-12-01

The Pennsylvania Patient Safety Authority receives over 235,000 reports of medical error per year. Near miss and serious event reports of common and interesting problems are analysed to identify best practices for preventing harmful errors. Dissemination of this evidence-based information in the peer-reviewed Pennsylvania Patient Safety Advisory and presentations to medical staffs are not sufficient for adoption of best practices. Adoption of best practices has required working with institutions to identify local barriers to and incentives for adopting best practices and redesigning the delivery system to make desired behaviour easy and undesirable behaviour more difficult. Collaborations, where institutions can learn from the experiences of others, have show decreases in harmful events. The Pennsylvania Program to Prevent Wrong-Site Surgery is used as an example. Two collaborations to prevent wrong-site surgery have been completed, one with 30 institutions in eastern Pennsylvania and one with 19 in western Pennsylvania. The first collaboration achieved a 73% decrease in the rolling average of wrong-site events over 18 months. The second collaboration experienced no wrong-site operating room procedures over more than one year. Significance for public healthSince the Institute of Medicine's To Err is Human identified medical errors as a major cause of death, the public has been interested in the recommendations for reporting of medical errors and implementing safe systems for the delivery of healthcare. The Commonwealth of Pennsylvania has followed those recommendations and found that an essential intermediate step between analysing reports and implementing safe systems is collaborative learning among healthcare institutions. The experience in Pennsylvania should be useful to other public organizations wishing to improve safety.

Nástroj na tvaroslovnou analýzu staré angličtiny : Morphological Analyser of Old English

Directory of Open Access Journals (Sweden)

Ondřej Tichý

2017-07-01

Full Text Available The paper describes the construction and testing of an electronic application for semi-automatic morphological analysis of Old English. It introduces the state of the art in the field of electronic analysis of Old English, provides a brief overview of Old English morphology and discusses the reasoning behind our theoretical framework. An account of the chosen methodology is offered and a specific description of its implementation is provided: from the acquisition and preparation of the lexical input data, through the programming of the forms generator to the testing of the results by analysing Old English text. The resulting recall of 95% is a success; however, the paper also hints at how it may be improved. It also discusses further use and development of the analyser, especially the disambiguation of its results. The paper makes a future semi-automatic morphological tagging of Old English texts a real possibility.

Chemical leasing--a review of implementation in the past decade.

Science.gov (United States)

Moser, Frank; Jakl, Thomas

2015-04-01

In the past decade, research on innovative business models to manage the risk of chemical substances has sought to provide solutions to achieve the goals of the World Summit on Sustainable Development of 2002, which called for a renewal of the commitment to the sound management of chemicals and of hazardous wastes throughout their life cycle and set the ambitious goal, by 2020, to use and produce chemicals in ways that do not lead to significant adverse effects on human health and the environment. Chemical Leasing is an innovative business model that shows a great potential to become a global model for sustainable development within chemical management. This paper provides a review of the current standings of literature regarding the implementation of Chemical Leasing in the past decade. In doing so, the paper highlights the potential of this business model to serve as an approach for dematerializing production processes and managing the risks of chemicals at all levels. More in detail, it provides an outline of how Chemical Leasing has supported the alignment and implementation of the objectives of chemicals policy-makers and industry regarding the production and use of chemicals and analyses to what extent Chemical Leasing contributes to the implementation of a number of voluntary global initiatives, such as Cleaner Production, Sustainable Chemistry and Corporate Social Responsibility. This paper provides a systematic analysis of the gaps identified in literature regarding the implementation of Chemical Leasing business models. Based on this analysis, specific aspects in the field of Chemical Leasing are recommended to be further elaborated in order to increase the understanding and applicability of the business model.

Advancing theory development: exploring the leadership–climate relationship as a mechanism of the implementation of cultural competence

Directory of Open Access Journals (Sweden)

Erick G. Guerrero

2017-11-01

Full Text Available Abstract Background Leadership style and specific organizational climates have emerged as critical mechanisms to implement targeted practices in organizations. Drawing from relevant theories, we propose that climate for implementation of cultural competence reflects how transformational leadership may enhance the organizational implementation of culturally responsive practices in health care organizations. Methods Using multilevel data from 427 employees embedded in 112 addiction treatment programs collected in 2013, confirmatory factor analysis showed adequate fit statistics for our measure of climate for implementation of cultural competence (Cronbach’s alpha = .88 and three outcomes: knowledge (Cronbach’s alpha = .88, services (Cronbach’s alpha = .86, and personnel (Cronbach’s alpha = .86 practices. Results Results from multilevel path analyses indicate a positive relationship between employee perceptions of transformational leadership and climate for implementation of cultural competence (standardized indirect effect = .057, bootstrap p < .001. We also found a positive indirect effect between transformational leadership and each of the culturally competent practices: knowledge (standardized indirect effect = .006, bootstrap p = .004, services (standardized indirect effect = .019, bootstrap p < .001, and personnel (standardized indirect effect = .014, bootstrap p = .005. Conclusions Findings contribute to implementation science. They build on leadership theory and offer evidence of the mediating role of climate in the implementation of cultural competence in addiction health service organizations.

High performance integer arithmetic circuit design on FPGA architecture, implementation and design automation

CERN Document Server

Palchaudhuri, Ayan

2016-01-01

This book describes the optimized implementations of several arithmetic datapath, controlpath and pseudorandom sequence generator circuits for realization of high performance arithmetic circuits targeted towards a specific family of the high-end Field Programmable Gate Arrays (FPGAs). It explores regular, modular, cascadable, and bit-sliced architectures of these circuits, by directly instantiating the target FPGA-specific primitives in the HDL. Every proposed architecture is justified with detailed mathematical analyses. Simultaneously, constrained placement of the circuit building blocks is performed, by placing the logically related hardware primitives in close proximity to one another by supplying relevant placement constraints in the Xilinx proprietary “User Constraints File”. The book covers the implementation of a GUI-based CAD tool named FlexiCore integrated with the Xilinx Integrated Software Environment (ISE) for design automation of platform-specific high-performance arithmetic circuits from us...

Key ingredients for implementing intensive outpatient programs within patient-centered medical homes: A literature review and qualitative analysis.

Science.gov (United States)

Breland, Jessica Y; Asch, Steven M; Slightam, Cindie; Wong, Ava; Zulman, Donna M

2016-03-01

Intensive outpatient programs aim to transform care while conserving resources for high-need, high-cost patients, but little is known about factors that influence their implementation within patient-centered medical homes (PCMHs). In this mixed-methods study, we reviewed the literature to identify factors affecting intensive outpatient program implementation, then used semi-structured interviews to determine how these factors influenced the implementation of an intensive outpatient program within the Veterans Affairs' (VA) PCMH. Interviewees included facility leadership and clinical staff who were involved in a pilot Intensive Management Patient Aligned Care Team (ImPACT) intervention for high-need, high-cost VA PCMH patents. We classified implementation factors in the literature review and qualitative analysis using the Consolidated Framework for Implementation Research (CFIR). The literature review (n=9 studies) and analyses of interviews (n=15) revealed key implementation factors in three CFIR domains. First, the Inner Setting (i.e., the organizational and PCMH environment), mostly enabled implementation through a culture of innovation, good networks and communication, and positive tension for change. Second, Characteristics of Individuals, including creativity, flexibility, and interpersonal skills, allowed program staff to augment existing PCMH services. Finally, certain Intervention Characteristics (e.g., adaptability) enabled implementation, while others (e.g., complexity) generated implementation barriers. Resources and structural features common to PCMHs can facilitate implementation of intensive outpatient programs, but program success is also dependent on staff creativity and flexibility, and intervention adaptations to meet patient and organizational needs. Established PCMHs likely provide resources and environments that permit accelerated implementation of intensive outpatient programs. V. Published by Elsevier Inc.

Hide-Scrapers from Arukhlo I Settlement in Georgia (on correspondence of the shape and function of prehistoric implements

Directory of Open Access Journals (Sweden)

Esakia Ketevan M.

2017-09-01

Full Text Available The article analyses one of the primary categories of the implement complex discovered at Arukhlo I Neolithic settlement (Georgia, Kvemo Kartli Region. The stone implements discovered at the site are characterized by their great variety. Comprehensive functional research conducted by the authors demonstrated that the typological and morphological characteristics of the various categories of stone implements do not always correspond to their functions. Thus, the shapes and functions of the hide-scrapers were fully identical for 18 of 39 implements only, whereas the other tools were used for different purposes and did not feature traces of utilization. A microanalysis of their working parts allowed to determine the types of processed raw material, means of processing, and in certain cases the type of obtained articles as well. The authors made a conclusion on the importance of the comprehensive research of production inventory for the reconstruction of the characteristic features of prehistoric economy.

Implementing energy efficiency policy in Croatia: Stakeholder interactions for closing the gap

International Nuclear Information System (INIS)

Bukarica, Vesna; Robić, Slavica

2013-01-01

Despite the substantial efforts made to develop sound energy efficiency policies, the desired effects in terms of achieved energy savings are lacking. This phenomenon is known as the energy efficiency gap and has been extensively investigated in the literature. Barrier models to explain the gap are primarily oriented towards the technical aspects of energy efficiency and often disregard its social aspects. The aim of our research was to identify the social structures that play a prominent role in moving society towards greater energy efficiency, to investigate their perceptions of the levers for and brakes to greater participation in the implementation of energy efficiency measures and to provide recommendations for policy enhancement. Four groups of stakeholders were identified: public institutions, businesses, civil society organisations and the media. A survey was administered to 93 representatives of these groups in Croatia. The results indicate that to encourage the society to adopt energy efficiency improvements, it is crucial for public institutions to play a leading role with the support of strong and visible political commitment. The level of benefit recognition among all groups is weak, which together with the slow progression of dialogue between and within the analysed groups is preventing full policy uptake. - Highlights: • We analyse attitudes of Croatian stakeholders towards energy efficiency. • Responses are gathered from public institutions, businesses, CSOs and media. • Lacking political will and public dialogue dominantly cause and maintain the gap. • Participative policy making and clear leadership in implementing are needed

Performance of neutron kinetics models for ADS transient analyses

International Nuclear Information System (INIS)

Rineiski, A.; Maschek, W.; Rimpault, G.

2002-01-01

Within the framework of the SIMMER code development, neutron kinetics models for simulating transients and hypothetical accidents in advanced reactor systems, in particular in Accelerator Driven Systems (ADSs), have been developed at FZK/IKET in cooperation with CE Cadarache. SIMMER is a fluid-dynamics/thermal-hydraulics code, coupled with a structure model and a space-, time- and energy-dependent neutronics module for analyzing transients and accidents. The advanced kinetics models have also been implemented into KIN3D, a module of the VARIANT/TGV code (stand-alone neutron kinetics) for broadening application and for testing and benchmarking. In the paper, a short review of the SIMMER and KIN3D neutron kinetics models is given. Some typical transients related to ADS perturbations are analyzed. The general models of SIMMER and KIN3D are compared with more simple techniques developed in the context of this work to get a better understanding of the specifics of transients in subcritical systems and to estimate the performance of different kinetics options. These comparisons may also help in elaborating new kinetics models and extending existing computation tools for ADS transient analyses. The traditional point-kinetics model may give rather inaccurate transient reaction rate distributions in an ADS even if the material configuration does not change significantly. This inaccuracy is not related to the problem of choosing a 'right' weighting function: the point-kinetics model with any weighting function cannot take into account pronounced flux shape variations related to possible significant changes in the criticality level or to fast beam trips. To improve the accuracy of the point-kinetics option for slow transients, we have introduced a correction factor technique. The related analyses give a better understanding of 'long-timescale' kinetics phenomena in the subcritical domain and help to evaluate the performance of the quasi-static scheme in a particular case. One

Difficult aspects in the e-social pre implementation fase in higher education community institutions in Santa Catarina

Directory of Open Access Journals (Sweden)

Antonio Zanin

2017-06-01

Full Text Available Brazilian financial control is changing, mainly because of the implementation of new control tools which try to regulate the relation between the revenue and contributors. One of these changes is the EFD- Social implementation, which the organizations are putting a huge effort, because it is something new, where its demands is not only of processes but also of the management culture. Under this context, this study had as objective analyse the difficulties of the Higher Education Community Institutions  - ICES – in Santa Catarina, associated to ACAFE, in the accession adaptation of E-social in the pre implementation fase. The research is exploratory, descritive and quantitative. The sample is composed with about 60% of the researched population and the data collect was made through questionaries collected from february to may of 2015. The data analysis revealed that ICES are in distintives fases of EFD-Social implementation. It is also possible to verify, in the perspective of the researched  ICES, that the EFD-Social implementation will bring more advantages than disadvantages, suggesting the beginning of a cultural change in the organizations, which realize this instrument as a management tool not only financial control.

The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency.

Science.gov (United States)

Smith, Maxwell L; Wilkerson, Trent; Grzybicki, Dana M; Raab, Stephen S

2012-09-01

Few reports have documented the effectiveness of Lean quality improvement in changing anatomic pathology patient safety. We used Lean methods of education; hoshin kanri goal setting and culture change; kaizen events; observation of work activities, hand-offs, and pathways; A3-problem solving, metric development, and measurement; and frontline work redesign in the accessioning and gross examination areas of an anatomic pathology laboratory. We compared the pre- and post-Lean implementation proportion of near-miss events and changes made in specific work processes. In the implementation phase, we documented 29 individual A3-root cause analyses. The pre- and postimplementation proportions of process- and operator-dependent near-miss events were 5.5 and 1.8 (P < .002) and 0.6 and 0.6, respectively. We conclude that through culture change and implementation of specific work process changes, Lean implementation may improve pathology patient safety.

Diverse Approaches to Implement and Monitor River Restoration: A Comparative Perspective in France and Germany

Science.gov (United States)

Morandi, Bertrand; Kail, Jochem; Toedter, Anne; Wolter, Christian; Piégay, Hervé

2017-11-01

River restoration is a main emphasis of river management in European countries. Cross-national comparisons of its implementation are still rare in scientific literature. Based on French and German national censuses, this study compares river restoration practices and monitoring by analysing 102 French and 270 German projects. This comparison aims to draw a spatial and temporal framework of restoration practices in both countries to identify potential drivers of cross-national similarities and differences. The results underline four major trends: (1) a lag of almost 15 years in river restoration implementation between France and Germany, with a consequently higher share of projects in Germany than in France, (2) substantial similarities in restored reach characteristics, short reach length, small rivers, and in "agricultural" areas, (3) good correspondences between stressors identified and restoration measures implemented. Morphological alterations were the most important highlighted stressors. River morphology enhancement, especially instream enhancements, were the most frequently implemented restoration measures. Some differences exist in specific restoration practices, as river continuity restoration were most frequently implemented in French projects, while large wood introduction or channel re-braiding were most frequently implemented in German projects, and (4) some quantitative and qualitative differences in monitoring practices and a significant lack of project monitoring, especially in Germany compared to France. These similarities and differences between Germany and France in restoration application and monitoring possibly result from a complex set of drivers that might be difficult to untangle (e.g., environmental, technical, political, cultural).

Joint Implementation, Clean Development Mechanism and Tradable Permits

Energy Technology Data Exchange (ETDEWEB)

Nielsen, L; Rose Olsen, K

2000-06-01

This report deals with international environmental instruments aimed at a cost-effective reduction of greenhouse gas emissions. More precisely the instruments mentioned in the Kyoto Protocol, namely Joint Implementation (JI), the Clean Development Mechanism (CDM) and Tradable Permits (TP). The report describes the background for the international co-operation on reducing the greenhouse gases and the background for the instruments. How the instruments work in theory and what the practical problems may be. What agents' incentives are when they engage in JI or CDM, and how the initiation of the instruments can be organised. The institutional frameworks for JI, CDM and TP are discussed. The report describes how the Kyoto instruments and the Kyoto commitments interact with other instruments and describe distributive effects between countries. It is analysed how the use of CDM may influence the developing countries incentives to participate in the coalition of committed countries. In the concluding chapter some recommendations on the use of JI, TP and CDM are given. The recommendations are a kind of dialog with especially the Norwegian and Swedish reports on tradable permits. Some of the issues described in this main report are analysed in separate working papers. The working papers are collected in an appendix to the main report. (au)

Joint Implementation, Clean Development Mechanism and Tradable Permits

Energy Technology Data Exchange (ETDEWEB)

Nielsen, L.; Rose Olsen, K.

2000-06-01

This report deals with international environmental instruments aimed at a cost-effective reduction of greenhouse gas emissions. More precisely the instruments mentioned in the Kyoto Protocol, namely Joint Implementation (JI), the Clean Development Mechanism (CDM) and Tradable Permits (TP). The report describes the background for the international co-operation on reducing the greenhouse gases and the background for the instruments. How the instruments work in theory and what the practical problems may be. What agents' incentives are when they engage in JI or CDM, and how the initiation of the instruments can be organised. The institutional frameworks for JI, CDM and TP are discussed. The report describes how the Kyoto instruments and the Kyoto commitments interact with other instruments and describe distributive effects between countries. It is analysed how the use of CDM may influence the developing countries incentives to participate in the coalition of committed countries. In the concluding chapter some recommendations on the use of JI, TP and CDM are given. The recommendations are a kind of dialog with especially the Norwegian and Swedish reports on tradable permits. Some of the issues described in this main report are analysed in separate working papers. The working papers are collected in an appendix to the main report. (au)

Adjuvant chemotherapy in stage III colon cancer: guideline implementation, patterns of use and outcomes in daily practice in The Netherlands

NARCIS (Netherlands)

van Gils, Chantal W. M.; Koopman, Miriam; Mol, Linda; Redekop, William K.; Uyl-de Groot, Carin A.; Punt, Cornelis J. A.

2012-01-01

Little is known about how well guidelines about adjuvant chemotherapy in colon cancer are followed in daily practice. We evaluated the current guideline, which is based on the MOSAIC trial, by examining implementation, treatment patterns and disease-free survival. We analysed a population-based

Temporal evolution of the environmental performance of implementing selective collection in municipal waste management systems in developing countries: A Brazilian case study.

Science.gov (United States)

Ibáñez-Forés, Valeria; Bovea, María D; Coutinho-Nóbrega, Claudia; de Medeiros-García, Hozana R; Barreto-Lins, Raissa

2018-02-01

The aim of this study is to analyse the evolution of the municipal solid waste management system of João Pessoa (Brazil), which was one of the Brazilian pioneers cities in implementing door-to-door selective collection programmes, in order to analyse the effect of policy decisions adopted in last decade with regard to selective collection. To do it, this study focuses on analysing the evolution, from 2005 to 2015, of the environmental performance of the municipal solid waste management (MSWM) system implemented in different sorting units with selective collection programmes by applying the Life Cycle Assessment (LCA) methodology and using as a starting point data collected directly from the different stakeholders involved in the MSWM system. This article presents the temporal evolution of environmental indicators measuring the environmental performance of the MSWM system implemented in João Pessoa by sorting unit, for each stage of the life cycle of the waste (collection, classification, intermediate transports, recycling and landfilling), for each waste fraction and for each collection method (selective collection or mixed collection), with the aim of identifying the key aspects with the greatest environmental impact and their causes. Results show on one hand, that environmental behaviour of waste management in a door-to-door selective collection programme significantly improves the behaviour of the overall waste management system. Consequently, the potential to reduce the existing environmental impact based on citizens' increased participation in selective collection is evidenced, so the implementation of awareness-raising campaigns should be one of the main issues of the next policies on solid waste. On the other hand, increasing the amount of recyclable wastes collected selectively, implementing alternative methods for valorising the organic fraction (compost/biomethanization) and improving the efficiency of the transportation stage by means of optimizing

Predicting implementation from organizational readiness for change: a study protocol

Directory of Open Access Journals (Sweden)

Kelly P Adam

2011-07-01

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

Technology Implementation Plan

DEFF Research Database (Denmark)

Jensen, Karsten Ingerslev; Schultz, Jørgen Munthe

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

International Review of the Development and Implementation of Energy Efficiency Standards and Labeling Programs

Energy Technology Data Exchange (ETDEWEB)

Zhou, Nan; Zheng, Nina; Fridley, David

2012-02-28

Appliance energy efficiency standards and labeling (S&L) programs have been important policy tools for regulating the efficiency of energy-using products for over 40 years and continue to expand in terms of geographic and product coverage. The most common S&L programs include mandatory minimum energy performance standards (MEPS) that seek to push the market for efficient products, and energy information and endorsement labels that seek to pull the market. This study seeks to review and compare some of the earliest and most well-developed S&L programs in three countries and one region: the U.S. MEPS and ENERGY STAR, Australia MEPS and Energy Label, European Union MEPS and Ecodesign requirements and Energy Label and Japanese Top Runner programs. For each program, key elements of S&L programs are evaluated and comparative analyses across the programs undertaken to identify best practice examples of individual elements as well as cross-cutting factors for success and lessons learned in international S&L program development and implementation. The international review and comparative analysis identified several overarching themes and highlighted some common factors behind successful program elements. First, standard-setting and programmatic implementation can benefit significantly from a legal framework that stipulates a specific timeline or schedule for standard-setting and revision, product coverage and legal sanctions for non-compliance. Second, the different MEPS programs revealed similarities in targeting efficiency gains that are technically feasible and economically justified as the principle for choosing a standard level, in many cases at a level that no product on the current market could reach. Third, detailed survey data such as the U.S. Residential Energy Consumption Survey (RECS) and rigorous analyses provide a strong foundation for standard-setting while incorporating the participation of different groups of stakeholders further strengthen the process

Biomass feedstock analyses

Energy Technology Data Exchange (ETDEWEB)

Wilen, C.; Moilanen, A.; Kurkela, E. [VTT Energy, Espoo (Finland). Energy Production Technologies

1996-12-31

The overall objectives of the project `Feasibility of electricity production from biomass by pressurized gasification systems` within the EC Research Programme JOULE II were to evaluate the potential of advanced power production systems based on biomass gasification and to study the technical and economic feasibility of these new processes with different type of biomass feed stocks. This report was prepared as part of this R and D project. The objectives of this task were to perform fuel analyses of potential woody and herbaceous biomasses with specific regard to the gasification properties of the selected feed stocks. The analyses of 15 Scandinavian and European biomass feed stock included density, proximate and ultimate analyses, trace compounds, ash composition and fusion behaviour in oxidizing and reducing atmospheres. The wood-derived fuels, such as whole-tree chips, forest residues, bark and to some extent willow, can be expected to have good gasification properties. Difficulties caused by ash fusion and sintering in straw combustion and gasification are generally known. The ash and alkali metal contents of the European biomasses harvested in Italy resembled those of the Nordic straws, and it is expected that they behave to a great extent as straw in gasification. Any direct relation between the ash fusion behavior (determined according to the standard method) and, for instance, the alkali metal content was not found in the laboratory determinations. A more profound characterisation of the fuels would require gasification experiments in a thermobalance and a PDU (Process development Unit) rig. (orig.) (10 refs.)

Assessing organizational readiness for depression care quality improvement: relative commitment and implementation capability.

Science.gov (United States)

Rubenstein, Lisa V; Danz, Marjorie S; Crain, A Lauren; Glasgow, Russell E; Whitebird, Robin R; Solberg, Leif I

2014-12-02

Depression is a major cause of morbidity and cost in primary care patient populations. Successful depression improvement models, however, are complex. Based on organizational readiness theory, a practice's commitment to change and its capability to carry out the change are both important predictors of initiating improvement. We empirically explored the links between relative commitment (i.e., the intention to move forward within the following year) and implementation capability. The DIAMOND initiative administered organizational surveys to medical and quality improvement leaders from each of 83 primary care practices in Minnesota. Surveys preceded initiation of activities directed at implementation of a collaborative care model for improving depression care. To assess implementation capability, we developed composites of survey items for five types of organizational factors postulated to be collaborative care barriers and facilitators. To assess relative commitment for each practice, we averaged leader ratings on an identical survey question assessing practice priorities. We used multivariable regression analyses to assess the extent to which implementation capability predicted relative commitment. We explored whether relative commitment or implementation capability measures were associated with earlier initiation of DIAMOND improvements. All five implementation capability measures independently predicted practice leaders' relative commitment to improving depression care in the following year. These included the following: quality improvement culture and attitudes (p = 0.003), depression culture and attitudes (p commitment (p = 0.002) and prior depression quality improvement activities appeared to be associated with earlier participation in the DIAMOND initiative. The study supports the concept of organizational readiness to improve quality of care and the use of practice leader surveys to assess it. Practice leaders' relative commitment to depression care

Technical and organisational aspects in enterprise resource planning systems implementation: lessons from a Spanish public hospital

Science.gov (United States)

Escobar-Rodriguez, Tomas; Escobar-Pérez, Bernabe; Monge-Lozano, Pedro

2014-09-01

Public resources should always be managed efficiently, more so in times of crisis. Due to the specific characteristics of the healthcare sector, there is a need for special attention, especially in regards to hospitals. Administrators need useful tools to be able to efficiently manage available resources, such as enterprise resource planning (ERP) systems. Therefore, an analysis of the effects of their implementation and use in hospitals is valuable. This study has two purposes. One is to analyse the role ERP systems play in aiding the integration of hospital data, with focus on user satisfaction as well as possible resistance to change. The other purpose is to analyse the effects of implanting and using ERP systems in the hospital environment and identifying how certain variables influence the process, especially the existence of different organisational cultures. Results indicate that clinical information has become notably more integrated, despite the lack of flow in the economic-financial area. The heterogeneous nature of the different groups, clinical (Medical, Nursing) and non-clinical (Economic-Financial, Accounting), had a negative influence on the implementation process, and limited the integration of information as well as the system's performance.

Implementing function spreadsheets

DEFF Research Database (Denmark)

Sestoft, Peter

2008-01-01

: that of turning an expression into a named function. Hence they proposed a way to define a function in terms of a worksheet with designated input and output cells; we shall call it a function sheet. The goal of our work is to develop implementations of function sheets and study their application to realistic...... examples. Therefore, we are also developing a simple yet comprehensive spreadsheet core implementation for experimentation with this technology. Here we report briefly on our experiments with function sheets as well as other uses of our spreadsheet core implementation....

User participation in implementation

DEFF Research Database (Denmark)

Fleron, Benedicte; Rasmussen, Rasmus; Simonsen, Jesper

2012-01-01

Systems development has been claimed to benefit from user participation, yet user participation in implementation activities may be more common and is a growing focus of participatory-design work. We investigate the effect of the extensive user participation in the implementation of a clinical...... experienced more uncertainty and frustration than management and non-participating staff, especially concerning how to run an implementation process and how to understand and utilize the configuration possibilities of the system. This suggests that user participation in implementation introduces a need...

Risico-analyse brandstofpontons

NARCIS (Netherlands)

Uijt de Haag P; Post J; LSO

2001-01-01

Voor het bepalen van de risico's van brandstofpontons in een jachthaven is een generieke risico-analyse uitgevoerd. Er is een referentiesysteem gedefinieerd, bestaande uit een betonnen brandstofponton met een relatief grote inhoud en doorzet. Aangenomen is dat de ponton gelegen is in een

REDD+ in West Africa: Politics of Design and Implementation in Ghana and Nigeria

Directory of Open Access Journals (Sweden)

Adeniyi P. Asiyanbi

2017-03-01

Full Text Available This paper analyses the design and implementation of Reducing Emissions from Deforestation and Degradation, conserving and enhancing forest carbon stocks, and sustainably managing forests (REDD+ in the West African region, an important global biodiversity area. Drawing on in-depth interviews, analysis of policy documents and observation of everyday activities, we sought to understand how REDD+ has been designed and implemented in Nigeria and Ghana. We draw on political ecology to examine how, and why REDD+ takes the form it does in these countries. We structure our discussion around three key dimensions that emerged as strong areas of common emphasis in our case studies—capacity building, carbon visibility, and property rights. First, we show that while REDD+ design generally foregrounds an ostensible inclusionary politics, its implementation is driven through various forms of exclusion. This contradictory inclusion–exclusion politics, which is partly emblematic of the neoliberal provenance of the REDD+ policy, is also a contingent reality and a strategy for navigating complexities and pursuing certain interests. Second, we show that though the emergent foci of REDD+ implementation in our case studies align with global REDD+ expectations, they still manifest as historically and geographically contingent processes that reflect negotiated and contested relations among actors that constitute the specific national circumstance of each country. We conclude by reflecting on the importance of our findings for understanding REDD+ projects in other tropical countries.

Predicting the implementation of environmental education in Indiana K--8 schools

Science.gov (United States)

Yang, Li-Ling

The purpose of this study was to identify the factors from the literature that influence teachers' implementation of environmental education (EE), and to predict the implementation of EE in the Indiana K--8 Schools by knowledge of these factors. By adapting two earlier instruments, a complete EE assessment instrument was developed, consisting of scales measuring teachers' implementation of EE, their pre-/in-service environmental training, their attitudes toward and competencies in teaching EE, their perceived barriers in teaching EE, and their significant life experiences related to the environment or EE. A questionnaire was sent to 1,200 randomly selected K--8 teachers in public schools throughout Indiana in April 2003, and 385 completed surveys were returned (32.1% return rate). The demographic characteristics of the respondents and the Indiana teacher population were found to be similar. Thus, the results from this study can be generalized to the Indiana teacher population. The construct validity and reliability of each scale were examined after the completion and return of the questionnaires by using factor analysis, item-test correlation analysis, and ANOVA, and also by assessing their alpha indices. It was found that all nine scales were homogeneous, valid, and reliable. Multiple regression analysis was calculated to predict the level of EE implementation in Indiana K--8 schools. Regression analyses indicated that the extent of the teachers' exposure to EE during their pre- and in-service training, the teachers' attitudes toward and competencies in teaching EE, and the barrier "EE not relevant to what I teach" were significant in the full model. This model accounted for 63% of the variance in the teachers' implementation of EE. The teachers' attitudes toward EE had the greatest effect on the teachers' EE implementation when compared to the other significant predictors in the model. The net effects of the extent of the teachers' pre-service and in

The Politico-Economic Challenges of Ghana's National Health Insurance Scheme Implementation.

Science.gov (United States)

Fusheini, Adam

2016-04-27

National/social health insurance schemes have increasingly been seen in many low- and middle-income countries (LMICs) as a vehicle to universal health coverage (UHC) and a viable alternative funding mechanism for the health sector. Several countries, including Ghana, have thus introduced and implemented mandatory national health insurance schemes (NHIS) as part of reform efforts towards increasing access to health services. Ghana passed mandatory national health insurance (NHI) legislation (ACT 650) in 2003 and commenced nationwide implementation in 2004. Several peer review studies and other research reports have since assessed the performance of the scheme with positive rating while challenges also noted. This paper contributes to the literature on economic and political implementation challenges based on empirical evidence from the perspectives of the different category of actors and institutions involved in the process. Qualitative in-depth interviews were held with 33 different category of participants in four selected district mutual health insurance schemes in Southern (two) and Northern (two) Ghana. This was to ascertain their views regarding the main challenges in the implementation process. The participants were selected through purposeful sampling, stakeholder mapping, and snowballing. Data was analysed using thematic grouping procedure. Participants identified political issues of over politicisation and political interference as main challenges. The main economic issues participants identified included low premiums or contributions; broad exemptions, poor gatekeeper enforcement system; and culture of curative and hospital-centric care. The study establishes that political and economic factors have influenced the implementation process and the degree to which the policy has been implemented as intended. Thus, we conclude that there is a synergy between implementation and politics; and achieving UHC under the NHIS requires political stewardship. Political

Grey literature in meta-analyses.

Science.gov (United States)

Conn, Vicki S; Valentine, Jeffrey C; Cooper, Harris M; Rantz, Marilyn J

2003-01-01

In meta-analysis, researchers combine the results of individual studies to arrive at cumulative conclusions. Meta-analysts sometimes include "grey literature" in their evidential base, which includes unpublished studies and studies published outside widely available journals. Because grey literature is a source of data that might not employ peer review, critics have questioned the validity of its data and the results of meta-analyses that include it. To examine evidence regarding whether grey literature should be included in meta-analyses and strategies to manage grey literature in quantitative synthesis. This article reviews evidence on whether the results of studies published in peer-reviewed journals are representative of results from broader samplings of research on a topic as a rationale for inclusion of grey literature. Strategies to enhance access to grey literature are addressed. The most consistent and robust difference between published and grey literature is that published research is more likely to contain results that are statistically significant. Effect size estimates of published research are about one-third larger than those of unpublished studies. Unfunded and small sample studies are less likely to be published. Yet, importantly, methodological rigor does not differ between published and grey literature. Meta-analyses that exclude grey literature likely (a) over-represent studies with statistically significant findings, (b) inflate effect size estimates, and (c) provide less precise effect size estimates than meta-analyses including grey literature. Meta-analyses should include grey literature to fully reflect the existing evidential base and should assess the impact of methodological variations through moderator analysis.

Cost-Benefit Analyses of Transportation Investments

DEFF Research Database (Denmark)

Næss, Petter

2006-01-01

This paper discusses the practice of cost-benefit analyses of transportation infrastructure investment projects from the meta-theoretical perspective of critical realism. Such analyses are based on a number of untenable ontological assumptions about social value, human nature and the natural......-to-pay investigations. Accepting the ontological and epistemological assumptions of cost-benefit analysis involves an implicit acceptance of the ethical and political values favoured by these assumptions. Cost-benefit analyses of transportation investment projects tend to neglect long-term environmental consequences...

Automatic incrementalization of Prolog based static analyses

DEFF Research Database (Denmark)

Eichberg, Michael; Kahl, Matthias; Saha, Diptikalyan

2007-01-01

Modem development environments integrate various static analyses into the build process. Analyses that analyze the whole project whenever the project changes are impractical in this context. We present an approach to automatic incrementalization of analyses that are specified as tabled logic prog...

Evaluation of the implementation of a whole-workplace walking programme using the RE-AIM framework

Directory of Open Access Journals (Sweden)

Emma J. Adams

2017-05-01

Full Text Available Abstract Background Promoting walking for the journey to/from work and during the working day is one potential approach to increase physical activity in adults. Walking Works was a practice-led, whole-workplace walking programme delivered by employees (walking champions. This study aimed to evaluate the implementation of Walking Works using the RE-AIM framework and provide recommendations for future delivery of whole-workplace walking programmes. Methods Two cross sectional surveys were conducted; 1544 (28% employees completed the baseline survey and 918 employees (21% completed the follow-up survey. Effectiveness was assessed using baseline and follow-up data; reach, implementation and maintenance were assessed using follow-up data only. For categorical data, Chi square tests were conducted to assess differences between surveys or groups. Continuous data were analysed to test for significant differences using a Mann-Whitney U test. Telephone interviews were conducted with the lead organisation co-ordinator, eight walking champions and three business representatives at follow-up. Interviews were transcribed verbatim and analysed to identify key themes related to adoption, implementation and maintenance. Results Adoption: Five workplaces participated in Walking Works. Reach: 480 (52.3% employees were aware of activities and 221 (24.1% participated. Implementation: A variety of walking activities were delivered. Some programme components were not delivered as planned which was partly due to barriers in using walking champions to deliver activities. These included the walking champions’ capacity, skills, support needs, ability to engage senior management, and the number and type of activities they could deliver. Other barriers included lack of management support, difficulties communicating information about activities and challenges embedding the programme into normal business activities. Effectiveness: No significant changes in walking to

Gaps and strategies in developing health research capacity: experience from the Nigeria Implementation Science Alliance.

Science.gov (United States)

Ezeanolue, Echezona E; Menson, William Nii Ayitey; Patel, Dina; Aarons, Gregory; Olutola, Ayodotun; Obiefune, Michael; Dakum, Patrick; Okonkwo, Prosper; Gobir, Bola; Akinmurele, Timothy; Nwandu, Anthea; Khamofu, Hadiza; Oyeledun, Bolanle; Aina, Muyiwa; Eyo, Andy; Oleribe, Obinna; Ibanga, Ikoedem; Oko, John; Anyaike, Chukwuma; Idoko, John; Aliyu, Muktar H; Sturke, Rachel

2018-02-12

Despite being disproportionately burdened by preventable diseases than more advanced countries, low- and middle-income countries (LMICs) continue to trail behind other parts of the world in the number, quality and impact of scholarly activities by their health researchers. Our strategy at the Nigerian Implementation Science Alliance (NISA) is to utilise innovative platforms that catalyse collaboration, enhance communication between different stakeholders, and promote the uptake of evidence-based interventions in improving healthcare delivery. This article reports on findings from a structured group exercise conducted at the 2016 NISA Conference to identify (1) gaps in developing research capacity and (2) potential strategies to address these gaps. A 1-hour structured group exercise was conducted with 15 groups of 2-9 individuals (n = 94) to brainstorm gaps for implementation, strategies to address gaps and to rank their top 3 in each category. Qualitative thematic analysis was used. First, duplicate responses were merged and analyses identified emerging themes. Each of the gaps and strategies identified were categorised as falling into the purview of policy-makers, researchers, implementing partners or multiple groups. Participating stakeholders identified 98 gaps and 91 strategies related to increasing research capacity in Nigeria. A total of 45 gaps and an equal number of strategies were ranked; 39 gaps and 43 strategies were then analysed, from which 8 recurring themes emerged for gaps (lack of sufficient funding, poor research focus in education, inadequate mentorship and training, inadequate research infrastructure, lack of collaboration between researchers, research-policy dissonance, lack of motivation for research, lack of leadership buy-in for research) and 7 themes emerged for strategies (increased funding for research, improved research education, improved mentorship and training, improved infrastructure for research, increased collaboration between

Health in All Policies: From rhetoric to implementation and evaluation - the Finnish experience.

Science.gov (United States)

Ståhl, Timo

2018-02-01

The principles of the Health in All Policies (HiAP) approach are not new. Their international roots can be traced back to 1978 and the Alma-Ata Declaration and the 1986 Ottawa Charter. In Finland, the roots of HiAP go back to 1972 when the Economic Council of Finland, chaired by the Prime Minister, launched the 'Report of the working group exploring the goals of health'. The paper discusses the history, rationale, and implementation of the principles underlying the umbrella concept of HiAP. A rationale for implementing a new concept - HiAP in 2006 during the Finnish European Union presidency - is given. The focus here will be on implementation of HiAP. International material supporting the implementation is introduced and practical examples from Finland presented. The Benchmarking System for Health Promotion Capacity Building is introduced, since it has been used as a primary source of information for monitoring and evaluating HiAP in Finland at the local level. The experience from Finland clearly indicates that HiAP as an approach and as a way of working requires long-term commitment and vision. For working across sectors it is crucial to have data on health and health determinants and analyses of the links between health outcomes, health determinants, and policies across sectors and levels of governance. Intersectoral structures, processes, and tools for the identification of problems and solutions, decisions, and implementation across sectors are prerequisites of HiAP. Legislative backing has proven to be useful, especially in providing continuation and sustainability.

Barriers and enablers to implementing multiple stroke guideline recommendations: a qualitative study.

Science.gov (United States)

McCluskey, Annie; Vratsistas-Curto, Angela; Schurr, Karl

2013-08-19

Translating evidence into practice is an important final step in the process of evidence-based practice. Medical record audits can be used to examine how well practice compares with published evidence, and identify evidence-practice gaps. After providing audit feedback to professionals, local barriers to practice change can be identified and targetted with focussed behaviour change interventions. This study aimed to identify barriers and enablers to implementing multiple stroke guideline recommendations at one Australian stroke unit. A qualitative methodology was used. A sample of 28 allied health, nursing and medical professionals participated in a group or individual interview. These interviews occurred after staff had received audit feedback and identified areas for practice change. Questions focused on barriers and enablers to implementing guideline recommendations about management of: upper limb sensory impairments, mobility including sitting balance; vision; anxiety and depression; neglect; swallowing; communication; education for stroke survivors and carers; advice about return to work and driving. Qualitative data were analysed for themes using theoretical domains described by Michie and colleagues (2005). Six group and two individual interviews were conducted, involving six disciplines. Barriers were different across disciplines. The six key barriers identified were: (1) Beliefs about capabilities of individual professionals and their discipline, and about patient capabilities (2) Beliefs about the consequences, positive and negative, of implementing the recommendations (3) Memory of, and attention to, best practices (4) Knowledge and skills required to implement best practice; (5) Intention and motivation to implement best practice, and (6) Resources. Some barriers were also enablers to change. For example, occupational therapists required new knowledge and skills (a barrier), to better manage sensation and neglect impairments while physiotherapists

Sample preparation in foodomic analyses.

Science.gov (United States)

Martinović, Tamara; Šrajer Gajdošik, Martina; Josić, Djuro

2018-04-16

Representative sampling and adequate sample preparation are key factors for successful performance of further steps in foodomic analyses, as well as for correct data interpretation. Incorrect sampling and improper sample preparation can be sources of severe bias in foodomic analyses. It is well known that both wrong sampling and sample treatment cannot be corrected anymore. These, in the past frequently neglected facts, are now taken into consideration, and the progress in sampling and sample preparation in foodomics is reviewed here. We report the use of highly sophisticated instruments for both high-performance and high-throughput analyses, as well as miniaturization and the use of laboratory robotics in metabolomics, proteomics, peptidomics and genomics. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems.

Science.gov (United States)

Atkins, Lou; Francis, Jill; Islam, Rafat; O'Connor, Denise; Patey, Andrea; Ivers, Noah; Foy, Robbie; Duncan, Eilidh M; Colquhoun, Heather; Grimshaw, Jeremy M; Lawton, Rebecca; Michie, Susan

2017-06-21

analysing data, and reporting findings of TDF-based studies. Areas for development include methods for triangulating data, e.g. from interviews, questionnaires and observation and methods for designing interventions based on TDF-based problem analysis. We offer this guide to the implementation community to assist in the application of the TDF to achieve implementation objectives. Benefits of using the TDF include the provision of a theoretical basis for implementation studies, good coverage of potential reasons for slow diffusion of evidence into practice and a method for progressing from theory-based investigation to intervention.

Review of Statistical Analyses Resulting from Performance of HLDWD-DWPF-005

International Nuclear Information System (INIS)

Beck, R.S.

1997-01-01

The Engineering Department at the Defense Waste Processing Facility (DWPF) has reviewed two reports from the Statistical Consulting Section (SCS) involving the statistical analysis of test results for analysis of small sample inserts (references 1 ampersand 2). The test results cover two proposed analytical methods, a room temperature hydrofluoric acid preparation (Cold Chem) and a sodium peroxide/sodium hydroxide fusion modified for insert samples (Modified Fusion). The reports support implementation of the proposed small sample containers and analytical methods at DWPF. Hydragard sampler valve performance was typical of previous results (reference 3). Using an element from each major feed stream. lithium from the frit and iron from the sludge, the sampler was determined to deliver a uniform mixture in either sample container.The lithium to iron ratios were equivalent for the standard 15 ml vial and the 3 ml insert.The proposed method provide equivalent analyses as compared to the current methods. The biases associated with the proposed methods on a vitrified basis are less than 5% for major elements. The sum of oxides for the proposed method compares favorably with the sum of oxides for the conventional methods. However, the average sum of oxides for the Cold Chem method was 94.3% which is below the minimum required recovery of 95%. Both proposed methods, cold Chem and Modified Fusion, will be required at first to provide an accurate analysis which will routinely meet the 95% and 105% average sum of oxides limit for Product Composition Control System (PCCS).Issued to be resolved during phased implementation are as follows: (1) Determine calcine/vitrification factor for radioactive feed; (2) Evaluate covariance matrix change against process operating ranges to determine optimum sample size; (3) Evaluate sources for low sum of oxides; and (4) Improve remote operability of production versions of equipment and instruments for installation in 221-S.The specifics of

Cost-Benefit Analysis of Smart Grids Implementation

International Nuclear Information System (INIS)

Tomsic, Z.; Pongrasic, M.

2014-01-01

Paper presents guidelines for conducting the cost-benefit analysis of Smart Grid projects connected to the implementation of advanced technologies in electric power system. Restrictions of presented electric power networks are also mentioned along with solutions that are offered by advanced electric power network. From an economic point of view, the main characteristic of advanced electric power network is big investment, and benefits are seen after some time with risk of being smaller than expected. Therefore it is important to make a comprehensive analysis of those projects which consist of economic and qualitative analysis. This report relies on EPRI methodology developed in American institute for energy. The methodology is comprehensive and useful, but also simple and easy to understand. Steps of this methodology and main characteristics of methodologies which refer to EPRI methodology: methodology developed in Joint Research Center and methodologies for analysing implementation of smart meters in electricity power network are explained. Costs, benefits and categories in which they can be classified are also defined. As a part of qualitative analysis, social aspect of Smart Grid projects is described. In cost defining, special attention has to be paid to projects of integrating electricity from variable renewable energy sources into the power system because of additional costs. This work summarized categories of additional costs. In the end of this report, an overview is given of what has been done and what will be done in European Union. (author).

Implementing service improvement projects within pre-registration nursing education: a multi-method case study evaluation.

Science.gov (United States)

Baillie, Lesley; Bromley, Barbara; Walker, Moira; Jones, Rebecca; Mhlanga, Fortune

2014-01-01

Preparing healthcare students for quality and service improvement is important internationally. A United Kingdom (UK) initiative aims to embed service improvement in pre-registration education. A UK university implemented service improvement teaching for all nursing students. In addition, the degree pathway students conducted service improvement projects as the basis for their dissertations. The study aimed to evaluate the implementation of service improvement projects within a pre-registration nursing curriculum. A multi-method case study was conducted, using student questionnaires, focus groups with students and academic staff, and observation of action learning sets. Questionnaire data were analysed using SPSS v19. Qualitative data were analysed using Ritchie and Spencer's (1994) Framework Approach. Students were very positive about service improvement. The degree students, who conducted service improvement projects in practice, felt more knowledgeable than advanced diploma students. Selecting the project focus was a key issue and students encountered some challenges in practice. Support for student service improvement projects came from action learning sets, placement staff, and academic staff. Service improvement projects had a positive effect on students' learning. An effective partnership between the university and partner healthcare organisations, and support for students in practice, is essential. Copyright © 2013 Elsevier Ltd. All rights reserved.

Psychometric analyses to improve the Dutch ICF Activity Inventory.

Science.gov (United States)

Bruijning, Janna E; van Rens, Ger; Knol, Dirk; van Nispen, Ruth

2013-08-01

In the past, rehabilitation centers for the visually impaired used unstructured or semistructured methods to assess rehabilitation needs of their patients. Recently, an extensive instrument, the Dutch ICF Activity Inventory (D-AI), was developed to systematically investigate rehabilitation needs of visually impaired adults and to evaluate rehabilitation outcomes. The purpose of this study was to investigate the underlying factor structure and other psychometric properties to shorten and improve the D-AI. The D-AI was administered to 241 visually impaired persons who recently enrolled in a multidisciplinary rehabilitation center. The D-AI uses graded scores to assess the importance and difficulty of 65 rehabilitation goals. For high-priority goals (e.g., daily meal preparation), the difficulty of underlying tasks (e.g., read recipes, cut vegetables) was assessed. To reduce underlying task items (>950), descriptive statistics were investigated and factor analyses were performed for several goals. The internal consistency reliability and test-retest reliability of the D-AI were investigated by calculating Cronbach α and Cohen (weighted) κ. Finally, consensus-based discussions were used to shorten and improve the D-AI. Except for one goal, factor analysis model parameters were at least reasonable. Internal consistency reliability was satisfactory (range, 0.74 to 0.93). In total, 60% of the 65 goal importance items and 84.4% of the goal difficulty items showed moderate to almost perfect κ values (≥0.40). After consensus-based discussions, a new D-AI was produced, containing 48 goals and less than 500 tasks. The analyses were an important step in the validation process of the D-AI and to develop a more feasible assessment tool to investigate rehabilitation needs of visually impaired persons in a systematic way. The D-AI is currently implemented in all Dutch rehabilitation centers serving all visually impaired adults with various rehabilitation needs.

Cover crops knowledge and implementation willingness by producers of several crops

Directory of Open Access Journals (Sweden)

Robin Gómez Gómez

2017-04-01

Full Text Available The objective of this study was to assess the knowledge on cover crops and native vegetation mulches and the willingness to implement them by papaya, oil palm, and banana producers in Costa Rica. An evaluation instrument with twenty eight questions to be answered as true or false was developed, and it was used to yield a knowledge indicator. Seven additional questions with responses on a scale from 0 to 5 were included to explore producers’ willingness to implement cover crops or native vegetation mulches on their farms. The evaluation was completed in 2014, and was filled out by 36 papaya producers, 30 oil palm producers, and 57 banana producers. Item analyses to determine reliability produced Cronbach’s alpha values above 90%. For this study a factors analysis was performed in order to determine the measurement of one single variable, knowledge on cover crops and native vegetation mulches. Global knowledge scores varied signi cantly between producer groups. Banana producers assessments yielded the highest mean with the lowest variability, whereas papaya producers had the lower mean and the highest variability. Likewise, answers to each of the questions differed importantly between producer groups. It was also determined that producers of these crops are willing to implement and get training on cover crops and native vegetation mulches.

The Adoption of Roles by Primary Care Providers during Implementation of the New Chronic Disease Guidelines in Urban Mongolia: A Qualitative Study

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Oyun Chimeddamba

2016-04-01

Full Text Available (1 Background: In 2011, new chronic disease guidelines were introduced across Mongolia. No formal advice was provided regarding role delineation. This study aimed to analyse the roles that different primary care providers adopted, and the variations in these, in the implementation of the guidelines in urban Mongolia; (2 Methods: Ten group interviews with nurses and ten individual interviews each with practice doctors and practice directors were conducted. Data was analysed using a thematic approach based on the identified themes relevant to role delineation; (3 Results: There was some variability and flexibility in role delineation. Factors involving teamwork, task rotation and practice flexibility facilitated well the guideline implementation. However, factors including expectations and decision making, nursing shortage, and training gaps adversely influenced in the roles and responsibilities. Some role confusion and dissatisfaction was identified, often associated with a lack of training or staff turnover; (4 Conclusions: Findings suggest that adequate ongoing training is required to maximize the range of roles particular provider types, especially primary care nurses, are competent to perform. Ensuring that role delineation is specified in guidelines could remove confusion and enhance implementation of such guidelines.

A methodology for generating a tailored implementation blueprint: an exemplar from a youth residential setting.

Science.gov (United States)

Lewis, Cara C; Scott, Kelli; Marriott, Brigid R

2018-05-16

Tailored implementation approaches are touted as more likely to support the integration of evidence-based practices. However, to our knowledge, few methodologies for tailoring implementations exist. This manuscript will apply a model-driven, mixed methods approach to a needs assessment to identify the determinants of practice, and pilot a modified conjoint analysis method to generate an implementation blueprint using a case example of a cognitive behavioral therapy (CBT) implementation in a youth residential center. Our proposed methodology contains five steps to address two goals: (1) identify the determinants of practice and (2) select and match implementation strategies to address the identified determinants (focusing on barriers). Participants in the case example included mental health therapists and operations staff in two programs of Wolverine Human Services. For step 1, the needs assessment, they completed surveys (clinician N = 10; operations staff N = 58; other N = 7) and participated in focus groups (clinician N = 15; operations staff N = 38) guided by the domains of the Framework for Diffusion [1]. For step 2, the research team conducted mixed methods analyses following the QUAN + QUAL structure for the purpose of convergence and expansion in a connecting process, revealing 76 unique barriers. Step 3 consisted of a modified conjoint analysis. For step 3a, agency administrators prioritized the identified barriers according to feasibility and importance. For step 3b, strategies were selected from a published compilation and rated for feasibility and likelihood of impacting CBT fidelity. For step 4, sociometric surveys informed implementation team member selection and a meeting was held to identify officers and clarify goals and responsibilities. For step 5, blueprints for each of pre-implementation, implementation, and sustainment phases were generated. Forty-five unique strategies were prioritized across the 5 years and three phases

TT detector description and implementation of the survey measurements

CERN Document Server

Salzmann, C

2008-01-01

The TT geometry in the software has been updated to comply with the latest technical drawings. The main difference is in the description of the beam pipe insulation, where the amount of material has increased from $7.5\\%$ to $15.4\\%$ of $X_0$. Mother volumes are added to decrease the CPU consumption and finally several scans are made to compare the material budget between the DC06 geometry and the new 2008 geometry. In addition, the survey measurements of the TT detector have been analysed. These measurements can be subdivided into surveys of the detector box, photogrammetry of the balconies and metrology of the half-modules. The offsets with the nominal geometry are implemented in the alignment condition database.

Implementation and validation of a condensation model in ANSYS

International Nuclear Information System (INIS)

Lehmkuhl, J.; Kelm, S.; Allelein, H.J.; Forschungszentrum Juelich

2012-01-01

During design-based beyond-design accidents large amounts of steam and hydrogen are released onto the containment. The knowledge on the local distribution of gases and atmospheric conditions is therefore necessary for the design of safety systems or emergency measures. Condensation processes have a significant influence on the thermal hydraulics, the hydrogen combustion and the aerosol behavior in the containment. The presented one-phase condensation model was developed for an effective CFD modeling of condensation processes in ANSYS CFX for accident analyses. Based on the assumption that wall condensation is mainly determined by the mass transport the assumption of thermal equilibrium can be used for one-phase calculations. The modeling concept is applicable for wall and volume condensation and has been implemented.

Integrated software environment dedicated for implementation of control systems based on PLC controllers

Directory of Open Access Journals (Sweden)

Szymon SURMA

2007-01-01

Full Text Available Industrial processes’ control systems based on PLC controllers play today a very important role in all fields of transport, including also sea transport. Construction of control systems is the field of engineering, which has been continuously evolving towards maximum simplification of system design path. Up to now the time needed forthe system construction from the design to commissioning had to be divided into a few stages. A mistake made in an earlier stage caused that in most cases the next stages had to be restarted. Available debugging systems allows defect detection at an early stage of theproject implementation. The paper presents general characteristic of integrated software for implementation of complex control systems. The issues related to the software use for programming of the visualisation environment, control computer, selection oftransmission medium and transmission protocol as well as PLC controllers’ configuration, software and control have been analysed.

THE C.A.N.O.A. MODEL - A POSSIBLE IMPLEMENTATION IN ROMANIAN UNIVERSITIES

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Elena HLACIUC

2017-06-01

Full Text Available Globalisation, in addition to the many effects it has in all areas, determines, in what concerns higher education, a fierce competition between universities worldwide. This competition requires, as an essential element, that in addition to the services offered by the universities, they also develop tools to reveal their costs. Academic and financial performance are the two measures of the management of a university. Accounting supports the management of a university by its three facets, which form, together, the institution's accounting information system: budget implementation accounting, financial accounting, and management accounting. However, while budget implementation and financial accounting are well represented in Romania, the same cannot be said about management accounting. In this paper we shall analyse a possible application of management accounting in Romanian universities, using the C.A.N.O.A. model, a method that is currently used in Spain.

Chemical Disarmament: Current Problems in Implementing the Chemical Weapons Convention

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Matoušek, J.

2006-03-01

Full Text Available The Chemical Weapons Convention (CWC is briefly characterised by stressing its main pillars, such as verified destruction ofCWstockpiles and destruction/conversion ofCWproduction facilities (CWPFs, verified non-production of CW by the chemical industries, assistance and protection, and international cooperation. The CWC´s leading principle in defining theCW(protecting it generally against scientific and technological development, i. e. so called General Purpose Criterion is thoroughly elucidated showing its relation to the CWC´s sophisticated verification system. Status of implementation (as of August 2005 shows main data obligatory declared by the States Parties (SP, among them 6 possessors of CW stockpiles (Russia, USA, India, South Korea, Albania and Libya. From the declared 71 373 agent-tons, 12 889 have been destroyed, from the declared 8 679 M items of munitions (containers, 2 420 have been destroyed, which means that the anticipated 10 years deadline for CW destruction (after entry into force – EIF will be not managed. For Russia and USA the allowed extension by another 5 years has been already agreed. From the 64 CWPFs (operational after 1946, declared by 12 SPs, 53 have been certified as destroyed/converted. The Organisation for the Prohibition of Chemical Weapons (OPCW is briefly presented and main results of the First Review Conference (2003 analysed on the base of the adopted principal documents. Future problems of implementing the CWC are connected in the first line with its universality, because among 16 non-SPs, several countries (located mainly in the Near East and on the Korean peninsula are presumed to be CW-possessors. Special emphasis is laid on both, threats and benefits of the scientific and technological development for current implementing the CWC as well as of its implementation in future after all CW stockpiles have been destroyed.

Appraisal of CRM implementation as business strategy option in times of recession: The role of perceived value and benefits

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Chrysa

2018-02-01

Full Text Available The present work investigates Customer Relationship Management (CRM implementation and performance during the fiscal crisis in Greece based on an appropriate questionnaire. All acquired responses using the questionnaire are suitably analysed using advanced statistical techniques, and show that Greek companies employ CRM, harvesting many of its benefits. Specifically, survey results show that most companies are satisfied by the implementation of CRM strategy and seem to recognize the vital strategic role of CRM in business performance and competitive advantage, despite the fiscal crisis. The benefits identified and interrelated concern business processes, customer loyalty, cost reduction, organizational and HR alignment, customer service and customer e-service. Finally, this work proposes a model relating CRM implementation and performance in Greece with respect to the four perspectives of Balanced Scorecard (BSC.

Lidar data assimilation for improved analyses of volcanic aerosol events

Science.gov (United States)

Lange, Anne Caroline; Elbern, Hendrik

2014-05-01

data in a variational data assimilation algorithm. The implemented method is tested by the assimilation of CALIPSO attenuated backscatter data that were taken during the eruption of the Eyjafjallajökull volcano in April 2010. It turned out that the implemented module is fully capable to integrate unexpected aerosol events in an automatic way into reasonable analyses. The estimations of the aerosol mass concentrations showed promising properties for the application of observations that are taken by lidar systems with both, higher and lower sophistication than CALIOP.

Trial sequential analyses of meta-analyses of complications in laparoscopic vs. small-incision cholecystectomy: more randomized patients are needed

DEFF Research Database (Denmark)

Keus, Frederik; Wetterslev, Jørn; Gluud, Christian

2010-01-01

Conclusions based on meta-analyses of randomized trials carry a status of "truth." Methodological components may identify trials with systematic errors ("bias"). Trial sequential analysis (TSA) evaluates random errors in meta-analysis. We analyzed meta-analyses on laparoscopic vs. small-incision ......Conclusions based on meta-analyses of randomized trials carry a status of "truth." Methodological components may identify trials with systematic errors ("bias"). Trial sequential analysis (TSA) evaluates random errors in meta-analysis. We analyzed meta-analyses on laparoscopic vs. small...

Pasteurised milk and implementation of HACCP (Hazard Analysis Critical Control Point

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T.B Murdiati

2004-10-01

Full Text Available The purpose of pasteurisation is to destroy pathogen bacteria without affecting the taste, flavor, and nutritional value. A study on the implementation of HACCP (Hazard Analysis Critical Control Point in producing pasteurized milk was carried out in four processing unit of pasteurised milk, one in Jakarta, two in Bandung and one in Bogor. The critical control points in the production line were identified. Milk samples were collected from the critical points and were analysed for the total number of microbes. Antibiotic residues were detected on raw milks. The study indicated that one unit in Bandung dan one unit in Jakarta produced pasteurized milk with lower number of microbes than the other units, due to better management and control applied along the chain of production. Penisilin residues was detected in raw milk used by unit in Bogor. Six critical points and the hazard might arise in those points were identified, as well as how to prevent the hazards. Quality assurance system such as HACCP would be able to produce high quality and safety of pasteurised milk, and should be implemented gradually.

Logistics Cost Calculation of Implementation Warehouse Management System: A Case Study

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Kučera Tomáš

2017-01-01

Full Text Available Warehouse management system can take full advantage of the resources and provide efficient warehousing services. The paper aims to show advantages and disadvantages of the warehouse management system in a chosen enterprise, which is focused on logistics services and transportation. The paper can bring new innovative approach for warehousing and presents how logistics enterprise can reduce logistics costs. This approach includes cost reduction of the establishment, operation and savings in the overall assessment of the implementation of the warehouse management system. The innovative warehouse management system will be demonstrated as the case study, which is classified as a qualitative scientific method, in the chosen logistics enterprise. The paper is based on the research of the world literature, analyses of the internal logistics processes, data and finally enterprise documents. The paper discovers costs related to personnel costs, handling equipment costs and costs for material identification. Implementation of the warehouse management system will reduce overall logistics costs of warehousing and extend the warehouse management system to other parts of the logistics chain.

Implementing Replacement Cost Accounting

Science.gov (United States)

1976-12-01

cost accounting Clickener, John Ross Monterey, California. Naval Postgraduate School http://hdl.handle.net/10945/17810 Downloaded from NPS Archive...Calhoun IMPLEMENTING REPLACEMENT COST ACCOUNTING John Ross CHckener NAVAL POSTGRADUATE SCHOOL Monterey, California THESIS IMPLEMENTING REPLACEMENT COST ...Implementing Replacement Cost Accounting 7. AUTHORS John Ross Clickener READ INSTRUCTIONS BEFORE COMPLETING FORM 3. RECIPIENT’S CATALOG NUMBER 9. TYRE OF

Process evaluation of the implementation of scorecard-based antenatal risk assessment, care pathways and interdisciplinary consultation: the Healthy Pregnancy 4 All study.

Science.gov (United States)

Vos, A A; van Voorst, S F; Posthumus, A G; Waelput, A J M; Denktaş, S; Steegers, E A P

2017-09-01

To evaluate the implementation of a complex intervention in the antenatal healthcare field in 14 Dutch municipalities. The intervention consisted of the implementation of a systematic scorecard-based risk assessment in pregnancy, subsequent patient-tailored care pathways, and consultations of professionals from different medical and social disciplines. Saunders's seven-step method was used for the development of a programme implementation monitoring plan, with specific attention to the setting and context of the programme. Data were triangulated from multiple sources, and prespecified criteria were applied to examine the evidence for implementation. Six out of 11 municipalities (54%) met the implementation criteria for the entire risk assessment programme, whereas three municipalities (27%) met the criteria if the three components of implementation were analysed separately. A process evaluation of implementation of a complex intervention is possible. The results can be used to improve understanding of the associations between specific programme elements and programme outcomes on effectiveness of the intervention. Additionally, the results are important for formative purposes to assess how future implementation of antenatal risk assessment can be improved in comparable contexts. Copyright © 2017. Published by Elsevier Ltd.

Implementation of Local Wellness Policies in Schools: Role of School Systems, School Health Councils, and Health Disparities.

Science.gov (United States)

Hager, Erin R; Rubio, Diana S; Eidel, G Stewart; Penniston, Erin S; Lopes, Megan; Saksvig, Brit I; Fox, Renee E; Black, Maureen M

2016-10-01

Written local wellness policies (LWPs) are mandated in school systems to enhance opportunities for healthy eating/activity. LWP effectiveness relies on school-level implementation. We examined factors associated with school-level LWP implementation. Hypothesized associations included system support for school-level implementation and having a school-level wellness team/school health council (SHC), with stronger associations among schools without disparity enrollment (majority African-American/Hispanic or low-income students). Online surveys were administered: 24 systems (support), 1349 schools (LWP implementation, perceived system support, SHC). The state provided school demographics. Analyses included multilevel multinomial logistic regression. Response rates were 100% (systems)/55.2% (schools). Among schools, 44.0% had SHCs, 22.6% majority (≥75%) African-American/Hispanic students, and 25.5% majority (≥75%) low-income (receiving free/reduced-price meals). LWP implementation (17-items) categorized as none = 36.3%, low (1-5 items) = 36.3%, high (6+ items) = 27.4%. In adjusted models, greater likelihood of LWP implementation was observed among schools with perceived system support (high versus none relative risk ratio, RRR = 1.63, CI: 1.49, 1.78; low versus none RRR = 1.26, CI: 1.18, 1.36) and SHCs (high versus none RRR = 6.8, CI: 4.07, 11.37; low versus none RRR = 2.24, CI: 1.48, 3.39). Disparity enrollment did not moderate associations (p > .05). Schools with perceived system support and SHCs had greater likelihood of LWP implementation, with no moderating effect of disparity enrollment. SHCs/support may overcome LWP implementation obstacles related to disparities. © 2016, American School Health Association.

Vaccination: Developing and implementing a competency-based-curriculum at the Medical Faculty of LMU Munich

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Vogel, B.

2016-02-01

Full Text Available Background: In Germany medical students should gain proficiency and specific skills in the vaccination field. Especially important is the efficient communication of scientific results about vaccinations to the community, in order to give professional counseling with a complete overview about therapeutic options.Aim of the project: The aim of this project is to set up a vaccination-related curriculum in the Medical Faculty at the Ludwig-Maximilians-University in Munich. The structure of the curriculum is based on the National catalogue for competency-based learning objectives in the field of vaccination (Nationaler Kompetenzbasierter Lernzielekatalog Medizin NKLM. Through this curriculum, the students will not only acquire the classical educational skills concerning vaccination in theory and practice, but they will also learn how to become independent in the decision-making process and counseling. Moreover, the students will become aware of consequences of action related to this specific topic.Methods: According to defined guidelines, an analysis was performed on courses, which are currently offered by the university. A separate analysis of the NKLM was carried out. Both analyses identified the active courses related to the topic of vaccination as well as the NKLM learning objectives. The match between the topics taught in current courses and the NKLM learning objectives identified gaps concerning the teaching of specific content. Courses were modified in order to implement the missing NKLM learning objectives.Results: These analyses identified 24 vaccination-related courses, which are currently taught at the University. Meanwhile, 35 learning objectives on vaccination were identified in the NKLM catalogue. Four of which were identified as not yet part of the teaching program. In summary, this interdisciplinary work enabled the development of a new vaccination-related curriculum, including 35 learning objectives, which are now implemented in

Describing the implementation of an innovative intervention and evaluating its effectiveness in increasing research capacity of advanced clinical nurses: using the consolidated framework for implementation research.

Science.gov (United States)

McKee, Gabrielle; Codd, Margaret; Dempsey, Orla; Gallagher, Paul; Comiskey, Catherine

2017-01-01

Despite advanced nursing roles having a research competency, participation in research is low. There are many barriers to participation in research and few interventions have been developed to address these. This paper aims to describe the implementation of an intervention to increase research participation in advanced clinical nursing roles and evaluate its effectiveness. The implementation of the intervention was carried out within one hospital site. The evaluation utilised a mixed methods design and a implementation science framework. All staff in advanced nursing roles were invited to take part, all those who were interested and had a project in mind could volunteer to participate in the intervention. The intervention consisted of the development of small research groups working on projects developed by the nurse participant/s and supported by an academic and a research fellow. The main evaluation was through focus groups. Output was analysed using thematic analysis. In addition, a survey questionnaire was circulated to all participants to ascertain their self-reported research skills before and after the intervention. The results of the survey were analysed using descriptive statistics. Finally an inventory of research outputs was collated. In the first year, twelve new clinical nurse-led research projects were conducted and reported in six peer reviewed papers, two non-peer reviewed papers and 20 conference presentations. The main strengths of the intervention were its promptness to complete research, to publish and to showcase clinical innovations. Main barriers identified were time, appropriate support from academics and from peers. The majority of participants had increased experience at scientific writing and data analysis. This study shows that an intervention, with minor financial resources; a top down approach; support of a hands on research fellow; peer collaboration with academics; strong clinical ownership by the clinical nurse researcher

BibSword Implementation of SWORD client in Invenio for the automated submission of digital objects to arXiv

CERN Document Server

Barras, Mathieu; Abou Khaled, Omar; Mugellini, Elena

2010-01-01

Since recently, arXiv offers a new submission interface implementing SWORD. SWORD is a brand new protocol that defines a simple way to deposit digital document on web repositories. The most part of digital documents submitted on Invenio are also deposited on arXiv. For this reason, it is a relevant added value for Invenio to offers such an automated “Forward to ArXiv” option to its users. The aim of this project is then to analyse, design and implements a library oriented SWORD client module (BibSword). This module will offer an user interface and will be integrated in the Invenio submission process.

Assessment of hygiene standards and Hazard Analysis Critical Control Points implementation on passenger ships.

Science.gov (United States)

Mouchtouri, Varavara; Malissiova, Eleni; Zisis, Panagiotis; Paparizou, Evina; Hadjichristodoulou, Christos

2013-01-01

The level of hygiene on ferries can have impact on travellers' health. The aim of this study was to assess the hygiene standards of ferries in Greece and to investigate whether Hazard Analysis Critical Control Points (HACCP) implementation contributes to the hygiene status and particularly food safety aboard passenger ships. Hygiene inspections on 17 ferries in Greece were performed using a standardized inspection form, with a 135-point scale. Thirty-four water and 17 food samples were collected and analysed. About 65% (11/17) of ferries were scored with >100 points. Ferries with HACCP received higher scores during inspection compared to those without HACCP (p value food samples, only one was found positive for Salmonella spp. Implementation of management systems including HACCP principles can help to raise the level of hygiene aboard passenger ships.

Protocol Implementation Generator

DEFF Research Database (Denmark)

Carvalho Quaresma, Jose Nuno; Probst, Christian W.

2010-01-01

Users expect communication systems to guarantee, amongst others, privacy and integrity of their data. These can be ensured by using well-established protocols; the best protocol, however, is useless if not all parties involved in a communication have a correct implementation of the protocol and a...... Generator framework based on the LySatool and a translator from the LySa language into C or Java....... necessary tools. In this paper, we present the Protocol Implementation Generator (PiG), a framework that can be used to add protocol generation to protocol negotiation, or to easily share and implement new protocols throughout a network. PiG enables the sharing, verification, and translation...

Nursing implementation science: how evidence-based nursing requires evidence-based implementation.

NARCIS (Netherlands)

Achterberg, T. van; Schoonhoven, L.; Grol, R.P.T.M.

2008-01-01

PURPOSE: Evidence is not always used in practice, and many examples of problematic implementation of research into practice exist. The aim of this paper is to provide an introduction and overview of current developments in implementation science and to apply these to nursing. METHODS: We discuss a

Analyse of Maintenance Cost in ST

CERN Document Server

Jenssen, B W

2001-01-01

An analyse has been carried out in ST concerning the total costs for the division. Even though the target was the maintenance costs in ST, the global budget over has been analysed. This has been done since there is close relation between investments & consolidation and the required level for maintenance. The purpose of the analyse was to focus on maintenance cost in ST as a ratio of total maintenance costs over the replacement value of the equipment, and to make some comparisons with other industries and laboratories. Families of equipment have been defined and their corresponding ratios calculated. This first approach gives us some "quantitative" measurements. This analyse should be combined with performance indicators (more "qualitative" measurements) that are telling us how well we are performing. This will help us in defending our budget, make better priorities, and we will satisfy the requirements from our external auditors.

Q-PYTHIA: a medium-modified implementation of final state radiation

Science.gov (United States)

Armesto, Néstor; Cunqueiro, Leticia; Salgado, Carlos A.

2009-10-01

We present a Monte Carlo implementation, within PYTHIA, of medium-induced gluon radiation in the final state branching process. Medium effects are introduced through an additive term in the splitting functions computed in the multiple-soft scattering approximation. The observable effects of this modification are studied for different quantities as fragmentation functions and the hump-backed plateau, and transverse momentum and angular distributions. The anticipated increase of intra-jet multiplicities, energy loss of the leading particle and jet broadening are observed as well as modifications of naive expectations based solely on analytical calculations. This shows the adequacy of a Monte Carlo simulator for jet analyses. Effects of hadronization are found to wash out medium effects in the soft region, while the main features remain. To show the performance of the implementation and the feasibility of our approach in realistic experimental situations we provide some examples: fragmentation functions, nuclear suppression factors, jet shapes and jet multiplicities. The package containing the modified routines is available for public use. This code, which is not an official PYTHIA release, is called Q-PYTHIA. We also include a short manual to perform the simulations of jet quenching.

Korrekt implementering af Business Intelligence skaber merværdi

DEFF Research Database (Denmark)

Gaardboe, Rikke; Fladkjær, Henrik Find; Nielsen, Christian

2016-01-01

I disse år fokuserer virksomheder på at implementere Business Intelligence (BI), så de stigende mængder af data og opsamlet forretningsinformation kan anvendes som ledelsesinformation. I denne artikel fokuseres på, hvordan virksomheder opnår merværdi ved implementering af BI, idet mange virksomhe......I disse år fokuserer virksomheder på at implementere Business Intelligence (BI), så de stigende mængder af data og opsamlet forretningsinformation kan anvendes som ledelsesinformation. I denne artikel fokuseres på, hvordan virksomheder opnår merværdi ved implementering af BI, idet mange...... virksomheder tilsyneladende har udfordringer med at opnå dette. Formålet er at analysere, hvordan virksomheder kan implementere Business Intelligence, således at de opnår merværdi. I artiklen udvikles en model for balanceret merværdi, hvor merværdien anskues på både organisations-, leder/beslutningstager- samt...... analyseres dette ud fra virksomhedernes modenhedsstadie, transformation fra data til analyse samt merværdi. Artiklens forskningsbidrag er en model til identifikation af dimensionaliseret merværdi, og artiklens bidrag til praksis er at analysere ud fra litteraturstudier, hvordan virksomheder kan opnå højere...

Towards the Implementation of Semi-Dynamic Datum for Malaysia

Science.gov (United States)

Shariff, N. S.; Gill, J.; Amin, Z. M.; Omar, K. M.

2017-10-01

A semi-dynamic datum provides positions with respect to time while taking into account the secular and non-secular deformations, making it the best approach to adapt with the dynamic processes of the earth. Malaysia, as yet, employs a static datum, i.e., GDM2000, at epoch 2000; though Malaysia has evidently been affected by seismic activity for the past decade. Therefore, this paper seeks to propose a design for implementing a semi-dynamic datum for Malaysia. Methodologically, GPS time series analyses are carried out to investigate the seismic activity of Malaysia, which essentially contributes to the proposed design of the semi-dynamic datum for Malaysia. The implications of implementing a semi-dynamic datum for Malaysia are discussed as well. The results indicate that Malaysia undergoes a complex deformation; whereby the earthquakes - primarily the 2004 Sumatra-Andaman, 2005 Nias and 2012 Northern Sumatra earthquakes - have affected the underlying secular velocities of Malaysia. Consequently, from this information, the proposed design, particularly the secular and non-secular deformation models, is described in detail. The proposed semi-dynamic datum comprises a transformation, temporal, and spatial module, and utilizes a bilinear interpolation method. Overall, this paper aims to contribute to the feasibility of a semi-dynamic datum approach for Malaysia.

A Simple, Reliable Precision Time Analyser

Energy Technology Data Exchange (ETDEWEB)

Joshi, B. V.; Nargundkar, V. R.; Subbarao, K.; Kamath, M. S.; Eligar, S. K. [Atomic Energy Establishment Trombay, Bombay (India)

1966-06-15

A 30-channel time analyser is described. The time analyser was designed and built for pulsed neutron research but can be applied to other uses. Most of the logic is performed by means of ferrite memory core and transistor switching circuits. This leads to great versatility, low power consumption, extreme reliability and low cost. The analyser described provides channel Widths from 10 {mu}s to 10 ms; arbitrarily wider channels are easily obtainable. It can handle counting rates up to 2000 counts/min in each channel with less than 1% dead time loss. There is a provision for an initial delay equal to 100 channel widths. An input pulse de-randomizer unit using tunnel diodes ensures exactly equal channel widths. A brief description of the principles involved in core switching circuitry is given. The core-transistor transfer loop is compared with the usual core-diode loops and is shown to be more versatile and better adapted to the making of a time analyser. The circuits derived from the basic loop are described. These include the scale of ten, the frequency dividers and the delay generator. The current drivers developed for driving the cores are described. The crystal-controlled clock which controls the width of the time channels and synchronizes the operation of the various circuits is described. The detector pulse derandomizer unit using tunnel diodes is described. The scheme of the time analyser is then described showing how the various circuits can be integrated together to form a versatile time analyser. (author)

Variables associated with achievement in higher education: A systematic review of meta-analyses.

Science.gov (United States)

Schneider, Michael; Preckel, Franzis

2017-06-01