WorldWideScience

Sample records for immunization management issues

  1. SOME ISSUES OF DIAGNOSTICS IN IMMUNE PATHOLOGY

    Directory of Open Access Journals (Sweden)

    I. A. Tousankina

    2010-01-01

    Full Text Available Present lecture contains an author's opinion concerning diagnostic issues in immunopathology, including primary and secondary immune deficiencies, immune-dependent states that are based on immunopathological syndromes. Original formulations are suggested for some key categories of clinical immunology, physical, instrumental and laboratory diagnostics of immune deficiencies and immune-dependent diseases. The results of original long-term observations, as well as data on Sverdlovsk Regional Register of primary immune deficiencies are presented in the work.

  2. SOME ISSUES OF DIAGNOSTICS IN IMMUNE PATHOLOGY

    OpenAIRE

    I. A. Tousankina

    2010-01-01

    Present lecture contains an author's opinion concerning diagnostic issues in immunopathology, including primary and secondary immune deficiencies, immune-dependent states that are based on immunopathological syndromes. Original formulations are suggested for some key categories of clinical immunology, physical, instrumental and laboratory diagnostics of immune deficiencies and immune-dependent diseases. The results of original long-term observations, as well as data on Sverdlovsk Regional Reg...

  3. Product Category Management Issues

    OpenAIRE

    Żukowska, Joanna

    2011-01-01

    The purpose of the paper is to present the issues related to category management. It includes the overview of category management definitions and the correct process of exercising it. Moreover, attention is paid to the advantages of brand management, the benefits the supplier and retailer may obtain in this way. The risk element related to this topics is also presented herein. Joanna Żukowska

  4. SAT project introduction: management issues

    International Nuclear Information System (INIS)

    Kazennov, A.Yu.

    1998-01-01

    Management issues of introducing SAT Project include main objectives and expectations; SAT goal and management; major phases of SAT implementation; project quality assurance; SAT based training system and procedures; role of the project team qualifications

  5. Software management issues

    International Nuclear Information System (INIS)

    Kunz, P.F.

    1990-06-01

    The difficulty of managing the software in large HEP collaborations appears to becoming progressively worst with each new generation of detector. If one were to extrapolate to the SSC, it will become a major problem. This paper explores the possible causes of the difficulty and makes suggestions on what corrective actions should be taken

  6. Issues in Coastal Zone Management.

    Science.gov (United States)

    Davis, Derrin

    1992-01-01

    Addresses the following issues relevant to coastal zone management: overcrowding, resource exploitation, pollution, agriculture, fisheries, industrial, and other uses. Describes conflicts and trade-offs in management typified by fragmented agency decision making. Discusses implications of the greenhouse effect, sustainable development, and the…

  7. Issues Management Process Course # 38401

    Energy Technology Data Exchange (ETDEWEB)

    Binion, Ula Marie [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2018-02-01

    The purpose of this training it to advise Issues Management Coordinators (IMCs) on the revised Contractor Assurance System (CAS) Issues Management (IM) process. Terminal Objectives: Understand the Laboratory’s IM process; Understand your role in the Laboratory’s IM process. Learning Objectives: Describe the IM process within the context of the CAS; Describe the importance of implementing an institutional IM process at LANL; Describe the process flow for the Laboratory’s IM process; Apply the definition of an issue; Use available resources to determine initial screening risk levels for issues; Describe the required major process steps for each risk level; Describe the personnel responsibilities for IM process implementation; Access available resources to support IM process implementation.

  8. Strategic Issues in University Management

    NARCIS (Netherlands)

    Roosendaal, Hans E.

    2005-01-01

    In this paper we will discuss developments in the field of scientific information with the aim to determine and analyse some of the pertinent strategic issues related to higher education (HE) as seen from the stakeholder perspective of the university and its management.

  9. Clearing and vegetation management issues

    International Nuclear Information System (INIS)

    Anon.

    1994-01-01

    Clearing and continued management of incompatible plant species is critical to maintaining safe and reliable transmission and distribution lines at British Columbia Hydro. As part of a general review of policies regarding rights-of-way, the clearing of BC Hydro rights-of-way was studied by a task team in order to formulate a set of recommended policies and procedures to guide employees in all rights-of-way decisions, and to provide clear direction for resolution of all rights-of-way issues in a cost-effective manner. Issues reviewed were: clearing standards and line security standardization for transmission circuits; clearing rights for removal of trees or management of vegetation beyond the statutory right-of-way; clearing and vegetation management procedures; tree replacement; arboricultural techniques; periodic reviewing of clearing practices; compensation for tree removal; herbicide use; and heritage and wildlife trees. Justification for the recommendation is provided along with alternate options and costs of compliance

  10. Managing mixed wastes: technical issues

    International Nuclear Information System (INIS)

    Lytle, J.E.; Eyman, L.D.; Burton, D.W.; McBrayer, J.F.

    1986-01-01

    The US Department of Energy manages wastes that are both chemically hazardous and radioactive. These mixed wastes are often unique and many have national security implications. Management practices have evolved over the more than forty years that the Department and its predecessor agencies have been managing these wastes, both in response to better understanding of the hazards involved and in response to external, regulatory influences. The Department has recently standarized its waste management practices and has initited an R and D program to address priority issues identified by its operating contractor organizations. The R and D program is guided by waste management strategy that emphasizes reduction of human exposure to hazardous wastes in the environment, reduction of the amount and toxicity of wastes generated, treatment of wastes that are generated to reduce volumes and toxicities, and identification of alternatives to land disposal of wastes that remain hazardous following maximum practicable treatment

  11. Using Online Databases in Corporate Issues Management.

    Science.gov (United States)

    Thomsen, Steven R.

    1995-01-01

    Finds that corporate public relations practitioners felt they were able, using online database and information services, to intercept issues earlier in the "issue cycle" and thus enable their organizations to develop more "proactionary" or "catalytic" issues management repose strategies. (SR)

  12. Environmental issues in operations management

    Science.gov (United States)

    Muthulingam, Suresh

    Adoption of sustainable operating practices is becoming an increasingly important issue for many organizations in the world today. In this dissertation, I use empirical methods to investigate factors that influence the adoption of sustainable practices and also identify issues that may hinder the adoption of such practices. I explore these issues in two diverse settings. In Chapter 1, I investigate the adoption and non-adoption of energy efficiency initiatives using a database of over 100,000 recommendations provided to more than 13,000 small and medium sized manufacturing firms. Even though the average payback across all recommendations is just over one year, many of these profitable opportunities are not implemented. Using a probit instrumental variable model, I identify four biases in the adoption of these recommendations. First, managers are myopic as they miss out on many profitable opportunities. Second, managers are more influenced by upfront costs than by net benefits when evaluating such initiatives. Third, adoption of a recommendation depends not only on its characteristics but also on the sequence in which the recommendations are presented. Adoption rates are higher for initiatives appearing early in a list of recommendations. Finally, adoption is not influenced by the number of options provided to decision makers. This contributes to the debate about whether or not choice overload occurs. We highlight decision biases previously unobserved in the Operations Management literature using field data rather than experimental data. We draw implications for enhancing adoption of energy efficiency initiatives and for other decision contexts where a collection of process improvement recommendations are made to firms. In Chapter 2, I examine the depth of adoption of the voluntary LEED (Leadership in Energy and Environmental Design) standards for green buildings. Depth of adoption refers to the extent to which the buildings adopt practices related to the standard

  13. The transportation issue management system: A tool for issue resolution

    International Nuclear Information System (INIS)

    Branch, K.M.; Boryczka, M.K.

    1987-01-01

    During the last decade, issue management programs have been developed and used by a number of large corporations in the United States. These systems have generally been designed to help senior program managers identify issues, develop strategic plans, and resolve issues. These systems involve scanning and abstracting literature to create a database that is then used for 1) issue identification, 2) issue analysis, 3) priority assessment, 4) development of corporate position/strategic options, and 5) action planning and implementation. Most of the existing systems rely on staff to identify trends in the computerized output, analyze the importance of the issue to the company, and assist in developing corporate responses. The Department of Energy has recently developed an issue management system for the Office of Civilian Radioactive Waste Management's (OCRWM) transportation program. This system is designed to help DOE identify institutional issues related to radioactive waste transportation, analyze the issues, and resolve them in a manner that is responsive to interested parties. The system will contain pertinent information from DOE technical reports, other federal documents, correspondence, professional journals, popular literature, newsclips, legislation and testimony. The program is designed around a number of institutional issues including: prenotification, physical protection procedures; highway, rail, and barge routing; inspections and enforcement of shipments; emergency response; liability, cask design and testing; overweight trucks; rail service; modal mix; infrastructure improvements; training standards, and operational procedures

  14. 96 Globalization and Management: Issues and Concepts

    African Journals Online (AJOL)

    User

    2010-10-17

    Oct 17, 2010 ... Oseyomon, Ehi Patrick - Department of Business, Admiistration, Faculty of. Management ... attention of scholars apart from economic issues such as trade, labour practices, the ..... Moral Issues in Business. 6th Edition. In C.

  15. Public policy issues in nuclear waste management

    International Nuclear Information System (INIS)

    Nealey, S.M.; Radford, L.M.

    1978-10-01

    This document aims to raise issues and to analyze them, not resolve them. The issues were: temporal equity, geographic and socioeconomic equity, implementation of a nuclear waste management system, and public involvement

  16. Incentive Issues in Information Security Management

    Science.gov (United States)

    Lee, Chul Ho

    2012-01-01

    This dissertation studies three incentive issues in information security management. The first essay studies contract issues between a firm that outsources security functions and a managed security service provider (MSSP) that provides security functions to the firm. Since MSSP and firms cannot observe each other's actions, both can suffer…

  17. Sustainability issues for resource managers.

    Science.gov (United States)

    Daniel L. Bottom; Gordon H. Reeves; Martha H. Brookes

    1996-01-01

    Throughout their history, conservation science and sustainable-yield management have failed to maintain the productivity of living resources. Repeated overexploitation of economic species, loss of biological diversity, and degradation of regional environments now call into question the economic ideas and values that have formed the foundation of scientific management...

  18. Management of immune thrombocytopenia: Korean experts recommendation in 2017.

    Science.gov (United States)

    Jang, Jun Ho; Kim, Ji Yoon; Mun, Yeung-Chul; Bang, Soo-Mee; Lim, Yeon Jung; Shin, Dong-Yeop; Choi, Young Bae; Yhim, Ho-Young; Lee, Jong Wook; Kook, Hoon

    2017-12-01

    Management options for patients with immune thrombocytopenia (ITP) have evolved substantially over the past decades. The American Society of Hematology published a treatment guideline for clinicians referring to the management of ITP in 2011. This evidence-based practice guideline for ITP enables the appropriate treatment of a larger proportion of patients and the maintenance of normal platelet counts. Korean authority operates a unified mandatory national health insurance system. Even though we have a uniform standard guideline enforced by insurance reimbursement, there are several unsolved issues in real practice in ITP treatment. To optimize the management of Korean ITP patients, the Korean Society of Hematology Aplastic Anemia Working Party (KSHAAWP) reviewed the consensus and the Korean data on the clinical practices of ITP therapy. Here, we report a Korean expert recommendation guide for the management of ITP.

  19. Issues in Canadian LLRW management

    International Nuclear Information System (INIS)

    Charlesworth, D.H.

    1988-01-01

    Some of the issues which are of concern in Canada are similar to those being discussed in the US because Canadian low-level radioactive waste (LLRW) production is similar in quantity and characteristics to that which will be handled by some state compacts. This paper gives a Canadian viewpoint of: the choice between interim storage and permanent disposal; the importance of considering inadvertent intrusion; the role of waste categorization and stability; and the concerns in assessing disposal performance. The discussion is related to Atomic Energy of Canada Limited's LLRW disposal program, and its approach to resolving these issues

  20. MANAGEMENT OF EXAMINATIONS: ETHICAL ISSUES.

    African Journals Online (AJOL)

    Elizabeth

    Abstract. Examinations occupy a strategic position in our lives and society today.. In a .... Test Development and Research Office (TEDRO), as an arm of WAEC. ..... classroom management as proposed by Queen, Blackwelder & Mallen. (1997):.

  1. Intergovernmental Immunities in Litigation, Taxation, and Regulation: Separation of Powers Issues in Controversies About Federalism

    Science.gov (United States)

    Tribe, Laurence H.

    1976-01-01

    The author argues that attention to the question of who should decide an intergovernmental immunity issue--the states, the federal courts, the federal executive, or Congress--illuminates the law of eleventh amendment immunities and intergovernmental tax and regulatory immunities and supports all but a handful of the results courts have reached.…

  2. Management issues in automated audit analysis

    Energy Technology Data Exchange (ETDEWEB)

    Jackson, K.A.; Hochberg, J.G.; Wilhelmy, S.K.; McClary, J.F.; Christoph, G.G.

    1994-03-01

    This paper discusses management issues associated with the design and implementation of an automated audit analysis system that we use to detect security events. It gives the viewpoint of a team directly responsible for developing and managing such a system. We use Los Alamos National Laboratory`s Network Anomaly Detection and Intrusion Reporter (NADIR) as a case in point. We examine issues encountered at Los Alamos, detail our solutions to them, and where appropriate suggest general solutions. After providing an introduction to NADIR, we explore four general management issues: cost-benefit questions, privacy considerations, legal issues, and system integrity. Our experiences are of general interest both to security professionals and to anyone who may wish to implement a similar system. While NADIR investigates security events, the methods used and the management issues are potentially applicable to a broad range of complex systems. These include those used to audit credit card transactions, medical care payments, and procurement systems.

  3. Intelligence Community Programs, Management, and Enduring Issues

    Science.gov (United States)

    2016-11-08

    books, journal papers, conference presentations, working papers, and other electronic and print publications. Intelligence Community Programs... Intelligence Community Programs, Management, and Enduring Issues Anne Daugherty Miles Analyst in Intelligence and National Security Policy...

  4. Information technology: management issues in outsource contracts.

    OpenAIRE

    2008-01-01

    This study concerns the investigation of management issues within information technology outsourcing contracts. The information technology outsourcing life cycle is used as the flow structure for the investigation. The associated user expectations that occur in each of the phases of the information technology outsourcing life cycle are identified. Following the identification of the management and user expectation issues in each phase of the outsource life cycle, the “Coetzee solution framewo...

  5. Issues for small businesses with waste management.

    Science.gov (United States)

    Redmond, Janice; Walker, Elizabeth; Wang, Calvin

    2008-07-01

    Participation by small and medium enterprise (SME) in corporate social responsibility issues has been found to be lacking. This is a critical issue, as individually SMEs may have little impact on the environment but their collective footprint is significant. The management style and ethical stance of the owner-manager affects business decision making and therefore has a direct impact on the environmental actions of the business. Although adoption of environmental practices to create competitive advantage has been advocated, many businesses see implementation as a cost which cannot be transferred to their customers. After a brief review of pertinent literature this paper reports on an exploratory investigation into the issue. Results show that whereas owner-managers of small enterprises express concern regarding the environment, this does not then translate into better waste management practices.

  6. Human resource management in the Georgian National Immunization Program: a baseline assessment.

    Science.gov (United States)

    Esmail, Laura C; Cohen-Kohler, Jillian Clare; Djibuti, Mamuka

    2007-07-31

    Georgia's health care system underwent dramatic reform after gaining independence in 1991. The decentralization of the health care system was one of the core elements of health care reform but reports suggest that human resource management issues were overlooked. The Georgian national immunization program was affected by these reforms and is not functioning at optimum levels. This paper describes the state of human resource management practices within the Georgian national immunization program in late 2004. Thirty districts were selected for the study. Within these districts, 392 providers and thirty immunization managers participated in the study. Survey questionnaires were administered through face-to-face interviews to immunization managers and a mail survey was administered to immunization providers. Qualitative data collection involved four focus groups. Analysis of variance (ANOVA) and Chi-square tests were used to test for differences between groups for continuous and categorical variables. Content analysis identified main themes within the focus groups. Weak administrative links exist between the Centres of Public Health (CPH) and Primary Health Care (PHC) health facilities. There is a lack of clear management guidelines and only 49.6% of all health providers had written job descriptions. A common concern among all respondents was the extremely inadequate salary. Managers cited lack of authority and poor knowledge and skills in human resource management. Lack of resources and infrastructure were identified as major barriers to improving immunization. Our study found that the National Immunization Program in Georgia was characterized by weak organizational structure and processes and a lack of knowledge and skills in management and supervision, especially at peripheral levels. The development of the skills and processes of a well-managed workforce may help improve immunization rates, facilitate successful implementation of remaining health care reforms and

  7. Challenges and Issues in Knowledge Management

    DEFF Research Database (Denmark)

    "Challenges and Issues in Knowledge Management" - the fifth volume in the "Research on Management Consulting" series - presents sixteen chapters that explore these various perspectives, focusing on knowledge management within the context of the management consulting industry, the dynamics...... associated with knowledge sharing and dissemination, methodological approaches to studying knowledge in organizations, and reflections on knowledge management and management consulting. As the chapters underscore, it is important to ensure that KM initiatives are aligned with the needs of the organization...... and its members, that the KM system is "owned" by organizational members with particular emphasis on executive sponsorship and team member acceptance, and that it be understood as an ongoing process rather than simply another management objective or faddish consulting tool. The focus, therefore, should...

  8. Potential Interface Issues in Spent Fuel Management

    International Nuclear Information System (INIS)

    2015-10-01

    This publication is an output of a series of meetings to identify and evaluate issues and opportunities associated with interfaces in the back end of the fuel cycle (BEFC) and to describe effective management approaches based on the experience of Member States. During the meetings, participants from Member States and other international organizations shared and evaluated the main interfaces and potential interface issues among the spent fuel storage, transport, reprocessing and disposal of the BEFC, and also reviewed the national approaches to addressing these issues. The aim of this publication is to provide an approach to identify the interfaces in the BEFC as well as the potential issues that should be addressed. It also aims at responding to the solutions Member States most often find to be effective and, in some cases, were adjusted or revisited to reach the fixed target. Most of the interfaces and issues are country specific, as evidenced by the variety and diversity of examples provided in this publication

  9. Inventory management systems : Control and information issues

    NARCIS (Netherlands)

    Janssen, F.B.S.L.P.

    1998-01-01

    This dissertation addresses the management of inventory systems. The thesis starts with an exposition on mathematical models that can be used in inventory theory. Then we deal with some information issues related to the demand process. Namely, how to control products that have intermittent demand.

  10. Practice management: observations, issues, and empirical evidence.

    Science.gov (United States)

    Wong, H M; Braithwaite, J

    2001-02-01

    The primary objective of this study is to provide objective, empirical, evidence-based practice management information. This is a hitherto under-researched area of considerable interest for both the practitioner and educator. A questionnaire eliciting a mix of structured and free text responses was administered to a random sample of 480 practitioners who are members of the American Academy of Periodontology. Potential respondents not in private practice were excluded and the next listed person substituted. The results provide demographic and descriptive information about some of the main issues and problems facing practice managers, central to which are information technology (IT), financial, people management, and marketing. Human resource and marketing management appear to represent the biggest challenges. Periodontists running practices would prefer more information, development, and support in dealing with IT, finance, marketing, and people management. The empirical evidence reported here suggests that although tailored educational programs on key management issues at both undergraduate and postgraduate levels have become ubiquitous, nevertheless some respondents seek further training opportunities. Evidence-based practice management information will be invaluable to the clinician considering strategic and marketing planning, and also for those responsible for the design and conduct of predoctoral and postdoctoral programs.

  11. Waste management issues, a set of technologies

    International Nuclear Information System (INIS)

    Gautrot, J.J.

    2000-01-01

    As any other industry, nuclear fuel cycle back-end raises the major issue of waste management. In France, spent fuel is considered as valuable materials and only the ultimate waste are considered as actual waste. Accordingly, waste issue is as follows: a sorting out has to be done, in order to separate valuable materials from actual wastes, put any outlet flow under a stable form and condition them appropriately to their respective recycling or disposal routes. This implies the implementation of a comprehensive set of technologies. Actually, it is an industrial reality, as the COGEMA Group has for a long time set up a reprocessing and conditioning strategy in its plants. Waste management issues are common to many activities. European as well as French regulators already introduced the twofold necessity to reduce waste volumes, and to dispose of only ''ultimate waste'' as concerns industrial and household waste mainly. In this objective, French nuclear reprocessing and recycling industry may be seen as a breeding ground of well-proven technologies and management options. Actually, processes used can also give an answer to such different issues as excess plutonium immobilization, sites cleaning up (including for instance treatment of the liquid HLW legacy), dismantling wastes management. There are a number of operations to be dealt with worldwide that will find a solution in any of the technologies implemented and optimized in COGEMA facilities. Based on the COGEMA Group know-how, the present paper will describe those technologies and explain how they can solve the other stringent waste management issues worldwide. (author)

  12. Parametric Immunization in Bond Portfolio Management

    OpenAIRE

    Bravo, Jorge; Fonseca, José

    2012-01-01

    In this paper, we evaluate the relative immunization performance of the multifactor parametric interest rate risk model based on the Nelson-Siegel-Svensson specification of the yield curve with that of standard benchmark investment strategies, using European Central Bank yield curve data in the period between January 3, 2005 and December 31, 2011. In addition, we examine the role of portfolio design in the success of immunization strategies, particularly the role of the maturit...

  13. Age-Appropriate Immunization (AAI) as an Intractable Issue ...

    African Journals Online (AJOL)

    Dinesh Kumar

    ) approved. 30 cluster ... As FI measures coverage for services, but age appropriate ..... providers need to be effectively oriented towards importance of ... planning and management interventions for improving age- ... BMC Health Serv Res.

  14. Effective time management – selected issues

    Directory of Open Access Journals (Sweden)

    Aneta Olejniczak

    2013-03-01

    Full Text Available Deliberations included in this article contain the basic issues related to the subject of time management. As we know, people who waste their time the most, most complain about the lack of the time. We should treat our time, time of our co-workers, and friends as a valuable, but limited wealth. Principles of effective time management can be applied in any scientific and research institutions, companies or corporations. The benefits of a good and effective time management will be felt not only by ourselves but also by our friends and family. Detailed formulation of objectives, identification and elimination of time wasters and postponing work on later (Procrastination, using methods of time management and systematic control will allow for efficient use of time. A good plan is the basis for optimal and meaningful use of time.

  15. Scaling issues in sustainable river basin management

    Science.gov (United States)

    Timmerman, Jos; Froebich, Jochen

    2014-05-01

    Sustainable river basin management implies considering the whole river basin when managing the water resources. Management measures target at dividing the water over different uses (nature, agriculture, industry, households) thereby avoiding calamities like having too much, too little or bad quality water. Water management measures are taken at the local level, usually considering the sub-national and sometimes national effects of such measures. A large part of the world's freshwater resources, however, is contained in river basins and groundwater systems that are shared by two or more countries. Sustainable river basin management consequently has to encompass local, regional, national and international scales. This requires coordination over and cooperation between these levels that is currently compressed into the term 'water governance' . Governance takes into account that a large number of stakeholders in different regimes (the principles, rules and procedures that steer management) contribute to policy and management of a resource. Governance includes the increasing importance of basically non-hierarchical modes of governing, where non-state actors (formal organizations like NGOs, private companies, consumer associations, etc.) participate in the formulation and implementation of public policy. Land use determines the run-off generation and use of irrigation water. Land use is increasingly determined by private sector initiatives at local scale. This is a complicating factor in the governance issue, as in comparison to former developments of large scale irrigation systems, planning institutions at state level have then less insight on actual water consumption. The water management regime of a basin consequently has to account for the different scales of water management and within these different scales with both state and non-state actors. The central elements of regimes include the policy setting (the policies and water management strategies), legal setting

  16. Management issues regarding the contingent workforce

    Energy Technology Data Exchange (ETDEWEB)

    Bowen-Smed, S. [Bowen Workforce Solutions, Calgary, AB (Canada)

    2004-07-01

    Fifty per cent of corporate leaders in Calgary today will be eligible for retirement over the next 5 years. In addition, 53 per cent of the entire Calgary workforce is 45 years or older. This paper suggests that only companies that seek aggressive programs to engage immigrants and contractors will weather the skills shortages anticipated in the future. It was noted that contractors care about aligning values to organizations, regardless of the project length, and that professional development is a key consideration when it comes to selecting their next project. Contingent workforce issues include: effectiveness; classification; risk; and cost. It was stated that effectiveness of the contingent workforce is an employer's responsibility. Factors that would strengthen the relationship between corporations and contractors include: proper orientation to manage expectations; training to improve productivity; tracking to enhance the quality of the workforce; and a management process to ensure adherence to protocol. It was concluded that the contingent workforce is an essential component to human capital management strategy, but that key issues must be managed to avoid unnecessary costs. In addition, effectiveness improves when processes are implemented. It was also suggested that technology is an essential component of the solution. Outsourcing is an effective approach to managing the contingent workforce. tabs., figs.

  17. Equity issues in radioactive waste management

    International Nuclear Information System (INIS)

    Kasperson, R.E.

    1984-01-01

    The 15 papers in this book deal with the equity issues of locus, legacy and labor/laity as they occur in the nuclear industry's handling of radioactive wastes. The intent is to identify and clarify inequities in alternative approaches to radioactive waste management in a way that will inform current public policy deliberations and planning. The papers are arranged in five parts which put the problem in perspective, then define the locus, the legacy, and the labor problem, and conclude with a set of proposals for a more equitable management. A separate abstract was prepared for each of the 15 chapters selected for INS, EDB, and EPA

  18. Management issues for high performance storage systems

    Energy Technology Data Exchange (ETDEWEB)

    Louis, S. [Lawrence Livermore National Lab., CA (United States); Burris, R. [Oak Ridge National Lab., TN (United States)

    1995-03-01

    Managing distributed high-performance storage systems is complex and, although sharing common ground with traditional network and systems management, presents unique storage-related issues. Integration technologies and frameworks exist to help manage distributed network and system environments. Industry-driven consortia provide open forums where vendors and users cooperate to leverage solutions. But these new approaches to open management fall short addressing the needs of scalable, distributed storage. We discuss the motivation and requirements for storage system management (SSM) capabilities and describe how SSM manages distributed servers and storage resource objects in the High Performance Storage System (HPSS), a new storage facility for data-intensive applications and large-scale computing. Modem storage systems, such as HPSS, require many SSM capabilities, including server and resource configuration control, performance monitoring, quality of service, flexible policies, file migration, file repacking, accounting, and quotas. We present results of initial HPSS SSM development including design decisions and implementation trade-offs. We conclude with plans for follow-on work and provide storage-related recommendations for vendors and standards groups seeking enterprise-wide management solutions.

  19. Parent Attitudes Toward Pain Management for Childhood Immunizations.

    Science.gov (United States)

    Connelly, Mark; Wallace, Dustin P; Williams, Kristi; Parker, JoLynn; Schurman, Jennifer V

    2016-08-01

    Evidence-based pain-limiting strategies for pediatric immunizations remain underutilized, with barriers identified to date mostly pertaining to health care providers and systems of care. The present study sought to quantify and investigate parent attitudes toward pain management as another potential barrier to the routine use of pain-mitigating strategies during immunizations. Questionnaires measuring parent attitudes, willingness to pay, and perceived barriers for using pain management for immunizations were completed by 259 parent/guardians of children ages 0 to 5 years attending appointments at an urban primary care clinic in the Midwestern United States. Parent attitudes toward pain management for immunization were relatively normally distributed and varied from strongly positive to negative, with 33% of parents disagreeing that they were concerned about the pain their child may experience and 50% agreeing that there are no lasting negative effects from immunization pain. Negative parent attitudes were associated with willingness to spend less in money or time for pain management and with greater perceived significance of cost, time, and other barriers for using pain-mitigating strategies. Some parents perceive limited value in trying to reduce pain during immunizations such that they may be hesitant to invest much time or effort in interventions. Greater success of translating evidence-based pain management into practice therefore may require accounting for differences in parent attitudes by tailoring educational efforts and pain management options accordingly.

  20. Effectively managing public concerns about immunization safety

    Directory of Open Access Journals (Sweden)

    2002-01-01

    Full Text Available Los beneficios de la vacunación frente a las enfermedades prevenibles de este modo son muy superiores a sus mínimos riesgos. Con el fin de mantener o fortalecer los programas nacionales de vacunación, los trabajadores de todos los niveles de la salud pública deberían recibir formación sobre los temas relacionados con la vacunación y estar preparados para responder a las dudas planteadas por el público. Una respuesta rápida y franca a los temores del público acerca de las vacunas podría garantizar la integridad de los programas de vacunación en todo el continente americano, según el documento "Directrices para enfrentarse a los temores sobre la seguridad de las vacunaciones" (Guidelines for Managing Immunization Safety Concerns, elaborado por la División de Vacunas e Inmunización de la Organización Panamericana de la Salud (OPS y resumido aquí. Todo acontecimiento médico que se considere posiblemente relacionado con una vacuna debe ser investigado en el ámbito local. Si su distribución temporal y los síntomas respaldan la sospecha de que pueda estar relacionado con una vacuna, se debe iniciar una investigación más formal y, una vez finalizada, el acontecimiento debe ser clasificado en una de las cuatro categorías siguientes: 1 relacionado con el programa, 2 relacionado con la vacuna, 3 no relacionado, o 4 desconocido (investigación no concluyente. Dependiendo de la categoría a la que haya sido asignado el acontecimiento, las acciones posteriores pueden consistir en tranquilizar a los padres, a los cuidadores y a otros adultos; comunicarse con el público y con otros trabajadores de la salud; instaurar tratamiento; corregir los errores del programa, como pueden ser la manipulación de la vacuna, su almacenamiento, su administration o los problemas relacionados con la jeringuilla; comentar con los fabricantes problemas relacionados con la calidad y eficacia de la vacuna; retirar la vacuna del mercado, o iniciar nuevas

  1. Human resource management in the Georgian National Immunization Program: a baseline assessment

    OpenAIRE

    Cohen-Kohler Jillian; Esmail Laura C; Djibuti Mamuka

    2007-01-01

    Abstract Background Georgia's health care system underwent dramatic reform after gaining independence in 1991. The decentralization of the health care system was one of the core elements of health care reform but reports suggest that human resource management issues were overlooked. The Georgian national immunization program was affected by these reforms and is not functioning at optimum levels. This paper describes the state of human resource management practices within the Georgian national...

  2. Strategic Issues in University Information Management

    Science.gov (United States)

    Roosendaal, Hans E.

    This chapter represents a specific view on university management. It sequentially discusses different organizational levels of e-teaching, starting with general management, e-science developments and what this means to universities, and business models followed by focusing on specific teaching issues. The chapter sets out to discuss the development of the university from a loose federation of faculties into a more integrated university, such as, e.g., an entrepreneurial university. This development is also driven by the introduction of the bachelors/masters system - a process which leads to the need for an institutional strategy introducing institutional quality management and has to be accompanied by the independent accreditation of research and teaching. Applying the model of strategic positioning to the university as a whole leads to the introduction of the university entrepreneur. The model is used to describe structural issues and the relations between the primary processes of research and teaching with the secondary processes. e-science is introduced as a further step toward the universal sharing of scientific results and to analyze the kind of incentives that will be required to attain this goal of making information an even more integral part of the research and teaching process.

  3. Road safety issues for bus transport management.

    Science.gov (United States)

    Cafiso, Salvatore; Di Graziano, Alessandro; Pappalardo, Giuseppina

    2013-11-01

    Because of the low percentage of crashes involving buses and the assumption that public transport improves road safety by reducing vehicular traffic, public interest in bus safety is not as great as that in the safety of other types of vehicles. It is possible that less attention is paid to the significance of crashes involving buses because the safety level of bus systems is considered to be adequate. The purpose of this study was to evaluate the knowledge and perceptions of bus managers with respect to safety issues and the potential effectiveness of various technologies in achieving higher safety standards. Bus managers were asked to give their opinions on safety issues related to drivers (training, skills, performance evaluation and behaviour), vehicles (maintenance and advanced devices) and roads (road and traffic safety issues) in response to a research survey. Kendall's algorithm was used to evaluate the level of concordance. The results showed that the majority of the proposed items were considered to have great potential for improving bus safety. The data indicated that in the experience of the participants, passenger unloading and pedestrians crossing near bus stops are the most dangerous actions with respect to vulnerable users. The final results of the investigation showed that start inhibition, automatic door opening, and the materials and internal architecture of buses were considered the items most strongly related to bus passenger safety. Brake assistance and vehicle monitoring systems were also considered to be very effective. With the exception of driver assistance systems for passenger and pedestrian safety, the perceptions of the importance of other driver assistance systems for vehicle monitoring and bus safety were not unanimous among the bus company managers who participated in this survey. The study results showed that the introduction of new technologies is perceived as an important factor in improving bus safety, but a better understanding

  4. Nuclear waste management: A review of issues

    International Nuclear Information System (INIS)

    Angino, E.E.

    1985-01-01

    The subject of radioactive waste management and burial is a subject that raises strong emotional and political issues and generates sharp technical differences of opinion. The overall problem can be subdivided into the three major categories of (1) credibility and emotionalism, (2) technology, and (3) nuclear waste isolation and containment. An area of concern desperately in need of attention is that of proper public education on all aspects of the high-level radioactive-waste (rad-waste) burial problem. A major problem related to the rad-waste issue is the apparent lack of an official, all-encompassing U.S. policy for nuclear waste management, burial, isolation, and regulation. It is clear from all past technical reports that disposal of rad wastes in an appropriate geologic horizon is the best ultimate solution to the waste problem. After 25 y of dealing with the high-level radioactive waste problem, the difficulty is that no proposed plan has to date been tested properly. It is this indecision and reaction that has contributed in no small way to the public perception of inability to solve the problem. One major change that has occurred in the last few years was the enactment of the Nuclear Waste Policy Act of 1982. This act mandates deadlines, guidelines, and state involvement. It is time that strong differences of opinions be reconciled. One must get on with the difficult job of selecting the best means of isolating and burying these wastes before the task becomes impossible

  5. Human resource management in the Georgian National Immunization Program: a baseline assessment

    Directory of Open Access Journals (Sweden)

    Cohen-Kohler Jillian

    2007-07-01

    Full Text Available Abstract Background Georgia's health care system underwent dramatic reform after gaining independence in 1991. The decentralization of the health care system was one of the core elements of health care reform but reports suggest that human resource management issues were overlooked. The Georgian national immunization program was affected by these reforms and is not functioning at optimum levels. This paper describes the state of human resource management practices within the Georgian national immunization program in late 2004. Methods Thirty districts were selected for the study. Within these districts, 392 providers and thirty immunization managers participated in the study. Survey questionnaires were administered through face-to-face interviews to immunization managers and a mail survey was administered to immunization providers. Qualitative data collection involved four focus groups. Analysis of variance (ANOVA and Chi-square tests were used to test for differences between groups for continuous and categorical variables. Content analysis identified main themes within the focus groups. Results Weak administrative links exist between the Centres of Public Health (CPH and Primary Health Care (PHC health facilities. There is a lack of clear management guidelines and only 49.6% of all health providers had written job descriptions. A common concern among all respondents was the extremely inadequate salary. Managers cited lack of authority and poor knowledge and skills in human resource management. Lack of resources and infrastructure were identified as major barriers to improving immunization. Conclusion Our study found that the National Immunization Program in Georgia was characterized by weak organizational structure and processes and a lack of knowledge and skills in management and supervision, especially at peripheral levels. The development of the skills and processes of a well-managed workforce may help improve immunization rates, facilitate

  6. Climate and transboundary water management issues

    International Nuclear Information System (INIS)

    Bjonback, D.

    1991-01-01

    The potential effects of climate change on transboundary river systems, major water uses, interjurisdictional arrangements, and water issues affecting water management in the Great Plains of Canada are discussed. Three atmospheric general circulation models (GCM) have been applied for a two times carbon dioxide concentration scenario for the Saskatchewan River system. The models were the Goddard Institute for Space Studies (GISS) model, the Geophysical Fluid Dynamics Laboratory (GFDL) model, and the Oregon State University (OSU) model. For all models, soil moisture on the plains was reduced. The GISS model predicted slightly higher runoff for plains-originating streams, and a substantial increase in runoff (32%) in the Rockies. The GFDL model predicted lower runoffs in the plains and Rockies, with some locations near the Alberta-Saskatchewan border indicating zero runoff. The OSU model results generally bracketed the GISS and GFDL results, with total runoff approximating 1951-1980 mean. The GISS model indicated an increase in net basin supply of 28%, while the GFDL model, due to lower runoff and high soil moisture defecits, showed a decrease of 38%. For policy making, monitoring, and research, the GFDL model results can provide important guidelines. Greater attention to demand management and conservation will have short-term benefits in stretching the limited water resource base to support a larger economy, while providing flexibility to cope with future climate as it evolves. 1 ref

  7. Management of immunization solid wastes in Kano State, Nigeria

    International Nuclear Information System (INIS)

    Oke, I.A.

    2008-01-01

    Inadequate management of waste generated from injection activities can have a negative impact on the community and environment. In this paper, a report on immunization wastes management in Kano State (Nigeria) is presented. Eight local governments were selected randomly and surveyed by the author. Solid wastes generated during the Expanded Programme on Immunization were characterised using two different methods: one by weighing the waste and the other by estimating the volume. Empirical data was obtained on immunization waste generation, segregation, storage, collection, transportation, and disposal; and waste management practices were assessed. The study revealed that immunization offices were accommodated in either in local government buildings, primary health centres or community health care centres. All of the stations demonstrated a high priority for segregation of the infectious wastes. It can be deduced from the data obtained that infectious waste ranged from 67.6% to 76.7% with an average of 70.1% by weight, and 36.0% to 46.1% with an average of 40.1% by volume. Non-infectious waste generated ranged from 23.3% to 32.5% with an average of 29.9% by weight and 53.9% to 64.0% with an average of 59.9% by volume. Out of non-infectious waste (NIFW) and infectious waste (IFW), 66.3% and 62.4% by weight were combustible and 33.7% and 37.6% were non-combustible respectively. An assessment of the treatment revealed that open pit burning and burial and small scale incineration were the common methods of disposal for immunization waste, and some immunization centres employed the services of the state or local government owned solid waste disposal board for final collection and disposal of their immunization waste at government approved sites

  8. 'Managing' the immune system with total lymphoid irradiation

    International Nuclear Information System (INIS)

    Strober, S.

    1981-01-01

    Total lymphoid irradiation (TLI), which in the past was limited to the treatment of malignant disease, is now emerging as a practical technique in the management of unwanted immune reactions in the areas of transplant tolerance and various autoimmune diseases. Current studies are particularly promising for application of TLI in rheumatoid arthritis and lupus nephritis

  9. Risk Management Issues - An Aerospace Perspective

    Science.gov (United States)

    Perera, Jeevan S.

    2011-01-01

    Phased-approach for implementation of risk management is necessary. Risk management system will be simple, accessible and promote communication of information to all relevant stakeholders for optimal resource allocation and risk mitigation. Risk management should be used by all team members to manage risks--risk office personnel. Each group is assigned Risk Integrators who are facilitators for effective risk management. Risks will be managed at the lowest-level feasible, elevate only those risks that require coordination or management from above. Risk reporting and communication is an essential element of risk management and will combine both qualitative and quantitative elements.. Risk informed decision making should be introduced to all levels of management. Provide necessary checks and balances to insure that risks are caught/identified and dealt with in a timely manner, Many supporting tools, processes & training must be deployed for effective risk management implementation. Process improvement must be included in the risk processes.

  10. Identity Management issues in Cloud Computing

    OpenAIRE

    Saini, Smita; Mann, Deep

    2014-01-01

    Cloud computing is providing a low cost on demand services to the users, omnipresent network,large storage capacity due to these features of cloud computing web applications are moving towards the cloud and due to this migration of the web application,cloud computing platform is raised many issues like privacy, security etc. Privacy issue are major concern for the cloud computing. Privacy is to preserve the sensitive information of the cloud consumer and the major issues to the privacy are un...

  11. Reputationsorientiertes Themen- und Issues-Management : Konzeption, Regelbetrieb, Weiterentwicklung

    OpenAIRE

    Fahrenbach, Christian

    2011-01-01

    Die Dissertation untersucht, wie Organisationen ein reputationsorientiertes Themen- und Issues-Management aufbauen, betreiben und weiterentwickeln können. Dazu wird das operative Modell des Issues Managements mit dem strategischen Zielkonstrukt Reputation verbunden. Zu Beginn der Arbeit beschreiben zwei Theorie-Kapitel ausführlich Relevanz und die Steuerung von Reputation und im Issues Management. Auf dieser Basis wird ein praxisorientiertes integriertes Modell entwickelt. Es beschreibt da...

  12. Immunizations for Preterm Babies

    Science.gov (United States)

    ... Issues Health Issues Health Issues Conditions Injuries & Emergencies Vaccine Preventable Diseases ... Children > Safety & Prevention > Immunizations > Immunizations For Preterm Babies Safety & ...

  13. Weakened Immune Systems

    Science.gov (United States)

    ... Issues Health Issues Health Issues Conditions Injuries & Emergencies Vaccine Preventable Diseases ... Children > Safety & Prevention > Immunizations > Weakened Immune Systems Safety & Prevention ...

  14. Immunizations: Active vs. Passive

    Science.gov (United States)

    ... Issues Health Issues Health Issues Conditions Injuries & Emergencies Vaccine Preventable Diseases ... Children > Safety & Prevention > Immunizations > Immunizations: Active vs. Passive Safety & ...

  15. Some Issues on Management Information System Course Teaching

    OpenAIRE

    Chen, Dingquan

    2008-01-01

    This paper discuses the following issues about Management Information System course for the major of information management & Information System: Teaching Object, the difference between Information System Analysis and Design course, teaching content, and experiment plan.

  16. Issues and trends in radioactive waste management in Turkey

    International Nuclear Information System (INIS)

    Osmanlioglu, A.E.

    2002-01-01

    This paper focuses on issues associated with the waste management aspects of Turkey. Predisposal management of radioactive wastes covers a broad range of activities. This also includes waste identification, characterization and conditioning. Experience gained over years shows that current predisposal waste management practices are well advanced. The paper concludes these activities based on experience gained by CWPSF (CNAEM Waste Processing and Storage Facility) and includes issues and trends in radioactive waste management. In addition general information is presented on ongoing national projects and IAEA research projects on various issues of waste management. (author)

  17. Embedded generation and network management issues

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-07-01

    This report focuses on the characteristics of power generators that are important to accommodation in a distribution system. Part 1 examines the differences between transmission and distribution systems, and issues such as randomness, diversity, predictability, and controllability associated with accommodation in a distribution system. Part 2 concentrates on technical and operational issues relating to embedded generation, and the possible impact of the New Electricity Trading Arrangements. Commercial issues, contractual relationships for network charging and provision of services, and possible ways forward are examined in the last three parts of the report.

  18. Controversial Issues in Thyroid Cancer Management.

    Science.gov (United States)

    Tuttle, R Michael

    2018-04-13

    The lack of prospective randomized clinical trials for most management topics in differentiated thyroid cancer force us to make management recommendations based on retrospective observational data which is often incomplete, subject to selection bias, and conflicting. Therefore, it is not surprising that many aspects of thyroid cancer management remain controversial and not well defined. This review will examine the controversies surrounding three important topics in thyroid cancer management: (1) the option of thyroid lobectomy as initial therapy for thyroid cancer, (2) the proper use of preoperative neck imaging to optimize the completeness of the initial surgical procedure, and (3) the selective use RAI therapy as remnant ablation, adjuvant treatment or treatment of known persistent/recurrent disease. As thyroid cancer management moves toward a much more risk adapted approach to personalized management recommendations, clinicians and patients must balance the risks and benefits of the potential management options to arrive at a management plan that is optimized based on both patient preferences/values and the philosophy/experience of the local disease management team. Copyright © 2018 by the Society of Nuclear Medicine and Molecular Imaging, Inc.

  19. Knowledge Management Issues in Academic Libraries in Imo State ...

    African Journals Online (AJOL)

    This paper explored the Knowledge Management (KM) issues in academic libraries. It discussed these issues - types of knowledge and knowledge management practices; the technologies and mechanisms of acquiring; creating; sharing, transferring etc knowledge in the present day knowledge era. It highlighted the ...

  20. Information Systems Management: an Australian view of the key issues

    Directory of Open Access Journals (Sweden)

    Graham Pervan

    1994-05-01

    Full Text Available Studies investigating the key issues in IS management serve to better understand the concerns of IS managers and help to guide IS researchers in choosing IS management problems worthy of investigation. This paper presents results from a study of the key issues facing the IS managers of Australia's largest 300 organisations which is part of a three-yearly longitudinal study. In order to gain consensus on the relative importance of the key issues, a three-round Delphi method was applied. The results reveal that IS strategic planning continues to be the paramount issue in our industry, as are many issues associated with IS strategic planning, including responsiveness of the IT infrastructure, effective use of the data resource, IS for competitive advantage, and a comprehensive information architecture. A greater emphasis on quality is also revealed in highly rated issues such as effective use of the data resource, data integrity and quality assurance, and the quality of software development

  1. Product Life Cycle - Quality Management Issues

    DEFF Research Database (Denmark)

    Alting, Leo; Majstorovic, Vidosav D.

    2004-01-01

    The strategic goal of our country is European and world integration. Within this context the management of sustainable development considered from the aspect of product’s life cycle and its quality management represents a real challenge for researchers, economy and educational system. The aim...

  2. PFP issues/assumptions development and management planning guide

    International Nuclear Information System (INIS)

    SINCLAIR, J.C.

    1999-01-01

    The PFP Issues/Assumptions Development and Management Planning Guide presents the strategy and process used for the identification, allocation, and maintenance of an Issues/Assumptions Management List for the Plutonium Finishing Plant (PFP) integrated project baseline. Revisions to this document will include, as attachments, the most recent version of the Issues/Assumptions Management List, both open and current issues/assumptions (Appendix A), and closed or historical issues/assumptions (Appendix B). This document is intended be a Project-owned management tool. As such, this document will periodically require revisions resulting from improvements of the information, processes, and techniques as now described. Revisions that suggest improved processes will only require PFP management approval

  3. Information Systems Management: an Australasian view of key issues - 1996

    Directory of Open Access Journals (Sweden)

    Graham Pervan

    1997-11-01

    Full Text Available As part of a longitudinal study of key information systems management issues, a survey of Australasia's largest 500 organisations was conducted to identify which issues were perceived by the IS executives as being important, problematic and critical over the next three to five years. The most critical issues were revealed to be a mix of technology management issues (IT infrastructure, communications, disaster recovery, strategic management issues (competitive advantage, IS planning, aligning the IS organisation, people management issues (organisational learning, educating senior management in IT, systems development and data management issues (effective use of the data resource, and end-user computing. This reflects the need for a balance of business, technical, and people skills in an IS executive. Non-critical issues were mostly related to systems development and the individual technologies which must be integrated and managed to ensure a responsive IT infrastructure. The study also reveals that some issues are much more important than problematic (disaster recovery, competitive advantage, information architecture, and IS alignment while others are much more problematic than important (end-user computing, IS role and contribution, and BPR. The former reflects a growing level of knowledge in handling these issues, while the latter reflects a continuing problem with them. The differences between this study and similar studies conducted in 1988 and 1992 show that there is a growing confidence in the IS executive's ability to manage the strategic issues, a continuing concern about providing a responsive IT infrastructure (especially communications, and a continuing concern with educating all 'customers' in the organisation in the effective use of IT, including senior management.

  4. Polio Endgame: Lessons Learned From the Immunization Systems Management Group.

    Science.gov (United States)

    Zipursky, Simona; Vandelaer, Jos; Brooks, Alan; Dietz, Vance; Kachra, Tasleem; Farrell, Margaret; Ottosen, Ann; Sever, John L; Zaffran, Michel J

    2017-07-01

    The Immunization Systems Management Group (IMG) was established to coordinate and oversee objective 2 of the Polio Eradication and Endgame Strategic Plan 2013-2018, namely, (1) introduction of ≥1 dose of inactivated poliovirus vaccine in all 126 countries using oral poliovirus vaccine (OPV) only as of 2012, (2) full withdrawal of OPV, starting with the withdrawal of its type 2 component, and (3) using polio assets to strengthen immunization systems in 10 priority countries. The IMG's inclusive, transparent, and partnership-focused approach proved an effective means of leveraging the comparative and complementary strengths of each IMG member agency. This article outlines 10 key factors behind the IMG's success, providing a potential set of guiding principles for the establishment and implementation of other interagency collaborations and initiatives beyond the polio sphere. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

  5. Policy and Management Issues in Contemporary Nigerian ...

    African Journals Online (AJOL)

    AFRREV IJAH: An International Journal of Arts and Humanities. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 2, No 4 (2013) >. Log in or Register to get access to full text downloads.

  6. Concussion Management in Schools: Issues and Implications

    Science.gov (United States)

    Canto, Angela I.; Pierson, Eric E.

    2015-01-01

    The school psychology literature base is lacking in information and resources for working with students with traumatic brain injuries, and concussions specifically. This special issue includes five articles from school psychology based researchers committed to increasing the awareness of the identification, assessment, and intervention for…

  7. APPLIED ISSUES ABOUT BANKING RISK MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Elena Geanina Clipici

    2017-09-01

    Full Text Available The following paper emphasizes the need to deepen the understanding of the notion of banking risk management by explaining the significant risks the bank encounters during financial exercises as well as their additional entries. The study of the paper will focus on UniCredit Bank during the years 2014 and  2015 on all types of risks, in which we will provide comprehensive data on how the UniCredit Bank management applies its risk policies.

  8. SOME ISSUES OF THE AIRPORT MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Marian Ovidiu

    2012-07-01

    Full Text Available Internationally, the recommended standards for the operation and management of civil-use airports are provided by the International Civil Aviation Organization (ICAO. In most individual countries, airports are managed directly by the government, most often under the ministry of transport. In some countries, including EU countries, some airports are privately owned and operated, although, despite private ownership, they are still subject to much of the country’s regulations regarding aviation operations. The complex system of civil airports is made up of individual airport facilities of varying sizes, serving various purposes, all organized into plans of regional, national, and international levels. The range of rules, regulations, and policies, administered from varying levels of government, cover the full spectrum of airport and aviation system operations. Furthermore, a large number of professional and industry organizations play a large part in influencing the policies by which airport management must operate their facilities. By understanding where an airport manager’s airport falls within the civil aviation system, what rules must be followed, and what sources of support and assistance exist, the task of efficiently managing the complex system that is an airport, becomes highly facilitated.

  9. Configuration Management Issues at Research Reactors

    International Nuclear Information System (INIS)

    Morris, Charles R.

    2013-01-01

    Configuration Management (from IAEA TECDOC 1651): • The Main Functions of the configuration management process are to: • maintain design requirements of structures, systems and components; • track current as-built drawings, documents, and design basis library; • confirm design change packages demonstrate compliance to design basis in calculations, procurement, safety reviews, update of affected documents, and SSC data; • confirm work orders demonstrate compliance to mandated preventive maintenance; • surveillance, parts replacement and design change installation requirements; • demonstrate procurement of spare parts qualified to meet design basis for proper make, model and quality-level for the SSC location and form, fit and function

  10. Pediatric Cushing′s disease: Management Issues

    Directory of Open Access Journals (Sweden)

    Martin O Savage

    2012-01-01

    Full Text Available Cushing′s disease (CD, caused by an ACTH-secreting pituitary corticotroph adenoma, is the commonest cause of Cushing syndrome in children over 5 years of age. It is rare in the pediatric age range and presents difficult diagnostic and therapeutic challenges. Key presenting features include weight gain, growth failure and change in facial appearance. Most pediatric endocrinologists have limited experience managing children or adolescents with CD and thus benefit from close consultation with adult colleagues. We describe a diagnostic protocol which broadly follows the model for adult patients. Treatment strategies are examined and appraised. The management of pediatric CD patients after cure is also discussed.

  11. Immunization

    Science.gov (United States)

    ... a lot worse. Some are even life-threatening. Immunization shots, or vaccinations, are essential. They protect against ... B, polio, tetanus, diphtheria, and pertussis (whooping cough). Immunizations are important for adults as well as children. ...

  12. Forest Management_MCD Issue2 2007

    African Journals Online (AJOL)

    for biodiversity on Earth, and this biodiversity is found mainly in Madagascar's .... Standardized models are appropriate .... this had little effect on its forest management policy until very recently. ... In the mid - 1980s, Madagascar's political climate began to change as ..... A selection correction for cloud cover in satellite images.

  13. Environmental conflicts: Key issues and management implications ...

    African Journals Online (AJOL)

    Environmental crises and problems throughout the world are widespread and increasing rapidly. In relation to these concerns, the article discusses the following aspects: people and the environment, environmental conflicts, climate change and environmental conflicts, and management implications. The section on people ...

  14. Career Management Issues of Female Business Expatriates.

    Science.gov (United States)

    Selmer, Jan; Leung, Alicia S. M.

    2002-01-01

    Responses to a career management survey from 309 male and 79 female business expatriates revealed that, controlling for demographic differences, females could less often meet their career goals with the corporation. They were less likely to regard expatriation as a useful career move. Explanations were derived from relevant research literature.…

  15. Architectural mismatch issues in identity management deployment

    DEFF Research Database (Denmark)

    Andersen, Mads Schaarup

    2010-01-01

    Integrating Commercial Off-The-Shelf products in a company's software product portfolio offers business value, but introduces challenges from a software architecture perspective. In this paper, the research challenges in relation to identity management in the Danish municipality administration...... system called Opus, are outlined. Opus BRS is the identity management part of Opus. Opus integrates SAP, legacy mainframe systems, and other third party systems of the individual municipality. Each of these systems define their own software architecture and access control model, leading to architectural...... mismatch with an impact on security, usability, and maintainability. The research project is discussed and access control and identity provisioning are recognized as the major areas of interest in relation to the mismatch challenges. The project is carried out in close cooperation with KMD, one...

  16. Prudency reviews, cash management issues emerge

    International Nuclear Information System (INIS)

    Anon.

    1985-01-01

    Utility management is paying increasing attention to the broadening of regulatory commission prudency reviews to cover operating generating plants as well as those under construction. Utilities can expect a prudency review after a major outage, and should investigate the possibility for legal action against a third party or be prepared to defend itself. The Shoreham nuclear plant serves as a warning to utilities of the need for on-going documentation of cost-benefit analyses conducted during the construction period. Utility managers should demand a prudency standard from their regulators, and minority owners in large projects should make independent prudency findings. There is also a growing need for utilities to develop intelligent strategies for handling excess cash. Methods for handling cash flow include the financial investment, grid refurbishment, dividend payout, decapitalization, and diversification

  17. Quality management issues in nondestructive inspection

    International Nuclear Information System (INIS)

    Li Shuliang

    2008-01-01

    Considering the practical problems in NDT in scientific research and production, this paper put forward the concept to take the functional authorities and related research divisions as customers, and provides the operable way for the management and control of the control points, and for the control and check in the manufacture check-up, in the scientific research. This paper also proposes more strict requirements on NDT for the disposal of nonconformity product, in order to further improve the technology of NDT. (author)

  18. Contemporary management issues confronting fisheries science

    Science.gov (United States)

    Frank, Kenneth T.; Brickman, David

    2001-06-01

    Stock collapses have occurred worldwide. The most frequently cited cause is over-fishing, suggesting that fisheries management has been ineffective in controlling exploitation rates. The progression of a fishery from an over-exploited to a collapsed state involves impairment of the reproductive capacity of the target species, i.e. recruitment over-fishing. In many cases, this occurs by reduction of the spawning stock biomass (SSB) through the systematic elimination of spawning components within a stock complex. While operational definitions of minimum levels of SSB have been developed, they have seldom been applied and never adopted in a Canadian groundfish management context. The answer to the question of how much is enough to perpetuate a stock under exploitation has been illusive. Serebryakov [J. Cons. Int. Explor. Mer, 47 (1990) 267] has advocated definition of critical levels of SSB based on survival rates (R/SSB). We review his method and discuss the utility of the approach. An alternative approach to the problem of estimating minimum SSB is through a fundamental revision of the traditional stock and recruitment relationship. Explicit theoretical SSB thresholds below which reproduction/recruitment is severely impaired based upon density-dependent mating success (or Allee effects) is considered a superior approach to the question of how much is enough because of its ecological grounding. However, the successful application of this approach will require re-definition of the space/time scales of the management unit. Finally, support is growing for the establishment of closed areas or "no-take zones" as an alternative approach to managing the problems of fishing a stock complex by enabling sub-populations to escape fishing. While the expected benefits of areas protected from fishing are numerous, clear demonstrations of benefits of such areas in marine temperate ecosystems are lacking. In fact, unintended negative consequences may result from such actions.

  19. Safety issues in cultural heritage management and critical infrastructures management

    Science.gov (United States)

    Soldovieri, Francesco; Masini, Nicola; Alvarez de Buergo, Monica; Dumoulin, Jean

    2013-12-01

    This special issue is the fourth of its kind in Journal of Geophysics and Engineering , containing studies and applications of geophysical methodologies and sensing technologies for the knowledge, conservation and security of products of human activity ranging from civil infrastructures to built and cultural heritage. The first discussed the application of novel instrumentation, surface and airborne remote sensing techniques, as well as data processing oriented to both detection and characterization of archaeological buried remains and conservation of cultural heritage (Eppelbaum et al 2010). The second stressed the importance of an integrated and multiscale approach for the study and conservation of architectural, archaeological and artistic heritage, from SAR to GPR to imaging based diagnostic techniques (Masini and Soldovieri 2011). The third enlarged the field of analysis to civil engineering structures and infrastructures, providing an overview of the effectiveness and the limitations of single diagnostic techniques, which can be overcome through the integration of different methods and technologies and/or the use of robust and novel data processing techniques (Masini et al 2012). As a whole, the special issue put in evidence the factors that affect the choice of diagnostic strategy, such as the material, the spatial characteristics of the objects or sites, the value of the objects to be investigated (cultural or not), the aim of the investigation (knowledge, conservation, restoration) and the issues to be addressed (monitoring, decay assessment). In order to complete the overview of the application fields of sensing technologies this issue has been dedicated to monitoring of cultural heritage and critical infrastructures to address safety and security issues. Particular attention has been paid to the data processing methods of different sensing techniques, from infrared thermography through GPR to SAR. Cascini et al (2013) present the effectiveness of a

  20. Management issues with exogenous steroid therapy

    Directory of Open Access Journals (Sweden)

    Hiren Patt

    2013-01-01

    Full Text Available Glucocorticoids (GCs are extensively used for various inflammatory and autoimmune disorders, but long term use of these agents is not without complications. Almost every GC formulations (e.g. oral, topical, inhaled, etc. can cause systemic side effects. It can range from minor side effects (e.g. weight gain to life-threatening effects (e.g. adrenal suppression, sepsis, etc., which may require immediate intervention. Therefore, the decision to institute steroid therapy always requires careful consideration of the relative risk and benefit in each patient. The objectives of this study are to discuss monitoring of patients on GCs and management of the complications of GCs.

  1. Managing the Organizational Culture: A Technological Issue

    Directory of Open Access Journals (Sweden)

    Takhir U. Bazarov

    2011-01-01

    Full Text Available Organizational culture presents an interest for research and practice of social psychology. This article is intended to discuss the problem of managing the organizational structure on two levels that contain most topical problems: general methodological level and technological level. Organizational culture is a system with its distinct features that consists of units and sub-systems with their specific features. An organizational-culture system comprises several levels: leader's personality level (as well as the personality level in general, level of executive team (as well as of a small group in general, level of organization in general (level of a large group.

  2. Management issues with exogenous steroid therapy

    Science.gov (United States)

    Patt, Hiren; Bandgar, Tushar; Lila, Anurag; Shah, Nalini

    2013-01-01

    Glucocorticoids (GCs) are extensively used for various inflammatory and autoimmune disorders, but long term use of these agents is not without complications. Almost every GC formulations (e.g. oral, topical, inhaled, etc.) can cause systemic side effects. It can range from minor side effects (e.g. weight gain) to life-threatening effects (e.g. adrenal suppression, sepsis, etc.), which may require immediate intervention. Therefore, the decision to institute steroid therapy always requires careful consideration of the relative risk and benefit in each patient. The objectives of this study are to discuss monitoring of patients on GCs and management of the complications of GCs. PMID:24910822

  3. STRATEGIC ISSUES GROUNDWATER EXTRACTION MANAGEMENT IN RUSSIA

    Directory of Open Access Journals (Sweden)

    Ekaterina I. Golovina

    2017-05-01

    Full Text Available Water is a key component of our environment; it is a renewable, limited and vulnerable natural resource, which provides economic, social, and environmental well-being of the population. The most promising source of drinking water supply is groundwater usage. Drinking and industrial groundwater is one of the most important components of the groundwater mineral resource base in the Russian Federation. Modern system of groundwater extraction management and state regulation is currently imperfect and has definite disadvantages, among them - lack of control over natural resources by the state, an old system of tax rates for the use of groundwater, commercialization stage of licensing, the budget deficit, which is passed on other spheres of the national economy. This article provides general information about the state of groundwater production and supply in Russia, negative trends of groundwater usage, some actions for the improvement in the system of groundwater’s fund management are suggested. The most important amendments of the law “About mineral resources” are overviewed, effects of these changes are revealed and recommendations for future groundwater extraction regulation are given.

  4. Gender Issues in the Management of Infertility in Developing Countries

    African Journals Online (AJOL)

    Gender Issues in the Management of Infertility in Developing Countries. Editorial. Infertility ... heritage has become morbidly adherent in the mind of even the highly ... the respondents preferred male to female children, and this was attributed to ...

  5. Management of endometrial cancer: issues and controversies.

    Science.gov (United States)

    Bogani, G; Dowdy, S C; Cliby, W A; Ghezzi, F; Rossetti, D; Frigerio, L; Mariani, A

    2016-01-01

    Although endometrial cancer (EC) is the most common gynecologic cancer in developed countries, several aspects of its management are still controversial. In particular, the need to perform lymphadenectomy represents an important matter of discussion. Because of the discordant results in the literature, it is still not possible to draft any definitive conclusions regarding the therapeutic value of lymph node dissection. The present review discusses the role of lymphadenectomy in the setting of EC, risk factors for lymphatic spread, identification of patients at risk for lymph node dissemination, and the current evidence for adjuvant therapies in patients with positive nodes. Reasons for the difficulty in demonstrating any therapeutic value of pelvic and para-aortic lymphadenectomy are also discussed.

  6. An integrative framework for managing project issues across stakeholder groups

    NARCIS (Netherlands)

    van Offenbeek, Marjolein A.G.; Vos, Janita F.J.

    2016-01-01

    The stakeholders and the issues associated with a project are different concepts but closely interconnected. Despite this, the project stakeholder management literature falls short in analyzing the linkages between the stakeholders and the issues they bring. This paper develops a multilayered

  7. Dialogue, Language and Identity: Critical Issues for Networked Management Learning

    Science.gov (United States)

    Ferreday, Debra; Hodgson, Vivien; Jones, Chris

    2006-01-01

    This paper draws on the work of Mikhail Bakhtin and Norman Fairclough to show how dialogue is central to the construction of identity in networked management learning. The paper is based on a case study of a networked management learning course in higher education and attempts to illustrate how participants negotiate issues of difference,…

  8. Pwani Yetu: Issue 4. April 1999.Tanzania Coastal Management Partnership.

    OpenAIRE

    Tanzania Coastal Management Partnership

    1999-01-01

    The Newsletter of the Tanzania Coastal Management Partnership - Pwani Yetu - 'our coast', is produced every other month in both Kiswahili and English and circulated to all coastal management partners from national level, coastal communities and the private sector. Pwani Yetu reports on coastal and marine activities, including issues on conservation, environment, and social economic development. 'Research Group' TCMP.

  9. Operations Management of Logistics and Supply Chain: Issues and Directions

    OpenAIRE

    Li, Xiang

    2014-01-01

    There has been consensus that logistics as well as supply chain management is a vital research field, yet with few literature reviews on this topic. This paper sets out to propose some hot issues in the current research, through a review of related literature from the perspective of operations management. In addition, we generate some insights and future research directions in this field.

  10. Resensi Buku Islamic Perspective on Management: Contemporary Issues

    OpenAIRE

    Kusuma, Bayu Mitra Adhyatma

    2016-01-01

    Judul buku : Islamic Perspective on Management: ContemporaryIssuesPenulis : Nor ‘Azizah Kamri, dkk.Penerbit : YaPEIM Management Academy (kerjasamadengan University of Malaya Press)Tebal : xiv + 463 halamanCetakan pertama : November 2013Kota terbit : Kuala Lumpur

  11. Critical issues facing R&D managers in China

    NARCIS (Netherlands)

    de Boer, S.J.; Gan, Weibing; Shan, Guogang

    1998-01-01

    R&D managers in China experienced significant changes in the past decade, in particular because of Government policies of economic reform and opening to the outside world. These developments have brought about a number of rather specific R&D management issues and problems. The paper addresses the

  12. Management issues in the metabolic syndrome.

    Science.gov (United States)

    Deedwania, P C; Gupta, R

    2006-10-01

    The metabolic syndrome or cardiovascular dysmetabolic syndrome is characterized by obesity, central obesity, insulin resistance, atherogenic dyslipidemia, and hypertension. The major risk factors leading to this syndrome are physical inactivity and an atherogenic diet and cornerstone clinical feature is abdominal obesity or adiposity. In addition, patients usually have elevated triglycerides, low HDL cholesterol, elevated LDL cholesterol, other abnormal lipid parameters, hypertension, and elevated fasting blood glucose. Impaired fibrinolysis, increased susceptibility to thrombotic events, and raised inflammatory markers are also observed. Given that India has the largest number of subjects with type-2 diabetes in the world it can be extrapolated that this country also has the largest number of patients with the metabolic syndrome. Epidemiological studies confirm a high prevalence. Therapeutic approach involves intervention at a macro-level and control of multiple risk factors using therapeutic lifestyle approaches (diet control and increased physical activity, pharmacotherapy - anti-obesity agents) for control of obesity and visceral obesity, and targeted approach for control of individual risk factors. Pharmacological therapy is a critical step in the management of patients with metabolic syndrome when lifestyle modifications fail to achieve the therapeutic goals. Anti-obesity drugs such as sibutramine and orlistat can be tried to reduce weight and central obesity and jointly control the metabolic syndrome components. Other than weight loss, there is no single best therapy and treatment should consist of treatment of individual components of the metabolic syndrome. Newer drugs such as the endocannabinoid receptor blocker,rimonabant, appear promising in this regard. Atherogenic dyslipidemia should be controlled initially with statins if there is an increase in LDL cholesterol. If there are other lipid abnormalities then combination therapy of statin with fibrates

  13. Issues related to EM management of DOE spent nuclear fuel

    International Nuclear Information System (INIS)

    Abbott, D.G.; Abashian, M.S.; Chakraborti, S.; Roberson, K.; Meloin, J.M.

    1993-07-01

    This document is a summary of the important issues involved in managing spent nuclear fuel (SNF) owned by the Department of Energy (DOE). Issues related to civilian SNF activities are not discussed. DOE-owned SNF is stored primarily at the Hanford Site, Idaho National Engineering Laboratory (INEL), Savannah River Site (SRS), Oak Ridge National Laboratory (ORNL), and West Valley Demonstration Project. Smaller quantities of SNF are stored at Brookhaven National Laboratory, Sandia National Laboratories, and Los Alamos National Laboratory (LANL). There is a wide variety of fuel types, including both low and high enrichment fuels from weapons production, DOE reactors, research and development programs, naval programs, and universities. Most fuel is stored in pools associated with reactor or reprocessing facilities. Smaller quantities are in dry storage. Physical conditions of the fuel range from excellent to poor or severely damaged. An issue is defined as an important question that must be answered or decision that must be made on a topic or subject relevant to achieving the complimentary objectives of (a) storing SNF in compliance with applicable regulations and orders until it can be disposed, and (b) safely disposing of DOE's SNF. The purpose of this document is to define the issues; no recommendations are made on resolutions. As DOE's national SNF management program is implemented, a system of issues identification, documentation, tracking, and resolution will be implemented. This document is an initial effort at issues identification. The first section of this document is an overview of issues that are common to several or all DOE facilities that manage SNF. The common issues are organized according to specific aspects of spent fuel management. This is followed by discussions of management issues that apply specifically to individual DOE facilities. The last section provides literature references

  14. Social and Environmental Issues in Corporative Management: A Romanian Story

    Directory of Open Access Journals (Sweden)

    Cornelia DASCĂLU

    2011-12-01

    Full Text Available The complex process of monitoring entities environmental impact entails ability, respect for the environment and reduction of the ecological footprint. This research defines Romanian trends as regards the effects and actions to adapt to climate change and characterizes corporate management in terms of compliance with environmental management systems requirements. The main objective is to assess the current state of environmental management implementation and identifies relevant social and environmental issues that companies use to include in corporate management. The current agenda would allow developing a framework for environmental management implementation in Romanian entities, in order to assume the corporate social responsibility.

  15. Managing nuclear wastes: an overview of the issues

    International Nuclear Information System (INIS)

    Cummings, R.G.; Utton, A.E.

    1981-01-01

    The issues involving nuclear waste management are reviewed. The author points out the need for a critical overview of research priorities concerning nuclear waste management (NWM), and he discusses the uncertainties surrounding the scope of the problem (i.e., the controversy concerning the extent of dangers to public health and safety associated with the transport and storage of nuclear wastes). This article, intended as a introdution to the other nuclear waste management papers in the journal, also briefly discusses the papers

  16. Nontechnical issues in waste management: ethical, institutional, and political concerns

    International Nuclear Information System (INIS)

    Hebert, J.A.; Rankin, W.L.; Brown, P.G.; Schuller, C.R; Smith, R.F.; Goodnight, J.A.; Lippek, H.E.

    1978-05-01

    The report consists of a presentation and distillation of major nontechnical issues surrounding commercial waste management, followed by ethical, institutional, and political analyses of these issues. The ethical analysis consists of a discusson of what is meant by ''ethics'' and ''morality'' in the waste management context and an illustrative attempt at an ethical analysis of the commercial nuclear waste problem. Two institutional analyses are presented: one is an analysis of the possible problems of long-term human institutions in waste management; the other is a presentation of institutional arrangements for the short term. A final chapter discusses issues and concerns involving intergovernmental relations--that is, local, state, and federal interface problems in waste management

  17. Nontechnical issues in waste management: ethical, institutional, and political concerns

    Energy Technology Data Exchange (ETDEWEB)

    Hebert, J.A.; Rankin, W.L.; Brown, P.G.; Schuller, C.R; Smith, R.F.; Goodnight, J.A.; Lippek, H.E.

    1978-05-01

    The report consists of a presentation and distillation of major nontechnical issues surrounding commercial waste management, followed by ethical, institutional, and political analyses of these issues. The ethical analysis consists of a discusson of what is meant by ''ethics'' and ''morality'' in the waste management context and an illustrative attempt at an ethical analysis of the commercial nuclear waste problem. Two institutional analyses are presented: one is an analysis of the possible problems of long-term human institutions in waste management; the other is a presentation of institutional arrangements for the short term. A final chapter discusses issues and concerns involving intergovernmental relations--that is, local, state, and federal interface problems in waste management.

  18. Adaptive management of natural resources-framework and issues

    Science.gov (United States)

    Williams, B.K.

    2011-01-01

    Adaptive management, an approach for simultaneously managing and learning about natural resources, has been around for several decades. Interest in adaptive decision making has grown steadily over that time, and by now many in natural resources conservation claim that adaptive management is the approach they use in meeting their resource management responsibilities. Yet there remains considerable ambiguity about what adaptive management actually is, and how it is to be implemented by practitioners. The objective of this paper is to present a framework and conditions for adaptive decision making, and discuss some important challenges in its application. Adaptive management is described as a two-phase process of deliberative and iterative phases, which are implemented sequentially over the timeframe of an application. Key elements, processes, and issues in adaptive decision making are highlighted in terms of this framework. Special emphasis is given to the question of geographic scale, the difficulties presented by non-stationarity, and organizational challenges in implementing adaptive management. ?? 2010.

  19. The management issues of implementing telecommuting: a case study

    OpenAIRE

    Bane, Chuck Howard, Jr.

    1993-01-01

    Approved for public release; distribution is unlimited. This thesis is a case study of the implementation of telecommuting by CalComp at the Telecommuting Workcenter of Riverside County and is a real life example of the management issues that surround telecommuting. The issues brought forth in this study will enable those responsible for implementing a telecommuting program to better understand the impact of this change on their organization and how a telecommuting center may be used in th...

  20. Towards Cloud Computing SLA Risk Management: Issues and Challenges

    OpenAIRE

    Morin, Jean-Henry; Aubert, Jocelyn; Gateau, Benjamin

    2012-01-01

    Cloud Computing has become mainstream technology offering a commoditized approach to software, platform and infrastructure as a service over the Internet on a global scale. This raises important new security issues beyond traditional perimeter based approaches. This paper attempts to identify these issues and their corresponding challenges, proposing to use risk and Service Level Agreement (SLA) management as the basis for a service level framework to improve governance, risk and compliance i...

  1. International trade and waste and fuel managment issue, 2006

    Energy Technology Data Exchange (ETDEWEB)

    Agnihotri, Newal (ed.)

    2006-01-15

    The focus of the January-February issue is on international trade and waste and fuel managment. Major articles/reports in this issue include: HLW management in France, by Michel Debes, EDF, France; Breakthroughs from future reactors, by Jacques Bouchard, CEA, France; 'MOX for peace' a reality, by Jean-Pierre Bariteau, AREVA Group, France; Swedish spent fuel and radwaste, by Per H. Grahn and Marie Skogsberg, SKB, Sweden; ENC2005 concluding remarks, by Larry Foulke, 'Nuclear Technology Matters'; Fuel crud formation and behavior, by Charles Turk, Entergy; and, Plant profile: major vote of confidence for NP, by Martti Katka, TVO, Finland.

  2. New Brunswick Market Design Committee : Congestion management issues

    International Nuclear Information System (INIS)

    2001-01-01

    The restructuring of the New Brunswick wholesale power market comprises a number of issues that need to be resolved concerning transmission system related policy decisions and detailed design issues. The wholesale market structure, ownership structure, and means of preventing market power abuses all have an impact on the resolution of many of those issues. Some transmission related decisions regarding congestion management must be made, and they are examined in this document. The report includes a discussion of the issues related to congestion on the transmission system, a review of the decisions that remain to be made while proposing a number of alternatives, reviews decisions that other jurisdictions have made in somewhat similar circumstances. Finally, the advantages and disadvantages of each alternative are identified. Several high level transmission tariff design issues requiring to be addressed later in greater detail are listed in this document. 1 tab

  3. Regulatory issues for nuclear power plant life management

    International Nuclear Information System (INIS)

    Roe, J.

    2000-01-01

    The workshop of 26-27 june 2000, on nuclear power Plant LIfe Management (PLIM), also included working groups in which major issues facing PLIM activities for nuclear power plants were identified and discussed. The second group was on Regulation. The Regulatory Working Group will attempt to identify some of the more pertinent issues affecting nuclear plant regulation in a changing PLIM environment, to identify some possible actions to be taken to address these issues, and to identify some of the parties responsible for taking these actions. Some preliminary regulatory issues are noted below. This is not intended to be a comprehensive list of such issues but rather is intended to stimulate discussion among the experts attending this Workshop. One of the concerns in the regulatory arena is how the structural integrity of the plants can be assured for an extended lifetime. Technological advances directed toward the following are likely to be important factors in the regulatory process of life extension. - Preventive and corrective maintenance (e.g., water chemistry control, pressure vessel annealing, and replacement of core internals). - Ageing and degradation mechanisms and evaluation (e.g., embrittlement, wear, corrosion/erosion, fatigue, and stress corrosion). - Monitoring, surveillance, and inspection (e.g., fatigue monitoring and non-destructive testing). - Optimisation of maintenance (e.g., using risk-based analysis). On the business side, there is concern about technical support by manufacturers, fuel companies, and construction companies. Maintaining a strong technical base and skilled workers in a potentially declining environment is another concern in the regulatory community. Waste management and decommissioning remain significant issue regarding PLIM. These issues affect all three areas of concern - technology, business, and regulation. It is against this background, that the issues put forth in this paper are presented. The objective of presenting these

  4. Issues Raised in Relation to Radioactive Waste Management

    International Nuclear Information System (INIS)

    Atherton, Elizabeth

    2003-01-01

    Nirex has undertaken various consultations with different stakeholders to identify their issues and concerns about radioactive waste management in general and specific aspects of Nirex's work. This paper will outline what dialogue techniques Nirex has undertaken and the issues and concerns that people have raised during the events. It will outline some of the work that Nirex is undertaking to address stakeholders' issues and concerns. Nirex has used a variety of dialogue techniques co-ordinated under the Nirex Involvement Programme to engage with stakeholders about the work we undertake. We are now trying to address the issues, concerns, scenarios and questions raised in our work programme. Key lessons that we have learned in undertaking the dialogues include: The importance of appropriate facilitation and organisation of meetings; The need for a clear purpose for meetings; Being flexible to the needs of the attendees and the issues they raise; Providing feedback to those who participate and following up issues. Through engaging with the public Nirex has learned that: Radioactive waste is not an everyday concern for people; The public can, will and want to engage with the issue of radioactive waste management. This includes engaging with the ethical debate. To facilitate this Nirex and others need to: Provide information in a neutral form outlining the pros and cons and including various people's opinions; Use proactive techniques to allow access and space for people to discuss the issues; Demonstrate how people's opinions have been taken into account. People understand the issues very differently to the way institutions understand them. There is a need for institutions to learn to understand public concerns and the ways in which the public understand issues, as well as for the public to understand the institutional positions better. We are using these insights to develop our future work in this area

  5. Operations Management of Logistics and Supply Chain: Issues and Directions

    Directory of Open Access Journals (Sweden)

    Xiang Li

    2014-01-01

    Full Text Available There has been consensus that logistics as well as supply chain management is a vital research field, yet with few literature reviews on this topic. This paper sets out to propose some hot issues in the current research, through a review of related literature from the perspective of operations management. In addition, we generate some insights and future research directions in this field.

  6. Data management issues in mobile ad hoc networks.

    Science.gov (United States)

    Hara, Takahiro

    2017-01-01

    Research on mobile ad hoc networks (MANETs) has become a hot research topic since the middle 1990's. Over the first decade, most research focused on networking techniques, ignoring data management issues. We, however, realized early the importance of data management in MANETs, and have been conducting studies in this area for 15 years. In this review, we summarize some key technical issues related to data management in MANETs, and the studies we have done in addressing these issues, which include placement of data replicas, update management, and query processing with security management. The techniques proposed in our studies have been designed with deep considerations of MANET features including network partitioning, node participation/disappearance, limited network bandwidth, and energy efficiency. Our studies published in early 2000's have developed a new research field as data management in MANETs. Also, our recent studies are expected to be significant guidelines of new research directions. We conclude the review by discussing some future directions for research.

  7. Editorial safety science special issue road safety management.

    NARCIS (Netherlands)

    Wegman, F.C.M. & Hagezieker, M.P.

    2014-01-01

    The articles presented in this Special Issue on Road Safety Management represent an illustration of the growing interest in policy-related research in the area of road safety. The complex nature of this type of research combined with the observation that scientific journals pay limited attention to

  8. Risk management in HIV/AIDS: ethical and economic issues ...

    African Journals Online (AJOL)

    Risk management in HIV/AIDS: ethical and economic issues associated with restricting HAART access only to adherent patients. ... Using the software TreeAge Pro 2009, we developed a Markov model to project economic outcomes for a hypothetical cohort of HIV/AIDS patients on HAART. The model compared two ...

  9. Issues and scenarios for nuclear waste management systems analysis

    International Nuclear Information System (INIS)

    Mendel, J.E.

    1980-11-01

    The Planning and Analysis Branch of the Department of Energy's Nuclear Waste Management Programs is developing a new systems integration program. The Pacific Northwest Laboratory was requested to perform a brief scoping analysis of what scenarios, questions, and issues should be addressed by the systems integration program. This document reports on that scoping analysis

  10. Making Informed Decisions: Management Issues Influencing Computers in the Classroom.

    Science.gov (United States)

    Strickland, James

    A number of noninstructional factors appear to determine the extent to which computers make a difference in writing instruction. Once computers have been purchased and installed, it is generally school administrators who make management decisions, often from an uninformed pedagogical orientation. Issues such as what hardware and software to buy,…

  11. Gender Issues in Theatre Management: The Cross-River State ...

    African Journals Online (AJOL)

    This study examined gender issues in the management of the Cross-River State Cultural Centre. Three research questions were formulated for the study and eighty-three respondents were used for the study. The researcher made use of questionnaires, interviews and group discussions for collecting data for the study.

  12. Chaos Theory as a Model for Managing Issues and Crises.

    Science.gov (United States)

    Murphy, Priscilla

    1996-01-01

    Uses chaos theory to model public relations situations in which the salient feature is volatility of public perceptions. Discusses the premises of chaos theory and applies them to issues management, the evolution of interest groups, crises, and rumors. Concludes that chaos theory is useful as an analogy to structure image problems and to raise…

  13. Management of examinations: ethical issues. | Nweze | Edo Journal ...

    African Journals Online (AJOL)

    Talking about the ethical issues, we are all aware of the manner/way in which examination malpractice has eaten deep into the fabrics of our society. Some measures really have to be taken to normalize the examination system in our society. The challenges of examination management are numerous for example, having ...

  14. How Managing Editors View and Deal with Newspaper Ethical Issues.

    Science.gov (United States)

    Anderson, Douglas

    1987-01-01

    Claims there is awareness and concern about journalism ethics among daily newspaper managing editors. Asserts that although ethical issues are being addressed to some degree, greater efforts could be made to see that reporters and editors are apprised of codes of ethics. (MM)

  15. Public Relations Manager Involvement in Strategic Issue Diagnosis.

    Science.gov (United States)

    Lauzen, Martha M.

    1995-01-01

    Reports on an exploratory study that seeks to build theoretical understanding of how public relations practitioner involvement in one type of strategic organizational decision making--strategic issue diagnosis--is related to shared values with top management, diagnosis accuracy, strategy pursued, and the power of the public relations function. (TB)

  16. Nuclear waste management in Canada: critical issues, critical perspectives

    National Research Council Canada - National Science Library

    Johnson, Genevieve Fuji; Durant, Darrin

    2009-01-01

    ... on FSC-certified ancient-forest-free paper (100 percent post-consumer recycled) that is processed chlorineand acid-free. Library and Archives Canada Cataloguing in Publication Nuclear waste management in Canada : critical issues, critical perspectives / edited by Darrin Durant and Genevieve Fuji Johnson. Includes bibliographical references an...

  17. Current Issues for Higher Education Information Resources Management.

    Science.gov (United States)

    CAUSE/EFFECT, 1996

    1996-01-01

    Issues identified as important to the future of information resources management and use in higher education include information policy in a networked environment, distributed computing, integrating information resources and college planning, benchmarking information technology, integrated digital libraries, technology integration in teaching,…

  18. School Discipline: Special Issues. School Management Handbook Number 2.

    Science.gov (United States)

    National Association of Elementary School Principals, Arlington, VA.

    This part of the School Management Handbook provides the elementary school administrator with an overview of civil rights issues affecting school discipline policy. The first section treats the requirements for providing due process and avoiding discrimination against minority groups when following disciplinary procedures. Section 2 covers…

  19. [Progress of childhood immunization information management system in China in 2008].

    Science.gov (United States)

    Cao, Ling-Sheng; Liu, Da-Wei; Guo, Biao

    2009-08-01

    To evaluate the coverage of childhood immunization information management system (CIIMS) in China (not include HongKong, Macao, and Taiwan) in 2008. Analyzing immunization cases and users' file record archives in CIIMS for china in 2008. These data indicated that 87.10% (27/31) of provinces and 30.36% (891/2935) of county level and 26.63% (11,512/43,231) of vaccination points of township level submitted immunization data to an CIIMS in 2008. The rate of implementation of the county > or = 90% are Fujian and Hubei. The rate of implementation of the township > or = 90% are Hubei, Fujian and Hebei. Coverage of eastern areas, middle areas and western areas were 28.91%, 43.20%, and 18.41% by county, 26.15%, 37.69%, and 16.44% by township respectively. The upload permissions against cases is in a total of 15,014 units, and the client software collect a total of 42,956,214 cases of immunization. 44.46% chinese children aged < 6 years old participated in an CIIMS in 2008. The vaccination point of township level submitted 8,793,334 cases to CIIMS, it accounted for 20.47% of client collection cases. To achieve the national CIIMS objectives for 2010, the extensive implementation must be promoted, the funding for system-building should be increased, an independent platform of CIIMS must be established, and admission of the issue of data exchange with the local information systems must be accelerated.

  20. Getting Stakeholder Issues into the Management of Radioactive Waste

    International Nuclear Information System (INIS)

    Atherton, Elizabeth

    2001-01-01

    The issues raised in trying to develop long-term solution(s) for radioactive waste management are multidisciplinary - encompassing social, ethical, scientific and technical issues. Experience in the UK and elsewhere has shown that the process by which decisions are made needs to be accepted as being legitimate by all stakeholders. This paper argues that the key to achieving such acceptance is how one engages with stakeholders at the 'front-end' of any decision-making process. This paper focuses on radioactive waste management as the issue in question and outlines techniques that can be used during the 'front-end' consultation and gives examples of where they have been, and are being, used by Nirex

  1. Getting Stakeholder Issues into the Management of Radioactive Waste

    Energy Technology Data Exchange (ETDEWEB)

    Atherton, Elizabeth [UK Nirex Ltd, Didcot (United Kingdom)

    2001-07-01

    The issues raised in trying to develop long-term solution(s) for radioactive waste management are multidisciplinary - encompassing social, ethical, scientific and technical issues. Experience in the UK and elsewhere has shown that the process by which decisions are made needs to be accepted as being legitimate by all stakeholders. This paper argues that the key to achieving such acceptance is how one engages with stakeholders at the 'front-end' of any decision-making process. This paper focuses on radioactive waste management as the issue in question and outlines techniques that can be used during the 'front-end' consultation and gives examples of where they have been, and are being, used by Nirex.

  2. Waste management in space: a NASA symposium. Special issue

    Science.gov (United States)

    Wydeven, T. (Principal Investigator)

    1991-01-01

    This special issue contains papers from the NASA Symposium on Waste Processing for Advanced Life Support, which was held at NASA Ames Research Center on September 11-13, 1990. Specialists in waste management from academia, government, and industry convened to exchange ideas and advise NASA in developing effective methods for waste management in a Controlled Ecological Life Support System (CELSS). Innovative and well-established methods were presented to assist in developing and managing wastes in closed systems for future long-duration space missions, especially missions to Mars.

  3. Process management - critical safety issues with focus on risk management

    International Nuclear Information System (INIS)

    Sanne, Johan M.

    2005-12-01

    Organizational changes focused on process orientation are taking place among Swedish nuclear power plants, aiming at improving the operation. The Swedish Nuclear Power Inspectorate has identified a need for increased knowledge within the area for its regulatory activities. In order to analyze what process orientation imply for nuclear power plant safety a number of questions must be asked: 1. How is safety in nuclear power production created currently? What significance does the functional organization play? 2. How can organizational forms be analysed? What consequences does quality management have for work and for the enterprise? 3. Why should nuclear power plants be process oriented? Who are the customers and what are their customer values? Which customers are expected to contribute from process orientation? 4. What can one learn from process orientation in other safety critical systems? What is the effect on those features that currently create safety? 5. Could customer values increase for one customer without decreasing for other customers? What is the relationship between economic and safety interests from an increased process orientation? The deregulation of the electricity market have caused an interest in increased economic efficiency, which is the motivation for the interest in process orientation. among other means. It is the nuclear power plants' owners and the distributors (often the same corporations) that have the strongest interest in process orientation. If the functional organization and associated practices are decomposed, the prerequisites of the risk management regime changes, perhaps deteriorating its functionality. When nuclear power operators consider the introduction of process orientation, the Nuclear Power Inspectorate should require that 1. The operators perform a risk analysis beforehand concerning the potential consequences that process orientation might convey: the analysis should contain a model specifying how safety is currently

  4. How to manage sustainable supply chain? The issue of maturity

    Directory of Open Access Journals (Sweden)

    Agata Rudnicka

    2016-12-01

    Full Text Available Background: The issue of managing sustainability in supply chain seems to be more and more complex. There are many aspects that need to be taken into consideration when planning, implementing and monitoring environmental and social conditions of supply chains. Despite many works, already published, on the concept of sustainable development (SD is seems that the issue of assessment and especially the issue of maturity in the light of the SD concept is still not developed enough. Methods: The general aim of the paper is the analysis of the maturity issue in the context of sustainability. The main objective is to conceptualize the idea of maturity in sustainable supply chain. Beside the literature research the own proposition of theoretical model was described. Results: The article describes the issue of maturity as an element of managing sustainable development in the supply chain. The author presented a theoretical model of the maturity. Moreover the author gave some recommendations how to manage the sustainability issues in supply chain in more mature approach and introduced some useful tools among which are: certification, code of conduct and code of ethics, audits, projects etc. Conclusions: The issue of maturity seems to be very useful for proper understanding the idea of sustainable development in supply chain. The developed model can be used as self-assessment method to check at which level of implementation the idea of SD is analyzed in supply chain. Furthermore, the next phase of the planned research in form of practical verification of the model was advised as well as a research of identification of new factors and tools in analyzed area.

  5. Issues for the long term management of radioactive waste

    International Nuclear Information System (INIS)

    Schneider, T.; Schieber, C.; Lavelle, S.

    2006-01-01

    High-level radioactive waste are currently managed in interim storage installations, providing an adequate protection of the public and the workers for the short term period. However, the long-term persistence of the radioactivity of the waste gives a new timescale dimension, never experimented by the society for the development of protection systems. In the framework of the European Commission research project 'COWAM-2' (COmmunity WAste Management) dedicated to the governance of radioactive waste management, the issues of 'long term governance' have been addressed by exploring the elements which can contribute to a better integration of the technical and societal time dimensions, taking into account technical, ethical, economic and organizational considerations. The originality of this project is to address the various issues within working groups involving stakeholders from different origins and European countries together with a research team. After a discussion on the time dimensions to be taken into account from the technical and societal perspective, this paper presents, mainly based on the findings of the COWAM-2 project, a brief analysis of the ethical criteria to be considered when future generations are concerned as well as some performance criteria regarding long term governance. Finally, it proposes a discussion on the interest for the radiation protection experts to engage a process with stakeholders concerned by radioactive waste management in order to favour the emergence of a sustainable management responding to the issues at stake and including radiation protection considerations for long term periods. (authors)

  6. Issues for the long term management of radioactive waste

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, T.; Schieber, C. [CEPN, 92 - Fontenay-aux-Roses (France); Lavelle, S. [ICAM, 59 - Lille (France)

    2006-07-01

    High-level radioactive waste are currently managed in interim storage installations, providing an adequate protection of the public and the workers for the short term period. However, the long-term persistence of the radioactivity of the waste gives a new timescale dimension, never experimented by the society for the development of protection systems. In the framework of the European Commission research project 'COWAM-2' (COmmunity WAste Management) dedicated to the governance of radioactive waste management, the issues of 'long term governance' have been addressed by exploring the elements which can contribute to a better integration of the technical and societal time dimensions, taking into account technical, ethical, economic and organizational considerations. The originality of this project is to address the various issues within working groups involving stakeholders from different origins and European countries together with a research team. After a discussion on the time dimensions to be taken into account from the technical and societal perspective, this paper presents, mainly based on the findings of the COWAM-2 project, a brief analysis of the ethical criteria to be considered when future generations are concerned as well as some performance criteria regarding long term governance. Finally, it proposes a discussion on the interest for the radiation protection experts to engage a process with stakeholders concerned by radioactive waste management in order to favour the emergence of a sustainable management responding to the issues at stake and including radiation protection considerations for long term periods. (authors)

  7. Value issues and stakeholders' views in radioactive waste management

    International Nuclear Information System (INIS)

    Colglazier, E.W.; Dungan, D.L.; Reaven, S.J.

    1987-01-01

    The authors review a study in progress that is examining the role played by ethical and value issues in high-level and low-level radioactive waste management. For each policy issue, they attempt to separate its ''value concerns'' into three categories, called procedural, distributional, and evidential aspects. These categories refer to concerns about fairness and appropriateness of process, outcomes, and scientific evidence, respectively. For each value concern, attempt to state the rationale used by key stakeholder groups in justifying their policy positions and to extract the ''underlying general principles'' (UGP's) that appear to be the basis for the arguments. By examining patterns of UGP's across groups for an issue, and across issues for a group, the authors hope to explain the patterns of UGP's in terms of more fundamental attributes of stakeholders' ''world views'' and notions about science and society

  8. Key management issue in SCADA networks: A review

    Directory of Open Access Journals (Sweden)

    Abdalhossein Rezai

    2017-02-01

    Full Text Available Supervisory Control And Data Acquisition (SCADA networks have a vital role in Critical Infrastructures (CIs such as public transports, power generation systems, gas, water and oil industries, so that there are concerns on security issues in these networks. The utilized Remote Terminal Units (RTUs and Intelligence Electronic Devices (IEDs in these networks have resource limitations, which make security applications a challenging issue. Efficient key management schemes are required besides lightweight ciphers for securing the SCADA communications. Many key management schemes have been developed to address the tradeoff between SCADA constrain and security, but which scheme is the most effective is still debatable. This paper presents a review of the existing key management schemes in SCADA networks, which provides directions for further researches in this field.

  9. Solid Waste Management in Nigeria: Problems and Issues.

    Science.gov (United States)

    AGUNWAMBA

    1998-11-01

    / This paper is a presentation of the problems of solid waste management in Nigeria and certain important issues that must be addressed in order to achieve success. At the core of the problems of solid waste management are the absence of adequate policies, enabling legislation, and an environmentally stimulated and enlightened public. Government policies on the environment are piecemeal where they exist and are poorly implemented. Public enlightenment programs lacked the needed coverage, intensity, and continuity to correct the apathetic public attitude towards the environment. Up to now the activities of the state environmental agencies have been hampered by poor funding, inadequate facilities and human resources, inappropriate technology, and an inequitable taxation system. Successful solid waste management in Nigeria will require a holistic program that will integrate all the technical, economic, social, cultural, and psychological factors that are often ignored in solid waste programs.KEY WORDS: Solid waste; Management; Problems; Solutions; Nigeria

  10. Behavioral issues in operations management new trends in design, management, and methodologies

    CERN Document Server

    2013-01-01

    Behavioral Operations Management  has been identified in the last years as one of the most promising emerging fields in Operations Management. Behavioral Issues in Operations Management  explains and examines up-to-date research in this field, which works to analyze the impact of human behavior on the management of complex operating systems.   A collection of studies from leading scholars presents different methodologies and approaches, supported by real data and case studies. Issues such as building trust and strong cooperative relationships with suppliers, enhancing motivation and designing proper incentives for stimulating more effective decision maker behaviours are considered. The main decision-making processes affected by behavioral issues are also analyzed with a focus on new product development, logistics, and supply chain integration.   The broad coverage of methodologies and practical implications makes Behavioral Issues in Operations Management an ideal reference for both researchers developing...

  11. An MCNP simulation for API applications to waste management issues

    International Nuclear Information System (INIS)

    Tunnell, L.N.

    1994-01-01

    Issues associated with waste management have increasingly become a focal point of attention for both the government and private sector since the end of the cold war. The problem are difficult to solve; the solutions are expensive to implement. Consequently, the development of a data simulation system capable of predicting the performance of a real system can save many thousands of dollars in travel expenses, optimization of experimental parameters, etc.. In this effort, computer codes were developed to simulate the production of associated particle imaging data so that its performance in a typical waste management application can be assessed

  12. Social and ethical issues in environmental risk management.

    Science.gov (United States)

    Oughton, Deborah H

    2011-07-01

    The recognition of the social and ethical aspects of radiation risk management has been an important part of international projects following the Chernobyl accident of 1986. This study comments on the science and policy issues in environmental risk assessment, including the social and ethical dimensions of emergency preparedness and remediation experiences gained from the Chernobyl accident. While the unique situation of Fukushima, combined with an earthquake and tsunami, raises its own social and political challenges, it is hoped that some of the lessons learnt from Chernobyl will be relevant to long-term management of the Fukushima site. Copyright © 2011 SETAC.

  13. Closing unprofitable services: ethical issues and management responses.

    Science.gov (United States)

    Summers, James W

    1985-01-01

    Closing unprofitable services often requires as much analysis, public relations, marketing, and planning as any expansion. Further, issues about ethics, indigents, and the hospital mission force the consideration of values explicitly if a marketing fiasco is to be avoided. By integrating values analysis with more traditional management tasks, the challenges of service closure can be converted into opportunities to demonstrate how your institution has met or exceeded its ethical obligations. A case involving OB is developed to show how ethical and management issues blend into one another. Specific strategies for consensus building and marketing of the legitimacy of the hospital's position are given. Institutional ethics committees are one primary mechanism for developing a plan to benefit from unpleasant decisions.

  14. International trade and waste and fuel managment issue, 2008

    Energy Technology Data Exchange (ETDEWEB)

    Agnihotri, Newal (ed.)

    2008-01-15

    The focus of the January-February issue is on international trade and waste and fuel managment. Major articles/reports in this issue include: A global solution for clients, by Yves Linz, AREVA NP; A safer, secure and economical plant, by Andy White, GE Hitachi Nuclear; Robust global prospects, by Ken Petrunik, Atomic Energy of Canada Limited; Development of NPPs in China, by Chen Changbing and Li Huiqiang, Huazhong University of Science and Technology; Yucca Mountain update; and, A class of its own, by Tyler Lamberts, Entergy Nuclear. The Industry Innovation articles in this issue are: Fuel assembly inspection program, by Jim Lemons, Tennessee Valley Authority; and, Improved in-core fuel shuffle for reduced refueling duration, by James Tusar, Exelon Nuclear.

  15. Topics in this issue: cancer testes antigens, immune checkpoints, inflammation associated with ischemia-reperfusion and integrin targeting.

    Science.gov (United States)

    Bot, Adrian; Chiriva-Internati, Maurizio

    2012-10-01

    This issue of the International Reviews of Immunology is dedicated to several topics: cancer immunotherapy, and basic and translational aspects of immunity. Two reviews, one focused on breast and the other on lung cancer, highlight the need to redefine the cancer testes antigens (CTAs) as novel information regarding their expression profile and biological role emerges. Two other reviews showcase pivotal molecules that keep in check immunity at two different levels: the transcription factor autoimmune regulator (AIRE) important to negative selection of the T-cell repertoire, and CD22 that limits the antigen-initiated B-cell response. Two other articles focus on the debated role of Toll-like receptors (TLRs) and inflammation in general, in ischemia-reperfusion lesions that follow cardiovascular disorders and stroke. Last but not the least, this issue hosts a review that discusses the role and translational potential of the α4 integrin for the treatment of inflammatory bowel disease (IBD).

  16. Decommissioning and material recycling. Radiation risk management issues

    International Nuclear Information System (INIS)

    Dodd, D.H.

    1996-09-01

    Once nuclear fuel cycle facilities have permanently stopped operations they have to be decommissioned. The decommissioning of a nuclear facility involves the surveillance and dismantling of the facility systems and buildings, the management of the materials resulting from the dismantling activities and the release of the site for further use. The management of radiation risks associated with these activities plays an important role in the decommissioning process. Existing legislation covers many aspects of the decommissioning process. However, in most countries with nuclear power programmes legislation with respect to decommissioning is incomplete. In particular this is true in the Netherlands, where government policy with respect to decommissioning is still in development. Therefore a study was performed to obtain an overview of the radiation risk management issues associated with decommissioning and the status of the relevant legislation. This report describes the results of that study. It is concluded that future work at the Netherlands Energy Research Foundation on decommissioning and radiation risk management issues should concentrate on surveillance and dismantling activities and on criteria for site release. (orig.)

  17. International consensus report on the investigation and management of primary immune thrombocytopenia

    NARCIS (Netherlands)

    Provan, Drew; Stasi, Roberto; Newland, Adrian C.; Blanchette, Victor S.; Bolton-Maggs, Paula; Bussel, James B.; Chong, Beng H.; Cines, Douglas B.; Gernsheimer, Terry B.; Godeau, Bertrand; Grainger, John; Greer, Ian; Hunt, Beverley J.; Imbach, Paul A.; Lyons, Gordon; McMillan, Robert; Rodeghiero, Francesco; Sanz, Miguel A.; Tarantino, Michael; Watson, Shirley; Young, Joan; Kuter, David J.

    2010-01-01

    Previously published guidelines for the diagnosis and management of primary immune thrombocytopenia (ITP) require updating largely due to the introduction of new classes of therapeutic agents, and a greater understanding of the disease pathophysiology. However, treatment-related decisions still

  18. Madawaska River water management review : issues, concerns, solutions

    International Nuclear Information System (INIS)

    1999-01-01

    Public consultations were held by the Public Advisory Committee, the Ontario Ministry of Natural Resources (MNR) and Ontario Hydro (OH) Working Group and Steering Committee, in an effort to develop a water management system for the Madawaska River, that would address public interests such as public safety, maintenance of the aquatic ecosystem and hydroelectric power generation. Provision of long-term opportunities for broad public involvement in the river's management was an additional objective. The report emphasizes the importance of limiting conflicts between hydroelectric generation and recreation/tourism on the Madawaska River, which runs within the Madawaska Highlands, Algonquin Provincial Park and the Upper Ottawa Valley. The major competing uses for water management in the Madawaska River are: (1) hydroelectric generation, (2) flood control, (3) recreation and tourism, and (4) fish and aquatic ecosystems. Each of these are described in detail, with details of the responses to the issue description and recommended actions

  19. The nation's first consortium to address waste management issues

    International Nuclear Information System (INIS)

    Mikel, C.J.

    1991-01-01

    On July 26, 1989, the secretary of the Department of Energy (DOE), Admiral James Watkins, announced approval of the Waste-Management Education and Research Consortium (WERC). The consortium is composed of New Mexico State University (NMSU), the University of New Mexico, the New Mexico Institute of Mining and Technology, Los Alamos National Laboratory, and Sandia National Laboratories. This pilot program is expected to form a model for other regional and national programs. The WERC mission is to expand the national capability to address issues associated with the management of hazardous, radioactive, and solid waste. Research, technology transfer, and education/training are the three areas that have been identified to accomplish the objectives set by the consortium. The members of the consortium will reach out to the DOE facilities, other government agencies and facilities, and private institutions across the country. Their goal is to provide resources for solutions to waste management problems

  20. Management perspective of the Alloy 600 issue at Calvert Cliffs

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    In response to the question posed in the agenda regarding this presentation, let it be known at the onset that the impact of the pressurizer nozzle primary water stress corrosion cracking (PWSCC) on Calvert Cliffs was gigantic. It reached all levels of the Company management, including the Board of Directors. The investigation and repair cost over $20 million without any consideration for replacement power or consequential lost work by those who were involved in the repairs to the pressurizer. It occupied the attention of management and was a major ingredient to most decision processes for about eight months. It caused organizational modifications, capital commitments, and major resource reallocation. It became the focal point around which much of the site work revolved for approximately 6 months (until the repair process was well in hand and other issues prevailed). I will try and describe the impact it had on management, the ingredients used to reach certain important decisions and the concerns that influenced the decisions

  1. A Buffer Management Issue in Designing SSDs for LFSs

    Science.gov (United States)

    Kim, Jaegeuk; Seol, Jinho; Maeng, Seungryoul

    This letter introduces a buffer management issue in designing SSDs for log-structured file systems (LFSs). We implemented a novel trace-driven SSD simulator in SystemC language, and simulated several SSD architectures with the NILFS2 trace. From the results, we give two major considerations related to the buffer management as follows. (1) The write buffer is used as a buffer not a cache, since all write requests are sequential in NILFS2. (2) For better performance, the main architectural factor is the bus bandwidth, but 332MHz is enough. Instead, the read buffer makes a key role in performance improvement while caching data. To enhance SSDs, accordingly, it is an effective way to make efficient read buffer management policies, and one of the examples is tracking the valid data zone in NILFS2, which can increase the data hit ratio in read buffers significantly.

  2. Cleaning up DOE's weapons sites: Issues of organization and management

    International Nuclear Information System (INIS)

    Morzinski, J.A.

    1994-01-01

    Many Department of Energy facilities across the United States are seriously contaminated with radioactive and other hazardous wastes. Decades of focus on weapons production and inadequate attention to long-term solutions for dealing with those wastes have resulted in tremendous problems. The Department of Energy recognizes the seriousness of those problems and is addressing them. In some cases existing management systems are being used to accomplish the new mission of environmental cleanup, and in other cases new systems have been created to help carry out that mission. Widespread criticism of those efforts to data are evidence that the management systems being used may not be appropriate for the job. In particular, it appears that some management systems aren't producing desired results because they are not well aligned with the people and tasks for whom they are intended, and these issues are discussed in this report

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

    Directory of Open Access Journals (Sweden)

    Ronald E. Domen MD

    2015-07-01

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

  4. Nuclear waste management in Canada : critical issues, critical perspectives

    International Nuclear Information System (INIS)

    Durant, D.; Fuji Johnson, G.

    2009-01-01

    As oil reserves decline and the environment takes centre stage in public policy discussions, the merits and dangers of nuclear power and nuclear waste management continue to be debated. Canada is intent on building more reactors to increase energy production without destroying the planet, but it and other nuclear energy-producing countries face not only technical problems but also social and ethical issues. This book provides a critical antidote to the favourable position of government and industry. The contributors build their case by exploring key issues and developments. What do frequently used terms such as safety, risk, and acceptability really mean? How and why did the public consultation process in Canada fail to address ethical and social issues? What is the significance and potential of a public consultation process that involves diverse interests, epistemologies, and actors, including Aboriginal peoples? And how do we ensure that our frameworks for discussion are inclusive and ethical? This timely collection defuses the uncertainty, ambiguity, and ignorance that surrounds nuclear energy. It will appeal to academics, students, and stakeholders in public policy or environmental studies who want to think critically and more broadly about how we approach energy generation and waste management.

  5. Immune Monitoring in Cancer Vaccine Clinical Trials: Critical Issues of Functional Flow Cytometry-Based Assays

    Directory of Open Access Journals (Sweden)

    Iole Macchia

    2013-01-01

    Full Text Available The development of immune monitoring assays is essential to determine the immune responses against tumor-specific antigens (TSAs and tumor-associated antigens (TAAs and their possible correlation with clinical outcome in cancer patients receiving immunotherapies. Despite the wide range of techniques used, to date these assays have not shown consistent results among clinical trials and failed to define surrogate markers of clinical efficacy to antitumor vaccines. Multiparameter flow cytometry- (FCM- based assays combining different phenotypic and functional markers have been developed in the past decade for informative and longitudinal analysis of polyfunctional T-cells. These technologies were designed to address the complexity and functional heterogeneity of cancer biology and cellular immunity and to define biomarkers predicting clinical response to anticancer treatment. So far, there is still a lack of standardization of some of these immunological tests. The aim of this review is to overview the latest technologies for immune monitoring and to highlight critical steps involved in some of the FCM-based cellular immune assays. In particular, our laboratory is focused on melanoma vaccine research and thus our main goal was the validation of a functional multiparameter test (FMT combining different functional and lineage markers to be applied in clinical trials involving patients with melanoma.

  6. Super-enhancers: Asset management in immune cell genomes.

    Science.gov (United States)

    Witte, Steven; O'Shea, John J; Vahedi, Golnaz

    2015-09-01

    Super-enhancers (SEs) are regions of the genome consisting of clusters of regulatory elements bound with very high amounts of transcription factors, and this architecture appears to be the hallmark of genes and noncoding RNAs linked with cell identity. Recent studies have identified SEs in CD4(+) T cells and have further linked these regions to single nucleotide polymorphisms (SNPs) associated with immune-mediated disorders, pointing to an important role for these structures in the T cell differentiation and function. Here we review the features that define SEs, and discuss their function within the broader understanding of the mechanisms that define immune cell identity and function. We propose that SEs present crucial regulatory hubs, coordinating intrinsic and extrinsic differentiation signals, and argue that delineating these regions will provide important insight into the factors and mechanisms that define immune cell identity. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Harmonization of industrial and oilfield waste management issues in Alberta

    International Nuclear Information System (INIS)

    Halla, S.

    1999-01-01

    There has been an ongoing discussion concerning the harmonization of waste management requirements within Alberta between the Alberta Energy and Utilities Board (EUB) and Alberta Environment (AENV), with the ultimate goal of publishing a memorandum of understanding (MOU) that will lay out the division of responsibilities between the two authorities on this matter. An overview is included of waste management in Alberta and of the harmonization agreements attained to date, with a stress on oil field waste issues. The EUB and AENV developed a MOE on the harmonization of waste management in Alberta, and a discussion is made of the concept of equivalency, which is used in the development of 'EUB guide 58: oilfield waste management requirements for the upstream petroleum industry' and will be a guiding principle for the MOU. Although the EUB's processes for waste management will not be exactly the same as AENV's, the EUB has made the commitment that, as a minimum, the requirements will provide the same level of environmental protection and public safety equivalent to that provided by AENV

  8. International trade and waste and fuel managment issue, 2007

    Energy Technology Data Exchange (ETDEWEB)

    Agnihotri, Newal (ed.)

    2007-01-15

    The focus of the January-February issue is on international trade and waste and fuel managment. Major articles/reports in this issue include: New plants with high safety and availability, by Bill Poirier, Westinghouse Electric Company; Increased reliability and competitiveness, by Russell E. Stachowski, GE Energy, Nuclear; Fuel for long-term supply of nuclear power, by Kumiaki Moriya, Hitachi, Ltd., Japan; Super high burnup fuel, By Noboru Itagaki and Tamotsu Murata, Nuclear Fuel Industries LTD., Japan; Zero fuel failures by 2010, by Tom Patten, AREVA NP Inc.; Decommissioning opportunities in the UK, by David Brown and William Thorn, US Department of Commerce; Industry's three challenges, by Dale E. Klein, US Nuclear Regulatory Commission; and, A step ahead of the current ABWR's, compiled by Claire Zurek, GE Energy.

  9. Nuclear Knowledge Management Implementation Issues In Sri Lanka

    International Nuclear Information System (INIS)

    Bandara, H.M.N.R.

    2014-01-01

    About Knowledge Management: Process of organizing and distributing an Organization’s collective wisdom so the right information gets to the right people at the right time. NKM Implementation Problems in Sri Lanka: • Difficulty of identifying nuclear knowledge holders; • NKM has not been given considerable importance; • Many nuclear science experts are in retirement age; • No proper mechanism is available to replace young personnel for their positions; • Unawareness of general public about his technology. • Capacity building through training and education and transferring knowledge from centers of knowledge to centers of growth are key issues. • Development of new courses related to nuclear science is a key issue to be highly considered. • The tendency towards the training and educations of nuclear personnel in the country is becoming less and less

  10. Introduction to radioactive waste management issues in Wisconsin

    International Nuclear Information System (INIS)

    Anon.

    1977-01-01

    This brief focused on wastes from commercial production of electricity and various industrial, medical and research applications of radioactive materials. Only traditionally solid wastes are dealt with. It was organized into five parts. Part I presented an introduction to radioactivity - what it is and the biological hazards associated with it. Federal regulation of the management of radioactive wastes was discussed in Part II. Existing state laws and bills currently before the Wisconsin Legislature were described in Part III. Part IV gave background information on specific areas of potential inquiry related to radioactive wastes in Wisconsin. Part V summarized the issues identified in the brief. 2 figures, 7 tables

  11. Issues in radioactive waste management for fusion power

    International Nuclear Information System (INIS)

    Maninger, R.C.; Dorn, D.W.

    1983-01-01

    Analysis of recent conceptual designs reveals that commercial fusion power systems will raise issues of occupational and public health and safety. This paper focuses on radioactive wastes from fusion reactor materials activated by neutrons. The analysis shows that different selections of materials and neutronic designs can make differences in orders-of magnitude of the kinds and amounts of radioactivity to be expected. By careful and early evaluation of the impacts of the selections on waste management, designers can produce fusion power systems with radiation from waste well below today's limits for occupational and public health and safety

  12. Issues in radioactive-waste management for fusion power

    International Nuclear Information System (INIS)

    Maninger, R.C.; Dorn, D.W.

    1982-01-01

    Analysis of recent conceptual designs reveals that commercial fusion power systems will raise issues of occupational and public health and safety. This paper focuses on radioactive wastes from fusion reactor materials activated by neutrons. The analysis shows that different selections of materials and neutronic designs can make differences in orders-of-magnitude of the kinds and amounts of radioactivity to be expected. By careful and early evaluation of the impacts of the selections on waste management, designers can produce fusion power systems with radiation from waste well below today's limits for occupational and public health and safety

  13. Codes of practice and related issues in biomedical waste management

    Energy Technology Data Exchange (ETDEWEB)

    Moy, D.; Watt, C. [Griffith Univ. (Australia)

    1996-12-31

    This paper outlines the development of a National Code of Practice for biomedical waste management in Australia. The 10 key areas addressed by the code are industry mission statement; uniform terms and definitions; community relations - public perceptions and right to know; generation, source separation, and handling; storage requirements; transportation; treatment and disposal; disposal of solid and liquid residues and air emissions; occupational health and safety; staff awareness and education. A comparison with other industry codes in Australia is made. A list of outstanding issues is also provided; these include the development of standard containers, treatment effectiveness, and reusable sharps containers.

  14. The cloud security ecosystem technical, legal, business and management issues

    CERN Document Server

    Ko, Ryan

    2015-01-01

    Drawing upon the expertise of world-renowned researchers and experts, The Cloud Security Ecosystem comprehensively discusses a range of cloud security topics from multi-disciplinary and international perspectives, aligning technical security implementations with the most recent developments in business, legal, and international environments. The book holistically discusses key research and policy advances in cloud security - putting technical and management issues together with an in-depth treaties on a multi-disciplinary and international subject. The book features contributions from key tho

  15. Issues in the management of low-level radioactive wastes

    International Nuclear Information System (INIS)

    Ashbrook, A.W.

    1984-01-01

    All industry finds itself today enmeshed in a morass of regulation, political apathy and public antagonism when it comes to hazardous industrial waste. Our industry is a world-class leader on all three fronts. There are no disposal facilities in Canada for radioactive wastes and the prognosis for the future is bleak. As the industry gets older, more and more facilities will be closed and require decommissioning. New facilities require plans for the long-term management of their wastes. Indeed, one major public issue with the nuclear industry is the fate of the wastes produced. In looking at the situation in which we find ourselves today with respect to the long-term management of naturally-occurring low-level radioactive wastes, one must wonder where we are going in the future, and whether indeed is an end in sight

  16. Ethical issues in patient safety: Implications for nursing management.

    Science.gov (United States)

    Kangasniemi, Mari; Vaismoradi, Mojtaba; Jasper, Melanie; Turunen, Hannele

    2013-12-01

    The purpose of this article is to discuss the ethical issues impacting the phenomenon of patient safety and to present implications for nursing management. Previous knowledge of this perspective is fragmented. In this discussion, the main drivers are identified and formulated in 'the ethical imperative' of patient safety. Underlying values and principles are considered, with the aim of increasing their visibility for nurse managers' decision-making. The contradictory nature of individual and utilitarian safety is identified as a challenge in nurse management practice, together with the context of shared responsibility and identification of future challenges. As a conclusion, nurse managers play a strategic role in patient safety. Their role is to incorporate ethical values of patient safety into decision-making at all levels in an organization, and also to encourage clinical nurses to consider values in the provision of care to patients. Patient safety that is sensitive to ethics provides sustainable practice where the humanity and dignity of all stakeholders are respected.

  17. Nonmotor fluctuations: phenotypes, pathophysiology, management, and open issues.

    Science.gov (United States)

    Classen, Joseph; Koschel, Jiri; Oehlwein, Christian; Seppi, Klaus; Urban, Peter; Winkler, Christian; Wüllner, Ullrich; Storch, Alexander

    2017-08-01

    Parkinson's disease (PD) is a neurodegenerative multisystem disorder characterized by progressive motor symptoms such as bradykinesia, tremor and muscle rigidity. Over the course of the disease, numerous non-motor symptoms, sometimes preceding the onset of motor symptoms, significantly impair patients' quality of life. The significance of non-motor symptoms may outweigh the burden through progressive motor incapacity, especially in later stages of the disease. The advanced stage of the disease is characterized by motor complications such as fluctuations and dyskinesias induced by the long-term application of levodopa therapy. In recent years, it became evident that various non-motor symptoms such as psychiatric symptoms, fatigue and pain also show fluctuations after chronic levodopa therapy (named non-motor fluctuations or NMFs). Although NMFs have moved into the focus of interest, current national guidelines on the treatment of PD may refer to non-motor symptoms and their management, but do not mention NMF, and do not contain recommendations on their management. The present article summarizes major issues related to NMF including clinical phenomenology and pathophysiology, and outlines a number of open issues and topics for future research.

  18. International trade and waste and fuel management issue, 2009

    Energy Technology Data Exchange (ETDEWEB)

    Agnihotri, Newal (ed.)

    2009-01-15

    The focus of the January-February issue is on international trade and waste and fuel managment. Major articles/reports in this issue include: Innovative financing and workforce planning, by Donna Jacobs, Entergy Nuclear; Nuclear power - a long-term need, by John C. Devine, Gerald Goldsmith and Michael DeLallo, WorleyParsons; Importance of loan guarantee program, by Donald Hintz; EPC contracts for new plants, by Dave Barry, Shaw Power Group; GNEP and fuel recycling, by Alan Hanson, AREVA NC Inc.; Safe and reliable reactor, by Kiyoshi Yamauchi, Mitsubishi Heavy Industries, Ltd.; Safe, small and simple reactors, by Yoshi Sakashita, Toshiba Corporation; Nuclear power in Thailand, by Tatchai Sumitra, Thailand Institute of Nuclear Technology; and, Nuclear power in Vietnam, by Tran Huu Phat, Vietnam Atomic Energy Commission. The Industry Innovation article this issue is Rectifying axial-offset-anomaly problems, by Don Adams, Tennessee Valley Authority. The Plant Profile article is Star of Stars Excellence, by Tyler Lamberts, Entergy Nuclear Operations, Inc.

  19. Halal Supply Chain Management Streamlined Practices: Issues and Challenges

    Science.gov (United States)

    Hijrah Abd Kadir, Muhammad; Zuraidah Raja Mohd Rasi, Raja; Omar, Siti Sarah; Manap, Zariq Imran Abdul

    2016-11-01

    The quickly developing worldwide halal in business sector has given a remarkable window of chance, which empowers Malaysia to the renowned halal centre in worldwide (known as Halal-hubs). Malaysia also has proactively taken a lead in halal activities, which is presently considered as the benchmark for a halal framework worldwide. Malaysia also set up the Halal Industry Development Corporation (HDC) which driving a wide range of halal activities since the demand of halal food has increased significantly which is very crucial for a Muslim in ensuring its authenticity and integrity. Even in parallel to this developments, many studies has been conducted because there are many issues still occurs in the food industry. The issue of consumer awareness and understanding the halal principles, mixing of halal and non- halal products, halal certification and logo compliance with Shariah law and lack of regulation and enforcement need the serious attention by all parties along the supply chain. The challenges occur mainly in the halal food segregation and halal traceability of the products. The unit of analysis in this study different halal stakeholders group which are JAKIM, Halal Development Centre (HDC), Raw Material Manufacturers, Retailers and Government Agencies. This paper attempt discusses the issues and challenges occurs in the halal supply chain and faced by the practitioners as well as the relevant parties involved in the industry especially for food products manufacturers. The study would like to give a basic information about the issues and challenges in the contribution of Halal Supply Chain Management (HSCM) as well as for the future studies.

  20. Current Diagnosis and Management of Immune Related Adverse Events (irAEs Induced by Immune Checkpoint Inhibitor Therapy

    Directory of Open Access Journals (Sweden)

    Vivek Kumar

    2017-02-01

    Full Text Available The indications of immune checkpoint inhibitors (ICIs are set to rise further with the approval of newer agent like atezolimumab for use in patients with advanced stage urothelial carcinoma. More frequent use of ICIs has improved our understanding of their unique side effects, which are known as immune-related adverse events (irAEs. The spectrum of irAEs has expanded beyond more common manifestations such as dermatological, gastrointestinal and endocrine effects to rarer presentations involving nervous, hematopoietic and urinary systems. There are new safety data accumulating on ICIs in patients with previously diagnosed autoimmune conditions. It is challenging for clinicians to continuously update their working knowledge to diagnose and manage these events successfully. If diagnosed timely, the majority of events are completely reversible, and temporary immunosuppression with glucocorticoids, infliximab or other agents is warranted only in the most severe grade illnesses. The same principles of management will possibly apply as newer anti- cytotoxic T lymphocytes-associated antigen 4 (CTLA-4 and programmed cell death protein 1 (PD-1/PD-L1 antibodies are introduced. The current focus of research is for prophylaxis and for biomarkers to predict the onset of these toxicities. In this review we summarize the irAEs of ICIs and emphasize their growing spectrum and their management algorithms, to update oncology practitioners.

  1. Availability and utilization of opioids for pain management: global issues.

    Science.gov (United States)

    Manjiani, Deepak; Paul, D Baby; Kunnumpurath, Sreekumar; Kaye, Alan David; Vadivelu, Nalini

    2014-01-01

    Pain can significantly influence an individual's health status and can have serious negative consequences: poor nutrition, decreased appetite, abnormal sleep patterns, fatigue, and impairment of daily living activities. Pain can cause psychological impairment and decrease healing and recovery from injuries and illness. A hallmark of many chronic conditions, pain affects more patients' lives than diabetes mellitus, heart disease, and cancer combined. However, many chronic sufferers do not have access to effective pain management for a variety of reasons, including limited access, restrictions, and personal and cultural biases. This review summarizes issues of access, distribution, and cultural bias with regard to opioid agents and seeks to clarify the challenges related to opioid delivery. The considerable negative physical and mental consequences of chronic pain are discussed for the general and palliative care population. Opioids are an effective treatment for various intractable painful conditions, but problems in global opioid access for safe and rational use in pain management contribute to unnecessary suffering. These problems persist despite increased understanding in recent years of the pathophysiology of pain. Comprehensive guidelines for goal-directed and patient-friendly chronic opiate therapy will potentially enhance the outlook for future chronic pain management. The improvement of pain education in undergraduate and postgraduate training will benefit patients and clinicians. The promise of new medications, along with the utilization of multimodal approaches, has the potential to provide effective pain relief to future generations of sufferers.

  2. Security issues at the Department of Energy and records management

    International Nuclear Information System (INIS)

    NUSBAUM, ANNA W.

    2000-01-01

    In order to discuss the connection between security issues within the Department of Energy and records management, the author covers a bit of security history and talks about what she calls ''the Amazing Project''. Initiated in late May 1999, it was to be a tri-laboratory (Lawrence Livermore National Laboratory of Livermore, California, Los Alamos National Laboratory of Los Alamos, New Mexico, and Sandia National Laboratories of Albuquerque, New Mexico, and Livermore, California) project. The team that formed was tasked to develop the best set of security solutions that still enabled weapon mission work to get done and the security solutions were to be the same set for everyone. The amazing project was called ''The Integrated Security Management Project'', or ''ISecM' for short. She'll describe why she thinks this project was so amazing and what it accomplished. There's a bit of sad news about the project, but then she'll move onto discuss what was learned at Sandia as a result of the project and what they're currently doing in records management

  3. The burden and management of dyslipidemia: practical issues.

    Science.gov (United States)

    Schultz, Alyssa B; Chen, Chin-Yu; Burton, Wayne N; Edington, Dee W

    2012-10-01

    The objective of this study is to describe briefly the burden of dyslipidemia, and to discuss and present strategies for health professionals to improve dyslipidemia management, based on a review of selected literature focusing on interventions for dyslipidemia treatment adherence. Despite the availability of effective lifestyle and pharmaceutical therapies for dyslipidemias, they continue to present a significant economic burden in the United States. Adherence to evidence-based guidelines for the treatment of dyslipidemias is unsatisfactory. The reasons for medication nonadherence are complex and specific to each patient. The lack of progress in achieving optimal lipid targets is caused by many factors: patient (medication adherence, cost of medication, literacy), medication (adverse effects, complexity of regimen), provider (lack of adherence to evidence-based practice guidelines, poor communication), and the US healthcare system (being focused on acute care rather than prevention, lack of continuity of care, general lack of use of an electronic health record). Combined interventions that target each part of the system have been effective in improving treatment adherence and achieving lipid goals. Patients, providers, pharmacists, and employers all play a role in management of dyslipidemia. No single approach will solve the complex issue of improving dyslipidemia management. The required lifestyle changes are known and effective medications are available. The challenge is for all interested parties-including nurses, nurse practitioners, doctors, pharmacists, other health care professionals, employers, and health plans-to help patients achieve behavioral changes.

  4. Environmental and waste management issues, causes, characteristics, and cures

    International Nuclear Information System (INIS)

    Duffy, L.P.

    1992-01-01

    The department of Energy (DOE) views as one of its most challenging problems the minimization, management, and cleanup of waste materials generated from Departmental operations. The challenges for the DOE have striking similarities to the environmental restoration and waste management challenges associated with energy production and the mining and mineral processing industries. Their challenges relate to uranium mining and the resulting mill tailings; decontamination and decommissioning of facilities; processing of nuclear materials and production of weapons components. Add to this the challenge of environmental restoration solutions for waste disposal practices of the past. The fundamental goal of the DOE is to ensure that risks to human health and safety and to the environment posed by the department's past, present, and future operations are either eliminated to reduced to prescribed levels by the year 2019. To achieve this goal they must be able to assess environmental and health impacts resulting from the low concentrations of contaminants. This paper presents an overview of the causes, characteristics, and cures for these environmental restoration and waste management issues

  5. PERFECTION OF THE ALGORITHM FOR MANAGING PREGNANT WOMEN WITH RHESUS IMMUNIZATION: DIAGNOSTIC ASPECTS

    Directory of Open Access Journals (Sweden)

    Елена Николаевна Кравченко

    2017-11-01

    The conclusion. The determination of TBG in a rhesus-conflict pregnancy tested at gestational age of 35 or more is an additional criterion for the prediction of an unfavorable perinatal outcome in rhesus immunization. An integrated approach to the management of pregnant women with rhesus immunization can reduce the number of preterm infants with hemolytic disease, the number of children in need of supervision and treatment in the intensive care unit

  6. Analysing Incentive and Cost Sharing Issues in Livestock Disease Management

    DEFF Research Database (Denmark)

    Biira, Juliet

    This PhD thesis tackles two main issues in livestock health management: a) the incentives for animal disease prevention on Danish livestock farms and b) allocation of costs of animal disease outbreaks and animal disease preparedness, among stakeholders involved in the livestock sector. The main...... contributions of this thesis are firstly the investigation of incentives for Danish livestock farmers to prevent animal diseases at the farm level and recommendations on how they could be improved. Secondly, the exploration of a mutual fund as a possibility for risk pooling among farmers and how it can...... is used in paper 5. The thesis consists of two parts; first is the introduction section where I introduce the thesis in general and provide an overview of the objectives and main theories and the second part includes the 5 papers which address the thesis objectives. Paper 1 uses existing literature...

  7. Pending issues for severe accident management in Wolsong plants

    International Nuclear Information System (INIS)

    Song, Y.M.; Kim, D.H.; Park, S.Y.

    2015-01-01

    While the fraction of electric power supplied from a PHWR is more than 10% in Korea, the establishment of PHWR safety enhancement based on the SAM (Severe Accident Management) technology is still weak. The final approval on the extended operation and a stress test of Wolsong-1 were made under the condition that SAM is to be enhanced. Under this situation, the current research at KAERI of Korea has a vision to strengthen the unique value of a PHWR by resolving the pending SAM issues devaluating the PHWRs’ original value. Research activities in this area will be presented. This presentation will include: The operating strategy of CFVS (Containment Filtered Vent System) for Wolsong in which vent size and closure pressure are treated because some peak spikes (at failure times of calandria and calandria vault) are difficult to be controlled; Reactor Building failure pressure at which failure probability is treated for different modes such as global and leak failures; the adequacy of DCRV (Degasser Condenser tank Relief Valve) steam relief capacity with severe SGTR source term, and Hydrogen generation and control issue which is specific to CANDU. Furthermore, current SAM guidance has a lack of information on accident diagnostic and prognostic analyses, which is difficult for the TSC (Technical Service Center) emergency staff members to deal with under real accident conditions. Thus, prototypic technologies (such as an accident inferring engine and simulator) together with SAM updates are being developed as key elements to SAM supporting tools called SAMEX-CANDU

  8. Undergoing an immunization is effortlessly, manageable or difficult according to five-year-old children.

    Science.gov (United States)

    Harder, Maria; Christensson, Kyllike; Söderbäck, Maja

    2015-06-01

    To prevent diseases among children they regularly undergo immunizations. Previous research show different approaches available to facilitate immunization-procedures for children to protect them from harm. To complement this research and provide care suited for children, research recognizing their perceptions of undergoing such a procedure is needed. The aim of this study was to describe 5-year-old children's perceptions of undergoing an immunization. A phenomenographic approach and analysis was used to describe the children's (n = 21) various perceptions. The data-collection was accomplished directly after the immunization to grasp the children's immediate perceptions. Drawings and reflective talks were used as they are considered as suitable methods when involving young children in research. The right to conduct research with children was approved by the appropriate research ethics committee and also by each child and the parents. The findings show that children's perceptions of an immunization-procedure may vary from effortlessly, to manageable or difficult. Regardless of how the child perceive the immunization-procedure each perception embrace the children's descriptions of actors and articles in the situation, their feelings in the situation and also their actions to deal with the immunization. Nevertheless, these descriptions vary according to how the children perceive the immunization as effortlessly, manageable or difficult. Children's and adults' perceptions of medical procedures may differ and children need guidance, time and space to deal with them. Recognizing children's perceptions of undergoing an immunization contributes to the promotion of their right to be involved in their own health care and towards the development of child-centred care. © 2014 Nordic College of Caring Science.

  9. Public and political issues in HLW management: The Spanish approach

    International Nuclear Information System (INIS)

    Gonzalez, V.; Molina, M.

    1993-01-01

    ENRESA (Empresa Nacional de Residuos Radiactivos, S.A.), is a State-owned company, founded in 1985 and is responsible for radioactive waste management in Spain. ENRESA's activities are carried out in accordance with a General Radioactive Waste Plant approved by the Spanish Government. In Spain, as in most countries, the public is concerned about many of the activities involving radioactive or rad-waste management; this concern arises for different reasons, but mainly due to lack of information on the matter. This situation leads to the information available being misused by certain politicians, green groups and media, which serves to increase the distrust with which the public sometimes views responsible companies and institutions. At the root of both these problems is a lack of political consensus regarding development of the activity. To gain public acceptance, it would be necessary to develop a long-term information policy, since in the field of communications results are only ever achieved in the long term. ENRESA is carrying out an on-going Communication Plan (CP), implemented successfully in the areas surrounding a low- and intermediate-level waste disposal site and a disused uranium mill in which remedial actions are currently being performed. Implementation of this plan at national level is being accomplished stepwise. This document deals with the most relevant issues relating to the radioactive waste situation in Spain and with the efforts made in communications

  10. Environmental management in the USSR. Issue 9. Collection of papers

    International Nuclear Information System (INIS)

    Gratsiansky, A.N.

    1991-01-01

    The 9th English-language issue in the series 'Environmental management in the USSR' deals with expert assessment of programmes and relevant governmental decisions on the elimination of consequences of the Chernobyl accident. The collection features the Decision of the USSR Supreme Soviet 'On the Unified Programme for the Elimination of Consequences of the Chernobyl Nuclear Power Plant Accident and the Resultant Situation' adopted on 25 April 1990 and the Report of the Subcommission for State Programmes of the RSFSR, the Ukrainian SSR and the Byelorussian SSR for the Elimination of Consequences of the Chernobyl Nuclear Power Plant Accident in 1990-1995 under the Commission of Experts of the USSR State Planning Committee. To complement the corresponding sections of the Report the collection presents materials on the sociological, socio-psychological and medico-psychological dimensions of the expert appraisal of the general situation existing in the area suffering the consequences of the Chernobyl accident. The present publication has been suggested by the USSR Supreme Soviet Committee for Ecology and Natural Resources Management

  11. Common management issues in pediatric patients with mild bleeding disorders.

    Science.gov (United States)

    O'Brien, Sarah H

    2012-10-01

    Type 1 von Willebrand disease and mild platelet function defects are among the most common disorders seen by pediatric hematologists. The management and prevention of bleeding in these patients can be challenging, as there are limited published data to guide clinical practice, and a complete lack of randomized clinical trials. Desmopressin (DDAVP) and antifibrinolytics are the mainstays of treatment in these patients, yet the optimal dosing and timing of these agents to prevent or resolve bleeding, while minimizing adverse side effects, is sometimes unclear. DDAVP-induced hyponatremia is a particularly under-recognized complication in children with bleeding disorders who undergo surgery. Clinicians need to be aware of local measures that are equally important in treating problems such as epistaxis and surgical bleeding. This review will discuss the published literature and provide practical suggestions regarding four common management issues in the care of children and adolescents with mild bleeding disorders: epistaxis, heavy menstrual bleeding, dental extractions, and tonsillectomy. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  12. A Quebec survey of issues in cancer pain management.

    Science.gov (United States)

    MacDonald, Neil; Ayoub, Joseph; Farley, Justine; Foucault, Claudette; Lesage, Pauline; Mayo, Nancy

    2002-01-01

    We report the results of a cancer pain survey mailed to Quebec hematologist-oncologists and palliative care physicians in 1999. The survey was designed to sample views on the current status of pain management and on obstacles to the provision of adequate pain relief for patients. The survey, formulated by an ethics network centered at the Clinical Research Institute of Montreal, was distributed to all members of the Association of Hematologist-Oncologists of Quebec and to all physician members of the Quebec Palliative Care Association. Responses were obtained from 138 Palliative Care Association members (response rate 61%) and 76 hematologist-oncologists (response rate 45%). Major obstacles reported included inadequate assessment of both contributory psychosocial issues and severity of pain, patient reluctance to take opioids, and inadequate access to non-drug techniques for pain relief. Access to opioids was not regarded as a problem. Both groups felt generally competent in their ability to manage various aspects of cancer pain therapy. They gave little credit to their formal medical school or residency training. Fifty-six percent of the palliative care group and 57% of the hemato-oncologists rated their medical school experience as only "poor" or "fair" on a 4-point scale. Residency ratings were modestly better. We conclude that medical faculties should assign a high priority to teaching health professionals patient assessment techniques. Simple symptom assessment scales should be routinely used in oncology/palliative care practice. Medical school training in pain management is not highly regarded and should be enhanced. We also note that, based on response to the scenario of a patient presenting with severe pain, many physicians, while feeling competent in the use of opioids, may be overly conservative in their initial use.

  13. Classical management of refractory adult immune (idiopathic) thrombocytopenic purpura.

    Science.gov (United States)

    McMillan, R

    2002-03-01

    Treatment of chronic immune (idiopathic) thrombocytopenic purpura with corticosteroids and/or splenectomy results in safe platelet counts in over 70% of patients without additional treatment. Therapy of patients who are refractory to these two treatments may be difficult. The treatment approach to refractory ITP patients, described in this report, is arbitrarily divided into four levels: levels 1 through 3 represent treatments with increasing side effects; level 4 therapy may be tried when the others have failed. Patients undergoing these treatments may require concomitant intravenous gammaglobulin, high-dose corticosteroids or platelets, to maintain the platelet count in the setting of mucosal bleeding or severe thrombocytopenia. Copyright 2002, Elsevier Science Ltd. All rights reserved.

  14. Immune Checkpoint Inhibitors: An Innovation in Immunotherapy for the Treatment and Management of Patients with Cancer.

    Science.gov (United States)

    Dine, Jennifer; Gordon, RuthAnn; Shames, Yelena; Kasler, Mary Kate; Barton-Burke, Margaret

    2017-01-01

    Cancer survival rates are generally increasing in the United States. These trends have been partially attributed to improvement in therapeutic strategies. Cancer immunotherapy is an example of one of the newer strategies used to fight cancer, which primes or activates the immune system to produce antitumor effects. The first half of this review paper concisely describes the cell mechanisms that control antitumor immunity and the major immunotherapeutic strategies developed to target these mechanisms. The second half of the review discusses in greater depth immune checkpoint inhibitors that have recently demonstrated tremendous promise for the treatment of diverse solid tumor types, including melanoma, non-small cell lung cancer, and others. More specifically, the mechanisms of action, side effects, and patient and family management and education concerns are discussed to provide oncology nurses up-to-date information relevant to caring for cancer-affected patients treated with immune checkpoint inhibitors. Future directions for cancer immunotherapy are considered.

  15. Trade issues and area-wide pest management

    International Nuclear Information System (INIS)

    Griffin, Robert L.

    2000-01-01

    . The evidence indicates that this shift will bring significant benefits in increased production and trade, as well as offering more sustainable and environmentally acceptable pest management options. There is also the concern that as tariffs and other barriers are removed, countries may impose measures under the guise of protection in order to secure market or other unfair advantages. It is the nature of quarantine to follow the old adage, 'an ounce of prevention is better than a pound of cure', i.e., it is comparatively cheaper and easier to prevent the entry of pests with strongly restrictive measures than it is to deal with the result of pest introduction. But while a certain degree of care is clearly justified, unreasonably conservative policies are seen to unnecessarily restrict trade. The question revolves around the issue of justification. As globalisation and the liberalisation of trade have matured, and international trade in agricultural products has grown in importance, it has become necessary for 'free trade' and 'fair trade' to evolve still further to embrace the concept of 'safe trade'. That is to say, disciplines are necessary to ensure that protective measures are used to the extent justified by legitimate concerns, but not as unjustified barriers to trade. This brings the discussion to the early part of the 1990s and the last round of multilateral trade negotiations under the General Agreement on Tariffs and Trade (GATT) - the Uruguay Round, and the agreements therein related to agriculture. Emerging from these negotiations was the Agreement on the Application of Sanitary and Phytosanitary Measures (the SPS Agreement) which dealt specifically with the issue of measures to protect plant, animal and human health and life

  16. Monitoring asthma in childhood: management-related issues

    Directory of Open Access Journals (Sweden)

    Bart L. Rottier

    2015-06-01

    Full Text Available Management-related issues are an important aspect of monitoring asthma in children in clinical practice. This review summarises the literature on practical aspects of monitoring including adherence to treatment, inhalation technique, ongoing exposure to allergens and irritants, comorbid conditions and side-effects of treatment, as agreed by the European Respiratory Society Task Force on Monitoring Asthma in Childhood. The evidence indicates that it is important to discuss adherence to treatment in a non-confrontational way at every clinic visit, and take into account a patient's illness and medication beliefs. All task force members teach inhalation techniques at least twice when introducing a new inhalation device and then at least annually. Exposure to second-hand tobacco smoke, combustion-derived air pollutants, house dust mites, fungal spores, pollens and pet dander deserve regular attention during follow-up according to most task force members. In addition, allergic rhinitis should be considered as a cause for poor asthma control. Task force members do not screen for gastro-oesophageal reflux and food allergy. Height and weight are generally measured at least annually to identify individuals who are susceptible to adrenal suppression and to calculate body mass index, even though causality between obesity and asthma has not been established. In cases of poor asthma control, before stepping up treatment the above aspects of monitoring deserve closer attention.

  17. Energy use management: the critical issues of interdependency and indeterminateness

    International Nuclear Information System (INIS)

    Davos, C.A.

    1982-01-01

    The translation of energy concerns into effective policies under a democratic regime is currently impaired by two interrelated factors: (1) the interdependency of energy goals with most of society's other concerns and (2) the indeterminateness of both the scientific evidence and public interest. Some of the manifestations of the failure to address these factors are the prevailing energy policy uncertainties and the polarization of values, issues and research efforts. Awareness of this reality has not prevented, however, the suggestion of policies the majority of which either neglect the synergistic effect of the factors or depend for their legitimization on principles incompatible with democratic decision-making. I suggest that systematic examination of the web of interdependencies and of the scientific and public interest indeterminateness supports the assertion that the effectiveness of energy use management will depend on: (i) supplementing quantitative research with qualitative evaluation of scientific and public values; (ii) synthesizing the findings of the numerous currently performed analyses; and (iii) substituting the paternalistic dictates of scientists and special interest groups as the basis for policy decision-making with a participatory process that will aim to maximize the accord among all interested in, and/or impacted by, energy policies. (author)

  18. Energy use management: The critical issues of interdependency and indeterminateness

    Energy Technology Data Exchange (ETDEWEB)

    Davos, C A

    1982-01-01

    The translation of energy concerns into effective policies under a democratic regime is currently impaired by two interrelated factors: the interdependency of energy goals with most of society's other concerns and the indeterminateness of both the scientific evidence and public interest. Some of the manifestations of the failure to address these factors are the prevailing energy policy uncertainties and the polarization of values, issues and research efforts. Awareness of this reality has not prevented, however, the suggestion of policies the majority of which either neglect the synergistic effect of the factors or depend for their legitimization on principles incompatible with democratic decision-making. Systematic examination of the web of interdependencies and of the scientific and public interest indeterminateness supports the assertion that the effectiveness of energy use management will depend on: supplementing quantitative research with qualitative evaluation of scientific and public values; synthesizing the findings of the numerous currently performed analyses; and substituting the paternalistic dictates of scientists and special interest groups as the basis for policy decision-making with a participatory process that will aim to maximize the accord among all interested in, and/or impacted by, energy policies.

  19. Energy use management: the critical issues of interdependency and indeterminateness

    Energy Technology Data Exchange (ETDEWEB)

    Davos, C A [California Univ., Los Angeles (USA)

    1982-01-01

    The translation of energy concerns into effective policies under a democratic regime is currently impaired by two interrelated factors: (1) the interdependency of energy goals with most of society's other concerns and (2) the indeterminateness of both the scientific evidence and public interest. Some of the manifestations of the failure to address these factors are the prevailing energy policy uncertainties and the polarization of values, issues and research efforts. Awareness of this reality has not prevented, however, the suggestion of policies the majority of which either neglect the synergistic effect of the factors or depend for their legitimization on principles incompatible with democratic decision-making. I suggest that systematic examination of the web of interdependencies and of the scientific and public interest indeterminateness supports the assertion that the effectiveness of energy use management will depend on: (i) supplementing quantitative research with qualitative evaluation of scientific and public values; (ii) synthesizing the findings of the numerous currently performed analyses; and (iii) substituting the paternalistic dictates of scientists and special interest groups as the basis for policy decision-making with a participatory process that will aim to maximize the accord among all interested in, and/or impacted by, energy policies.

  20. Post-immunization leucocytosis and its implications for the management of febrile infants.

    Science.gov (United States)

    Prentice, Sarah; Kamushaaga, Zephyrian; Nash, Stephen B; Elliott, Alison M; Dockrell, Hazel M; Cose, Stephen

    2018-05-11

    Clinical guidelines for management of infants with fever but no evident focus of infection recommend that those aged 1-3 months with a white cell count >15 × 10 9 /l have a full septic screen and be admitted for parenteral antibiotics. However, there is limited information about leucocyte changes following routine immunization, a common cause of fever. We investigated white cell counts shortly after routine immunization in Ugandan infants under 3 months of age. White cell counts were measured in 212 healthy infants following routine immunizations (DTwP-HepB-Hib, oral polio and pneumococcal conjugate 7 vaccines) received prior to 3 months of age. Mean leucocyte counts increased from 9.03 × 10 9 /l (95% confidence interval 8.59-9.47 × 10 9 /l) pre-immunizations to 16.46 × 10 9 /l (15.4-17.52 × 10 9 /l) at one-day post-immunizations at 6 weeks of age, and 15.21 × 10 9 /l (14.07-16.36 × 10 9 /l) at one-day post-immunizations at 10 weeks of age. The leucocytosis was primarily a neutrophilia, with neutrophil percentages one-day post-immunization of 49% at 6 weeks of age and 46% at 10 weeks of age. White cell parameters returned to baseline by two-days post-immunization. No participant received antibiotics when presenting with isolated fever post-immunization and all remained well at follow-up. In our study almost half the children immunization met commonly used criteria for full septic screen and admission for parenteral antibiotics, despite having no serious bacterial infection. These findings add to the growing body of literature that questions the utility of white blood cell measurement in identification of young infants at risk of serious bacterial infections, particularly in the context of recent immunizations, and suggest that further exploration of the effect of different immunization regimes on white cell counts is needed. This observational work was nested within a clinical trial, registration number ISRCTN

  1. Ethical issues faced by clinician/managers in resource-allocation decisions.

    Science.gov (United States)

    Lemieux-Charles, L; Meslin, E M; Aird, C; Baker, R; Leatt, P

    1993-01-01

    This article explores the ethical issues faced by clinicians with management responsibilities (clinician/managers) when making decisions related to resource allocation and utilization at a Canadian teaching hospital. Using a focus group method, 28 individuals participated in four homogeneous groups that included nurse managers, managers from other professional groups, and physician managers. Ethical issues that recurred throughout the discussions included fairness, concern with preventing harm, consumer/patient choice, balancing needs of different groups of patients, conflict between financial incentives and patient needs, and professional autonomy. The particular issue of conflict is analyzed from two perspectives--a theory of professional-bureaucratic roles and of obligation--that illustrate how both management and philosophical issues are related. The findings suggest that decentralizing resource allocation and utilization decisions does raise ethical issues for clinician/managers and that a better understanding of these issues can be obtained using an interdisciplinary perspective.

  2. [Review of the 2016 Swiss immunization schedule and technology update for improving vaccine management].

    Science.gov (United States)

    Diana, Alessandro

    2016-05-11

    The 2016 immunization schedule published by the Swiss Federal Office of Public Health includes three new clauses: reimbursement of the additional Human Papillomavirus (HPV) vaccination in young males (11-26 years) as recommended by local canton programs, the end of franchise exemption for the measles, mumps and rubella (MMR) vaccination, and the creation of a new system of indemnities and moral compensation in the event of personal injury resulting from vaccinations. This article presents the main features of the 2016 immunization schedule with details of the technology available to physicians to improve vaccine management.

  3. Overlooked issues of snakebite management: time for strategic approach.

    Science.gov (United States)

    Girish, K S; Kemparaju, K

    2011-01-01

    Snakebite is a medical emergency in many parts of the world, particularly in the temperate regions. According to 2007 World Health Organization (WHO) report, there are about 5 million snakebite incidences resulting in 2.5 million envenoming, and 125,000 deaths occur annually. Most affected are the healthy individuals like children and farming populations with resource poor settings and away from health care centers in low-income countries of Africa, Asia and Latin America. In view of this, the WHO has declared snakebite as an ignored health crisis and a tropical disease. Although the death rate has reduced markedly due to anti-venom regiment, several limitations of it offer scope for better understanding of various ignored issues. Currently, snakebite therapeutics facing plethora of scientific, technological and public health challenges, including secondary/long term complications that have not been given importance so far. Because of dearth of knowledge, venom researchers and medical practitioners from affected countries worldwide should join together to accomplish this scenario. In view of this, the present review provides a broader perspective on the possible production and application of highly effective therapeutic master anti-venom, designing master diagnostic kit and also to deal with the inefficacy of anti-venom therapy against local manifestations and secondary complications of snakebite. The review demands thorough understanding of venom pharmacology, inculcating new strategies to handle and to enhance the efficacy of snakebite management and urge the governing systems of affected countries to take steps to curtail accidental debilitation and death rate of healthy individuals due to snakebite.

  4. Environmental and ethical issues and waste management approaches

    International Nuclear Information System (INIS)

    Allegre, M.

    1996-01-01

    Pronouncing the words ''radioactive waste'' can easily arouse mistrust, or even irrational fear, by wittingly or unwittingly referring to Hiroshima or Chernobyl, by exploiting the lax attitude to this type of waste in certain countries and by speculating on the complex issues involved, which are beyond the general public's grasp. It would be unacceptable to paint such a black picture of nuclear waste, just as it would be to keep glossing over the problems that it poses. Waste managers have a duty to convince scientists and politicians and public opinion in general, with arguments based on serious scientific research, that safe technical solutions do exist. But will this be enough? The general public of course knows very little about science. But people are prepared to put their trust in science provided that they are not subjected to a free for all between scientists from opposing camps attacking each other with unintelligible arguments. However, other types of reactions, more difficult to control, can be expected from some quarters of the general public. For instance, a reaction of instinctive and passionate mistrust has already emerged in different forms over the centuries, with its roots buried in ancestral culture and as such varying from region to region and country to country. Nuclear waste may also provide yet another opportunity to demonstrate opposition to something ostensibly being imposed by Central Government. The only solution here is for decisions to be worked out at grass roots level through a gradual process of wide consultation, with the necessary backing of elected local authorities. For these reasons, the process of setting up an underground laboratory possibly followed by radioactive waste storage has to be a gradual one, with thorough consultation at all levels at each stage under the constant supervision of ad hoc committees of scientific experts, each new step forward only being decided by the political authorities after completing the proper

  5. The Radioactive Waste Management Advisory Committee's advice to ministers on radioactive waste management issues at UKAEA Dounreay

    International Nuclear Information System (INIS)

    1999-01-01

    Topics discussed in the document include: problem areas in waste management; key facilities, operations and areas at Dounreay; social context, public communications and management issues at Dounreay. Background information and RWMAC review of Dounreay are given

  6. Public and political issues in radwaste management: The Spanish approach

    International Nuclear Information System (INIS)

    Lang-Lenton, Jorge

    1999-01-01

    ENRESA (Empresa Nacional de Residuos Radiactivos, S.A.), is a State-owned company, founded in 1984 and is responsible for radioactive waste management in Spain. ENRESA's activities are carried out in accordance with a General Radioactive Waste Plan approved by the Spanish Government. In Spain, as in most countries, the public is concerned about many of the activities involving radioactivity or rad waste management; this concern arises for different reasons, being one of them the lack of information on the matter. This situation often leads to an information misuse by certain politicians, green groups and media, which can increase the distrust of the public to responsible companies and institutions. At the root of both these problems there is also a lack of political consensus regarding projects and related activities. To gain public acceptance, it is necessary to develop a long-term information policy since, in the field of communication, results can only be achieved in the long term. ENRESA is carrying out an on-going Communication Plan (CP), implemented successfully in the areas surrounding a low and intermediate level waste disposal site and a 500 MW nuclear power station (Vandellos 1) which is currently being dismantled. Implementation of this plan at national level is being accomplished stepwise. This document deals with the most relevant issues relating to the radioactive waste situation in Spain and with the efforts made in communications. From the very beginning the situation regarding public opinion was one of clear opposition. At regional level, and particularly in the area surrounding the El Cabril site, both the general public and the opinion leaders were opposed to any action by ENRESA. This opposition included some anti-ENRESA demonstrations right in front of the main entrance to El Cabril. At national level politicians, journalists, etc., did not show much confidence in ENRESA's activities, and the information published in the newspapers was always

  7. Teacher, Lecturer or Labourer? Performance Management Issues in Education

    Science.gov (United States)

    Mather, Kim; Seifert, Roger

    2011-01-01

    Education management has increasingly been dominated by the norms and requirements of general management ideologies that focus on performance controls and target achievements. Under this regime, solving the labour problem--relatively low productivity--has taken precedence over all other forms of management. In pursuit of this objective senior…

  8. E-waste: impacts, issues and management strategies.

    Science.gov (United States)

    Hussain, Mumtaz; Mumtaz, Saniea

    2014-01-01

    The present electronic era has seen massive proliferation of electrical and electronic equipment especially during the last two decades. These gadgets have become indispensable components of human life. The gravity of this sensitive 21st century problem is being felt by relevant stakeholders from the community to global level. Consequently, the annual global generation of e-waste is estimated to be 20-50 million tons. According to the Basel Action Network, 500 million computers contain 287 billion kilograms (kg) plastics; 716.7 million kg lead; and 286,700 kg mercury. These gadgets contain over 50 elements from the periodic table. The lethal components include heavy metals (like cadmium, mercury, copper, nickel, lead, barium, hexavalent chromium and beryllium); phosphor; plastics; and brominated flame retardants. These are persistent, mobile, and bioaccumulative toxins that remain in the environment but their forms are changed and are carcinogens, mutagens and teratogens. The ensuing hazardous waste has created deleterious impacts on physical, biological and socioeconomic environments. The lithosphere, hydrosphere, biosphere, and atmosphere of Earth are being gravely polluted. Human beings and other biodiversity face fatal diseases, such as cancer, reproductive disorders, neural damages, endocrine disruptions, asthmatic bronchitis, and brain retardation. Marginal populations of developing countries living in squatter/slums are most vulnerable. Numerous issues are associated with uncontrolled generation, unscientific and environmentally inappropriate recycling processes for the extraction of heavy and precious metals (e.g., gold, platinum, and silver), illegal transboundary shipments from advanced to developing countries and weak conventions/legislations at global and national levels. Although the Basel Convention has been ratified by most countries, illicit trading/trafficking of hazardous substances remains unchecked, sometimes "disguised" as donations. The fact

  9. Harnessing the immune system through programmed death-1 blockade in the management of Hodgkin lymphoma

    Directory of Open Access Journals (Sweden)

    Oncale MB

    2017-02-01

    Full Text Available Melody B Oncale, Hossein Maymani, Loretta J Nastoupil Department of Lymphoma and Myeloma, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA Abstract: Immunotherapy is a rapidly evolving therapeutic option in the treatment of lymphoma. Neoplastic cells evade immune recognition through the programmed death (PD-1/PD-ligand immune checkpoint pathway. Several novel agents have been developed to restore the immune system’s ability to recognize and destroy cancer cells. Nivolumab and pembrolizumab are two anti-PD-1 antibodies that have demonstrated success in the treatment of refractory Hodgkin lymphoma. Harnessing the immune system’s ability to target neoplastic cells, ideally without the use of cytotoxic chemotherapeutic agents, is one way in which these novel agents are changing the therapeutic landscape in the treatment of lymphomas. Here, we review the emerging data regarding checkpoint inhibitors in the management of Hodgkin lymphoma, the unique adverse effects encountered with the use of these agents, and a practical approach to the management of these adverse effects. Additionally, we discuss upcoming trials that will further assess the promising future developments of checkpoint inhibition in the treatment of not only Hodgkin lymphoma but also other B cell lymphomas and myeloma. These agents offer immense promise of a future where many lymphomas can be treated without the toxic effects of chemotherapeutic agents. Keywords: Hodgkin lymphoma, programmed death-1, nivolumab, pembrolizumab, lymphoma

  10. Florida's salt-marsh management issues: 1991-98.

    Science.gov (United States)

    Carlson, D B; O'Bryan, P D; Rey, J R

    1999-06-01

    During the 1990s, Florida has continued to make important strides in managing salt marshes for both mosquito control and natural resource enhancement. The political mechanism for this progress continues to be interagency cooperation through the Florida Coordinating Council on Mosquito Control and its Subcommittee on Managed Marshes (SOMM). Continuing management experience and research has helped refine the most environmentally acceptable source reduction methods, which typically are Rotational Impoundment Management or Open Marsh Water Management. The development of regional marsh management plans for salt marshes within the Indian River Lagoon by the SOMM has helped direct the implementation of the best management practices for these marshes. Controversy occasionally occurs concerning what management technique is most appropriate for individual marshes. The most common disagreement is over the benefits of maintaining an impoundment in an "open" vs. "closed" condition, with the "closed" condition, allowing for summer mosquito control flooding or winter waterfowl management. New federal initiatives influencing salt-marsh management have included the Indian River Lagoon-National Estuary Program and the Pesticide Environmental Stewardship Program. A new Florida initiative is the Florida Department of Environmental Protection's Eco-system Management Program with continuing involvement by the Surface Water Improvement and Management program. A developing mitigation banking program has the potential to benefit marsh management but mosquito control interests may suffer if not handled properly. Larvicides remain as an important salt-marsh integrated pest management tool with the greatest acreage being treated with temephos, followed by Bacillus thuringiensis israelensis and methoprene. However, over the past 14 years, use of biorational larvicides has increased greatly.

  11. Management issues in hypertensive diabetics | Ker | South African ...

    African Journals Online (AJOL)

    South African Family Practice. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 53, No 2 (2011) >. Log in or Register to get access to full text downloads.

  12. Conceptual issues in Forestry Management in Nigeria: Lessons from ...

    African Journals Online (AJOL)

    Discovery and Innovation. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 11, No 3 (1999) >. Log in or Register to get access to full text downloads.

  13. Issues of governance in water resource management and spatial planning

    OpenAIRE

    Rocco de Campos Pereira, R.C.; Schweitzer, R.

    2013-01-01

    This paper describes governance arrangements in regional spatial planning and water resources management at the regional level from a normative point of view. It discusses the need to integrate spatial planning and resources management in order to deliver socially sustainable integral territorial management. To accomplish this, the Metropolitan Area of São Paulo (MASP) was analysed as a case study, in order to demonstrate the challenges met by public administrators and planners regarding the ...

  14. Performance issues in management of the Space Station Information System

    Science.gov (United States)

    Johnson, Marjory J.

    1988-01-01

    The onboard segment of the Space Station Information System (SSIS), called the Data Management System (DMS), will consist of a Fiber Distributed Data Interface (FDDI) token-ring network. The performance of the DMS in scenarios involving two kinds of network management is analyzed. In the first scenario, how the transmission of routine management messages impacts performance of the DMS is examined. In the second scenario, techniques for ensuring low latency of real-time control messages in an emergency are examined.

  15. The most critical issues facing managers in South Africa today

    Directory of Open Access Journals (Sweden)

    G. Maritz

    2002-12-01

    Full Text Available South African managers today find themselves squeezed between juxtapositions, such as international competition and simultaneous skill development programmes to combat illiteracy. A second example is high unemployment and the concurrent shortage of IT specialists. Affirmative action has led to troublesome labour relations. HIV/AIDS has an enormous impact on business and must be managed. South African managers need to change their managerial approaches to cope with the increasing demands of this country. Managers must be aware of the realities facing them and know how to turn them into potential growth opportunities for their organisations and South Africa as a country.

  16. Comparison of immunization rates of adults ages 65 years and older managed within two nurse practitioner-owned clinics with national immunization rates.

    Science.gov (United States)

    Wright, Wendy L; Morrell, Elise; Lee, Jennie; Cuellar, Norma Graciela; White, Patricia

    2017-07-01

    Adults ages ≥65 years are at increased risk for infectious diseases. Ensuring these individuals are fully vaccinated is imperative. The purpose of this study was to assess the immunization rates of adults ages ≥65 years managed by nurse practitioners (NPs) and compare the results with national immunization rates and Healthy People 2020 goals. A convenience sample of adults ages ≥65 years was obtained from two NP-managed clinics. The vaccine records of each subject were reviewed for documentation of having received five vaccines (tetanus, diphtheria, and pertussis; influenza; pneumococcal polysaccharide vaccine 23; pneumococcal conjugate vaccine 13; and herpes zoster vaccine). One hundred and fifty females (70.8%) and 62 males (29.2%) met inclusion criteria. NP-managed patients had higher immunization rates than the national averages across all five major vaccines. The herpes zoster vaccination rates exceeded the recommendations from Healthy People 2020 whereas pneumococcal and influenza rates were below. The stocking of vaccines within the NP-managed clinics, direct billing to Medicare for Part D vaccines, and previsit care planning likely contributed to the high vaccination rates. These high immunization rates in patients managed by NPs provide support for the important role that NPs play in the care of older adults. ©2017 American Association of Nurse Practitioners.

  17. In search of balance – managing the dualities of HRM: an overview of the issues

    NARCIS (Netherlands)

    Boselie, J.P.P.E.F.|info:eu-repo/dai/nl/177012277; Brewster, C.; Paauwe, J.

    2009-01-01

    Purpose – The purpose of this paper is to provide an overview of the human resource management (HRM) literature that builds up to our current concern with dualities, paradoxes, ambiguities, and balance issues; and to introduce the six papers in this special issue on managing the dualities in HRM.

  18. 13 CFR 107.250 - Exclusion of stock options issued by Licensee from Management Expenses.

    Science.gov (United States)

    2010-01-01

    ... Sbic § 107.250 Exclusion of stock options issued by Licensee from Management Expenses. Stock options... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Exclusion of stock options issued by Licensee from Management Expenses. 107.250 Section 107.250 Business Credit and Assistance SMALL...

  19. Purchasing & supply management for a sustainable world: Introduction to the IPSERA 2013 conference special issue

    DEFF Research Database (Denmark)

    Johnsen, T. E.; Giannakis, M.; Miemczyk, J.

    2014-01-01

    Special issue of best papers of the 22nd annual IPSERA conference 2013: Purchasing & Supply Management for a Sustainable World......Special issue of best papers of the 22nd annual IPSERA conference 2013: Purchasing & Supply Management for a Sustainable World...

  20. Book Review: Current Issues in International Human Resource Management and Strategy Research

    DEFF Research Database (Denmark)

    Gretzinger, Susanne

    2009-01-01

    The article reviews the book "Current Issues in International Human Resource Management and Strategy Research," edited by Marion Festing and Susanne Royer.......The article reviews the book "Current Issues in International Human Resource Management and Strategy Research," edited by Marion Festing and Susanne Royer....

  1. Musical Instrument-Associated Health Issues and Their Management.

    Science.gov (United States)

    Okoshi, Kae; Minami, Taro; Kikuchi, Masahiro; Tomizawa, Yasuko

    2017-09-01

    Playing musical instruments can bring joy to people, but can also cause a wide variety of health issues that range from mild disorders to potentially fatal conditions. Although sports medicine is an established medical subspecialty, relatively few studies have investigated the health issues associated with musical instruments. Here we present an overview of these health issues. These include infections due to microorganisms, allergic reactions, as well as mechanical injuries from sustained high pressures within the oral, mediastinal, thoracic, and abdominal cavities. For example, wind instruments can potentially harbor thousands of pathogenic organisms. If several players share the same instrument, these instruments present potential hazards in the spread of infections. A fatal case of hypersensitivity pneumonitis in a bagpiper is particularly noteworthy. Similarly, a case of gastrointestinal anthrax in an animal-hide drummer is a reminder of this rare but highly fatal disease. Although not fatal, hearing-related disorders, neuromuscular issues, musculoskeletal problems, and contact dermatitis are also very common among instrumentalists. This review aims to illuminate these under-recognized health issues by highlighting both the common conditions and the rare but fatal cases.

  2. The Strategic Management of Human Capital: Issues and Ideas

    Science.gov (United States)

    Berry, Barnett

    2008-01-01

    Most recently a number of school districts, with support from growing numbers of philanthropic foundations, have been honing in on the strategic management of human capital(SMHC)--which has been defined as "the acquisition, development, performance management and retention of top talent." Granted, over the last two decades policymakers and…

  3. Environmental issues and waste management in energy and minerals production

    International Nuclear Information System (INIS)

    Yegulalp, T.M.; Kim, K.

    1992-01-01

    This book includes the following topics: water management in the minerals industry; management of radioactive wastes in the energy industry; the US high-level radioactive waste program; acid mine drainage; health risks from uranium mill tailings; alternate energy sources, such as hydrogen; superconductive magnetic energy storage; nuclear waste

  4. Project Management in Bayelsa: Issue and Challenges | Ogege ...

    African Journals Online (AJOL)

    Project management is believed to be justified as a means of avoiding the ills inherent in the construction and production sectors of the economy and for which reasons most projects fail and or abandoned. The project managers role arises from the need for a technical expert to take charge, control of events on the project ...

  5. Issues of elk productivity for research and management.

    Science.gov (United States)

    Bruce K. Johnson; Michael J. Wisdom; John G. Cook

    2004-01-01

    Elk (Cervus elaphus) populations in western North America have been intensively managed for the past century. The species' popular appeal as an animal for hunting and viewing, and its potential to damage agricultural crops and to compete with livestock make it a species that is closely scrutinized by managers and many public interest groups....

  6. Issues and answers. Towards improved management of radioactive waste

    International Nuclear Information System (INIS)

    Baer, A.J.

    2000-01-01

    Society will consider radioactive waste management to be safe when technology, ethics, economy, ecology and socio-political concerns are adequately taken into account. Specialists have to recognise that the safe management of radioactive waste cannot be ensured by technology, taken by itself, but to be successful it should be taken in the context of mankind's sustainable development

  7. Framing the issues of resistance management in soybean

    Science.gov (United States)

    The soybean insect-pest complex consists of both long-established and new invasive pests. Management of these pests has been achieved by various means, but often relies heavily on the application of insecticides and the development of insect-resistant soybean varieties. Pest management practitione...

  8. Issues of governance in water resource management and spatial planning

    NARCIS (Netherlands)

    Rocco de Campos Pereira, R.C.; Schweitzer, R.

    2013-01-01

    This paper describes governance arrangements in regional spatial planning and water resources management at the regional level from a normative point of view. It discusses the need to integrate spatial planning and resources management in order to deliver socially sustainable integral territorial

  9. Research and management issues in large-scale fire modeling

    Science.gov (United States)

    David L. Peterson; Daniel L. Schmoldt

    2000-01-01

    In 1996, a team of North American fire scientists and resource managers convened to assess the effects of fire disturbance on ecosystems and to develop scientific recommendations for future fire research and management activities. These recommendations - elicited with the Analytic Hierarchy Process - include numerically ranked scientific and managerial questions and...

  10. Issues on management, stabilization and environmental impacts of uranium mill tailings

    International Nuclear Information System (INIS)

    Cunningham, R.E.

    1978-01-01

    Management and stabilization of uranium mill tailings has been controversial for over two decades. There are two basic issues: the nature of the risk to the public from tailings and what must be done to mitigate that risk. This paper provides an overview of the issues and sets some goals to be accomplished at the 1978 NEA Seminar on Management, Stabilization and Environmental Impacts of Uranium Mill Tailings that could be helpful in resolving the issues

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

    International Nuclear Information System (INIS)

    1987-01-01

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

  12. An Investigation of Information Technology-Enabled Remote Management and Remote Work Issues

    Directory of Open Access Journals (Sweden)

    D. Sandy Staples

    1997-05-01

    Full Text Available A two phase research study was done to investigate remote work and remote management issues. In Phase 1, focus groups were carried out with remote managers and remote employees to identify key issues. The most common key issues dealt with communications, information technology, leadership and coaching, teamwork, building trust, and performance management. In the second phase, a questionnaire was used to test hypotheses developed from phase 1. The findings supported that higher trust leads to higher job satisfaction and lower job stress, and that more communication between the manager and the remote employee develops higher levels of employee organizational commitment.

  13. A CEO View of Key Issues in Australian Information Systems Management - 1997

    Directory of Open Access Journals (Sweden)

    Graham Pervan

    1998-05-01

    Full Text Available As part of a research programme on key information systems management issues, a survey of Australasia's largest 500 organisations was conducted to identify which issues were perceived by their chief executive officers (CEOs as being important, problematic and critical over the next three to five years. The results reported are based on a relatively low response rate (though perhaps reasonable for the target group so should be regarded as only exploratory. The most critical issues were revealed to be a mix of technology management issues (IT infrastructure, disaster recovery, strategic management issues (BPR, competitive advantage, information architecture, people management issues (organisational learning, systems development and data management issues (effective use of the data resource, effectiveness/productivity of IS, effectiveness of software development, and their own support systems (EIS/DSS. This reflects their interest in a wide range of issues, but all with an organisation-wide focus. Non-critical issues were mostly related to the individual technologies and the place and role of IS in the organisation. While the CEOs showed some agreement with their chief information officers (CIOs on issues such as the IT infrastructure, competitive advantage, and organisational learning some distinct differences exist, particularly in relation to the quality and effectiveness of systems and processes and also how CEOs and CIOs perceive each other.

  14. 77 FR 10401 - Low-Level Radioactive Waste Management Issues

    Science.gov (United States)

    2012-02-22

    ... part, the NRC staff will seek public feedback on the pros and cons of the four technical issues... near-surface LLW disposal technology, including shallow-land burial, engineered land disposal methods... developed based on the candidate site characteristics (waste package, waste form, disposal technology, cover...

  15. Knowledge claim evaluation : a fundamental issue for knowledge management

    NARCIS (Netherlands)

    Peters, K.; Maruster, L.; Jorna, R.J.J.M.

    2010-01-01

    Purpose - This paper aims to present a classification of approaches toward knowledge claim evaluation (KCE), which is the process of evaluating and testing knowledge claims in organizations, and to position KCE as a fundamental research issue for KM. Design/methodology/approach - The paper draws

  16. Tracing Cold War in Post-Modern Management's Hot Issues

    NARCIS (Netherlands)

    S.J. Magala (Slawomir)

    2003-01-01

    textabstractTracing Cold War in post-modern managerial science and ideology one encounters hot issues linking contemporary liberal dogmas and romanticized view of organizational leadership to the dismantling of a welfare state disguised as a liberation of an individual employee, empowerment of an

  17. Clean water and family forest management: some emerging issues

    Science.gov (United States)

    Peter A. Bisson

    2011-01-01

    Demand for clean water for a variety of uses will increase. Watersheds are where we live, grow crops and create various forms of industry. As the Pacific Northwest's human population expands, competition for water and the ecological goods and services that water provides will grow more intense. With this in mind it is helpful to review emerging issues that are of...

  18. Legal Issues in Educational Management in Nigeria | Fayokun ...

    African Journals Online (AJOL)

    The interaction of issues of law and schooling are becoming more pronounced by the day as our society continues to witness significant and rapid socio-political and economic changes. In an age that is globally infused with the concern for individual rights, there is of recent an emergence of local court cases as a ...

  19. The people factor: An analysis of the human resources landscape for immunization supply chain management.

    Science.gov (United States)

    Kasonde, Musonda; Steele, Pamela

    2017-04-19

    Human resources is the backbone of any system and the key enabler for all other functions to effectively perform. This is no different with the Immunization Supply Chain, more so in todays' complex operating environment with the increasing strain caused by new vaccines and expanding immunization programmes (Source: WHO, UNICEF). In order to drive the change that is required for sustainability and continuous improvement, every immunization supply chain needs an effective leader. A dedicated and competent immunization supply chain leader with adequate numbers of skilled, accountable, motivated and empowered personnel at all levels of the health system to overcome existing and emerging immunization supply chain (ISC) challenges. Without an effective supply chain leader supported by capable and motivated staff, none of the interventions designed to strengthen the supply chain can be effective or sustainable (Source: Gavi Alliance SC Strategy 2014). This landscape analysis was preceded by an HR Evidence Review (March 2014) and has served to inform global partner strategies and country activities, as well as highlight where most support is required. The study also aimed to define the status quo in order to create some form of baseline against which to measure the impact of interventions related to HR going forward. The analysis was comprised of a comprehensive desk review, a survey of 40 respondents from 32 countries and consultations with ISC practitioners in several forums. The findings highlight key areas that should inform the pillars of a HR capacity development plan. At the same time, it revealed that there are some positive examples of where countries are actively addressing some of the issues identified and putting in place mechanisms and structures to optimize the SC function. Copyright © 2017. Published by Elsevier Ltd.

  20. Knowledge management - A key issue for EnBW

    International Nuclear Information System (INIS)

    Zimmer, H.J.

    2007-01-01

    Full text: The motivation for knowledge management can be summarised with the words of EnBW CEO Prof. Claassen, 2002 'knowledge manager of the year' in Germany: 'Against the backdrop of the ever-increasing complexity of strategic planning and activities on the operational front, knowledge management is a key factor in the long-term success of our business.' Professional knowledge management motivates and supports employees, helping to create networks in which they can lay the foundations for the future success of the company. It must be emphasised that knowledge management is the responsibility of management, and EnBW has established a suitable framework consisting of different action levels and goals: 1) Normative level (corporate culture): creating a knowledge-aware and knowledge-friendly corporate culture 2) Strategic level (human resources): systematic gearing of internal intangible potentials towards future requirements. 3) Operational level (information/communication): making the required knowledge available in the necessary scope and quality, in the right place and at the right time. If knowledge management can generally be seen as basic requirement for successful companies, then it is even more important for nuclear operators. Today, nuclear energy is an important generating technology in Europe, for Germany and for EnBW with major future potential, but a technology that must be employed with great caution and attaching top priority to safe operation. For nuclear operators, the rule is always 'safety first'. But knowledge management implemented and used in the right way can also enhance both safety and competitive operation of the plants at the same time. In this connection, successful knowledge management plays a key role due to the complex interplay of many different disciplines within a demanding legal and regulatory framework, the paramount importance of collective past experience and the high demands on the expertise of the employees operating nuclear

  1. Key Issues in the Application of Knowledge Management in Education

    National Research Council Canada - National Science Library

    Mendoza, George A

    2005-01-01

    .... This shift in paradigms has made knowledge the key resource as organizations shift their focus from natural resources to intellectual assets, heralding the use of a concept called Knowledge Management (KM...

  2. Supply Chain Management: Implementation Issues and Research Opportunities

    DEFF Research Database (Denmark)

    Pagh, Janus Dóre; Cooper, Martha

    1998-01-01

    This paper concentrates on operationalizing the supply chain management framework suggested in a 1997 article. Case studies conducted at several companies and involving multiple members of supply chains are used to illustrate the concepts described...

  3. Editorial Special issue: Operations Management in Service Systems Downloaded from

    OpenAIRE

    Babai , Mohamed Zied; Jouini , Oualid

    2013-01-01

    International audience; The service sector is the largest sector of the economy in most industrialized nations, and is fast becoming the largest sector in developing nations as well. Driven by today's new business environment, including advanced telecommunications, accelerated business globalization, increased automation and highly on-demand and competitive innovations, the complexity of the operations management of service systems is continuously increasing. Managers of service systems are w...

  4. Managers air thoughts on the top competitive issues

    International Nuclear Information System (INIS)

    Makansi, J.; Swanekamp, R.

    1996-01-01

    Over 100 powerplant managers and representatives from other industry segments exchanged ideas and opinions at Power magazine's Fifth Powerplant O and M Symposium, ''Managing the Powerplant in a Competitive Environment,'' held June 12--14 in Richmond, VA. Attendees may have represented both utility and independent power facilities, but it was clear from the dialogue that, regardless of ownership, most felt that their plants would have to operate as independent businesses, implicitly if not directly

  5. Administrative issues involved in disaster management in India.

    Science.gov (United States)

    Kaur, Jagdish

    2006-12-01

    India as a country is vulnerable to a number of disasters, from earthquakes to floods. Poor and weaker members of the society have always been more vulnerable to various types of disasters. Disasters result in unacceptably high morbidity and mortality amongst the affected population. Damage to infrastructure and reduction in revenues from the affected region due to low yield add to the economic losses. Poor co-ordination at the local level, lack of early-warning systems, often very slow responses, paucity of trained dedicated clinicians, lack of search and rescue facilities and poor community empowerment are some of the factors, which have been contributing to poor response following disasters in the past. The first formal step towards development of policies relating to disaster care in India was the formulation of the National Disaster Response Plan (NDRP) which was formulated initially by the Government of India for managing natural disasters only. However, this was subsequently amended to include man-made disasters as well. It sets the scene for formulating state and district level plans in all states to bring cohesiveness and a degree of uniform management in dealing with disasters. A National Disaster Management Authority has been constituted which aims to provide national guidelines and is headed by the Prime Minister of India. It is the highest decision-making body for the management of disasters in the country. The authority has the responsibility for co-ordinating response and post-disaster relief and rehabilitation. Each state is required to set up Disaster Management Authorities and District Disaster Management Committees for co-ordination and close supervision of activities and efforts related to the management of disasters.

  6. Safety issues in established predisposal waste management practices

    International Nuclear Information System (INIS)

    Thomas, W.

    2000-01-01

    Radioactive wastes generated at various stages in the nuclear fuel cycle vary considerably in relation to volume, physical and chemical properties, and radioactivity. The management of these wastes prior to disposal has to be adapted to these conditions, which calls for suitable characterization and minimization, collection, interim storage and conditioning of the wastes. Experience gained over decades shows that current predisposal waste management practices are well advanced. Whereas problems related to inadequate waste management practices in the past have been encountered at several sites and need ongoing remedial actions, modern practices have good safety records. Considerable development and improvement of waste management practices have been achieved and as a consequence of delays in implementing repositories in several countries they remain important tasks. Decommissioning and dismantling of nuclear facilities also have to be taken into account. In most cases, these activities can be performed using existing technical means and practices. No significant safety concerns have been found for the long term storage of spent fuel and vitrified waste. Dry storage has reached technical maturity and appears to be attractive, especially for aged fuel. It has, however, to be stressed that long term storage is not the ultimate solution. Continued efforts to implement repositories are mandatory in order to maintain a credible and responsible strategy for waste management. (author)

  7. Steroid sparing regimens for management of oral immune-mediated diseases

    Directory of Open Access Journals (Sweden)

    Arti Agrawal

    2014-01-01

    Full Text Available Immune-mediated mucocutaneous disease may present oral symptoms as a first sign of the disease. The primary etiology could be the cellular and/or humoral immune responses directed against epithelial or connective tissue, in a chronic and recurrent pattern. Lichen planus, pemphigus vulgaris and bullous pemphigoid are the most frequent immunologically mediated mucocutaneous diseases. More often than not, patients present with complaints of blisters, oral ulcers, pain, burning sensation, and bleeding from the various oral sites. Steroids, whether topical or systemic, are the treatment of choice as they have both anti-inflammatory and immune-suppressant properties; however, challenges in the treatment of autoimmune diseases are the complexity of symptoms, the need to manage long-term medications for preserving organ function, and the long-term adverse effects of steroids. In such situations steroid sparing agents, such as, tacrolimus, dapsone, azathioprine, cyclosporine, and so on, may be helpful. Here an attempt is made to review various treatment regimens that could be used as alternatives to steroids for management of such diseases.

  8. Issues on the management and environmental impact of radioactive wastes

    International Nuclear Information System (INIS)

    Harrison, J.M.

    1979-01-01

    There can only be one real issue in considering the disposal of radioactive wastes, and that is safety. However, we are dealing with human activities and nothing can be considered absolutely safe. Issues then develop with considerable speed and complexity around the degree of safety as perceived by the individual or the community and around what some see as the moral dilemma posed by the peaceful uses of atomic energy. The community, whether it be a geographic/political entity or an interest group, usually has its own interest at heart, so that disposal of rad-waste tends to become a local and emotional question. Perceptions of this nature, and the issues that are raised, are discussed subjectively in the hope that a rational approach can be advanced on as many fronts as possible. It is imperative that radioactive wastes be disposed of in such a manner that the biological environment we leave will not be adversely affected by the wastes we leave. (auth)

  9. Management Issues in Critically Ill Pediatric Patients with Trauma.

    Science.gov (United States)

    Ahmed, Omar Z; Burd, Randall S

    2017-10-01

    The management of critically ill pediatric patients with trauma poses many challenges because of the infrequency and diversity of severe injuries and a paucity of high-level evidence to guide care for these uncommon events. This article discusses recent recommendations for early resuscitation and blood component therapy for hypovolemic pediatric patients with trauma. It also highlights the specific types of injuries that lead to severe injury in children and presents challenges related to their management. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Spanish high level radioactive waste management system issues

    International Nuclear Information System (INIS)

    Espejo, J.M.; Beceiro, A.R.

    1992-01-01

    The Empresa Nacional de Residuos Radiactivos, S.A. (ENRESA) has been limited liability company to be responsible for the management of all kind of radioactive wastes in Spain. This paper provides an overview of the strategy and main lines of action stated in the third General Radioactive Waste Plan, currently in force, for the management of spent nuclear fuel and high - level wastes, as well as an outline of the main related projects, either being developed or foreseen. Aspects concerning the organizational structure, the economic and financing system and the international cooperation are also included

  11. Spanish high level radioactive waste management system issues

    International Nuclear Information System (INIS)

    Ulibarri, A.; Veganzones, A.

    1993-01-01

    The Empresa Nacional de Residuous Radiactivos, S.A. (ENRESA) was set up in 1984 as a state-owned limited liability company to be responsible for the management of all kinds of radioactive wastes in Spain. This paper provides an overview of the strategy and main lines of action stated in the third General Radioactive Waste Plan, currently in force, for the management of spent nuclear fuel and high-level wastes, as well as an outline of the main related projects, either being developed or foreseen. Aspects concerning the organizational structure, the economic and financing system and the international co-operational are also included

  12. Priority issues in tropical animal health management | Etuk | Animal ...

    African Journals Online (AJOL)

    The potential of livestock to sustain family and local economies have been acknowledged worldwide. However, the major constraints to the attainment of this potential especially in the tropics have been the incidence of disease and sundry ill health. Thus the development of an effective animal health management strategy ...

  13. When cognitive biases lead to business process management issues

    NARCIS (Netherlands)

    Razavian, M.; Turetken, O.; Vanderfeesten, I.T.P.; Dumas, M.; Fantinato, M.

    2017-01-01

    There is a broad consensus that design decision making is important for Business Process Management success. Despite many business process design approaches and practices that are available, the quality of business process analysis and design relies heavily on human factors. Some of these factors

  14. Total Quality Management: Empirical, Conceptual, and Practical Issues.

    Science.gov (United States)

    Hackman, J. Richard; Wageman, Ruth

    1995-01-01

    Total quality management (TQM) has become a U.S. social movement. This commentary analyzes the writings of W. Edwards Deming, Joseph Juran, and Kaoru Ishikawa to assess TQM's coherence, distinctiveness, and likely perseverance. Rhetoric is winning over substance, unrelated interventions are being herded under the TQM banner, and research is not…

  15. Prioritising coastal zone management issues through fuzzy cognitive mapping approach.

    Science.gov (United States)

    Meliadou, Aleka; Santoro, Francesca; Nader, Manal R; Dagher, Manale Abou; Al Indary, Shadi; Salloum, Bachir Abi

    2012-04-30

    Effective public participation is an essential component of Integrated Coastal Zone Management implementation. To promote such participation, a shared understanding of stakeholders' objectives has to be built to ultimately result in common coastal management strategies. The application of quantitative and semi-quantitative methods involving tools such as Fuzzy Cognitive Mapping is presently proposed for reaching such understanding. In this paper we apply the Fuzzy Cognitive Mapping tool to elucidate the objectives and priorities of North Lebanon's coastal productive sectors, and to formalize their coastal zone perceptions and knowledge. Then, we investigate the potential of Fuzzy Cognitive Mapping as tool for support coastal zone management. Five round table discussions were organized; one for the municipalities of the area and one for each of the main coastal productive sectors (tourism, industry, fisheries, agriculture), where the participants drew cognitive maps depicting their views. The analysis of the cognitive maps showed a large number of factors perceived as affecting the current situation of the North Lebanon coastal zone that were classified into five major categories: governance, infrastructure, environment, intersectoral interactions and sectoral initiatives. Furthermore, common problems, expectations and management objectives for all sectors were exposed. Within this context, Fuzzy Cognitive Mapping proved to be an essential tool for revealing stakeholder knowledge and perception and understanding complex relationships. Copyright © 2011 Elsevier Ltd. All rights reserved.

  16. Approaching Reflexivity through Reflection: Issues for Critical Management Education

    Science.gov (United States)

    Hibbert, Paul

    2013-01-01

    This conceptual article seeks to develop insights for teaching reflexivity in undergraduate management classes through developing processes of critical reflection. Theoretical inferences to support this aim are developed and organized in relation to four principles. They are as follows: first, preparing and making space for reflection in the…

  17. Flexibility in water management as an intra-organisational issue

    NARCIS (Netherlands)

    Wessel, van M.; Buuren, van R.; Woerkum, van C.

    2015-01-01

    This paper is a case study of a team of Dutch water managers who saw that to achieve flexibility in planning they needed to engage with organisational control requirements. Rather than approaching flexibility normatively, as much planning literature does, this paper presents a case of flexibility

  18. Roundtable discussion: Materials management issues supporting licensing renewal

    International Nuclear Information System (INIS)

    1991-01-01

    The purpose of this technical session is to discussion the relationships between nuclear materials management/procurement engineering and plant license renewal. The basis for the discussion is DG-1009 'Standard format and content of technical information for applications to renew nuclear power plant operating licenses', dated 12/90

  19. Tsunami shelter in Padang city: Location suitability and management issue

    Science.gov (United States)

    Rita, Eva; Permata, Robby; Yonne, Hilma; Carlo, Nasfryzal

    2017-11-01

    The building of Temporary Evacuation Sites (TES/shelter) is an effort to minimize the vulnerability of the population who live in coastal city areas with high risk of tsunami. Padang city in Indonesia, one of the cities with high risk of tsunami, has built shelter in North Ulak Karang Village, North Padang Sub-district. The problems are the location of shelter does not meet the standard of population number, how to manage the shelter in normal condition (without disaster), and who will be responsible for the management of the shelter. The aim of the study is to learn the suitability of shelter location and the management of the shelter in normal condition as well as the expectation of the people who live near the shelter location. This research uses evaluative-descriptive method with the collection of secondary and primary data through structured interviews with 200 respondents in the area of shelter building. The result shows that the furthest location of the shelter is located at RW 03 with a distance of 1.3 kms which takes 12.15-24.30 minutes. It shows that the shelter location in Padang meets the requirement of FEMA P646. At normal condition, shelter can be used for sport and educational activities, as a center for socialisation and simulation of disaster and other activities. The management of the shelter is done together by government and stakeholders. The proposed management is by forming a team (organization) which involves Disaster Alert groups (KSB) and by making the Standard Operational Procedures (SOP) for their implementation. People expect that the number of shelter is added and the building of the shelter is based on the suitability of location, number of population and availability of land.

  20. Strategic issue diagnosis : the roles of organizational scanning, information processing structure of top management teams, and managers' cognitive complexity

    OpenAIRE

    Kuvaas, Bård

    1998-01-01

    Managers in organizations are continuously confronted by an array of ambiguous data and -vaguely felt stimuli which they must somehow order, explicate and imbue with meaning before they decide on how to respond. This study of -162 -members of organizations' top management teams employed a cross-level analysis to investigate how individual-, group- and organizational-level factors relate to how managers diagnose strategic issues. Findings show that managers' cognitive style, the...

  1. Virtualized cloud data center networks issues in resource management

    CERN Document Server

    Tsai, Linjiun

    2016-01-01

    This book discusses the characteristics of virtualized cloud networking, identifies the requirements of cloud network management, and illustrates the challenges in deploying virtual clusters in multi-tenant cloud data centers. The book also introduces network partitioning techniques to provide contention-free allocation, topology-invariant reallocation, and highly efficient resource utilization, based on the Fat-tree network structure. Managing cloud data center resources without considering resource contentions among different cloud services and dynamic resource demands adversely affects the performance of cloud services and reduces the resource utilization of cloud data centers. These challenges are mainly due to strict cluster topology requirements, resource contentions between uncooperative cloud services, and spatial/temporal data center resource fragmentation. Cloud data center network resource allocation/reallocation which cope well with such challenges will allow cloud services to be provisioned with ...

  2. System for decision analysis support on complex waste management issues

    International Nuclear Information System (INIS)

    Shropshire, D.E.

    1997-01-01

    A software system called the Waste Flow Analysis has been developed and applied to complex environmental management processes for the United States Department of Energy (US DOE). The system can evaluate proposed methods of waste retrieval, treatment, storage, transportation, and disposal. Analysts can evaluate various scenarios to see the impacts to waste slows and schedules, costs, and health and safety risks. Decision analysis capabilities have been integrated into the system to help identify preferred alternatives based on a specific objectives may be to maximize the waste moved to final disposition during a given time period, minimize health risks, minimize costs, or combinations of objectives. The decision analysis capabilities can support evaluation of large and complex problems rapidly, and under conditions of variable uncertainty. The system is being used to evaluate environmental management strategies to safely disposition wastes in the next ten years and reduce the environmental legacy resulting from nuclear material production over the past forty years

  3. Social issues in radioactive wate management: the national experience

    International Nuclear Information System (INIS)

    Kasperson, R.E.

    1984-01-01

    Three criteria for an effective and timely waste management program are established and evaluated. They include assurances that: 1 relevant social and institutional obstacles have been fully identified and assessed by responsible governmental agencies, which is not possible today nor likely in the next several years; 2 sufficient organizational and financial resources are in place or will be committed to overcome the obstacles, which are hampered by the magnitude of the problem and a hypercritical public; and 3 a broad base of public and institutional support exists or will be achieved for the management program and the implementing agencies, which now suffers from a deep public division over nuclear power. The needed support is not likely for the next 5-10 years, and may never be implemented. The author concludes that the current decision environment will continue to produce inconsistent policies and allow new problems to emerge. 81 references, 1 figures, 9 tables

  4. Friedreich's ataxia cardiomyopathy: case based discussion and management issues.

    LENUS (Irish Health Repository)

    Hanley, A

    2010-04-01

    Cardiac involvement is common in Friedreich\\'s Ataxia and is a common cause of premature death. Evidence regarding treatment of congestive heart failure in patients with Friedreich\\'s Ataxia is lacking. The case of a 31-year-old male with advanced Friedreich\\'s Ataxia who presented with an acute diarrhoeal illness and features of acute heart failure is discussed. We then review the reported cardiac manifestations of Friedreich\\'s Ataxia and discuss management options.

  5. Managing Nuclear Reactor Accidents: Issues Raised by Three Mile Island

    OpenAIRE

    Hamilton, G.W.

    1980-01-01

    This paper provides a descriptive account of significant events in the accident at the Three Mile Island nuclear power plant in March, 1979. It is based upon documents collected as background materials for the IIASA workshop: Procedural and Organizational Measures for Accident Management: Nuclear Reactors. In addition to the references listed, information was supplied by John Lathrop, who conducted interviews with government and industry officials involved in the crisis. There have been ...

  6. Canadian high-level radioactive waste management system issues

    International Nuclear Information System (INIS)

    Allan, C.J.; Gray, B.R.

    1992-01-01

    In Canada responsibility for the management of radioactive wastes rests with the producer of those wastes. This fundamental principle applies to such diverse wastes as uranium mine and mill tailings, low-level wastes from universities and hospitals, wastes produced at nuclear research establishments, and wastes produced at nuclear generating stations. The federal government has accepted responsibility for historical wastes for which the original producer can no longer be held accountable. Management of radioactive wastes is subject to the regulatory control of the Atomic Energy Control Board, the federal agency responsible for regulating the nuclear industry. In this paper the authors summarize the current situation concerning the management of high level (used nuclear fuel) wastes. In 1981 the two governments also announced that selection of a disposal site would not proceed, and responsibility for site selection and operation would not be assigned until the Concept for used fuel disposal had been reviewed and assessed. Thus the concept assessment is generic rather than site specific. The Concept that has been developed has been designed to conform with safety and performance criteria established by the Atomic Energy Control Board. It is based on burial deep in plutonic rock of the Canadian Shield, using a multi-barrier approach with a series of engineered and natural barriers: these include the waste form, container, buffer and backfill, and the host rock

  7. American Health Information Management Association. Position statement. Issue: managing health information in facility mergers and acquisitions.

    Science.gov (United States)

    1994-04-01

    Healthcare facility mergers and acquisitions are becoming more common as the industry consolidates. Many critical issues must be considered in mergers and acquisitions, including the management of patient health information. In addition to operational issues, licensure, regulatory, and accreditation requirements must be addressed. To ensure availability of health information to all legitimate users, patient records should be consolidated or linked in the master patient index. A record retention policy should be developed and implemented to meet user needs and assure compliance with legal, regulatory, and accreditation requirements. If health information from closed facilities will be stored for a period of time, its integrity and confidentiality must be preserved, and it must be readily accessible for patient care. The compatibility and functionality of existing information systems should be assessed, and a plan should be formulated for integration of the systems to the extent possible. Such integration may be essential for the organization to successfully meet the demands of integrated delivery systems. Existing databases should be maintained in an accessible form to meet anticipated future needs.

  8. Romiplostim for the Emergency Management of Severe Immune Thrombocytopenia with Intracerebral Hemorrhage

    Directory of Open Access Journals (Sweden)

    Romain Gellens

    2018-01-01

    Full Text Available Currently, we lack well-established guidelines for the emergency management of severe immune thrombocytopenia (ITP with life-threatening bleeding. We now report the management of two patients with severe ITP, complicated by substantial cerebral hemorrhage, requiring urgent surgery due to refractory intracranial hypertension. To rapidly boost platelet counts (PCs, corticosteroids, intravenous immunoglobulin, and iterative platelet transfusions were given; all were ineffectual. Romiplostim, a thrombopoietin receptor agonist, was then administered as an “on demand therapy,” with the result that a rapid and sustained increase of PCs was achieved, thus allowing for postoperative hemostasis. Both patients recovered good neurological condition, suggesting the potential utility of romiplostim, in combined therapy, for the emergency management of severe ITP.

  9. Scrub typhus: risks, diagnostic issues, and management challenges

    Directory of Open Access Journals (Sweden)

    Prakash JAJ

    2017-08-01

    Full Text Available John Antony Jude Prakash Department of Clinical Microbiology, Christian Medical College, Vellore, Tamil Nadu, India Abstract: Scrub typhus is an acute febrile illness in the “tsutsugamushi triangle”, transmitted by chiggers that can be treated effectively if detected early. Laboratory testing, including molecular and serological assays, is needed for confirming the diagnosis, especially in the absence of the pathognomonic eschar. In this review, factors that play a role in disease occurrence and clinical clues for diagnosis, in addition to risk factors contributing to disease severity, including mortality, are discussed in detail. Moreover, issues related to diagnostic assays, treatment, and mixed infections are also enumerated and described. Keywords: Orientia tsutsugamushi, disease severity, mortality predictors, diagnosis, coinfections, treatment

  10. Business continuity, a constant issue for managers and auditors

    Directory of Open Access Journals (Sweden)

    Viorica BRAGA

    2010-06-01

    Full Text Available The crisis of credits and its effects upon all companies, make the assumption of activity continuity be not anymore a pre-established conclusion.  The major cash issues, affecting the banks, insurance companies, retailers, car manufacturers and all companies regardless of their activity, prove that keeping the business continuity, i.e. having enough funds for compliance with an obligation to be able to reach maturity at least twelve months after the balance sheet date is now a real problem for many companies.            Likewise, we are paying attention to the topic and to the increasing number of insolvencies at the national, European and international levels.

  11. Quality issues in the management of web information

    CERN Document Server

    Bordogna, Gloria; Jain, Lakhmi

    2013-01-01

    This research volume presents a sample of recent contributions related to the issue of quality-assessment for Web Based information in the context of information access, retrieval, and filtering systems. The advent of the Web and the uncontrolled process of documents' generation have raised the problem of declining quality assessment to information on the Web, by considering both the nature of documents (texts, images, video, sounds, and so on), the genre of documents ( news, geographic information, ontologies, medical records, products records, and so on), the reputation of information sources and sites, and, last but not least the actions performed on documents (content indexing, retrieval and ranking, collaborative filtering, and so on). The volume constitutes a compendium of both heterogeneous approaches and sample applications focusing specific aspects of the quality assessment for Web-based information for researchers, PhD students and practitioners carrying out their research activity in the field of W...

  12. Air quality management in China: issues, challenges, and options.

    Science.gov (United States)

    Wang, Shuxiao; Hao, Jiming

    2012-01-01

    This article analyzed the control progress and current status of air quality, identified the major air pollution issues and challenges in future, proposed the long-term air pollution control targets, and suggested the options for better air quality in China. With the continuing growth of economy in the next 10-15 years, China will face a more severe situation of energy consumption, electricity generation and vehicle population leading to increase in multiple pollutant emissions. Controlling regional air pollution especially fine particles and ozone, as well as lowering carbon emissions from fossil fuel consumption will be a big challenge for the country. To protect public health and the eco-system, the ambient air quality in all Chinese cities shall attain the national ambient air quality standards (NAAQS) and ambient air quality guideline values set by the World Health Organization (WHO). To achieve the air quality targets, the emissions of SO2, NOx, PM10, and volatile organic compounds (VOC) should decrease by 60%, 40%, 50%, and 40%, respectively, on the basis of that in 2005. A comprehensive control policy focusing on multiple pollutants and emission sources at both the local and regional levels was proposed to mitigate the regional air pollution issue in China. The options include development of clean energy resources, promotion of clean and efficient coal use, enhancement of vehicle pollution control, implementation of synchronous control of multiple pollutants including SO2, NOx, VOC, and PM emissions, joint prevention and control of regional air pollution, and application of climate friendly air pollution control measures.

  13. Massive plexiform neurofibromas in childhood: natural history and management issues.

    Science.gov (United States)

    Serletis, Demitre; Parkin, Patricia; Bouffet, Eric; Shroff, Manohar; Drake, James M; Rutka, James T

    2007-05-01

    The authors review their experience with massive plexiform neurofibromas (PNs) in patients with pediatric neurofibromatosis Type 1 (NF1) to better characterize the natural history and management of these complex lesions. The authors performed a retrospective review of data obtained in seven patients with NF1 in whom massive PNs were diagnosed at The Hospital for Sick Children in Toronto, Ontario, Canada. These patients attended routine follow-up examinations conducted by a number of specialists, and serial neuroimaging studies were obtained to monitor disease progression. The most common presenting feature of PN was that of a painful, expanding lesion. Furthermore, two patients harbored multiple, distinct PNs affecting different body sites. With respect to management, two patients were simply observed, undergoing serial neuroimaging studies; two patients underwent biopsy sampling of their plexiform lesions; two patients underwent attempted medical treatment (farnesyl transferase inhibitor, R11577, and cyclophosphamide chemotherapy); and three patients required surgical debulking of their PNs because the massive growth of these tumors caused functional compromise. Ultimately, one patient died of respiratory complications due to progressive growth of the massive PN lesion. In this review of their experience, the authors found certain features that underscore the presentation and natural history of PNs. The management of these complex lesions, however, remains unclear. Slow-growing PNs may be observed conservatively, but the authors' experience suggests that resection should be considered in selected cases involving significant deterioration or functional compromise. Nevertheless, patients with massive PNs will benefit from close surveillance by a team of specialists to monitor for ongoing disease progression.

  14. Creating a Culture by Governance: Issues in Managing Culture

    Directory of Open Access Journals (Sweden)

    Ma. Victoria T. Herrera

    2001-12-01

    Full Text Available The management of culture involves a network of agencies, institutions and entities both from the public and private sectors. This is part of a collective process by which objects acwuire cultural significance. We create images of our nations, tell stories, and construct experiences for other people through exhibitions, festivals and other cultural activities. Our role is never neutral and it is important to recognize this power and the implications of our actions.In the Philippines, government has taken an active role in the production and management of culture. In spite of the relatively small percentage of funding spent on culture and the arts, it has extended support through various institutions and agencies that, at present, comprise a complex network. Through their respective programs, government has defined paths of cultural production-- from the larger policy framework for organizations to specific commemorative programs. Given this range of involvement, how has the state empowered people and organizations shape culture? What strategies has it taken to extend to support the production and distribution of culture?This paper focuses on two case studies that represent strategies the state has taken in cultural management. At a macro level, the changes the Cultural Center of the Philippines underwent reflect shifting policies and priorities. As products of changing political administrations, this institution went through a re-orientation of its mission. This came with an abrupt expansion in scale but without the necessary resources to support the CCP's new programs. At a micro level, the second evaluates the refurbished Rizal Shrine, Fort Santiago, one of the major projects of the now defunct National Centennial Commission. This underscores the need for a more transparent decision-making process, prioritizing the interest of the museum's public and not just that of the specialists who control the production of knowledge.

  15. Strategies for managing nuclear proliferation: economic and political issues

    International Nuclear Information System (INIS)

    Brito, D.L.; Intriligator, M.D.; Wick, A.E.

    1983-01-01

    Several new ways of approaching nuclear-weapons proliferation emerged at an April 1982 conference at Tulane University. The new ideas use statistical techniques to emphasize political and economic rather than technological determinants, recognize the possibility that proliferation could have a stabilizing influence, shift their emphasis from eliminating to managing proliferation, and focus on regional factors. The four divisions of this book reflect these new trends. Separate abstracts were prepared for the 18 individual papers selected for the Energy Data Base (EDB) and Energy Abstracts for Policy Analysis (EAPA). 6 figures, 23 tables

  16. [CAP quality management system in clinical laboratory and its issue].

    Science.gov (United States)

    Tazawa, Hiromitsu

    2004-03-01

    The CAP (College of American Pathologists) was established in 1962 and, at present, CAP-accredited laboratories include about 6000 institutions all over the world, mainly in the U.S. The essential purpose of CAP accreditation is high quality reservation and improvement of clinical laboratory services for patient care, and is based on seven points, listed below. (1) Establishment of a laboratory management program and laboratory techniques to assure accuracy and improve overall quality of laboratory services. (2) Maintenance and improvement of accuracy objectively by centering on a CAP survey. (3) Thoroughness in safety and health administration. (4) Reservation of the performance of laboratory services by personnel and proficiency management. (5) Provision of appropriate information to physicians, and contribution to improved quality of patient care by close communication with physicians (improvement in patient care). (6) Reduction of running costs and personnel costs based on evidence by employing the above-mentioned criteria. (7) Reduction of laboratory error. In the future, accreditation and/or certification by organizations such as CAP, ISO, etc., may become a requirement for providing any clinical laboratory services in Japan. Taking the essence of the CAP and the characteristics of the new international standard, ISO151589, into consideration, it is important to choose the best suited accreditation and/or certification depending of the purpose of clinical laboratory.

  17. Traumatic optic neuropathy—Clinical features and management issues

    Science.gov (United States)

    Yu-Wai-Man, Patrick

    2015-01-01

    Traumatic optic neuropathy (TON) is an uncommon cause of visual loss following blunt or penetrating head trauma, but the consequences can be devastating, especially in cases with bilateral optic nerve involvement. Although the majority of patients are young adult males, about 20% of cases occur during childhood. A diagnosis of TON is usually straightforward based on the clinical history and examination findings indicative of an optic neuropathy. However, the assessment can be difficult when the patient's mental status is impaired owing to severe trauma. TON frequently results in profound loss of central vision, and the final visual outcome is largely dictated by the patient's baseline visual acuities. Other poor prognostic factors include loss of consciousness, no improvement in vision after 48 hours, the absence of visual evoked responses, and evidence of optic canal fractures on neuroimaging. The management of TON remains controversial. Some clinicians favor observation alone, whereas others opt to intervene with systemic steroids, surgical decompression of the optic canal, or both. The evidence base for these various treatment options is weak, and the routine use of high-dose steroids or surgery in TON is not without any attendant risks. There is a relatively high rate of spontaneous visual recovery among patients managed conservatively, and the possible adverse effects of intervention therefore need to be even more carefully considered in the balance. PMID:26052483

  18. Telemental Health for Children and Adolescents: An Overview of Legal, Regulatory, and Risk Management Issues.

    Science.gov (United States)

    Kramer, Gregory M; Luxton, David D

    2016-04-01

    The use of technology to provide telemental healthcare continues to increase; however, little has been written about the legal and regulatory issues involved in providing this form of care to children and adolescents. This article reviews existing laws and regulations to summarize the risk management issues relevant to providing telemental healthcare to children and adolescents. There are several legal and regulatory areas in which telemental health clinicians need to have awareness. These areas include: 1) Licensure, 2) malpractice liability, 3) credentialing and privileging, 4) informed consent, 5) security and privacy, and 6) emergency management. Although legal and regulatory challenges remain in providing telemental healthcare to children and adolescents, it is possible to overcome these challenges with knowledge of the issues and appropriate risk management strategies. We provide general knowledge of these key legal and regulatory issues, along with some risk management recommendations.

  19. Special Issue: Book Reviews. Resources for Career Management, Counseling, Training and Development.

    Science.gov (United States)

    Horvath, Clara, Ed.; And Others

    1995-01-01

    This special issue includes reviews of 32 books on the following topics: management, human resources, and organizational development; career counseling, guidance, and assessment; job search; resumes; careers in specific fields; careers for special populations; career transitions; and finding balance. (SK)

  20. Optimizing national immunization program supply chain management in Thailand: an economic analysis.

    Science.gov (United States)

    Riewpaiboon, A; Sooksriwong, C; Chaiyakunapruk, N; Tharmaphornpilas, P; Techathawat, S; Rookkapan, K; Rasdjarmrearnsook, A; Suraratdecha, C

    2015-07-01

    This study aimed to conduct an economic analysis of the transition of the conventional vaccine supply and logistics systems to the vendor managed inventory (VMI) system in Thailand. Cost analysis of health care program. An ingredients based approach was used to design the survey and collect data for an economic analysis of the immunization supply and logistics systems covering procurement, storage and distribution of vaccines from the central level to the lowest level of vaccine administration facility. Costs were presented in 2010 US dollar. The total cost of the vaccination program including cost of vaccine procured and logistics under the conventional system was US$0.60 per packed volume procured (cm(3)) and US$1.35 per dose procured compared to US$0.66 per packed volume procured (cm(3)) and US$1.43 per dose procured under the VMI system. However, the findings revealed that the transition to the VMI system and outsourcing of the supply chain system reduced the cost of immunization program at US$6.6 million per year because of reduction of un-opened vaccine wastage. The findings demonstrated that the new supply chain system would result in efficiency improvement and potential savings to the immunization program compared to the conventional system. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  1. Currently important animal disease management issues in sub-Saharan Africa : policy and trade issues

    Directory of Open Access Journals (Sweden)

    G.R. Thomson

    2009-09-01

    Full Text Available The present international approach to management of transboundary animal diseases (TADs is based on the assumption that most can be eradicated ; consequently, that is the usual objective adopted by international organizations concerned with animal health. However, for sub-Saharan Africa and southern Africa more particularly, eradication of most TADs is impossible for the foreseeable future for a variety of technical, financial and logistical reasons. Compounding this, the present basis for access to international markets for products derived from animals requires that the area of origin (country or zone is free from trade-influencing TADs. The ongoing development of transfrontier conservation areas (TFCAs, extending across huge areas of southern Africa, therefore presents a development conundrum because it makes creation of geographic areas free from TADs more difficult and brings development based on wildlife conservation on the one hand and that based on livestock production on the other into sharp conflict. Sub-Saharan Africa is consequently confronted by a complex problem that contributes significantly to retarded rural development which, in turn, impedes poverty alleviation. In southern Africa specifically, foot-and-mouth disease (FMD presents the greatest problem in relation to access to international markets for animal products. However, it is argued that this problem could be overcome by a combination between (1 implementation of a commodity-based approach to trade in products derived from animals and (2 amendment of the international standards for FMD specifically (i.e. the FMD chapter in the Terrestrial Animal Health Code of the World Organisation for Animal Health [OIE] so that occurrence of SAT serotype viruses in free-living African buffalo need not necessarily mean exclusion of areas where buffalo occur from international markets for animal products. This would overcome a presently intractable constraint to market access for

  2. Conference communication. Managing change in tourism destinations: Key issues and current trends.

    OpenAIRE

    Mariani, M.M.; Buhalis, Dimitrios; Longhi, C.; Vitouladiti, O.

    2013-01-01

    This conference communication illustrates the major outcomes emerging from the EIASM Conference on Tourism Management and Tourism Related Issues held in Nice (France), September 20-21, 2012. While a number of managerial issues pertaining to the tourism field were dealt with, this communication covers three specific areas of interest for destination management and marketing: (1) the increasing competition among tourism destinations and the rise and consolidation of BRIC countries as outbound t...

  3. Introduction to the Special Issue on Marketing and Operations Management Interfaces and Coordination

    OpenAIRE

    Teck H. Ho; Christopher S. Tang

    2004-01-01

    This special issue, by addressing problems surrounding marketing and operations management, depicts state-of-the-art approaches, methodologies, and insights to improve a firm's or supply chain's overall performance. Top scholars in the field address many of the ways in which companies can synchronize their marketing and operations departments or their supply chain partners to improve competitiveness and profit. The information in this issue should be of interest both to academics and managers...

  4. Confined Site Construction: A qualitative investigation of critical issues affecting management of Health and Safety

    OpenAIRE

    Spillane, John P.; Oyedele, Lukumon O.; Von Meding, Jason; Konanahalli, Ashwini; Jaiyeoba, Babatunde E.; Tijani, Iyabo K.

    2011-01-01

    The construction industry is inherently risky, with a significant number of accidents and disasters occurring, particularly on confined construction sites. This research investigates and identifies the various issues affecting successful management of health and safety in confined construction sites. The rationale is that identifying the issues would assist the management of health and safety particularly in inner city centres which are mostly confined sites. Using empiricism epistemology, th...

  5. Management of Slightly Contaminated Materials: Status and Issues

    International Nuclear Information System (INIS)

    Pescatore, C.

    2001-01-01

    Usually, when values in risk assessment are discussed, e.g., within RISCOM and VALDOR, it is said, that there are values behind the risk assessment by the experts and that these values are hidden within the basic assumptions made and are not easily visible, especially to the higher-level decision-makers. It is shown in this paper, that the opposite can also happen: the decision-makers, those that set the standards, may not be aware of the all the relevant facts or they may ignore them because of how their institutional role and mandate are framed. In particular, it is important to realise that while nuclear power by-products are indeed specifically recognised for their radioactive hazard, radioactive products, by-products and 'wastes' also arise from practices other than nuclear power generation. As the threshold radioactivity levels for classifying a material as waste - or, what is the same, for allowing it for free release - become lower and lower, a larger and larger amount of by-products of human activities become concerned by the question 'is this radioactively dangerous material?' and how to deal with it. A holistic look at radioactivity both of man-made and natural origin needs to be implemented in order to claim and achieve consistency in the protection of public health and avoid issues of intra- and inter-generational equity

  6. The Issues of the Management of Receivables: Lithuanian Case

    Directory of Open Access Journals (Sweden)

    Remeikiene Rita

    2016-06-01

    Full Text Available Constant changes in business environment determine the significance of receivables to business. The analysis of the current situation in Lithuania has revealed that a substantial part of business enterprises are facing the problem of overdue receivables. This issue emerged as extremely topical after the beginning of the economic crisis in 2008. A number of scientific studies confirmed that the level of receivables has a significant impact not only on smooth business operation but also on operational results and serves as the cause of numerous economic and social problems, faced by both business enterprises and the state. Rising level of receivables determines slower recovery of total economics because it has a negative impact on the sustainability of the public sector of the country. In addition, the scientists highlight economic problems such as production capacity losses, general decrease in competitiveness and failure to satisfy the debt claims. The social problems include the increase in unemployment rate, fall of living standards, dissatisfaction with poor economics of the country and uncertainty about the future. The aim of this article is to analyse the impact of receivables on business in Lithuania. The methods of the research include scientific literature analysis and statistical data analysis.

  7. River Mouth Management In Malaysia– An Overview of Issues

    DEFF Research Database (Denmark)

    Hjelmager Jensen, Jacob; Pedersen, C.

    2012-01-01

    ) of which some are often unforeseen. The key parameter for success and effectiveness of interventions including adopted mitigation measures for secondary problems depends on a detailed understanding of physical conditions at the river mouth as much as on the functionality of the layout, its design....... Numerical models have been used in the past to obtain qualitative and quantitative understanding of physical conditions at river mouths which is required as part of the design of interventions, as baseline for successful management as well as to test potential intervention schemes for various design...... and optimization phases. Examples demonstrating the use of numerical modeling as an engineering tool for previous river mouth improvement works are highlighted to reiterate its value in river mouth engineering and hopefully serve as motivation for future usage....

  8. Ethical issues in using data from quality management programs.

    Science.gov (United States)

    Nerenz, David R

    2009-08-01

    Since the advent of formal, data-driven quality improvement programs in health care in the late 1980s and early 1990s, there are have been questions raised about requirements for ethical committee review of quality improvement activities. A form of consensus emerged through a series of articles published between 1996 and 2007, but there is still significant variation among ethics review committees and individual project leaders in applying broad policies on requirements for committee review and/or written informed consent by participants. Recent developments in quality management, particularly the creation and use of multi-site disease registries, have raised new questions about requirements for review and consent, since the activities often have simultaneous research and quality improvement goals. This article discusses ways in which policies designed for local quality improvement projects and data bases may be adapted to apply to multi-site registries and research projects related to them.

  9. Myasthaenia Gravis : Clinical management issues before, during and after pregnancy

    Directory of Open Access Journals (Sweden)

    Ali Hassan

    2017-08-01

    Full Text Available Myasthaenia gravis (MG is an autoimmune neuromuscular disorder which is twice as common among women, often presenting in the second and third decades of life. Typically, the first trimester of pregnancy and first month postpartum are considered high-risk periods for MG exacerbations. During pregnancy, treatment for MG is usually individualised, thus improving its management. Plasma exchange and immunoglobulin therapies can be safely used to treat severe manifestations of the disease or myasthaenic crises. However, thymectomies are not recommended because of the delayed beneficial effects and possible risks associated with the surgery. Assisted vaginal delivery—either vacuum-assisted or with forceps—may be required during labour, although a Caesarean section under epidural anaesthesia should be reserved only for standard obstetric indications. Myasthaenic women should not be discouraged from attempting to conceive, provided that they seek comprehensive counselling and ensure that the disease is under good control before the start of the pregnancy.

  10. Issues related to public perception of radioactive waste management options

    International Nuclear Information System (INIS)

    Taylor, D.M.

    2007-01-01

    Public perceptions about radioactive waste are generally rather or even strongly negative. They are also very poorly informed. This is rather unfortunate as it is these perceptions that appear to greatly influence the Public views on nuclear energy in general. This, in turn, has had an influence on political decisions. On the other hand, in a very clear majority of the Member States of the European Union, the Public have already indicated that they would be ready to accept the important role of nuclear in their future energy mix as long as all the radioactive wastes can be safely managed. However perceptions about nuclear energy and radioactive waste should be seen in the context of the Public wider perceptions on energy and, in particular, the role in the future of different sources. It may be wrong for political decisions on nuclear energy in the future to rely to heavily on the Public perceptions. (author)

  11. Nocturnal Hypertension: Neglected Issue in Comprehensive Hypertension Management

    Directory of Open Access Journals (Sweden)

    Andi Kristanto

    2016-09-01

    Full Text Available The body circardian rhythm affects blood pressure variability at day and night, therefore blood pressure at day and night might be different. Nocturnal hypertension is defined as increase of blood pressure >120/70mmHg at night, which is caused by disturbed circadian rhythm, and associated with higher cardiovascular and cerebrovascular events also mortality in hypertensive patients. Nocturnal hypertension and declining blood pressure pattern, can only be detected by continuous examination for 24 hours, also known as ambulatory blood pressure measurement (ABPM. Chronotherapy, has become a strategy for managing the hypertensive nocturnal patients, by taking hypertensive medication at night to obtain normal blood pressure decrease in accordance with the normal circadian rhythm and, improving blood pressure control.

  12. Public understanding of radioactive waste management issues: Perspectives and the IAEA's role

    International Nuclear Information System (INIS)

    Thomas, K.T.; Squires, D.J.

    1989-01-01

    This paper will address the waste disposal issue as it is one of the important ones being raised concerning acceptance of nuclear power. In a discussion of this issue two facts have to be recognized. The first is that wastes already exist in all countries having nuclear programmes and require safe management and disposal. The second is that adequate technology exists for doing this

  13. Sensitive issues in natural resource management and discursive strategies addressing them

    NARCIS (Netherlands)

    Kouevi, T.A.; Mierlo, van B.C.; Leeuwis, C.; Vodouhê, S.D.

    2016-01-01

    In natural resource management facilitation literature, little attention is paid to sensitive issues in multi-stakeholder interaction and learning. This article aims to fill this gap. It discusses the variety of discursive strategies used by stakeholders to address sensitive issues with regard to

  14. Discussion on several issues of the accidents management of nuclear power plants in operation

    International Nuclear Information System (INIS)

    Cao Xuewu; Wang Zhe; Zhang Yingzhen

    2009-01-01

    This article discusses several issues of the accident management of nuclear power plants in operation, for example: the necessity, implementation principle of accident management and accident management program etc. For conducting accident management for beyond design basis accidents, this article thinks that the accident management program should be developed and implemented to ensure that the plant and its personnel with responsibilities for accident management are adequately prepared to take effective on-site actions to prevent or mitigate the consequences of severe accident. (authors)

  15. A review study of maintenance and management issues in Malaysian commercial building towards sustainable future practice

    Science.gov (United States)

    Nawi, Mohd Nasrun Mohd; Baharum, Faizal; Ibrahim, Siti Halipah; Riazi, Salman Riazi Mehdi

    2017-10-01

    Good management of the building will be able to influence the quality of the buildings that remain long, safe and beautiful without any damage and problems. This research paper aims to explore the issue of maintenance and management that appear in managing the commercial building in Malaysian construction and property industry. The data in this research has been gathered through the reviewing process of secondary data such as journals, proceeding, thesis etc. in the area that related to maintenance and management issue in commercial building. As highlighted by previous study, building a good management can ensure that the facilities available in the building are well and meet the standard. Thus, exposure to the problems and needs in the management of the building would be able to improve the quality of building management systems to be more effective and fulfil the client needs and features.

  16. Issues in NASA Program and Project Management. Special Report: 1997 Conference. Project Management Now and in the New Millennium

    Science.gov (United States)

    Hoffman, Edward J. (Editor); Lawbaugh, William M. (Editor)

    1997-01-01

    Topics Considered Include: NASA's Shared Experiences Program; Core Issues for the Future of the Agency; National Space Policy Strategic Management; ISO 9000 and NASA; New Acquisition Initiatives; Full Cost Initiative; PM Career Development; PM Project Database; NASA Fast Track Studies; Fast Track Projects; Earned Value Concept; Value-Added Metrics; Saturn Corporation Lessons Learned; Project Manager Credibility.

  17. Polio Eradication Initiative contribution in strengthening immunization and integrated disease surveillance data management in WHO African region, 2014.

    Science.gov (United States)

    Poy, Alain; Minkoulou, Etienne; Shaba, Keith; Yahaya, Ali; Gaturuku, Peter; Dadja, Landoh; Okeibunor, Joseph; Mihigo, Richard; Mkanda, Pascal

    2016-10-10

    The PEI Programme in the WHO African region invested in recruitment of qualified staff in data management, developing data management system and standards operating systems since the revamp of the Polio Eradication Initiative in 1997 to cater for data management support needs in the Region. This support went beyond polio and was expanded to routine immunization and integrated surveillance of priority diseases. But the impact of the polio data management support to other programmes such as routine immunization and disease surveillance has not yet been fully documented. This is what this article seeks to demonstrate. We reviewed how Polio data management area of work evolved progressively along with the expansion of the data management team capacity and the evolution of the data management systems from initiation of the AFP case-based to routine immunization, other case based disease surveillance and Supplementary immunization activities. IDSR has improved the data availability with support from IST Polio funded data managers who were collecting them from countries. The data management system developed by the polio team was used by countries to record information related to not only polio SIAs but also for other interventions. From the time when routine immunization data started to be part of polio data management team responsibility, the number of reports received went from around 4000 the first year (2005) to >30,000 the second year and to >47,000 in 2014. Polio data management has helped to improve the overall VPD, IDSR and routine data management as well as emergency response in the Region. As we approach the polio end game, the African Region would benefit in using the already set infrastructure for other public health initiative in the Region. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  18. Socio-economic issues in radioactive waste management

    International Nuclear Information System (INIS)

    Van Hove, E.

    1996-01-01

    Our group started out by reflecting on what exactly were social effects, and later on discussed how they could manage them. It is very easy at first to see social effects as some kind of additional factor you could add to some kind of multi-criteria decision or choice model and with some social effects it works. Social effects have strange characteristics that do not respect the spatial and temporal order. An effect can happen before its cause. People anticipate, react to things which are not yet there, nor ever will be. They do not respect normal, geographical space distribution. A further disturbing factor is that the social effects are considered as a phenomenon and an action which is in itself delicate in our societies. The whole question then is how do people manage them? It is clear that you cannot really take them into account the way you do safety measures or the technological conditions of a site. It is much more of a process, it is a monitoring system you have to put in place, very much like you do with safety measures, when you take regular measurements. You could say it in one statement, which is that when a site is chosen we look for the best environment to put in it, and when we choose a site we look for the best site given the environment. Fitting a project into an environment has been discussed in this seminar quite often, and we have talked about community and insertion and developing trust within the local community. We had the impression in our discussion group that there are probably two spaces that are relevant. There is the local space, where that type of action has to be taken, and there is also some kind of outer space. This is the sphere at societal level, of political discussion, of professional discourse, of scientific statements and professional standards, the type of discussion which sometimes filters through into that local space, sometimes does not, and does not always do it in the way we would like. In this international seminar

  19. Issues of Caribou Management in Northeastern British Columbia

    Directory of Open Access Journals (Sweden)

    Scott Harrison

    1996-01-01

    Full Text Available Woodland caribou inhabit most of Northeastern British Columbia. They live across a variety of climatic and geographic gradients and in areas with as many as seven other ungulate species and seven predatory species. This apparent variability in habitat use may suggest that caribou in the Northeast are wide ranging and ecologically plastic. Conversely, caribou in Northeastern B.C. may live in discrete groups that have adapted to local conditions. There are few published data of woodland caribou in Northeastern B.C. Information is lacking on the number of caribou, their seasonal movements, their habitat requirements, and their interactions with other species. Logging, seismic activity, pipeline construction, oil and natural gas drilling, hydro-electric dams, and prescribed burning have all impacted habitat in previously undeveloped areas. The manner and rate at which these activities are changing habitats far exceeds our growth in knowledge of caribou ecology. Given this combination of few data and rapid habitat alteration, resource managers cannot know the impact of these habitat changes. We believe that this jeopardises the conservation of viable caribou populations.

  20. Networked information: Management issues for the acquisitions librarian

    Science.gov (United States)

    Lawrence, Gregory

    1994-01-01

    Historically, libraries have been the depositories and public access points to both domestic and international government information. A change in the information seeking behavior of the public is driving a change in government information publishing and dissemination. Patrons who traditionally used libraries for access to printed government information have become familiar and comfortable with the electronic environment. These data users are showing an increased interest in certain types of government information in electronic format, including indexes, numeric files, statistics, and hypertext documents. Government response to increased demand for electronic information has led to a flurry of special initiatives, with the production of information products on diskette, CD-ROM, and dissemination via the Internet. Libraries, and acquisitions units in particular, are being challenged to provide consistent and timely management of the information. The rapidly developing communications infrastructure, which frequently redesigns access to the information environment, poses significant obstacles to, and the tremendous opportunities for, making large bodies of government information available to a broad base of users.

  1. Environmental quality of Long Island Sound: Assessment and management issues

    International Nuclear Information System (INIS)

    Wolfe, D.A.; Farrow, D.R.G.; Robertson, A.; Monahan, R.; Stacey, P.E.

    1991-01-01

    Estimated pollutant loadings to Long Island Sound (LIS) are presented and discussed in the context of current information on population trends and land-use characteristics within the drainage basin of the sound. For the conventional pollutants (BOD, N, and P) and for most of the metals examined, the fluxes to LIS from wastewater treatment plants approach or exceed the fluxes from riverine sources. Urban runoff is a significant source for only a few contaminants, such as lead and petroleum hydrocarbons. Atmospheric flux estimates made for other areas are extrapolated to LIS, and this source appears to be significant for lead, zinc, and polynuclear aromatic hydrocarbons, and chlorinated pesticides. Continued population growth is projected through 2010, both in the urban centers of the western sound and in the coastal counties surrounding the central and eastern portions of LIS. This growth will place increased pollution pressure on the sound and increased demands on already scarce coastal and estuarine land-use categories. Close interaction between environmental planners, managers, and scientists is required to identify effective control strategies for reducing existing pollutant stress to the sound and for minimizing the effects of future development

  2. [Practical issues in the management of tuberculosis disease].

    Science.gov (United States)

    Guimond, C; Orain, J-P; Tanguy, M

    2016-03-01

    Tuberculosis disease warrants standard therapeutic management as detailed in a guide published by the High Authority for Health (HAS) following the publication of the Public Health Law in 2004. The medical services of the régime social des indépendants (RSI) carried out a national survey by targeting patients who, in 2011, were reimbursed for tuberculosis treatment or were admitted for long-term tuberculosis disease. Their physicians were contacted to detail the care pathway and treatment they had received. A total of 148 tuberculosis disease patients were enrolled, of whom 71.6% had respiratory localization of their disease. The diagnosis was made in healthcare institutions in 84.5% of cases. Standard treatment (phases 1 and 2) was used in 30.1% of cases. The recommended quadruple therapy was given in 55.2% of treatments in phase 1 and in accordance with the time recommended in 62.9% of cases. Phase 2 was the recommended two drugs combination therapy 80.4% of the time with the treatment duration respected in 51.0% of treatments. The difference from standard treatment was explained by the detection of health or social events in only 39.0% of cases. This survey allows us to highlight a relative lack of knowledge of standard treatment as recommended by the HAS. Copyright © 2015 SPLF. Published by Elsevier Masson SAS. All rights reserved.

  3. INTRODUCTION TO THE SPECIAL ISSUE ON "OPERATIONAL RESEARCH AND ASIA RISK MANAGEMENT"

    OpenAIRE

    DESHENG DASH WU; DAVID L. OLSON; LUIS A. SECO; JOHN BIRGE

    2011-01-01

    Risks are traditionally defined as the combination of probability and severity, but are actually characterized by additional factors. We believe the characteristics of risks include uncertainties, dynamics, dependence, clusterings and complexities, which motivate the utilization of various operational research tools. The objective of this issue is to survey the practice of using operational research tools in risk management, especially Asian risk management.

  4. Management of municipal, hazardous and radioactive wastes: An environmental overview. Current issue paper 109

    Energy Technology Data Exchange (ETDEWEB)

    Yeager, K L

    1990-10-01

    This paper attempts to provide the reader with essential information on the quantity and types of solid, hazardous and radioactive wastes being generated in the province and to introduce some of the existing and future management options being considered. As well, a number of possible issues are identified which may stimulate further interest in the future paths of waste management in Ontario. (author).

  5. Management of municipal, hazardous and radioactive wastes: An environmental overview. Current issue paper 109

    International Nuclear Information System (INIS)

    Yeager, K.L.

    1990-10-01

    This paper attempts to provide the reader with essential information on the quantity and types of solid, hazardous and radioactive wastes being generated in the province and to introduce some of the existing and future management options being considered. As well, a number of possible issues are identified which may stimulate further interest in the future paths of waste management in Ontario. (author)

  6. Environmental Management Accounting in the Taiwanese Higher Education Sector: Issues and Opportunities

    Science.gov (United States)

    Chang, Huei-Chun

    2013-01-01

    Purpose: The purpose of this paper is to address the issue of managing the major environmental costs from an accounting perspective. The current state of practices for managing the costs associated with the consumption of electricity, water and paper, as well as the generation of wastes within three universities in Taiwan, was investigated. The…

  7. Risk Management: An Analysis of Issues in Islamic Financial Industry (Occasional Paper)

    OpenAIRE

    Khan, Tariqullah; Ahmed, Habib

    2001-01-01

    The paper discusses a number of risk management issues of the Islamic financial industry. It outlines the risk management processes and techniques that enable financial institutions to control undesirable risks and to take benefit of the business opportunities created by the desirable ones.

  8. Pediatric issues in disaster management, part 2: evacuation centers and family separation/reunification.

    Science.gov (United States)

    Mace, Sharon E; Sharieff, Ghazala; Bern, Andrew; Benjamin, Lee; Burbulys, Dave; Johnson, Ramon; Schreiber, Merritt

    2010-01-01

    Although children and infants are likely to be victims in a disaster and are more vulnerable in a disaster than adults, disaster planning and management has often overlooked the specific needs of pediatric patients. We discuss key components of disaster planning and management for pediatric patients including emergency medical services, hospital/facility issues, evacuation centers, family separation/reunification, children with special healthcare needs, mental health issues, and overcrowding/surge capacity. Specific policy recommendations and an appendix with detailed practical information and algorithms are included. The first part of this three part series on pediatric issues in disaster management addresses the emergency medical system from the field to the hospital and surge capacity including the impact of crowding. The second part addresses the appropriate set up and functioning of evacuation centers and family separation and reunification. The third part deals with special patient populations: the special healthcare needs patient and mental health issues.

  9. Cultural Issue and its Influence in the Management of Global Project Teams

    Directory of Open Access Journals (Sweden)

    Nadia Lima

    2016-04-01

    Full Text Available The interactions between the project manager and team members may be affected by several variables, such as culture, leadership style of the project manager, and the complexity of the developed tasks. Focused in this context, the objective of this paper is to investigate and describe how the culture issue can affect the anagement of global project teams. It is a qualitative, descriptive study conducted in a large multinational company in the automotive sector. The results of this research show that cultural issues can influence both positively and negatively the management of project global teams and the managers of these projects have to deal with several management challenges that require the adoption of certain ways of dealing with culture impacts in managing their teams to minimize potential problems in this context.

  10. Call for Papers – Special issue: Project Management in the Non-Profit Sector

    OpenAIRE

    Sankaran, Shankar

    2015-01-01

    This journal special issue will explore diverse stakeholder perspectives and share examples of project management practices in the non-profit sector. Key objectives are to develop understandings of project management practice in the sector, to examine how cross-sectoral collaboration and learning can help non-profit organisations achieve their project and programme objectives, and to explore ways in which the wider project management community can learn from experiences in the non-profit sector.

  11. Waste Management Strategy in The Netherlands. Part 2. Strategy Principles and Influencing Issues

    International Nuclear Information System (INIS)

    Haverkate, B.R.W.

    2002-01-01

    This report reflects the Dutch input prepared in the framework of work package 2 of the EU thematic network COMPAS, which deals with the identification of alternative waste management strategies and issues influencing strategy selection in EU member states and their applicant countries. All elements that could have an effect in identifying alternative policies to manage (long-lived) radioactive wastes are addressed in this report. After a short introduction, in chapter 1, about some general issues influencing decision-making such as public acceptance, involvement, perception and (European) legislation, the considered disposal methods and disposal requirements are given in chapter 2. Chapter 3 of this report deals with the background topics of the current waste management strategy in The Netherlands. A detailed overview of (basic) strategy principles and their influencing issues is the subject of chapter 4. Issues considered include: safety and environmental impact; technical limitations; nuclear materials safeguards; monitoring and retrievability; ethical issues; public acceptance; (timing of) strategy development and implementation; and economical considerations. Relevant additional issues that could have an effect in identifying alternative waste management strategy are provided in appendices, including signed treaties (appendix B) and nuclear statutory regulations (appendix C)

  12. Shared decision making in the management of children with newly diagnosed immune thrombocytopenia.

    Science.gov (United States)

    Beck, Carolyn E; Boydell, Katherine M; Stasiulis, Elaine; Blanchette, Victor S; Llewellyn-Thomas, Hilary; Birken, Catherine S; Breakey, Vicky R; Parkin, Patricia C

    2014-10-01

    This study aimed to examine the treatment decision-making process for children hospitalized with newly diagnosed immune thrombocytopenia (ITP). Using focus groups, we studied children with ITP, parents of children with ITP, and health care professionals, inquiring about participants' experience with decision support and decision making in newly diagnosed ITP. Data were examined using thematic analysis. Themes that emerged from children were feelings of "anxiety, fear, and confusion"; the need to "understand information"; and "treatment choice," the experience of which was age dependent. For parents, "anxiety, fear, and confusion" was a dominant theme; "treatment choice" revealed that participants felt directed toward intravenous immune globulin (IVIG) for initial treatment. For health care professionals, "comfort level" highlighted factors contributing to professionals' comfort with offering options; "assumptions" were made about parental desire for participation in shared decision making (SDM) and parental acceptance of treatment options; "providing information" was informative regarding modes of facilitating SDM; and "treatment choice" revealed a discrepancy between current practice (directed toward IVIG) and the ideal of SDM. At our center, families of children with newly diagnosed ITP are not experiencing SDM. Our findings support the implementation of SDM to facilitate patient-centered care for the management of pediatric ITP.

  13. Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy: American Society of Clinical Oncology Clinical Practice Guideline.

    Science.gov (United States)

    Brahmer, Julie R; Lacchetti, Christina; Schneider, Bryan J; Atkins, Michael B; Brassil, Kelly J; Caterino, Jeffrey M; Chau, Ian; Ernstoff, Marc S; Gardner, Jennifer M; Ginex, Pamela; Hallmeyer, Sigrun; Holter Chakrabarty, Jennifer; Leighl, Natasha B; Mammen, Jennifer S; McDermott, David F; Naing, Aung; Nastoupil, Loretta J; Phillips, Tanyanika; Porter, Laura D; Puzanov, Igor; Reichner, Cristina A; Santomasso, Bianca D; Seigel, Carole; Spira, Alexander; Suarez-Almazor, Maria E; Wang, Yinghong; Weber, Jeffrey S; Wolchok, Jedd D; Thompson, John A

    2018-02-14

    Purpose To increase awareness, outline strategies, and offer guidance on the recommended management of immune-related adverse events in patients treated with immune checkpoint inhibitor (ICPi) therapy. Methods A multidisciplinary, multi-organizational panel of experts in medical oncology, dermatology, gastroenterology, rheumatology, pulmonology, endocrinology, urology, neurology, hematology, emergency medicine, nursing, trialist, and advocacy was convened to develop the clinical practice guideline. Guideline development involved a systematic review of the literature and an informal consensus process. The systematic review focused on guidelines, systematic reviews and meta-analyses, randomized controlled trials, and case series published from 2000 through 2017. Results The systematic review identified 204 eligible publications. Much of the evidence consisted of systematic reviews of observational data, consensus guidelines, case series, and case reports. Due to the paucity of high-quality evidence on management of immune-related adverse events, recommendations are based on expert consensus. Recommendations Recommendations for specific organ system-based toxicity diagnosis and management are presented. While management varies according to organ system affected, in general, ICPi therapy should be continued with close monitoring for grade 1 toxicities, with the exception of some neurologic, hematologic, and cardiac toxicities. ICPi therapy may be suspended for most grade 2 toxicities, with consideration of resuming when symptoms revert to grade 1 or less. Corticosteroids may be administered. Grade 3 toxicities generally warrant suspension of ICPis and the initiation of high-dose corticosteroids (prednisone 1 to 2 mg/kg/d or methylprednisolone 1 to 2 mg/kg/d). Corticosteroids should be tapered over the course of at least 4 to 6 weeks. Some refractory cases may require infliximab or other immunosuppressive therapy. In general, permanent discontinuation of ICPis is

  14. Review of issues relevant to acceptable risk criteria for nuclear waste management

    International Nuclear Information System (INIS)

    Cohen, J.J.

    1978-01-01

    Development of acceptable risk criteria for nuclear waste management requires the translation of publicly determined goals and objectives into definitive issues which, in turn, require resolution. Since these issues are largely of a subjective nature, they cannot be resolved by technological methods. Development of acceptable risk criteria might best be accomplished by application of a systematic methodology for the optimal implementation of subjective values. Multi-attribute decision analysis is well suited for this purpose

  15. Too many crying babies: a systematic review of pain management practices during immunizations on YouTube.

    Science.gov (United States)

    Harrison, Denise; Sampson, Margaret; Reszel, Jessica; Abdulla, Koowsar; Barrowman, Nick; Cumber, Jordi; Fuller, Ann; Li, Claudia; Nicholls, Stuart; Pound, Catherine M

    2014-05-29

    Early childhood immunizations, although vital for preventative health, are painful and too often lead to fear of needles. Effective pain management strategies during infant immunizations include breastfeeding, sweet solutions, and upright front-to-front holding. However, it is unknown how often these strategies are used in clinical practice. We aimed to review the content of YouTube videos showing infants being immunized to ascertain parents' and health care professionals' use of pain management strategies, as well as to assess infants' pain and distress. A systematic review of YouTube videos showing intramuscular injections in infants less than 12 months was completed using the search terms "baby injection" and "baby vaccine" to assess (1) the use of pain management strategies and (2) infant pain and distress. Pain was assessed by crying duration and pain scores using the FLACC (Face, Legs, Activity, Cry, Consolability) tool. A total of 142 videos were included and coded by two trained individual viewers. Most infants received one injection (range of one to six). Almost all (94%) infants cried before or during the injections for a median of 33 seconds (IQR = 39), up to 146 seconds. FLACC scores during the immunizations were high, with a median of 10 (IQR = 3). No videos showed breastfeeding or the use of sucrose/sweet solutions during the injection(s), and only four (3%) videos showed the infants being held in a front-to-front position during the injections. Distraction using talking or singing was the most commonly used (66%) pain management strategy. YouTube videos of infants being immunized showed that infants were highly distressed during the procedures. There was no use of breastfeeding or sweet solutions and limited use of upright or front-to-front holding during the injections. This systematic review will be used as a baseline to evaluate the impact of future knowledge translation interventions using YouTube to improve pain management practices for infant

  16. Risk communication, geoethics and decision science issues in Japan's disaster management system

    Science.gov (United States)

    Sugimoto, M.

    2014-12-01

    Issues in Japan's disaster management system were revealed by the 2011 Tohoku earthquake and tsunami, and by the Fukushima Dai-ichi nuclear power station accident. Many important decisions were based on scientific data, but appear not to have sufficiently considered the uncertainties of the data and the societal aspects of the problems. The issues that arose show the need for scientists to appropriately deal with risk communication and geoethics and issues. This paper discusses necessity of education for risk communication, geoethics and decisions science in school before students become sicentific decision makers in future.

  17. Human Resource Management in Sports: A Critical Review of its Importance and Pertaining Issues

    Directory of Open Access Journals (Sweden)

    Weerakoon Ranjan Kumara

    2016-03-01

    Full Text Available This paper will illustrate the meaning and importance of human resource management (HRM, human resource planning, and strategic human resource management, which are critically important for an organization’s effectiveness and must be effectively managed (Doherty, 1998. This study used the literature review method to acquire its final results. The relevant HRM literature review was done according to the purpose of the study. It used the purposive random sample method for selecting relevant literature. This study shows the current economic environment in the sports industry; the second part of the study critically analyzes the value of the strategic management of employees for the effective and efficient operation of sports organizations. It also critically evaluates human resource planning and other pertinent issues in terms of legislation, recruitment, selection, training, induction, and reward management from different international examples in sports management. Over the past few decades, increasing competition, globalization, and continuous changes in the market and in technology have emphasized the need to rethink the management of the organization and of human resources for the sake of overcoming significant challenges (Taylor et al., 2006. Therefore, managers should use strategic human resource management to overcome significant issues and to form well-planned strategies so that the organization may succeed.

  18. Identifying critical issues in recreation planning and management: improving the management-research partnership

    Science.gov (United States)

    John H. Schomaker; David W. Lime

    1988-01-01

    The "nominal group" process is a proven technique to systematically arrive at a consensus about critical information needs in recreation planning and management. Using this process, 41 managers who attended a 1983 conference on river management identified 114 specific information needs grouped under 11 general questions. Clearly, some concerns of...

  19. Public and political issues in radioactive waste management in the Federal Republic of Germany

    International Nuclear Information System (INIS)

    Neis, A.

    1993-01-01

    The Federal Government's radioactive waste management concept and regulations governing formal public participation in licensing procedures for radioactive waste management facilities are presented. The paper focuses on public and political issues arising from widely diverging views in different social groups on nuclear energy and on radioactive waste management. The resulting conflict between Federal and Laender (Federal constituent states) authorities and the actual course of public participation in a licensing procedure are illustrated with the example of planned final disposal of radioactive waste in the Konrad mine. Major national efforts to overcome the unsatisfying present situation are presented and the role of international consensus is briefly touched. Concluding remarks will particularly justify admissibility and emphasize the need to discuss and eventually decide on radioactive waste management issues regardless of diverging views on nuclear energy

  20. Risk management and organizational systems for high-level radioactive waste disposal: Issues and priorities

    International Nuclear Information System (INIS)

    Emel, J.; Cook, B.; Kasperson, R.; Brown, H.; Guble, R.; Himmelberger, J.; Tuller, S.

    1988-09-01

    The discussion to follow explores the nature of the high-level radioactive waste disposal tasks and their implications for the design and organizational structure of effective risk management systems. We organize this discussion in a set of interrelated tasks that draw upon both relevant theory and accumulated experience. Specifically these tasks are to assess the management implications of the high levels of technical and social uncertainty that characterize the technology and mission; to identify the elements of organizational theory that bear upon risk management system design; to explore these theoretical issues in the context of two hypothetical risk scenarios associated with radioactive waste disposal; to consider the appropriate role of engineered and geological barriers; to examine briefly issues implicit in DOE's past waste management performance, with special attention to the Hanford facility; and to suggest findings and recommendations that require further attention. 74 refs

  1. The challenges and issues facing the radioactive waste management in Croatia

    International Nuclear Information System (INIS)

    Subasic', D.; Saler, A.

    1994-01-01

    There are substantial experiences in Croatia in the field of radioactive waste management concerning both the waste from nuclear applications and waste generated at nuclear power plant. The essential issue now is how set-up infrastructure and to realize institutional and capacity building to get adjusted to needs of the newly independent state. In connection to this, the issues related to national radioactive waste management strategy, past and new organization of the Regulatory Body, and changes in legislation and regulations are discussed. In addition, some on-going projects important for realization of a complete radioactive waste management in the country round up the present situation in the field of radioactive waste management in Croatia

  2. The Issues of Track Maintenance Management in Indonesia (Based on Study of the British Railways

    Directory of Open Access Journals (Sweden)

    Tetria Yunik Dewi Pamungkas

    2017-01-01

    Full Text Available It is believed that there is merit in researching how the management of track maintenance is organized in the United Kingdom, in particular by Network Rail, and then evaluating how this can be applied to the benefit of Indonesian Railways. The purpose of this research was expected to provide recommendations for management improvement of track maintenance by researching the track maintenance management system in Network Rail. This research study is based on secondary data. The analysis was conducted by using comparison method which compares the British Railways management and Indonesia railway management related to track maintenance management. The track maintenance management system was studied by using Network Rail. The results were compared with track maintenance management system in Indonesia. The comparison will provide the data differences that evaluated so the problem can be identified. The final result of this analysis was the identification of problems and improvisation that can be done for the development of track maintenance management in Indonesia. Several management issues have been mapped to several groups: finance management, structure organization, and asset management. From the problems that have been mapped, some improvements are recommended as monopolist authority restriction, maintenance system contract extension, re-structuring organization hierarchy, business plan consideration, track monitoring strategy arrangement, and condition based maintenance strategy adoption.

  3. Too hot to handle. Social and policy issues in the management of radioactive wastes

    International Nuclear Information System (INIS)

    Walker, C.A.; Gould, L.C.; Woodhouse, E.J.

    1983-01-01

    Information about the management of radioactive wastes is provided in this book. Specifically, the book attempts to supply information to further the understanding of the history of radioactive waste management in this country and the role of nuclear energy in the future of the US; the science and technology of the processes that produce radioactive wastes and of the methods proposed for managing them; the biological effects of radiation; the public attitudes about nuclear power; the nature of risks resulting from technological developments and ways of managing them; and the political institutions and processes that govern radioactive waste management. The authors have attempted to present an objective view of nuclear waste management taking a stand neither for nor against nuclear power but placing special emphasis on radioactive waste management rather than nuclear power, because they feel that the latter aspect of the subject has received much more extensive coverage elsewhere. The contents of the book are divided into 7 chapters entitled: The Radioactive Waste Management Problem, Science and Technology of the Sources and Management of Radioactive Wastes, Nuclear Waste Management and Risks to Human Health, Public Attitudes toward Radioactive Wastes, How Safe Is Safe Enough; Determinants of Perceived and Acceptable Risk, The Politics of Nuclear Waste Management, and Value Issues in Radioactive Waste Management

  4. International Production and Global Logistics Operations : Management Issues in Global Logistics with Offshored Production Systems

    OpenAIRE

    Korrmann, Franziska

    2011-01-01

    This paper is directed at discussing some of the management issues, problems and solutions of logistics in the context of offshored productive activities The introduction includes a discussion of the logistics topics and an introduction of the economic logic of offshoring. The main part analyses the logistics topics with regard to the internationally fragmented production. The topics of logistics include: Information flow and integration, transportation, inventory management, warehousing and ...

  5. EDF ageing management program of nuclear components: a safety and economical issue

    International Nuclear Information System (INIS)

    Faidy, C.

    2005-01-01

    Ageing management of Nuclear Power Plants is an essential issue for utilities, in term of safety and availability and corresponding economical consequences. Practically all nuclear countries have developed a systematic program to deal with ageing of components on their plants. This paper presents the ageing management program developed by EDF and that are compared with different other approaches in other countries (IAEA guidelines and GALL report). The paper presents a general overview of the programs, the major results, recommendations and conclusions. (author)

  6. Proceedings of conference on public policy issues in nuclear waste management

    Energy Technology Data Exchange (ETDEWEB)

    1976-01-01

    This conference was designed to provide a public forum in which to identify and discuss the legal, institutional, social, environmental, and other public policy issues relating to nuclear waste management. This volume is a comprehensive synthesis of the speeches, papers, and discussions during the plenary and luncheon sessions. Preliminary goals are proposed for nuclear waste management. Separate abstracts were prepared for the ten papers. (DLC)

  7. Introduction to the special issue on "critical reflections on management and organizations: A postcolonial perspective"

    OpenAIRE

    Banerjee, S. B.; Prasad, A.

    2008-01-01

    Purpose - The purpose of this paper is to present a short note on postcolonialism as a field of critical inquiry in the business management field, and enable the guest editors to introduce the contents of a special issue entitled "Critical reflections on management and organization: a postcolonial perspective". \\ud \\ud Design/methodology/approach - The paper states that postcolonial theory seeks to critique and analyze the complex and multifaceted dynamics of modern Western colonialism and to...

  8. Essays on issues relevant to the regulation of radioactive waste management

    International Nuclear Information System (INIS)

    Bishop, W.P.; Hoos, I.R.; Hilberry, N.; Metlay, D.S.; Watson, R.A.

    1978-05-01

    This document contains a collection of essays prepared by the individuals who participated in a Special Task Group for the U.S. Nuclear Regulatory Commission (NRC) for the purpose of identifying and proposing goals (or guiding principles) for the regulation of radioactive waste management. The report of the Special Task group to the NRC is contained in 'Proposed Goals for Radioactive Waste Management'. The titles of the essays are as follows: History and interpretation of radioactive waste management in the United States; The credibility issue; Assessment of methodologies for radioactive waste management; Remarks on managerial errors and public participation; Observations and impressions on the nature of radioactive waste management problems; and Goals for nuclear waste management

  9. Overview of Contemporary Issues of Forest Research and Management in China

    Science.gov (United States)

    He, Hong S.; Shifley, Stephen R.; Thompson, Frank R.

    2011-12-01

    With 207 million ha of forest covering 22% of its land area, China ranks fifth in the world in forest area. Rapid economic growth, climate change, and forest disturbances pose new, complex challenges for forest research and management. Progress in meeting these challenges is relevant beyond China, because China's forests represent 34% of Asia's forests and 5% of the worlds' forests. To provide a broader understanding of these management challenges and of research and policies that address them, we organized this special issue on contemporary forest research and management issues in China. At the national level, papers review major forest types and the evolution of sustainable forestry, the development of China's forest-certification efforts, the establishment of a forest inventory system, and achievements and challenges in insect pest control in China. Papers focused on Northern China address historical, social, and political factors that have shaped the region's forests; the use of forest landscape models to assess how forest management can achieve multiple objectives; and analysis and modeling of fuels and fire behavior. Papers addressing Central and South China describe the "Grain for Green" program, which converts low productivity cropland to grassland and woodland to address erosion and soil carbon sequestration; the potential effects of climate change on CO2 efflux and soil respiration; and relationships between climate and net primary productivity. China shares many forest management and research issues with other countries, but in other cases China's capacity to respond to forest management challenges is unique and bears watching by the rest of the world.

  10. Extraction of human factors issues caused by application of the advanced HSI technology and development of human factor issue management system

    Energy Technology Data Exchange (ETDEWEB)

    Suh, Sang Moon; Lee, Jung Woon; Park, Jae Chang; Oh, In Seok [Korea Atomic Energy Research Institute, Taejon (Korea)

    1999-01-01

    A comprehensive literature survey was performed in this study to collect human performance issues related to the advanced HSI design features. The literature from not only nuclear industry but also other industries was collected and reviewed. The issues were categorized into the following advanced HSI design features: devices characteristics, levels of automation, information design and management, display management, computerized controls, alarm systems, computerized procedures, staffing and crew coordination, and operator support systems. The classified issues were described with the description framework. Then, the relationship of issues to HSI design process such as human factors analyses, human factors design, and human factors verification and validation was investigated. Finally, the issue management system of server-client environment was developed using Microsoft's Active Server Page technology and Access 97. (author). 18 refs., 6 figs.

  11. Review on Malaysian Rail Transit Operation and Management System: Issues and Solution in Integration

    Science.gov (United States)

    Masirin, Mohd Idrus Mohd; Salin, Aminah Mohd; Zainorabidin, Adnan; Martin, David; Samsuddin, Norshakina

    2017-08-01

    In any context, operation and management of transportation systems are key issues which may affect both life quality and economic development. In large urban agglomerations, an efficient public transportation system may help abate the negative externalities of private car use such as congestion, air and noise pollution, accident and fuel consumption, without excessively penalizing user travel times or zone accessibility. Thus, this study is conducted to appraise the Malaysian rural rail transit operation and management system, which are considered important as there are many issues and solution in integration of the services that need to be tackled more conscientiously. The purpose of this paper is to describe some of the most important issues on integration of services and rail transit system in Malaysian and how to solve or reduce these problems and conflicts. In this paper, it consists of the historical development of rail transit construction in Malaysia. This paper also attempts to identify the important issues related to rail transit services and integration in Malaysian rural rail operation and management system. Comparison is also conducted with other countries such as UK, France, and Japan. Finally, a critical analysis is presented in this paper by looking at the possible application for future Malaysian rail transit operation system and management, especially focusing on enhancing the quality of Malaysian rural rail transit. In conclusion, this paper is expected to successfully review and appraise the existing Malaysian rural rail transit operation and management system pertaining to issues & solution in integration. It is also hoped that reformation or transformation of present service delivery quality of the rail transit operation and management will enable Malaysia to succeed in transforming Malaysian transportation system to greater heights.

  12. Inaugural conference of the International Association of Immunization Managers (IAIM), Istanbul Turkey, 3-4 March 2015.

    Science.gov (United States)

    Carrasco, Peter; Franco-Paredes, Carlos; Andrus, Jon; Waller, Katie; Maassen, Alison; Symenouh, Emi; Hafalia, Gabrielle

    2015-08-07

    For more than 35 years, most national immunization programs have established managerial structures and processes for delivering vaccination services to their populations. These days, immunization managers are facing an increasing number of challenges due to the introduction of new vaccines, shifting demographic patterns, complex networks of service providers, and maintaining the gains achieved with previous vaccination efforts. To confront these challenges, better program performance will require better managerial practices, which incorporates new technologies. To that end, the International Association of Immunization Managers (IAIM) is the first global professional association launched to promote superior leadership and management skills among health professionals involved with vaccination efforts worldwide. From 3 to 4 March 2015, approximately 132 members from 70 countries representing six regions, gathered in Istanbul, Turkey for the inaugural conference of IAIM. In the two-day program, members selected thirteen peers to constitute the Governing Council. The 12 articles of the bylaws of the Association were also ratified. This conference was a forum for sharing managerial best practices through networking sessions, breakout sessions, and presentations. Members also learned about IAIM sponsored training opportunities to deepen their managerial competencies through peer-to-peer exchanges and scholarship training programs. We believe that the IAIM inaugural conference was an appropriate platform for equipping managers with tools and professional network of peers to support them in achieving national, regional and global immunization goals, including those of the Global Vaccine Action Plan of the World Health Organization. Copyright © 2015. Published by Elsevier Ltd.. All rights reserved.

  13. How do supervisors perceive and manage employee mental health issues in their workplaces?

    Science.gov (United States)

    Kirsh, Bonnie; Krupa, Terry; Luong, Dorothy

    2018-01-01

    Organizations have become increasingly concerned about mental health issues in the workplace as the economic and social costs of the problem continue to grow. Addressing employees' mental health problems and the stigma that accompanies them often falls to supervisors, key people in influencing employment pathways and the social climate of the workplace. This study examines how supervisors experience and perceive mental illness and stigma in their workplaces. It was conducted under the mandate of the Mental Health Commission of Canada's Opening Minds initiative. The study was informed by a theoretical framework of stigma in the workplace and employed a qualitative approach. Eleven supervisors were interviewed and data were analyzed for major themes using established procedures for conventional content analysis. Themes relate to: perceptions of the supervisory role relative to managing mental health problems at the workplace; supervisors' perceptions of mental health issues at the workplace; and supervisors' experiences of managing mental health issues at work. The research reveals the tensions supervisors experience as they carry out responsibilities that are meant to benefit both the individual and workplace, and protect their own well-being as well. This study emphasizes the salience of stigma and mental health issues for the supervisor's role and illustrates the ways in which these issues intersect with the work of supervisors. It points to the need for future research and training in areas such as balancing privacy and supports, tailoring disclosure processes to suit individuals and workplaces, and managing self-care in the workplace.

  14. Multilevel Association Rule Mining for Bridge Resource Management Based on Immune Genetic Algorithm

    Directory of Open Access Journals (Sweden)

    Yang Ou

    2014-01-01

    Full Text Available This paper is concerned with the problem of multilevel association rule mining for bridge resource management (BRM which is announced by IMO in 2010. The goal of this paper is to mine the association rules among the items of BRM and the vessel accidents. However, due to the indirect data that can be collected, which seems useless for the analysis of the relationship between items of BIM and the accidents, the cross level association rules need to be studied, which builds the relation between the indirect data and items of BRM. In this paper, firstly, a cross level coding scheme for mining the multilevel association rules is proposed. Secondly, we execute the immune genetic algorithm with the coding scheme for analyzing BRM. Thirdly, based on the basic maritime investigation reports, some important association rules of the items of BRM are mined and studied. Finally, according to the results of the analysis, we provide the suggestions for the work of seafarer training, assessment, and management.

  15. Visiting students work with professors to research water resources management issues

    OpenAIRE

    Davis, Lynn

    2009-01-01

    Undergraduate students visiting from universities across the continent, as well as one from Virginia Tech, are working with professors at Virginia Tech on individual research projects in a 10-week summer program that addresses issues related to sustainable management of water resources.

  16. 77 FR 40817 - Low-Level Radioactive Waste Regulatory Management Issues

    Science.gov (United States)

    2012-07-11

    ...-2011-0012] RIN-3150-AI92 Low-Level Radioactive Waste Regulatory Management Issues AGENCY: Nuclear... regulatory time of compliance for a low-level radioactive waste disposal facility, allowing licensees the... system, and revising the NRC's licensing requirements for land disposal of radioactive waste. DATES: The...

  17. Intervening: Managerial Issues and Challenges in an Educational Management Development Program.

    Science.gov (United States)

    Barrilleaux, Louis E.; Schermerhorn, John R., Jr.

    The literature on intervention theory tends to overlook the pragmatic managerial issues and challenges of intervening. This paper analyzes the formative period of a school management development program to establish crucial differences between the program director's espoused theory and the actual experience of the intervention. These differences…

  18. The benefit of issue management: anticipating crises in the digital age

    NARCIS (Netherlands)

    Strauβ, N.; Jonkman, J.

    2017-01-01

    Purpose The purpose of this paper is to find out how issue management and media monitoring is exercised in the digital age to anticipate crises. More specifically, it was investigated how these practices differ across communication professionals, organizations, and sectors in the Netherlands.

  19. Pathways to a Sustainable Future: A Curriculum Guide for Maine Schools Exploring Waste Management Issues.

    Science.gov (United States)

    Chewonki Foundation, Wiscasset, ME.

    This action guide is designed to help students and teachers become aware of the concepts and issues of waste management, and to motivate them to action in the classroom, school, home, and community. The guide emphasizes interdisciplinary activities that concentrate on the process of problem solving. Activities are identified by appropriate grade…

  20. An Analysis of Technological Issues Emanating from Faculty Transition to a New Learning Management System

    Science.gov (United States)

    Sanga, Mapopa William

    2016-01-01

    This case study investigated the process 119 faculty members underwent as they transitioned from using Desire to Learn (D2L) learning management system (LMS), to using Canvas LMS. Other than analyzing technological issues faculty members encountered while navigating various aspects of the Canvas interface, the study also analyzed technological…

  1. Long-term issues associated with spent nuclear power fuel management options

    International Nuclear Information System (INIS)

    Jae-Sol, Lee; Kosaku, Fukuda; Burcl, R.; Bell, M.

    2003-01-01

    Spent fuel management is perceived as one of the crucial issues to be resolved for sustainable utilisation of nuclear power. In the last decades, spent fuel management policies have shown diverging tendencies among the nuclear power production countries - a group has adhered to reprocessing- recycle and another has turned to direct disposal, while the rest of the countries have not taken decision yet, often with ''wait and see'' position. Both the closed and open fuel cycle options for spent fuel management have been subject to a number of debates with pros and cons on various issues such as proliferation risk, environmental impact, etc. The anticipation for better technical solutions that would mitigate those issues has given rise to the renewal of interest in partitioning and transmutation of harmful nuclides to be disposed of, and in a broader context, the recent initiatives for development of innovative nuclear systems. The current trend toward globalization of market economy, which has already brought important impacts on nuclear industry, might have a stimulating effect on regional-international co-operations for cost-effective efforts to mitigate some of those long-term issues associated with spent fuel management. (author)

  2. The Management of Multicampus Institutions: Some Conceptual Issues in Historical and Social Context.

    Science.gov (United States)

    Meek, Lynn

    1992-01-01

    Some ways of classifying multicampus universities in terms of administrative structure are examined and applied to Australian universities. Advantages and disadvantages of multicampus colleges are analyzed, and issues of management, governance, and authority are discussed. It is suggested that classification offers a point of departure for…

  3. Tourism and natural resource management: a general overview of research and issues.

    Science.gov (United States)

    Jeffrey D. Kline

    2001-01-01

    In recent years, growing awareness among tourism researchers of the relations between tourism and natural resource management has resulted in a substantial body of academic literature examining tourism issues under a relatively new set of tourism concepts. Seemingly new forms of tourism, such as nature-based tourism, ecotourism, and sustainable tourism, now are...

  4. Managing and developing key supplier relationships : An introduction to the special issue, discussion and implications

    NARCIS (Netherlands)

    Ivens, B.; van de Vijver, M.A.R.; Vos, G.C.J.M.

    2013-01-01

    This article provides an introduction to this special issue on managing and developing key supplier relationships. Key suppliers are increasingly seen as strategic assets of buying companies which need careful nurturing to fully utilize their potential for value creation. The six articles of this

  5. Special issue review of pollution prevention management within the Department of Energy, final report

    International Nuclear Information System (INIS)

    1994-08-01

    The Department of Energy's (DOE) national role and overall mission has been undergoing significant change. In the post-Cold War era, a new emphasis on cleaning up the wastes from the past has emerged. These changes provide both significant challenges as well as new opportunities for DOE. While the challenges may seem overwhelming as DOE realizes the magnitude of its environmental problems, its network of national laboratories and sites provide the resources to become a leader in environmental management through the development of new technologies and management practices. Because of the growing importance of pollution prevention in the United States and more specifically to DOE's environmental management strategy, the Office of Environmental Audit (EH-24) identified this as an area worthy of a Special Issue Review. A Special Issue Review is not an audit but rather an in-depth review of key environmental programs or activities which cut across organizational boundaries. The purpose of a Special Issue Review is to identify strengths and weaknesses of a program as well as significant crosscutting issues or challenges that are important to the future success of that program. The scope of the review included an assessment of pollution prevention program activities at Headquarters, selected operations offices, and selected sites offices and contractor organizations. All aspects of a pollution prevention program were considered including program strategy, infrastructure, management systems, and implementation practices. Also summarized are future pollution prevention challenges and recommendations

  6. Toward an Understanding of People Management Issues in SMEs: a South-Eastern European Perspective

    Science.gov (United States)

    Szamosi, Leslie T.; Duxbury, Linda; Higgins, Chris

    2004-01-01

    The focus of this paper is on developing an understanding, and benchmarking, human resource management HRM issues in small and medium enterprises SMEs in South-Eastern Europe. The importance of SMEs in helping transition-based economies develop is critical, but at the same time the research indicates that the movement toward westernized business…

  7. Teaching an Issues-Based Interdisciplinary Course: Diversity in Management and Marketing

    Science.gov (United States)

    Hazen, Mary Ann; Higby, Mary A.

    2005-01-01

    The authors examine their experiences of coteaching an intensive, interdisciplinary elective course for MBA students: Diversity in Management and Marketing. They address otherness, dialogue, energy, and change within this course and clarify issues that can arise when coteaching interdisciplinary courses. The authors list implications for…

  8. MANAGEMENT AND TREATMENT OF WATER FROM HARD-ROCK MINES {ENGINEERING ISSUE}

    Science.gov (United States)

    This Engineering Issue document on treatment of mining waters is a practical guide to understanding and selecting technologies for the environmental management of waste materials and effluents at hard-rock mines. For the purposes of this discussion, hard-rock mining primarily ref...

  9. The Identity Crisis. Security, Privacy and Usability Issues in Identity Management

    NARCIS (Netherlands)

    Alpár, G.; Hoepman, J.H.; Siljee, B.I.J.

    2011-01-01

    This paper studies the current "identity crisis" caused by the substantial security, privacy and usability shortcomings encountered in existing systems for identity management. Some of these issues are well known, while others are much less understood. This paper brings them together in a single,

  10. Managing and Mobilising Talent in Malaysia: Issues, Challenges and Policy Implications for Malaysian Universities

    Science.gov (United States)

    Azman, Norzaini; Sirat, Morshidi; Pang, Vincent

    2016-01-01

    The future of Malaysia as a high-income and competitive nation largely depends on its pool of highly skilled human capital. Hence, the issue of human capital development has taken centre stage in numerous reform agendas of Malaysia. This paper seeks to provide examples of policy initiatives aimed at facilitating the management of highly educated…

  11. Special Issue: Current Trends in Research in Accounting Finance and Management Control

    OpenAIRE

    Lassala, Carlos; Ripoll Feliu, Vicente

    2017-01-01

    On January 27, 2016, an agreement was signed with OmniaScience to select articles to be published in the journal Intangible Capital, in a special issue titled "Current Trends in Research in Accounting, Finance and Management Control." The agreement was reached within the framework of three events at the University of Valencia, from June 27 to 30, 2016: XXI Workshop on Accounting and Management Control. “Memorial Raymond Konopka”, X Iberoamerican Congress of Management Accounting, III  Int...

  12. Managing Government Property Assets: The Main Issues From The Malaysian Perspective

    Directory of Open Access Journals (Sweden)

    Shardy Abdullah

    2011-09-01

    Full Text Available The Malaysian federal government is largely responsible towards providing several facilities to the community. The development of various types of property assets which encompasses buildings and infrastructure such as office buildings, roads, bridges and others, has proved that the government is really committed in executing its responsibility. From time to time, the number of property assets that were developed by the government is increasing parallel with the government's desire to stabilize its service quality. Nevertheless, in managing those property assets, the government currently is facing a mixture of problems and pitfalls such as the increase of property management and maintenance costs, the occurrence of incompatible maintenance programs, underutilization of property, end-user dissatisfaction and others. Following this scenario, the study was done with the main objective is to determine the management factors that are hindering the implementation of property management activities. A total of 67 respondents from ministries and technical departments were selected. The data was collected through a survey using questionnaire forms. The collected data was then analyzed using quantitative approaches such as frequency analysis method, mean analysis, relative important index as well as others. Results from the analysis show that there are 5 main management issues in managing Malaysian government owned property assets. Those issues are lack of proper property unit/department within a ministry, lack of expertise, lack of proper strategies, lack of proper management procedure and lack of IT usage.

  13. Multidisciplinary Management of Spondyloarthritis-Related Immune-Mediated Inflammatory Disease.

    Science.gov (United States)

    Rizzello, Fernando; Olivieri, Ignazio; Armuzzi, Alessandro; Ayala, Fabio; Bettoli, Vincenzo; Bianchi, Luca; Cimino, Luca; Costanzo, Antonio; Cristaudo, Antonio; D'Angelo, Salvatore; Daperno, Marco; Fostini, Anna Chiara; Galeazzi, Mauro; Gilio, Michele; Gionchetti, Paolo; Gisondi, Paolo; Lubrano, Ennio; Marchesoni, Antonio; Offidani, Annamaria; Orlando, Ambrogio; Pugliese, Daniela; Salvarani, Carlo; Scarpa, Raffaele; Vecchi, Maurizio; Girolomoni, Giampiero

    2018-04-01

    Immune-mediated inflammatory diseases (IMIDs) are chronic autoimmune conditions that share common pathophysiologic mechanisms. The optimal management of patients with IMIDs remains challenging because the coexistence of different conditions requires the intervention of several specialists. The aim of this study was to develop a series of statements defining overarching principles that guide the implementation of a multidisciplinary approach for the management of spondyloarthritis (SpA)-related IMIDs including SpA, psoriasis, psoriatic arthritis, Crohn's disease, ulcerative colitis and uveitis. A Delphi consensus-based approach was used to identify a core set of statements. The process included development of initial questions by a steering committee, an exhaustive search of the literature using complementary approaches to identify potential statements and two Delphi voting rounds for finalization of the statements. Consensus was achieved on the related nature of IMIDs, the existence of a high prevalence of multiple IMIDs in a single patient and the fact that a multidisciplinary approach can result in a more extensive evaluation and comprehensive approach to treatment. The goals of a multidisciplinary team should be to increase diagnosis of concomitant IMIDs, improve the decision-making process, and increase patient satisfaction and adherence. Early referral and diagnosis, early recognition of concomitant IMIDs and optimizing treatment to improve patient quality of life are some of the advantages of using multidisciplinary teams. To be effective, a multidisciplinary team should be equipped with the appropriate tools for diagnosis and follow-up, and at a minimum the multidisciplinary team should include a dermatologist, gastroenterologist and rheumatologist; providing psychologic support via a psychologist and involving an ophthalmologist, general practitioners and nurses in multidisciplinary care is also important. The present Delphi consensus identified a set of

  14. Choosing Pre-conception Planning for Women/Families: Counselling and Informed Consent (Part 2) - Pre-conception Reproductive Planning, Lifestyle, Immunization, and Psychosocial Issues.

    Science.gov (United States)

    Wilson, R Douglas

    2017-12-06

    To inform reproductive and other health care providers about pre-conception evaluation, including considerations for reproductive planning, lifestyle modification, immunization status and attitudes, and psychosocial issues. This counselling information can be used for patient education and planning and possible pre-conception and/or prenatal testing. This information may allow for improved risk assessment when pre-conception counselling for individual patients and their families is used. CONSIDERATIONS FOR PRE-CONCEPTION CARE (PART 2) REGARDING PRE-CONCEPTION REPRODUCTIVE PLANNING, LIFESTYLE, IMMUNIZATIONS, AND PSYCHOSOCIAL ISSUES: CONSIDERATION FOR CARE STATEMENTS: For this review article, the Consideration for Care Statements use the Grading of Recommendations, Assessment, Development and Evaluations strength and quality principles because they are comparable for the clinician and the patient/public user. For example, "Strong" for clinicians is defined as "the recommendation would apply to most individuals. Formal discussion aids are not likely to be needed to help individuals make decisions consistent with their values and preferences." For patients/the public, "Strong" is defined as, "we believe most people in this situation would want the recommended course of actions and only a small number would not." Quality of evidence (High, Moderate, Low) is based on the confidence that the true effect lies close to that of the estimate of the effect. In addition, the Canadian Task Force on Preventive Health Care key to evidence statements and grading of recommendations are included. PubMed, Medline, and the Cochrane Database were searched until May 2017, using appropriate key words (i.e., preconception, reproductive planning, lifestyle modification, immunization risks and benefits, psychosocial pregnancy factors/issues). Grey (unpublished) literature was identified through searching websites of health technology assessment and health technology assessment

  15. The international emergency management society conference 1997. National and international issues concerning research and applications

    International Nuclear Information System (INIS)

    Andersen, V.; Hansen, V.

    1997-01-01

    The International Emergency Management Society (TIEMS) is a non-profit organisation that aims to bring together users, planners, researchers, managers, technicians, response personell, and other interested emergency management parties to learn, teach, and exchange experience, knowledge, and ideas about how information management tools can be used to avoid, mitigate, and recover from disasters and other emergencies; and consequently, how the use of information management methods and technologies may improve efficiency in emergency management. TIEMS'97 is the fourth conference in the sequence of conferences. The conferences emphasise the major goal of TIEMS: to bring together people with diverse backgrounds but who share a dedication to improve emergency management. In the discussions, formal and informal, at the conferences, nuclear scientists listen to psychologists, sociologists share ideas with engineers, and practitioners discuss emergency management issues with scientists. In recent years we have experienced a tremendous advancement in information and communication technologies and, consequently, increased the possibilities in coping with emergency situations. At the same time the management of emergency situations has typically become more complex due to the increased complexity of industrial plants which are often the sources of manmade catastrophes. Besides the aspects normally covered in the TIEMS conferences, such as decision support, modelling, handling of man-made or natural disasters, training, etc., this conference has been enhanced by including aspects involving medical car and economic constraints. (EG)

  16. Antiradiation UV Vaccine: UV Radiation, Biological effects, lesions and medical management - immune-therapy and immune-protection.

    Science.gov (United States)

    Popov, Dmitri; Jones, Jeffrey; Maliev, Slava

    Key Words: Ultraviolet radiation,Standard Erythema Dose(SED), Minimal Erythema Dose(MED), Sun Burns, Solar Dermatitis, Sun Burned Disease, DNA Damage,Cell Damage, Antiradiation UV Vaccine, Immune-Prophylaxis of Sun Burned Diseases, Immune-Prophylaxis of Sun Burns, Immune-Therapy of Sun-Burned Disease and Sun Burns,Basal Cell Carcinoma (BCC), Squamous Cell Carcinoma (SCC), Toxic Epidermal Necrolysis(TEN). Introduction: High doses of UV generated by solar source and artificial sources create an exposure of mammals and other species which can lead to ultraviolet(UV)radiation- associated disease (including erythema, epilation, keratitis, etc.). UV radiation belongs to the non-ionizing part of the electromagnetic spectrum and ranges between 100 nm and 400 nm with 100 nm having been chosen arbitrarily as the boundary between non-ionizing and ionizing radiation, however EMR is a spectrum and UV can produce molecular ionization. UV radiation is conventionally categorized into 3 areas: UV-A (>315-400 nm),UV-B (>280-315 nm)and UV-C (>100-280 nm) [IARC,Working Group Reports,2005] An important consequence of stratospheric ozone depletion is the increased transmission of solar ultraviolet (UV)radiation to the Earth's lower atmosphere and surface. Stratospheric ozone levels have been falling, in certain areas, for the past several decades, so current surface ultraviolet-B (UV-B) radiation levels are thought to be close to their modern day maximum. [S.Madronich et al.1998] Overexposure of ultraviolet radiation a major cause of skin cancer including basal cell carcinoma (BCC), squamous cell carcinoma (SCC) { collectively referred to as “non-melanoma" skin cancer (NMSC) and melanoma as well, with skin cancers being the most common cancer in North America. [Armstrong et al. 1993, Gallagher et al. 2005] Methods and Experimental Design: Our experiments and testing of a novel UV “Antiradiation Vaccine” have employed a wide variety of laboratory animals which include : Chinchilla

  17. Exploring Content Management Issues in Air Force On-Line Communities of Practice: A Multiple Case Study Approach

    National Research Council Canada - National Science Library

    Jaime

    2004-01-01

    .... Addressing existing or potential content management issues will help do so. This multiple-case study research observed and interviewed managers and members of eight active CoPs busted by AFMC/DRW...

  18. Integrated systems for NGS data management and analysis: open issues and available solutions

    Directory of Open Access Journals (Sweden)

    Valerio eBianchi

    2016-05-01

    Full Text Available Next-generation sequencing (NGS technologies have deeply changed our understanding of cellular processes by delivering an astonishing amount of data at affordable prices; nowadays, many biology laboratories have already accumulated a large number of sequenced samples. However, managing and analyzing these data poses new challenges, which may easily be underestimated by research groups devoid of IT and quantitative skills. In this perspective, we identify five issues that should be carefully addressed by research groups approaching NGS technologies. In particular, the five key issues to be considered concern: 1 adopting a laboratory management system (LIMS and safeguard the resulting raw data structure in downstream analyses; 2 monitoring the flow of the data and standardizing input and output directories and file names, even when multiple analysis protocols are used on the same data; 3 ensuring complete traceability of the analysis performed; 4 enabling non-experienced users to run analyses through a graphical user interface (GUI acting as a front-end for the pipelines; 5 relying on standard metadata to annotate the datasets, and when possible using controlled vocabularies, ideally derived from biomedical ontologies. Finally, we discuss the currently available tools in the light of these issues, and we introduce HTS-flow, a new workflow management system (WMS conceived to address the concerns we raised. HTS-flow is able to retrieve information from a LIMS database, manages data analyses through a simple GUI, outputs data in standard locations and allows the complete traceability of datasets, accompanying metadata and analysis scripts.

  19. Clarifying the Management Role in Dealing with Employees Personal Issues in the Lebanese Organizations

    Directory of Open Access Journals (Sweden)

    Abdallah Kamal Eldine

    2017-06-01

    Full Text Available The majority of workers have many occasional difficulties that sometimes become a problem affecting the worker’s performance. When this will repeatedly fail to meet expectations, a serious problem may become the main reason which contributes to the job decline. Therefore, a pattern of reduced performance indicates the need for a supervisory action from managers. Poor performance could be reflected under three main categories, such as employee availability, employee productivity, and employee conduct. The reasons and causes of this poor performance could be a personal issue related to the employee. Many types of personal problems are affecting the job performance in organizations, such as marital strife, financial difficulties and child care complication. More serious difficulties and the abuse of these problems-if not resolved-may cause unending issues at work. This problem is highly important especially that it can affect the job performance and the company income. Moreover, it can simply result in the failure of the employee to meet the performance standards, which kills productivity. The purpose of this qualitative exploratory phenomenological study is to clarify the management role in dealing with employees personal issues in the Lebanese organizations as perceived by the lived experience of managers. The research instrument which will be used is a face-to-face structured interview with six managers of the major functions in different Lebanese organizations. The sample type will be by convenience.

  20. Enhancing chronic disease management: a review of key issues and strategies.

    Science.gov (United States)

    Willison, Kevin D; Williams, Paul; Andrews, Gavin J

    2007-11-01

    This paper highlights three selected issues and potential strategies towards meeting chronic disease management needs. First, the orientation of the biomedical science model often gives insufficient attention to chronic health care needs. A second issue is that the use of complementary and alternative medicine (CAM) may offer for some an opportunity to enhance their chronic disease management efforts. A third issue is that our understanding of this potential is limited, as many who use CAM do not disclose such use. With reference to proposed solutions/strategies, first, an improved focus to respect patient/client values and goals may encourage people to disclose their use of CAM. Second, a community-based participatory approach shows promise in enhancing communication plus helps integrate CAM within new models of chronic disease management. Lastly, those in public health could help facilitate such an approach plus be a monitor of CAM practices. Overall, this review provides a springboard for further research and practice in CAM and the management of chronic diseases.

  1. Education in Radioactive Waste Management: Issues of science, technology and society

    International Nuclear Information System (INIS)

    James, E.O.

    1993-01-01

    Public acceptance of matters relating to radioactive waste management can properly be sought through education, but what are the particulars to be considered and what is the strategy for success? The issues of science, technology and society which must be addressed are explored here and seen to be inextricably related, so that none of them can gain adequate attention except it be presented in the context of the others. Such issues include the concept of acceptable levels of risk, which must become familiar and applied with no greater severity to the nuclear industry than to other aspects of life

  2. Inter-regional Knowledge Management Workshop on Life-cycle Management of Design Basis Information – Issues, Challenges, Approaches. Presentations

    International Nuclear Information System (INIS)

    2013-01-01

    This Workshop had a strategic focus on identifying and clarifying long-term issues and objectives related to our collective responsibilities to ensure that both existing nuclear facilities and future new build projects properly address life-cycle management of plant design basis knowledge (i.e. from design to decommissioning). The workshop attempted to bring together key stakeholders and build a better collective understanding, recognizing that very different perspectives exist and there are a wide range of national contexts and approaches. The various issues and challenges related to this topic and facing the nuclear energy sector both today and in the long-term were discussed in a senior management context and at strategic level

  3. Nurse managers' experience with ethical issues in six government hospitals in Malaysia: a cross-sectional study.

    Science.gov (United States)

    Musa, Maizura binti; Harun-Or-Rashid, M D; Sakamoto, Junichi

    2011-11-16

    Nurse managers have the burden of experiencing frequent ethical issues related to both their managerial and nursing care duties, according to previous international studies. However, no such study was published in Malaysia. The purpose of this study was to explore nurse managers' experience with ethical issues in six government hospitals in Malaysia including learning about the way they dealt with the issues. A cross-sectional study was conducted in August-September, 2010 involving 417 (69.2%) of total 603 nurse managers in the six Malaysian government hospitals. Data were collected using three-part self-administered questionnaire. Part I was regarding participants' demographics. Part II was about the frequency and areas of management where ethical issues were experienced, and scoring of the importance of 11 pre-identified ethical issues. Part III asked how they dealt with ethical issues in general; ways to deal with the 11 pre-identified ethical issues, and perceived stress level. Data were analyzed using descriptive statistics, cross-tabulations and Pearson's Chi-square. A total of 397 (95.2%) participants experienced ethical issues and 47.2% experienced them on weekly to daily basis. Experiencing ethical issues were not associated with areas of practice. Top area of management where ethical issues were encountered was "staff management", but "patient care" related ethical issues were rated as most important. Majority would "discuss with other nurses" in dealing generally with the issues. For pre-identified ethical issues regarding "patient care", "discuss with doctors" was preferred. Only 18.1% referred issues to "ethics committees" and 53.0% to the code of ethics. Nurse managers, regardless of their areas of practice, frequently experienced ethical issues. For dealing with these, team-approach needs to be emphasized. Proper understanding of the code of ethics is needed to provide basis for reasoning.

  4. Managing heat and immune stress in athletes with evidence-based strategies.

    Science.gov (United States)

    Pyne, David B; Guy, Joshua H; Edwards, Andrew M

    2014-09-01

    Heat and immune stress can affect athletes in a wide range of sports and environmental conditions. The classical thermoregulatory model of heat stress has been well characterized, as has a wide range of practical strategies largely centered on cooling and heat-acclimation training. In the last decade evidence has emerged of an inflammatory pathway that can also contribute to heat stress. Studies are now addressing the complex and dynamic interplay between hyperthermia, the coagulation cascade, and a systemic inflammatory response occurring after transient damage to the gastrointestinal tract. Damage to the intestinal mucosal membrane increases permeability, resulting in leakage of endotoxins into the circulation. Practical strategies that target both thermoregulatory and inflammatory causes of heat stress include precooling; short-term heat-acclimation training; nutritional countermeasures including hydration, energy replacement, and probiotic supplementation; pacing strategies during events; and postevent cooling measures. Cooperation between international, national, and local sporting organizations is required to ensure that heat-management policies and strategies are implemented effectively to promote athletes' well-being and performance.

  5. Optimizing reactive responses to outbreaks of immunizing infections: balancing case management and vaccination.

    Directory of Open Access Journals (Sweden)

    Petra Klepac

    Full Text Available For vaccine-preventable infections, immunization generally needs to be supplemented by palliative care of individuals missed by the vaccination. Costs and availability of vaccine doses and palliative care vary by disease and by region. In many situations, resources for delivery of palliative care are independent of resources required for vaccination; however we also need to consider the conservative scenario where there is some trade-off between efforts, which is of potential relevance for resource-poor settings. We formulate an SEIR model that includes those two control strategies--vaccination and palliative care. We consider their relative merit and optimal allocation in the context of a highly efficacious vaccine, and under the assumption that palliative care may reduce transmission. We investigate the utility of a range of mixed or pure strategies that can be implemented after an epidemic has started, and look for rule-of-thumb principles of how best to reduce the burden of disease during an acute outbreak over a spectrum of vaccine-preventable infections. Intuitively, we expect the best strategy to initially focus on vaccination, and enhanced palliative care after the infection has peaked, but a number of plausible realistic constraints for control result in important qualifications on the intervention strategy. The time in the epidemic when one should switch strategy depends sensitively on the relative cost of vaccine to palliative care, the available budget, and R0. Crucially, outbreak response vaccination may be more effective in managing low-R0 diseases, while high R0 scenarios enhance the importance of routine vaccination and case management.

  6. Common Issues Seen in Paediatric Diabetes Clinics, Psychological Formulations, and Related Approaches to Management

    Directory of Open Access Journals (Sweden)

    Asma Deeb

    2018-01-01

    Full Text Available Diabetes is a chronic disease and its management is associated with multiple challenges. This is particularly the case in children and adolescents. Factors that contribute to difficulties in managing diabetes in youth include psychological characteristics, family dynamics, and social behavior. The purpose of this article is to highlight some psychological issues in children and adolescents with diabetes. We aim to present selected case scenarios encountered by health professionals and to provide tips on strategies for managing psychological aspect of diabetes. We tackle the psychological issues related to diabetes under four main categories: maladaptive disorders, eating disorders, family psychopathology, and family dysfunction. Psychotherapy and psychoanalysis are useful modalities in diabetes management. The psychological intervention is aimed at supporting patients and families to reach a balance between a normal family routine and a good glycemic control. We demonstrate unique requirements in coordinating care for children and adolescents with diabetes and highlight the importance of encouraging a positive behavior. Managing diabetes in children and adolescents needs to be in the form of a collaborative work between health care professionals, children and adolescents, and their families. Caring, supportive family backed up by experienced multidisciplinary team is the best approach to prevent psychological difficulties.

  7. Common Issues Seen in Paediatric Diabetes Clinics, Psychological Formulations, and Related Approaches to Management.

    Science.gov (United States)

    Deeb, Asma; Akle, Mariette; Al Ozairi, Abdulla; Cameron, Fergus

    2018-01-01

    Diabetes is a chronic disease and its management is associated with multiple challenges. This is particularly the case in children and adolescents. Factors that contribute to difficulties in managing diabetes in youth include psychological characteristics, family dynamics, and social behavior. The purpose of this article is to highlight some psychological issues in children and adolescents with diabetes. We aim to present selected case scenarios encountered by health professionals and to provide tips on strategies for managing psychological aspect of diabetes. We tackle the psychological issues related to diabetes under four main categories: maladaptive disorders, eating disorders, family psychopathology, and family dysfunction. Psychotherapy and psychoanalysis are useful modalities in diabetes management. The psychological intervention is aimed at supporting patients and families to reach a balance between a normal family routine and a good glycemic control. We demonstrate unique requirements in coordinating care for children and adolescents with diabetes and highlight the importance of encouraging a positive behavior. Managing diabetes in children and adolescents needs to be in the form of a collaborative work between health care professionals, children and adolescents, and their families. Caring, supportive family backed up by experienced multidisciplinary team is the best approach to prevent psychological difficulties.

  8. Doing Projects in a Foreign Language — Communications Management, Issues and Strategies

    Science.gov (United States)

    Xian, Deling

    The Qinghai Salt Lake Industry Co. Ltd. (QSLIC) smelter project involves a Chinese state-owned client, a Canadian engineering company, their American technology partner, several Chinese design institutes and international vendors. Proper technical communication plays an important role during the development of a project in a foreign language and across cultures. Using the QSLIC project as an example, this paper presents the role of Communications Manager and personal qualifications required, as well as technical communications management, issues and strategies, lessons learnt while doing smelter projects in China and Chinese business culture and etiquette.

  9. Selected Topics on Managing Complexity and Information Systems Engineering: Editorial Introduction to Issue 8 of CSIMQ

    Directory of Open Access Journals (Sweden)

    Peter Forbrig

    2016-10-01

    Full Text Available Business process models greatly contribute to analyze and understand the activities of enterprises. However, it is still a challenge to cope with the complexity of systems specifications and their requirements. This issue of the journal of Complex Systems Informatics and Modeling (CSIMQ presents papers that discuss topics on managing complexity and information systems engineering. The papers are extended versions of selected papers from the workshop on Continuous Requirements Engineering held at the requirements engineering conference REFSQ 2016 in Gothenburg, the workshop on Managed Complexity held at the business informatics conference BIR 2016 in Prague, and the CAiSE 2016 Forum held in Ljubljana.

  10. Issues in the Relationship between Theory and Practice in Management Accounting

    DEFF Research Database (Denmark)

    Baldvinsdottir, Gudrun; Mitchell, Falconer; Nørreklit, Hanne

    2010-01-01

    In recent decades the interest of academic researchers in the practical aspects of management accounting has waned. This editorial explores some of the reasons of this development. Over the past few decades we have witnessed the establishment of management accounting in academia as a social science....... This has increased the credibility of the accounting academics. However, it has also meant that academic researchers have neglected the technical core of their discipline and its problems and issues which have a direct practical relevance. It is concluded that there is a need for academic researchers...

  11. International conference on issues and trends in radioactive waste management. Contributed papers

    International Nuclear Information System (INIS)

    2002-01-01

    This publication contains 78 contributed papers submitted on issues falling within the thematic scope of the Conference which were accepted by the Conference Programme Committee for consideration at the conference. The papers are grouped into the following chapters: control of discharges, environmental aspects; long-term storage; geological disposal; management of radioactive waste, including sealed sources; management of radioactive waste from past eras; regulatory infrastructure, decision making, stakeholders; retention of information, long-term control, standards; specific studies; and international co-operative efforts. Each of the papers was indexed separately

  12. International conference on issues and trends in radioactive waste management. Contributed papers

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    This publication contains 78 contributed papers submitted on issues falling within the thematic scope of the Conference which were accepted by the Conference Programme Committee for consideration at the conference. The papers are grouped into the following chapters: control of discharges, environmental aspects; long-term storage; geological disposal; management of radioactive waste, including sealed sources; management of radioactive waste from past eras; regulatory infrastructure, decision making, stakeholders; retention of information, long-term control, standards; specific studies; and international co-operative efforts. Each of the papers was indexed separately.

  13. Issues and Tensions in Island Heritage Management: A Case Study of Motuihe Island, New Zealand

    Directory of Open Access Journals (Sweden)

    David Bade

    2010-05-01

    Full Text Available This paper draws on a New Zealand case study, Motuihe Island, to examine the challenges of conserving cultural heritage in places renowned for natural heritage values. In keeping with the broader trend toward the ecological restoration of islands close to Auckland, Motuihe Island is undergoing conversion into an ecosystem of native flora and fauna. Issues and tensions relating to the management of natural and cultural heritage will be discussed and influencing aspects investigated: the nature/culture dualism, the effect of New Zealand’s history and identity, and the influence of islandness on heritage management.

  14. A site specific approach to life cycle managment of labour rights issues

    DEFF Research Database (Denmark)

    Dreyer, Louise Camilla

    not beyond dismissing suppliers and sub-contractors located in high risk environments. Balancing feasibility on one hand and reliability and relevance of results on the other hand is the challenge for a Social LCA method supporting life cycle management. This presentation offers a toolbox for prioritisation...... issues in the product chain through dialogue and partnership. The presented work is based on 5 years of research and practical CSR work in a globally operating Danish Corporation.......It can be observed from companies’ public sustainability commitments and increasing participation in voluntary social responsibility or accountability initiatives like Global Compact and ISO26000 or certification schemes like SA8000 that management of labour rights issues in the product chain...

  15. Using the Collective Wisdom of Frontline Employees in Strategic Issue Management

    DEFF Research Database (Denmark)

    Lund Pedersen, Carsten

    The field of strategic management has long alluded to the idea that lower-level employees immersed in the day-to-day business have experiential insights of potential strategic value. This line of thought has predominantly been supported by anecdotal evidence and explored in meticulous case studies...... to uncover the evolutionary traits of autonomous ventures. In a related vein, studies of ‘strategic issue management’ (SIM) tried to uncover organizational processes to identify emerging issues in volatile environments and devise proper strategic responses. These conceptual models were introduced in the very...... first volume of ‘Strategic Management Journal’, but little empirical research has since tried to develop the conception of SIM. An underlying research aim of this dissertation is to address and bridge these two literature streams, honing the idea of utilizing the collective wisdom possessed by frontline...

  16. Contemporary management of locally advanced rectal cancer: Resolving issues, controversies and shifting paradigms.

    Science.gov (United States)

    Nacion, Aeris Jane D; Park, Youn Young; Kim, Nam Kyu

    2018-02-01

    Advancements in rectal cancer treatment have resulted in improvement only in locoregional control and have failed to address distant relapse, which is the predominant mode of treatment failure in rectal cancer. As the efficacy of conventional chemoradiotherapy (CRT) followed by total mesorectal excision (TME) reaches a plateau, the need for alternative strategies in locally advanced rectal cancer (LARC) has grown in relevance. Several novel strategies have been conceptualized to address this issue, including: 1) neoadjuvant induction and consolidation chemotherapy before CRT; 2) neoadjuvant chemotherapy alone to avoid the sequelae of radiation; and 3) nonoperative management for patients who achieved pathological or clinical complete response after CRT. This article explores the issues, recent advances and paradigm shifts in the management of LARC and emphasizes the need for a personalized treatment plan for each patient based on tumor stage, location, gene expression and quality of life.

  17. Resolving legal issues in the transfer of technologies in environmental restoration and waste management

    International Nuclear Information System (INIS)

    Katz, J.; Richards, F. III; Underwood, J.P.

    1994-01-01

    In reforming its contracting and procurement processes, the Department of Energy (DOE) should also make reforms to facilitate the transfer and commercialization of environmental restoration and waste management technologies between DOE laboratories and the private sector. These reforms would address the three related legal issues of patents, conflict of interest, and liability. This paper discusses each issue and considers possible solutions to them. These solutions include contractual clauses to specifically address the needs of all involved parties, improved definition of development and implementation rights, and increased protections for contractors. If DOE, or the Federal Government more generally, successfully resolves these issues and makes the appropriate changes to the DOE procurement system, transfer and commercialization will more efficiently, effectively, and easily occur

  18. Daylight Management in Mediterranean Cities: When Shortage Is Not the Issue

    OpenAIRE

    Judit Lopez-Besora; Glòria Serra-Coch; Helena Coch; Antonio Isalgue

    2016-01-01

    Natural resources such as daylight and sunlight are highly appreciated in countries with prevailing overcast skies. Taking advantage of this scarce resource contributes to saving energy on artificial lighting. In contrast to northern, southern European cities are distinguished by a large number of days with direct sunlight caused by a propitious climate condition. While it is a positive issue in terms of energy availability, the abundance of it can be counterproductive if management measures ...

  19. Social, ethical and moral issues in the implementation of radioactive waste management objectives

    International Nuclear Information System (INIS)

    Abrahamson, D.E.

    1976-01-01

    To date, the management of nuclear waste has included sizable releases to the environment. The economic result of these releases is opposed by the ethical issue. Questions of who will be responsible for the wastes are asked. The danger of trusting the experts is pointed out: information is withheld, data are suppressed, etc. The nuclear industry needs to restore confidence, but restoring competence must come first

  20. Emergency management in health: key issues and challenges in the UK.

    Science.gov (United States)

    Lee, Andrew C K; Phillips, Wendy; Challen, Kirsty; Goodacre, Steve

    2012-10-19

    Emergency planning in the UK has grown considerably in recent years, galvanised by the threat of terrorism. However, deficiencies in NHS emergency planning were identified and the evidence-base that underpins it is questionable. Inconsistencies in terminologies and concepts also exist. Different models of emergency management exist internationally but the optimal system is unknown. This study examines the evidence-base and evidence requirements for emergency planning in the UK health context. The study involved semi-structured interviews with key stakeholders and opinion leaders. Purposive sampling was used to obtain a breadth of views from various agencies involved in emergency planning and response. Interviews were then analysed using a grounded approach using standard framework analysis techniques. We conducted 17 key informant interviews. Interviewees identified greater gaps in operational than technical aspects of emergency planning. Social and behavioural knowledge gaps were highlighted with regards to how individuals and organisations deal with risk and behave in emergencies. Evidence-based approaches to public engagement and for developing community resilience to disasters are lacking. Other gaps included how knowledge was developed and used. Conflicting views with regards to the optimal configuration and operation of the emergency management system were voiced. Four thematic categories for future research emerged:(i) Knowledge-base for emergency management: Further exploration is needed of how knowledge is acquired, valued, disseminated, adopted and retained.(ii) Social and behavioural issues: Greater understanding of how individuals approach risk and behave in emergencies is required.(iii) Organisational issues in emergencies: Several conflicting organisational issues were identified; value of planning versus plans, flexible versus standardized procedures, top-down versus bottom-up engagement, generic versus specific planning, and reactive versus

  1. Producer responsibility for e-waste management: key issues for consideration - learning from the Swiss experience.

    Science.gov (United States)

    Khetriwal, Deepali Sinha; Kraeuchi, Philipp; Widmer, Rolf

    2009-01-01

    E-waste, a relatively recent addition to the waste stream in the form of discarded electronic and electric equipment, is getting increasing attention from policy makers as the quantity being generated is rising rapidly. One of the most promising policy options to address this issue is to extend the producers responsibility for their products beyond the point of sale, until end-of-product-life. This paper briefly introduces the concept of extended producer responsibility (EPR) and its applicability in the area of the end-of-life management of electronic and electrical equipment (EEE). It then examines the decade-long experience of Switzerland in using EPR to manage its e-waste, elaborating on the experience of the Swiss system in overcoming specific issues, and finally wrapping up with a synopsis of the lessons for policy makers. We consider each issue as an enquiry of questions confronting a policy maker and the choices that may present themselves. The five issues discussed are: (i) the challenges in getting an EPR based system started; (ii) securing financing to ensure a self-sustaining and smooth functioning system; (iii) organising a logistics network for the take back and collection of the e-waste; (iv) ensuring compliance of the various actors involved; and finally (v) reducing the threat of monopolistic practices.

  2. Too many crying babies: a systematic review of pain management practices during immunizations on YouTube

    Science.gov (United States)

    2014-01-01

    Background Early childhood immunizations, although vital for preventative health, are painful and too often lead to fear of needles. Effective pain management strategies during infant immunizations include breastfeeding, sweet solutions, and upright front-to-front holding. However, it is unknown how often these strategies are used in clinical practice. We aimed to review the content of YouTube videos showing infants being immunized to ascertain parents’ and health care professionals’ use of pain management strategies, as well as to assess infants’ pain and distress. Methods A systematic review of YouTube videos showing intramuscular injections in infants less than 12 months was completed using the search terms "baby injection" and "baby vaccine" to assess (1) the use of pain management strategies and (2) infant pain and distress. Pain was assessed by crying duration and pain scores using the FLACC (Face, Legs, Activity, Cry, Consolability) tool. Results A total of 142 videos were included and coded by two trained individual viewers. Most infants received one injection (range of one to six). Almost all (94%) infants cried before or during the injections for a median of 33 seconds (IQR = 39), up to 146 seconds. FLACC scores during the immunizations were high, with a median of 10 (IQR = 3). No videos showed breastfeeding or the use of sucrose/sweet solutions during the injection(s), and only four (3%) videos showed the infants being held in a front-to-front position during the injections. Distraction using talking or singing was the most commonly used (66%) pain management strategy. Conclusions YouTube videos of infants being immunized showed that infants were highly distressed during the procedures. There was no use of breastfeeding or sweet solutions and limited use of upright or front-to-front holding during the injections. This systematic review will be used as a baseline to evaluate the impact of future knowledge translation interventions using

  3. Through the Eyes of Higher Education Attorneys: How Department Chairs Are Navigating the Waters of Legal Issues and Risk Management

    Science.gov (United States)

    Hustoles, Carol L. J.

    2012-01-01

    Legal and risk management issues substantially impact the operations of colleges and universities, which face escalating compliance requirements in an increasingly litigious environment. Failing to assess legal liability issues and to constructively address them with risk management processes create vulnerability to claims and litigation,…

  4. Safeguards issues of long-term waste management at DOE sites

    International Nuclear Information System (INIS)

    Pillay, K.K.S.

    1992-06-01

    Waste management at US Department of Energy (DOE) sites is not often regarded as a safeguard-sensitive step in the nuclear fuel cycle because the material concerned is relatively unattractive for diversion or theft. However, the accumulation of large amounts of fissile materials in wastes over a period of time can be a safeguards concern. One estimate shows that high-level and transuranic wastes and some miscellaneous radioactive materials at DOE sites may contain as much as 15 Mt of fissile materials. In the context of present US strategies for the disposal of these radioactive wastes, this study identifies safeguards issues relevant to proposed scenarios for the long-term management and permanent disposal of the above-mentioned waste forms in geologic repositories. This study points out areas of concern and the need to examine the issues before the wastes are processed for geologic disposal. Good waste management practices may offer unique opportunities to address the safeguards issues identified here. A judicious approach to examining the safeguards requirements of waste disposal programs may also contribute to DOE's new effort to establish and maintain public confidence in its environmental restoration programs

  5. Interregional Knowledge Management Workshop on Life Cycle Management of Design Basis Information. Issues, Challenges, Approaches

    International Nuclear Information System (INIS)

    Šula, Radek

    2013-01-01

    Introduction and objectives: • It is evident that the design basis area is from the point of view of knowledge sharing extremely complicated. • Time is changing and puts on us ever greater demands. • We have to analyze the near and remote surroundings and have to simplified the problem of knowledge sharing in that area. • I believe that it is graspable task for knowledge management and I will try to outline some possible context and approaches

  6. Modern approaches for management of the refractory immune thrombocytopenia in pregnancy

    Directory of Open Access Journals (Sweden)

    Davydova Iu.

    2017-01-01

    Full Text Available Background. Thrombocytopenia per se is one of the hematological diseases, which demands the repeated thrombocytes infusion. The last tendencies in the management of this disease show the enhanced amount of the necessary thrombocytes doses for treatment and the worldwide trend for the declining of donors. Considerably to these facts the new approaches for the thrombocytopenia treatment have been organized within last two decades. One of them is the finding of the safe, appropriate and effective growth factor for platelets, which could significantly improve the level of thrombocytes. The article describes the case of refractory ITP management in pregnancy. ITP diagnosed at 26 weeks of gestation, the platelet number at the time of diagnostics 20000. The other bone marrow disorders excluded by bone marrow biopsy. The in-patient of the High Risk Pregnancy Department (Obstetric Issues of the Extragenital Pathology from the 28 weeks of pregnancy. Modern approaches for treatment of ITP was describe in the article. Pregnant received therapy according to the latest guidelines. Delivery in term of 33–34 weeks. Integrated treatment of thrombocytopenia. Conclusions. The refractory ITP is a rare disease and could be occasionally seen during pregnancy, but the hemorrhagic complications could be extremely harmful for both mother and child and demand the preterm pregnancy termination. The management of refractory ITP during pregnancy should be performed according to the International recommendations for the thrombocytopenia treatment with all the reserve of the medications. The positive result of the ITP management and perinatal and obstetric outcomes has been achieved through the use of the entire arsenal of drugs, correct tactics of delivery with hemorrhage prevention be using the 4 T strategy and the adequate doses of the tranexamic acid (sangera and rhTPO (Emaplug (Yuriya-Farm, Ukraine. It was the first implementation of the subcutaneous rhTPO in

  7. A qualitative study exploring issues related to medication management in residential aged care facilities

    Directory of Open Access Journals (Sweden)

    Ahmad Nizaruddin M

    2017-11-01

    Full Text Available Mariani Ahmad Nizaruddin, Marhanis-Salihah Omar, Adliah Mhd-Ali, Mohd Makmor-Bakry Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Background: Globally, the population of older people is on the rise. As families are burdened with the high cost of care for aging members, demand is increasing for medical care and nursing homes. Thus, medication management is crucial to ensure that residents in a care center benefit and assist the management of the care center in reducing the burden of health care. This study is aimed to qualitatively explore issues related to medication management in residential aged care facilities (RACFs.Participants and methods: A total of 11 stakeholders comprising health care providers, administrators, caretakers and residents were recruited from a list of registered government, nongovernmental organization and private RACFs in Malaysia from September 2016 to April 2017. An exploratory qualitative study adhering to Consolidated Criteria for Reporting Qualitative Studies was conducted. In-depth interview was conducted with consent of all participants, and the interviews were audio recorded for later verbatim transcription. Observational analysis was also conducted in a noninterfering manner.Results and discussion: Three themes, namely medication use process, personnel handling medications and culture, emerged in this study. Medication use process highlighted an unclaimed liability for residents’ medication by the RACFs, whereas personnel handling medications were found to lack sufficient training in medication management. Culture of the organization did affect the medication safety and quality improvement. The empowerment of the residents in their medication management was limited. There were unclear roles and responsibility of who manages the medication in the nongovernment-funded RACFs, although they were well structured in the private nursing homes.Conclusion: There are important issues

  8. A qualitative study exploring issues related to medication management in residential aged care facilities.

    Science.gov (United States)

    Ahmad Nizaruddin, Mariani; Omar, Marhanis-Salihah; Mhd-Ali, Adliah; Makmor-Bakry, Mohd

    2017-01-01

    Globally, the population of older people is on the rise. As families are burdened with the high cost of care for aging members, demand is increasing for medical care and nursing homes. Thus, medication management is crucial to ensure that residents in a care center benefit and assist the management of the care center in reducing the burden of health care. This study is aimed to qualitatively explore issues related to medication management in residential aged care facilities (RACFs). A total of 11 stakeholders comprising health care providers, administrators, caretakers and residents were recruited from a list of registered government, nongovernmental organization and private RACFs in Malaysia from September 2016 to April 2017. An exploratory qualitative study adhering to Consolidated Criteria for Reporting Qualitative Studies was conducted. In-depth interview was conducted with consent of all participants, and the interviews were audio recorded for later verbatim transcription. Observational analysis was also conducted in a noninterfering manner. Three themes, namely medication use process, personnel handling medications and culture, emerged in this study. Medication use process highlighted an unclaimed liability for residents' medication by the RACFs, whereas personnel handling medications were found to lack sufficient training in medication management. Culture of the organization did affect the medication safety and quality improvement. The empowerment of the residents in their medication management was limited. There were unclear roles and responsibility of who manages the medication in the nongovernment-funded RACFs, although they were well structured in the private nursing homes. There are important issues related to medication management in RACFs which require a need to establish policy and guidelines.

  9. Clinical management issues vary by specialty in the Victorian Audit of Surgical Mortality: a retrospective observational study

    OpenAIRE

    Vinluan, Jessele; Retegan, Claudia; Chen, Andrew; Beiles, Charles Barry

    2014-01-01

    Objective Clinical management issues are contributory factors to mortality. The aim of this study was to use data from the Victorian Audit of Surgical Mortality (VASM), an educational peer-review process for surgeons, to discover differences in the incidence of these issues between surgical specialties in order to focus attention to areas of care that might be improved. Design This study used retrospectively analysed observational data from VASM. Clinical management issues between eight speci...

  10. Assessing the role of regulatory bodies in managing health professional issues and errors in Europe.

    Science.gov (United States)

    Risso-Gill, Isabelle; Legido-Quigley, H; Panteli, D; Mckee, M

    2014-08-01

    This paper explores how medical regulatory bodies in nine European countries manage professional issues involving quality and patient safety, to build on limited existing information on procedures for regulating medical professionals in Europe. Twelve vignettes describing scenarios of concerns about standards of physicians were developed, covering clinical, criminal and administrative matters. Medical regulatory bodies in nine European countries were asked what action they would normally take in each situation. Their responses were related to their regulatory mandate. Responses varied greatly across participating countries. Regulators are always involved where patients are at risk or where a criminal offence is committed within the clinical setting. Non-criminal medical issues were generally handled by the employer, if any, at their discretion. Countries varied in the use of punitive measures, the extent to which they took an interest in issues arising outside professional activities, and whether they dealt with issues themselves or referred cases to another regulatory authority or took no action at all. There is little consistency across Europe on the regulation of medical professionals. There is considerable diversity in the range of topics that regulatory bodies oversee, with almost all covering health care quality and safety and others encompassing issues related to reputation, respect and trust. These inconsistencies have significant implications for professional mobility, patient safety and quality of care. © The Author 2014. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

  11. Configuration management issues and objectives for a real-time research flight test support facility

    Science.gov (United States)

    Yergensen, Stephen; Rhea, Donald C.

    1988-01-01

    Presented are some of the critical issues and objectives pertaining to configuration management for the NASA Western Aeronautical Test Range (WATR) of Ames Research Center. The primary mission of the WATR is to provide a capability for the conduct of aeronautical research flight test through real-time processing and display, tracking, and communications systems. In providing this capability, the WATR must maintain and enforce a configuration management plan which is independent of, but complimentary to, various research flight test project configuration management systems. A primary WATR objective is the continued development of generic research flight test project support capability, wherein the reliability of WATR support provided to all project users is a constant priority. Therefore, the processing of configuration change requests for specific research flight test project requirements must be evaluated within a perspective that maintains this primary objective.

  12. Core issues of a water resource management. A review of literature

    International Nuclear Information System (INIS)

    Chavarro Velandia, Andres

    2011-01-01

    Water becomes recently scarce in many developing countries. Colombia is one of these if it takes into account the warnings included in the last national water research. Therefore is urgent debate about which are the options to achieve a sustainable management of water. So, the objective of the present paper is to explore the core issues to be considered in order to discuss the problematic of the water management for Colombia. The paper is a review of literature from 5 date bases internationally recognized. From the review it found the management of water is more than the mere use of mechanisms but it implies consider topics like governance, solid knowledge about who and how use the water and then yet the options to manage it. In addition it found that market based perspectives tend to work isolated compare to the rest of alternatives which are multi-disciplinary and multi-dimensional. Finally, stand out the fact that the non-market management tools tends to be integrated management water models (it includes multiple sources, actors and different applications)

  13. The changing training needs of clinical nurse managers: exploring issues for continuing professional development.

    Science.gov (United States)

    Gould, D; Kelly, D; Goldstone, L; Maidwell, A

    2001-04-01

    To identify areas where clinical nurse managers perceived that they would benefit from further training and to make recommendations for planning future programmes to meet their needs. The effectiveness of the clinical nurse manager has traditionally been associated with maintaining standards of care. Continuing professional development (CPD) is essential to ensure this important group feel adequately prepared to perform their role and has been recognized as an important factor in maintaining job satisfaction and reducing wasteful staff turnover. A review of the literature indicated that since the 1980s the CPD needs of clinical nurse managers have tended to be overlooked despite increasing complexity of the tasks expected of them. Thus it appeared that a fresh study to address these needs would be justified and should take into account sources of work-related stress and variables relating to job satisfaction. The study involved clinical nurse managers employed in all four acute hospital National Health Service (NHS) trusts where training needs were served by a major inner city educational consortium. Data collection proceeded in two stages. Initially interviews were undertaken with a random sample of 15 clinical nurse managers to provide in-depth, qualitative data. This information was used to develop a survey questionnaire distributed to the remaining 182 clinical nurse managers in each of the trusts. Data from the interviews indicated that clinical nurse managers appeared to feel clinically competent but generally experienced lack of confidence when dealing with a range of issues, in particular; human resources, managing budgets, deputizing for senior colleagues across the trust ('acting up') and using information technology in everyday practice. Response rate to the survey was good (65%). The results corroborated the interview findings, indicating a need for updating in the same wide range of topics. There were few differences in training needs across all four

  14. Monitoring Student Immunization, Screening, and Training Records for Clinical Compliance: An Innovative Use of the Institutional Learning Management System.

    Science.gov (United States)

    Elting, Julie Kientz

    2017-12-13

    Clinical compliance for nursing students is a complex process mandating them to meet facility employee occupational health requirements for immunization, screening, and training prior to patient contact. Nursing programs monitor clinical compliance with in-house management of student records, either paper or electronic, or by contracting with a vendor specializing in online record tracking. Regardless of method, the nursing program remains fully accountable for student preparation and bears the consequences of errors. This article describes how the institution's own learning management system can be used as an accurate, cost-neutral, user-friendly, and Federal Educational Rights Protection Act-compliant clinical compliance system.

  15. Eltrombopag for management of chronic immune thrombocytopenia (RAISE): a 6-month, randomised, phase 3 study

    DEFF Research Database (Denmark)

    Cheng, Gregory; Saleh, Mansoor N; Marcher, Claus

    2011-01-01

    Eltrombopag is an oral thrombopoietin receptor agonist for the treatment of thrombocytopenia. We aimed to compare the response to once daily eltrombopag versus placebo in patients with chronic immune thrombocytopenia during a 6-month period....

  16. Immune Checkpoint Inhibitors: An Innovation in Immunotherapy for the Treatment and Management of Patients with Cancer

    OpenAIRE

    Dine, Jennifer; Gordon, RuthAnn; Shames, Yelena; Kasler, Mary Kate; Barton-Burke, Margaret

    2017-01-01

    Cancer survival rates are generally increasing in the United States. These trends have been partially attributed to improvement in therapeutic strategies. Cancer immunotherapy is an example of one of the newer strategies used to fight cancer, which primes or activates the immune system to produce antitumor effects. The first half of this review paper concisely describes the cell mechanisms that control antitumor immunity and the major immunotherapeutic strategies developed to target these mec...

  17. Aflatoxin B(1) in affecting broiler's performance, immunity, and gastrointestinal tract: a review of history and contemporary issues.

    Science.gov (United States)

    Yunus, Agha W; Razzazi-Fazeli, E; Bohm, Josef

    2011-06-01

    Aflatoxin B(1) is a common contaminant of poultry feeds in tropical and subtropical climates. Research during the last five decades has well established the negative effects of the mycotoxin on health of poultry. However, the last ten years of relevant data have accentuated the potential of low levels of aflatoxin B(1) to deteriorate broiler performance. In this regard, any attempt to establish a dose-effect relationship between aflatoxin B(1) level and broiler performance is also complicated due to differences in types of broilers and length of exposure to the mycotoxin in different studies. Contrary to the prevalent notion regarding literature saturation with respect to aflatoxicosis of chicken, many areas of aflatoxicosis still need to be explored. Literature regarding effects of the mycotoxin on the gastrointestinal tract in this regard is particular scanty and non-conclusive. In addition to these issues, the metabolism of aflatoxin B(1) and recently proposed hypotheses regarding biphasic effects of the mycotoxin in broilers are briefly discussed.

  18. Web-Based Geospatial Tools to Address Hazard Mitigation, Natural Resource Management, and Other Societal Issues

    Science.gov (United States)

    Hearn,, Paul P.

    2009-01-01

    Federal, State, and local government agencies in the United States face a broad range of issues on a daily basis. Among these are natural hazard mitigation, homeland security, emergency response, economic and community development, water supply, and health and safety services. The U.S. Geological Survey (USGS) helps decision makers address these issues by providing natural hazard assessments, information on energy, mineral, water and biological resources, maps, and other geospatial information. Increasingly, decision makers at all levels are challenged not by the lack of information, but by the absence of effective tools to synthesize the large volume of data available, and to utilize the data to frame policy options in a straightforward and understandable manner. While geographic information system (GIS) technology has been widely applied to this end, systems with the necessary analytical power have been usable only by trained operators. The USGS is addressing the need for more accessible, manageable data tools by developing a suite of Web-based geospatial applications that will incorporate USGS and cooperating partner data into the decision making process for a variety of critical issues. Examples of Web-based geospatial tools being used to address societal issues follow.

  19. Managing ethical issues in sexual violence research using a pilot study

    Directory of Open Access Journals (Sweden)

    S.E. Duma

    2009-09-01

    Full Text Available Conducting research in the area of sexual violence has complex ethical and practical challenges for the researcher. Managing ethical issues in sexual violence is important and can be achieved through the use of pilot studies. The primary purpose of the pilot study was to identify and manage potential ethical and practical problems that could jeopardise the main study or violate the ethical and human rights of participants in the main study on women’s journey of recovery from sexual assault. The secondary purpose was to collect preliminary data in order to determine the human, financial and time resources needed for a planned study. The methods and processes used in conducting the pilot study in the study on women’s journey of recovery are discussed according to each of the objectives of the pilot study, methods used to achieve the objective, observations or findings made during the pilot study, and implications for the main study. This article aims to demonstrate how a pilot study was used to manage identified potential ethical and practical research issues during the recruitment of participants and data collection for the research that was conducted by the first author to investigate women’s journey of recovery from sexual assault trauma within the first week following sexual assault.

  20. Environmental impact assessment and socio political issues of nuclear waste management

    International Nuclear Information System (INIS)

    Harmaajaervi, I.; Tolsa, H.

    1997-09-01

    The study is a part of the Publicly Administrated Nuclear Waste Management Research Programme (JYT2) which was carried out in 1994-1996. The principal goal of the research programme has been to provide the authorities with information and research results relevant for the safety of nuclear waste management in order to support the various activities of the authorities. The main emphasis of the research programme focuses on the disposal of spent fuel. In addition to nuclear waste research in the field of natural sciences and technology, the research program- me has focused mostly on societal issues associated with nuclear waste disposal facilities and on the non-radiological environmental effects in the environs of the disposal site. Some of the local effects are already revealed in the research phase, before any final decisions are made as to the selection of the disposal site. The study has focused primarily on local and regional issues. The statutory requirement to conduct environ- mental impact assessment (EIA) chiefly concerns those who are responsible for waste management, but the authorities also need to acquire systematic information in the field to support developing requirements for the content and scope of EIA procedure and preparedness to check the assessments made. This is a report of the first parts of the study in 1994-1995. The report deals with the subject matter generally based on earlier studies in Finland and other countries. The results of the study will be reported later

  1. Managing the nation's high-level radioactive waste: key issues and recommendations

    International Nuclear Information System (INIS)

    1981-07-01

    To date, no unified national plan has been adopted to develop and implement a comprehensive system of management and disposal of high-level radioactive waste in the United States. Growing public concern about this problem has resulted in a number of recent efforts to develop a national high-level waste management policy. The 96th Congress strove to resolve the central issues, but ultimately failed to pass legislation, partly because of disagreements about the appropriate role of states in the siting of repositories for military waste. Outside government, a number of organizations convened representatives of diverse groups concerned with national high-level radioactive waste management to seek agreement on the major elements of national policy. One such organization was RESOLVE, Center for Environmental Conflict Resolution, which in May 1981 was merged into The Conservation Foundation. RESOLVE convened Forum II, a series of discussions among representatives of environmental, industrial, governmental, and citizen interest groups, in 1981 specifically to address the issues blocking Congressional agreement on high-level waste policy. This report contains the recommendations which resulted from these deliberations. Reprocessing, interim storage, respository development, and licensing requirements are addressed. Federal, state, and public participation in decision making are also discussed

  2. Korean interim storage issues and R and D activities on spent fuel management

    International Nuclear Information System (INIS)

    Ji Sup Yoon; Seung-Gy Ro; Hyun-Soo Park

    1999-01-01

    Korea has witnessed over a decade of vicissitudes in the issue of radioactive waste management due mainly to the problem of site acquisition. As the major mission of the nation at radioactive waste management programme was to provide a center for disposal of low-level radwaste and for interim storage of spent nuclear fuel from nuclear power plants, the question of site securing has had a big impact on the implement action of overall programme. The site problem has resulted in, as an aftermath, restructuring of the overall programme for radioactive waste management. Missions of NEMAC (Nuclear Environment Management Center), originally established as a subsidiary of Korea Atomic Energy Research Institute (KAERI), for the national programme was dissolved as of the end of last year. Beginning of this year, a new entity NETEC (Nuclear Environment Technology Center) as a subsidiary of KEPCO (Korea Electric Power Co.) has taken over major tasks of the past NEMAC, while the R and D work associated with the past task of NEMAC is transferred back to KAERI. This paper gives a review on the past background which has driven the radioactive waste management in Korea to the current state of the affairs, with special emphasis on R and D activities associated with spent nuclear fuel transportation, handling, and storage. (author)

  3. Environmental issues and management strategies for waste electronic and electrical equipment.

    Science.gov (United States)

    Townsend, Timothy G

    2011-06-01

    Issues surrounding the impact and management of discarded or waste electronic and electrical equipment (WEEE) have received increasing attention in recent years. This attention stems from the growing quantity and diversity of electronic and electrical equipment (EEE) used by modern society, the increasingly rapid turnover of EEE with the accompanying burden on the waste stream, and the occurrence of toxic chemicals in many EEE components that can pose a risk to human and environmental health if improperly managed. In addition, public awareness of the WEEE or "e-waste" dilemma has grown in light of popular press features on events such as the transition to digital television and the exportation of WEEE from the United States and other developed countries to Africa, China, and India, where WEEE has often not been managed in a safe manner (e.g., processed with proper safety precautions, disposed of in a sanitary landfill, combusted with proper air quality procedures). This paper critically reviews current published information on the subject of WEEE. The definition, magnitude, and characteristics of this waste stream are summarized, including a detailed review of the chemicals of concern associated with different components and how this has changed and continues to evolve over time. Current and evolving management practices are described (e.g., reuse, recycling, incineration, landfilling). This review discusses the role of regulation and policies developed by governments, institutions, and product manufacturers and how these initiatives are shaping current and future management practices.

  4. The Stop Transmission of Polio Data Management (STOP DM) assignment and its role in polio eradication and immunization data improvement in Africa

    OpenAIRE

    Benke, Amalia; Williams, Alford Joseph; MacNeil, Adam

    2017-01-01

    The availability and use of high quality immunization and surveillance data are crucial for monitoring all components of the Global Polio Eradication Program (GPEI). The Stop Transmission of Polio (STOP) program was initiated in 1999 to train and mobilize human resources to provide technical support to polio endemic and at-risk countries and in 2002 the STOP data management (STOP DM) deployment was created to provide capacity development in the area of data management for immunization and sur...

  5. Management of graphite material: a key issue for High Temperature Gas Reactor system (HTGR)

    International Nuclear Information System (INIS)

    Bourdeloie, C.; Marimbeau, P.; Robin, J.C.; Cellier, F.

    2005-01-01

    Graphite material is used in nuclear High Temperature Gas-cooled Reactors (HTGR, Fig.1) as moderator, thermal absorber and also as structural components of the core (Fig.2). This type of reactor was selected by the Generation IV forum as a potential high temperature provider for supplying hydrogen production plants and is under development in France in the frame of the AREVA ANTARES program. In order to select graphite grades to be used in these future reactors, the requirements for mechanical, thermal, physical-chemical properties must match the internal environment of the nuclear core, especially with regard to irradiation effect. Another important aspect that must be addressed early in design is the waste issue. Indeed, it is necessary to reduce the amount of nuclear waste produced by operation of the reactor during its lifetime. Preliminary assessment of the nuclear waste output for an ANTARES type 280 MWe HTGR over 60 year-lifetime gives an estimated 6000 m 3 of activated graphite waste. Thus, reducing the graphite waste production is an important issue for any HTGR system. First, this paper presents a preliminary inventory of graphite waste fluxes coming from a HTGR, in mass and volume, with magnitudes of radiological activities based on activation calculations of graphite during its stay in the core of the reactor. Normalized data corresponding to an output of 1 GWe.year electricity allows comparison of the waste production with other nuclear reactor systems. Second, possible routes to manage irradiated graphite waste are addressed in both the context of French nuclear waste management rules and by comparison to other national regulations. Routes for graphite waste disposal studied in different countries (concerning existing irradiated graphite waste) will be discussed with regard to new issues of large graphite waste from HTGR. Alternative or complementary solutions aiming at lowering volume of graphite waste to be managed will be presented. For example

  6. The role of innate immunity in the development of chronic rhinosinusitis and perspectives of its conservative management

    Directory of Open Access Journals (Sweden)

    V. I. Egorov

    2016-01-01

    Full Text Available Chronic rhinosinusitis (CRS is a heterogeneous, multifactorial disease of unknown etiology, with an underlying deficient immune response to infectious and other triggers, leading to their incomplete elimination and persistence of inflammation. Development of CRS is made possible by a deficient response of the innate immunity of nasal and paranasal sinus mucosa. The main factors of non-specific defense system of nasal and paranasal mucosa are the function of cell junctions between epithelial cells, mucociliary clearance, pattern recognition receptors (PRRs, antigen presenting cells, and phagocytosis. The multirowed ciliate epithelium of nasal and paranasal sinus mucosa is covered by a thick layer of mucus containing more than 200 proteins. Changes in the qualitative composition of the nasal mucus in CRS manifests in overexpression of the main mucins MUC5AC and MUC5B and decreased synthesis of lactoferrin and lyzocin. Ciliary dyskinesia or abnormalities in their microstructure lead to decreased efficacy of mucociliary clearance. Diminished expression of proteins of tight junctions (TJ ZO-1 and occluding results in decreased density of intercellular contacts and increased permeability of epithelial barrier. In addition, CRS is characterized by deficient Tolllike receptors (TLR 9, 2 and 4, as well as increased counts of M2 macrophages in the mucosa. This results in suppressed phagocytosis and antimicrobial mucosal defense. Lower levels of STAT3 protein causes an imbalanced reaction of innate and adaptive immune response and disordered reparation processes. With abnormal functioning of all the above mentioned mechanisms, no immune elimination of infectious agents can take place, with increased susceptibility to viral and bacterial infections of the upper respiratory tract. This opens the door to development of CRS, including that with polyps. Investigation of the innate immunity factors would allow for predicting of inflammation in a given patient

  7. Issues facing the management of radioactively contaminated lead within the DOE system

    International Nuclear Information System (INIS)

    Gilmore, M.C.; Kent, S.H.

    1993-01-01

    The purpose of this paper is to discuss and evaluate the issues that managing and operating contractors in the US DOE system should consider that are associated with management of radioactively contaminated elemental lead. There are many instances where DOE contaminated lead fall within Resource Conservation and Recovery Act (RCRA) regulation. In light of the Federal Facilities Compliance Act (FFCA), it is becoming increasingly important for additional regulatory options to be explored in order to facilitate proper treatment, storage and disposal of RCRA regulated lead. Various DOE facilities have initiated processes to reuse or recycle contaminated lead. Technologies such as melt-refining, surface blasting, and electromigration are being explored. One or more of these technologies may be the key to reducing contaminated lead inventories in the DOE system. Many DOE facilities are finding that these efforts need to have stringent regulatory evaluation since some alternatives have proven to be environmentally desirable but not economically feasible

  8. ISSUES ON THE ROLE OF EFFICIENT WATER PRICING FOR SUSTAINABLE WATER MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Simona FRONE

    2012-06-01

    Full Text Available This paper aims to highlight some of the main issues raised by developing and implementing the most appropriate approach to water pricing, and to induce a sustainable water management. Therefore, we define the concept and utility of water demand management as one objective of efficient water pricing. Next we analyse the basic economics and some important theoretical insights of water pricing. We further with state the main four inter-correlated principles of sustainable water pricing (full-cost recovery, economic efficiency,equity and administrative feasability and the trends and challenges of their actual implementing in the water pricing policy of Romania and other EU countries. We end with a review of opinions, personal conclusions and recommendations on the actual opportunity, effectiveness and role of efficient water pricing in fulfilling the goals of sustainabilty.

  9. Special issue on ageing management and long term operation of light water reactors

    International Nuclear Information System (INIS)

    Kashima, Koichi; Kanno, Masanori; Kimura, Itsurou

    2008-01-01

    Ageing management and long term operation of light water reactors became important in Japan and relevant research on physical and materials ageing has been carried out among organizations of government, academia and industry and establishment of technical standards and guideline based on the results is under way. The Japan Energy Policy Institute (JEPI) issued a special number discussing this theme, which consisted of ten reports of experts describing these activities. Main topics were ageing evaluation of reactor components due to neutron irradiation embrittlement and stress corrosion cracking, regulatory evaluation of deteriorations due to ageing with technical information basis, technology development in the area of inspection/monitoring, ageing evaluation and preventive maintenance/repairs, nuclear power plant life management of electric utilities, and advancement of reactor maintenance and inspection. (T. Tanaka)

  10. Issues and decisions for nuclear power plant management after fuel damage events

    International Nuclear Information System (INIS)

    1997-04-01

    Experience has shown that the on-site activities following an incident that results in severely damaged fuel at a nuclear power plant required extraordinary effort. Even in cases that are not extreme but in which fuel damage is greater than mentioned in the specifications for operation, the recovery will require extensive work. This publication includes information from several projects at the IAEA since 1989 that have resulted in a Technical Report, a TECDOC and a Workshop. While the initial purpose of the projects was focused on providing technical information transfer to the experts engaged in recovery work at the damaged unit of Chernobyl NPP, the results have led to a general approach to managing events in which there is substantial fuel damage. This TECDOC summarizes the work to focus on management issues that may be encountered in any such event whether small or large. 11 refs, 2 figs, 5 tabs

  11. Forensic nurses' perceptions of labels of mental illness and personality disorder: clinical versus management issues.

    Science.gov (United States)

    Mason, T; Hall, R; Caulfied, M; Melling, K

    2010-03-01

    Anecdotally, forensic psychiatric nurses generally have a more negative perception of people diagnosed with a personality disorder and this negativity is focused more towards managing the behaviours rather than on treatment efficacy and clinical outcomes. This study reports on research carried out across the High, Medium and Low secure psychiatric services in the UK. One thousand two hundred questionnaires were distributed with a response rate of 34.6%. The results indicated a statistically significant difference across High (z = 9.69; P < or = 0.01), Medium (z = 11.06; P < or = 0.01) and Low (z= 9.57; P= 0.01) security with a focus on the management of people with a personality disorder using the Wilcoxon paired samples test. There was also a statistically significant difference in relation to a more clinical/treatment focus for those with a diagnosis of mental illness in Medium (z = 9.69; P < or = 0.01) and Low (z = 9.57; P < or = 0.01) security but not in the High security services. Finally, the results showed significant differences between High, Medium and Low security on each of the four scales of Personality Disorder Clinical-Personality Disorder Management and Mental Illness Clinical-Mental Illness Management. This raises issues of stigma, prejudice and discrimination and suggests a refocus on skills development, acquisition and application for those with a label of personality disorder.

  12. Land and Resource Management Issues Relevant to Deploying In-Situ Thermal Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Robert [Univ. of Utah, Salt Lake City, UT (United States); Ruple, John [Univ. of Utah, Salt Lake City, UT (United States); Tanana, Heather [Univ. of Utah, Salt Lake City, UT (United States); Kline, Michelle [Univ. of Utah, Salt Lake City, UT (United States)

    2011-01-01

    Utah is home to oil shale resources containing roughly 1.3 trillion barrels of oil equivalent and our nation’s richest oil sands resources. If economically feasible and environmentally responsible means of tapping these resources can be developed, these resources could provide a safe and stable domestic energy source for decades to come. In Utah, oil shale and oil sands resources underlay a patchwork of federal, state, private, and tribal lands that are subject to different regulatory schemes and conflicting management objectives. Evaluating the development potential of Utah’s oil shale and oil sands resources requires an understanding of jurisdictional issues and the challenges they present to deployment and efficient utilization of emerging technologies. The jurisdictional patchwork and divergent management requirements inhibit efficient, economic, and environmentally sustainable development. This report examines these barriers to resource development, methods of obtaining access to landlocked resources, and options for consolidating resource ownership. This report also examines recent legislative efforts to wrest control of western public lands from the federal government. If successful, these efforts could dramatically reshape resource control and access, though these efforts appear to fall far short of their stated goals. The unintended consequences of adversarial approaches to obtaining resource access may outweigh their benefits, hardening positions and increasing tensions to the detriment of overall coordination between resource managers. Federal land exchanges represent a more efficient and mutually beneficial means of consolidating management control and improving management efficiency. Independent of exchange proposals, resource managers must improve coordination, moving beyond mere consultation with neighboring landowners and sister agencies to coordinating actions with them.

  13. Stakeholder Perceptions of Welfare Issues and Indicators for Extensively Managed Sheep in Australia.

    Science.gov (United States)

    Doughty, Amanda K; Coleman, Grahame J; Hinch, Geoff N; Doyle, Rebecca E

    2017-03-23

    An online survey was designed to form the basis of a framework for the welfare assessment of extensively managed sheep in Australia. The survey focused on welfare compromise and useful welfare indicators. A total of 952 people completed the survey in its entirety, representing four stakeholder groups: Public (53.6%), Producer (27.4%), Scientist (9.9%), and Service provider (9.1%). Animal welfare was considered to be important by all participating groups in this survey (average score of 3.78/4). Respondents felt the welfare of grazing sheep was generally adequate but improvement was desired (2.98/5), with female members of the public rating sheep welfare significantly worse than other respondents ( p risk to welfare (3.87/5), followed by heat stress (3.79), lameness (3.57) and husbandry practices (3.37). Key indicators recognised by all respondents were those associated with pain and fear (3.98/5), nutrition (4.23), mortality/management (4.27), food on offer (4.41) and number of illness/injures in a flock (4.33). There were gender and stakeholder differences in the perceived importance of both welfare issues and indicators with women and the public consistently rating issues (all p indicators (all p < 0.05) to be of greater significance than other respondents. These results highlight the importance of including all stakeholders and an even balance of genders when developing a welfare framework that can address both practical and societal concerns.

  14. Design principles and issues of rights expression languages for digital rights management

    Science.gov (United States)

    Wang, Xin

    2005-07-01

    Digital rights management (DRM) provides a unified approach to specifying, interpreting, enforcing and managing digital rights throughout the entire life cycle of digital assets. Using a declarative rights expression language (REL) for specifying rights and conditions in the form of licenses, as opposite to some other approaches (such as data structures and imperative languages), has been considered and adopted as a superior technology for implementing effective, interoperable and scalable DRM systems. This paper discusses some principles and issues for designing RELs, based on the experiences of developing a family of REL"s (DPRL, XrML 1.x, XrML 2.0 and MPEG REL). It starts with an overview of a family tree of the past and current REL"s, and their development history, followed by an analysis of their data models and a comparison with access-control oriented models. It then presents a number of primary design principles such as syntactic and semantic un-ambiguity, system interoperability, expressiveness in supporting business models and future extensibility, and discusses a number of key design issues such as maintaining stateful information, multi-tier issuance of rights, meta rights, identification of individual and aggregate objects, late-binding of to-beidentified entities, as well as some advanced ones on revocation and delegation of rights. The paper concludes with some remarks on REL profiling and extension for specific application domains.

  15. The Issue of Responsibility and Efficiency in the Concept of Top Manager Lifestyle

    Directory of Open Access Journals (Sweden)

    Staňková Dana Maria

    2009-06-01

    Full Text Available The article focuses on the top manager lifestyle. The author describes a structure of time allocation by a top manager to individual activities in both professional area and non-work activities it in the context of responsibility towards himself/herself, his/her family and the company in which he/she functions. Simultaneously, it describes the mutual interaction between efficiency and managerial lifestyle models. The research has been carried out by means of questioning using a questionnaire prepared by the author for this occasion which included closed and semi-closed questions, by means of document analysis method, i.e. the technique of assignment content analysis under the Personal Effectiveness and Managerial Task module (MBA Senior Executive Programme and by means of questioning using a semi-standardized interview. The exploration technique mentioned as the last one was selected to provide for more detailed information concerning the issue researched. The author has come to a conclusion that the time spent in the working environment is identical for both sexes. The male/female managers differ with regard to the time structure and allocation to individual activities in the area outside the working environment, in particular in children and household care. Female managers spend more time on these categories at the expense of recreational activities, self-education and individual studies. Male managers have a greater part of the time pie dedicated to sporting activities, study and self-education and participation in public affairs. Top managers have high competencies which come with obligations and responsibility for an effective decision-making process, measures and efficient provision of processes related to the set objectives which are in keeping with the company strategy. This responsibility is carried out under the following relationship structure: manager – company, manager – family and manager – him/her self. The ability to

  16. Online self-management interventions for chronically ill patients: cognitive impairment and technology issues.

    Science.gov (United States)

    Archer, Norm; Keshavjee, Karim; Demers, Catherine; Lee, Ryan

    2014-04-01

    As the fraction of the population with chronic diseases continues to grow, methods and/or technologies must be found to help the chronically ill to take more responsibility to self-manage their illnesses. Internet based and/or mobile support for disease self-management interventions have often proved effective, but patients with chronic illnesses may have co-occurring cognitive impairment, making it more difficult for them to cope with technologies. Many older patients are also not familiar with technologies or they may have cognitive disabilities or dementia that reduce their ability to self-manage their healthcare. On-line solutions to the needs of chronically ill patients must be investigated and acted upon with care in an integrated manner, since resources invested in these solutions will be lost if patients do not adopt and continue to use them successfully. To review the capabilities of online and mobile support for self-management of chronic illnesses, and the impacts that age and disease-related issues have on these interventions, including cognitive impairment and lack of access or familiarity with Internet or mobile technologies. This study includes a review of the co-occurrence of cognitive impairment with chronic diseases, and discusses how cognitive impairment, dyadic caregiver patient support, patient efficacy with technology, and smart home technologies can impact the effectiveness and sustainability of online support for disease self-management. Disease self-management interventions (SMIs) using online patient centered support can often enable patients to manage their own chronic illnesses. However, our findings show that cognitive impairment often co-occurs in patients with chronic disease. This, along with age-related increases in multiple chronic illnesses and lack of technology efficacy, can be obstacles to Internet and mobile support for chronic disease self-management. Patients with chronic diseases may have greater than expected difficulties

  17. Managing radioactive waste issues and misunderstandings (radiation realities, energy comparison, waste strategies)

    International Nuclear Information System (INIS)

    Rosen, M.

    2001-01-01

    The technical specialist is confident that radioactive waste can be safely managed, but many in the public remain totally unconvinced. There are issues and deep-seated misunderstandings that drive public doubts. Currently, a growing concern with pollution from other industrial waste is enabling radioactive waste issues to be debated in a wider context that allows comparisons with other potentially hazardous waste, particularly from energy generation sources. Health effects and time period issues are not unique to radioactive waste. This paper concentrates on 3 topics. The first concerns radiation health effects where the real realities of radiation are covered. The large misunderstandings that exist about radiation and its health effects have led to an almost zero health impact regulatory policy. A policy which must be more fully understood and dealt with. The second topic deals with a few revealing comparisons about the various energy generation systems. Nuclear power's 10 thousand fold lower fuel requirements, compared with a comparable fossil fuelled plant, is a dominating factor decisively minimising environmental impacts. The third topic examines waste disposal strategies. Extraordinarily small radioactive waste quantities permit a confinement strategy for disposal as opposed to the more common dispersion strategy for most toxic waste. The small quantities coupled with radioactive decay, contrary to the public perception, make any potential hazard from both low and high level radioactive waste exceedingly small. (author)

  18. Managing information and knowledge within maternity services: Privacy and consent issues.

    Science.gov (United States)

    Baskaran, Vikraman; Davis, Kim; Bali, Rajeev K; Naguib, Raouf N G; Wickramasinghe, Nilmini

    2013-09-01

    Electronic Patient Records have improved vastly the quality and efficiency of care delivered. However, the formation of single demographic database and the ease of electronic information sharing give rise to many concerns including issues of consent, by whom and how data are accessed and used. This paper examines the organizational and socio-technical issues related to privacy, confidentiality and security when employing electronic records within a maternity service hospital in England. A preliminary questionnaire was administered (n  =  52), in total, 24 responses were received. Sixteen responses were from personnel in the information technology department, 5 from health information department and 3 from midwifery managers. This was followed by a semi-structured interview with representatives from the clinical and technological side. A number of issues related to information governance (IG) have been identified, especially breaches on sharing personal information without consent from the patients have been identified as one immediate challenge that needs to be fixed. There is an immediate need for more robust, realistic, built-in accountability both locally and nationally on data sharing. A culture of ownership and strict adherence to IG principles is paramount. Focused training in the area of data, information and knowledge sharing will bring in a balance of legitimate usage against the individual's rights to confidentiality and privacy.

  19. Supply Chain Management on IBS Implementation in Klang Valley Construction Industry: Challenges and Issues

    Science.gov (United States)

    Azrizal Fauzi, Mohd; Hasim, Sulaiman; Awang, Anizah; Ridzuan, Ahmad Ruslan Mohd; Nur Yunus, Juzailah

    2017-12-01

    Industrialized Building System (IBS) is a system where the components of the building are manufactured in a factory and it will be transported to the site to form the structures. The supply chain management (SCM) is a system where the delivery flows of the IBS products from manufacturers to the site. The aim of this research is to identify the major challenges and to analyze the issues on IBS implementation in SCM in Klang Valley from the manufacturers perspective. The methodology used in this paper is based on primary data through questionnaire and interview. Questionnaires were sent to the Manufacturers. It can be concluded that this paper attempts to present more on the challenges and issues that those companies of manufacturers faced during their success journey in finding integration in their supply chain. The main contributions of this paper are integrating all the supply chain integration challenges and issues on IBS. Therefore, these contributions will be helpful for the organization of manufacturers and IBS players that establish the integration in their SCM.

  20. The governance of natural resources: Issues affecting better management of revenues and distribution of benefits within Papua New Guinea

    Directory of Open Access Journals (Sweden)

    Hitelai Polume-Kiele

    2014-09-01

    The focus of the article’s discussion is on governance and management issues that affect the distribution of benefits, delivery of essential services to rural areas of PNG, stability within government, and the expectations of landowners.

  1. Managing ethical issues in patient care and the need for clinical ethics support.

    Science.gov (United States)

    Doran, Evan; Fleming, Jennifer; Jordens, Christopher; Stewart, Cameron L; Letts, Julie; Kerridge, Ian H

    2015-02-01

    To investigate the range, frequency and management of ethical issues encountered by clinicians working in hospitals in New South Wales (NSW), Australia. A cross-sectional survey was conducted of a convenience sample of 104 medical, nursing and allied health professionals in two NSW hospitals. Some respondents did not provide data for some questions, therefore the denominator is less than 105 for some items. Sixty-two (62/104; 60%) respondents reported occasionally to often having ethical concerns. Forty-six (46/105; 44%) reported often to occasionally having legal concerns. The three most common responses to concerns were: talking to colleagues (96/105; 91%); raising the issue in a group forum (68/105; 65%); and consulting a relevant guideline (64/105; 61%). Most respondents were highly (65/99; 66%) or moderately (33/99; 33%) satisfied with the ethical environment of the hospital. Twenty-two (22/98; 22%) were highly satisfied with the ethical environment of their department and 74 (74/98; 76%) were moderately satisfied. Most (72/105; 69%) respondents indicated that additional support in dealing with ethical issues would be helpful. Clinicians reported frequently experiencing ethical and legal uncertainty and concern. They usually managed this by talking with colleagues. Although this approach was considered adequate, and the ethics of their hospital was reported to be satisfactory, most respondents indicated that additional assistance with ethical and legal concerns would be helpful. Clinical ethics support should be a priority of public hospitals in NSW and elsewhere in Australia.

  2. Potential contaminants in the food chain: identification, prevention and issue management.

    Science.gov (United States)

    Scanlan, Francis P

    2007-01-01

    Contaminants are a vast subject area of food safety and quality. They are generally divided into chemical, microbiological and physical classes and are present in our food chain from raw materials to finished products. They are the subject of international and national legislation that has widened to cover more and more contaminant classes and food categories. In addition, consumers have become increasingly aware of and alarmed by their risks, whether rightly or not. What is the food industry doing to ensure the safety and quality of the products we feed our children? This is a valid question which this article attempts to address from an industrial viewpoint. Chemical food safety is considered a complex field where the risk perception of consumers is often the highest. The effects of chronic or acute exposure to chemical carcinogens may cause disease conditions long after exposure that can be permanently debilitating or even fatal. It is also a moving target, as knowledge about the toxicity and occurrence data of new chemical contaminants continues to be generated. Their identification, prevention and management are challenges to the food industry as a whole. A reminder of the known chemical hazards in the food chain will be presented with an emphasis on the use of early warning to identify potential new contaminants. Early warning is also a means of prevention, anticipating food safety concerns before they become issues to manage. Current best management practices including Hazard Analysis and Critical Control Points relating to the supply chain of baby foods and infant formulae will be developed. Finally, key lessons from a case study on recent contamination issues in baby food products will be presented.

  3. Understanding cultural issues in the diabetes self-management behaviors of Korean immigrants.

    Science.gov (United States)

    Cha, EunSeok; Yang, Kyeongra; Lee, Jia; Min, Jiwon; Kim, Kevin H; Dunbar, Sandra B; Jennings, Bonnie Mowinski

    2012-01-01

    The purpose of this study was to explore potential factors affecting the self-management behaviors of Korean immigrants with type 2 diabetes mellitus (KIT2Ds). A qualitative descriptive design guided this study. Semistructured interviews lasting 45 to 60 minutes were conducted with 20 KIT2Ds in the participants' preferred language; in all cases, this was Korean. Each interview was audiotaped, transcribed, and analyzed using conventional content analysis. Data analysis was performed in two steps. The data written in Korean were initially analyzed by 3 bilingual researchers. A qualitative researcher then participated in the analysis to refine the findings for presentation to an English-speaking audience while staying true to the data and preserving the nuanced Korean meanings. The mean age of the sample was 64. 5 ± 11.6 years (9 men and 11 women). The mean years of staying in the United States and age at diabetes mellitus diagnosis were 23.6 ± 9.7 years and 52.5 ± 12.3 years, respectively. Three major ideas were identified: (1) issues on treatment regimen related to medications and diet, (2) resources that helped or hindered ability to manage diabetes, and (3) the physician-patient relationship. Important cultural nuances need to be addressed to better prepare KIT2Ds to manage their diabetes more effectively. A culture-specific program should extend beyond a diabetes self-management education delivered in Korean language. Rather, content and education methods need to consider acculturation effects on diabetes management behaviors.

  4. Understanding Cultural Issues in Diabetes Self-Management Behaviors of Korean Immigrants

    Science.gov (United States)

    Cha, Eun Seok; Yang, Kyeongra; Lee, Jia; Min, Jiwon; Kim, Kevin H.; Dunbar, Sandra B.; Jennings, Bonnie Mowinski

    2013-01-01

    Purpose The purpose of this study was to explore potential factors affecting self-management behaviors in Korean immigrants with type 2 diabetes mellitus (KIT2Ds). Methods A qualitative descriptive design guided this study. Semi-structured interviews lasting 45-60 minutes were conducted with 20 KIT2Ds in the participant’s preferred language; in all cases this was Korean. Each interview was audio-taped, transcribed, and analyzed using conventional content analysis. Data analysis was performed in two steps. The data written in Korean were initially analyzed by three bilingual researchers. A qualitative researcher then participated in the analysis to refine the findings for presentation to an English speaking audience while staying true to the data and preserving the nuanced Korean meanings. Results The mean age of the sample was 64. 5 ± 11.6 years (9 men and 11 women). The mean years of staying in the U. S. and age at diabetes mellitus diagnosis were 23.6 ± 9.7 years and 52.5 ± 12.3 years, respectively. Three major ideas were identified: (a) issues on treatment regimen related to both medications and diet, (b) resources that helped or hindered their ability to manage diabetes, and (c) the physician/patient relationship. Conclusions There were important cultural nuances that need to be addressed to better prepare KIT2Ds to manage their diabetes more effectively. A culture specific program should extend beyond a diabetes self-management education delivered in Korean language. Rather, content and education methods need to consider acculturation effects on diabetes management behaviors. PMID:23019236

  5. Toward a national policy for managing low-level radioactive waste: key issues and recommendations

    International Nuclear Information System (INIS)

    Duerksen, C.J.; Mantell, M.; Thompson, G.P.

    1981-06-01

    The Conservation Foundation, a not-for-profit research and public education organization, asked individuals with diverse backgrounds and viewpoints to come together under Foundation leadership as a Dialogue Group on Low-Level Radioactive Waste Management. The group, including persons who represent waste generators, concerned citizens, state regulators, and environmentalists, met over an 18-month period to discuss issues crucial to the development of a national policy on low-level wastes. The Dialogue Group agreed that three principles, if accepted broadly, would form the basis of a sound national policy for managing low-level radioactive wastes: with proper implementation, technology exists to manage low-level waste safely; generators and their customers should pay disposal costs; and greater public involvement at all stages can improve the disposal system. These principles acted as polestars for the group as it worked toward a series of policy recommendations in four main areas: (1) cleaning up closed commercial sites; (2) remodeling a system for defining and classifying low-level radioactive waste; (3) siting new low-level waste disposal facilities; and (4) decommissioning, long-term care, and liability. This report presents an extensive discussion of these recommendations covering qualifications, limitations, and alternatives

  6. [Security Management in Clinical Laboratory Departments and Facilities: Current Status and Issues].

    Science.gov (United States)

    Ishida, Haku; Nakamura, Junji; Yoshida, Hiroshi; Koike, Masaru; Inoue, Yuji

    2014-11-01

    We conducted a questionnaire survey regarding the current activities for protecting patients' privacy and the security of information systems (IS) related to the clinical laboratory departments of university hospitals, certified training facilities for clinical laboratories, and general hospitals in Yamaguchi Prefecture. The response rate was 47% from 215 medical institutions, including three commercial clinical laboratory centers. The results showed that there were some differences in management activities among facilities with respect to continuing education, the documentation or regulation of operational management for paper records, electronic information, remaining samples, genetic testing, and laboratory information for secondary use. They were suggested to be caused by differences in functions between university and general hospitals, differences in the scale of hospitals, or whether or not hospitals have received accreditation or ISO 15189. Regarding the IS, although the majority of facilities had sufficiently employed the access control to IS, there was some room for improvement in the management of special cases such as VIPs and patients with HIV infection. Furthermore, there were issues regarding the login method for computers shared by multiple staff, the showing of the names of personnel in charge of reports, and the risks associated with direct connections to systems and the Internet and the use of portable media such as USB memory sticks. These results indicated that further efforts are necessary for each facility to continue self-assessment and make improvements.

  7. Management issues of congenital adrenal hyperplasia during the transition from pediatric to adult care.

    Science.gov (United States)

    Choi, Jin-Ho; Yoo, Han-Wook

    2017-02-01

    Steroid 21-hydroxylase deficiency is the most prevalent form of congenital adrenal hyperplasia (CAH), accounting for approximately 95% of cases. With the advent of newborn screening and hormone replacement therapy, most children with CAH survive into adulthood. Adolescents and adults with CAH experience a number of complications, including short stature, obesity, infertility, tumor, osteoporosis, and reduced quality of life. Transition from pediatric to adult care and management of long-term complications are challenging for both patients and health-care providers. Psychosocial issues frequently affect adherence to glucocorticoid treatment. Therefore, the safe transition of adolescents to adult care requires regular follow-up of patients by a multidisciplinary team including pediatric and adult endocrinologists. The major goals for management of adults with 21-hydroxylase deficiency are to minimize the long-term complications of glucocorticoid therapy, reduce hyperandrogenism, prevent adrenal or testicular adrenal rest tumors, maintain fertility, and improve quality of life. Optimized medical or surgical treatment strategies should be developed through coordinated care, both during transition periods and throughout patients' lifetimes. This review will summarize current knowledge on the management of adults with CAH, and suggested appropriate approaches to the transition from pediatric to adult care.

  8. Current Issues and Situation of Producer Responsibility in Waste Management in Indonesia

    Directory of Open Access Journals (Sweden)

    Antonius Priyo Nugroho Sulami

    2017-11-01

    Full Text Available Producer responsibility for wastes has been encouraged in Indonesia since 2008. The Ministry of Environment of the Republic of Indonesia also promoted the reduce, reuse, and recycle (3R concept using the community-based approach of waste banks integrated with the extended producer responsibility (EPR concept. However, related research and implementation are still limited. This study aims to identify the challenges of fulfilling producer responsibility in waste management and determine whether the integration concept could generate outcomes expected from the EPR concept. A semi-structured interview survey of several stakeholders from the government, industrial, and waste management sectors was conducted and the data generated was used to simulate an integration scheme using a system dynamics approach. Secondary data and information from Bandung municipality were used as input for the simulation. The interview survey found that the concerns and issues of fulfilling producer responsibility in waste management include lack of awareness, unavailability of clear guidelines, and the limited capacity of the current recycling sector. The results of the simulation suggested that if the integration scheme is applied, each business entity might bear the responsibility of IDR 29.4 million per year and 14.7 tons of waste per year for the scope of four sectors and IDR 34.1 million per year and 17 tons of waste per year for the scope of two sectors.

  9. Review of Issues Associated with Safe Operation and Management of the Space Shuttle Program

    Science.gov (United States)

    Johnstone, Paul M.; Blomberg, Richard D.; Gleghorn, George J.; Krone, Norris J.; Voltz, Richard A.; Dunn, Robert F.; Donlan, Charles J.; Kauderer, Bernard M.; Brill, Yvonne C.; Englar, Kenneth G.; hide

    1996-01-01

    At the request of the President of the United States through the Office of Science and Technology Policy (OSTP), the NASA Administrator tasked the Aerospace Safety Advisory Panel with the responsibility to identify and review issues associated with the safe operation and management of the Space Shuttle program arising from ongoing efforts to improve and streamline operations. These efforts include the consolidation of operations under a single Space Flight Operations Contract (SFOC), downsizing the Space Shuttle workforce and reducing costs of operations and management. The Panel formed five teams to address the potentially significant safety impacts of the seven specific topic areas listed in the study Terms of Reference. These areas were (in the order in which they are presented in this report): Maintenance of independent safety oversight; implementation plan for the transition of Shuttle program management to the Lead Center; communications among NASA Centers and Headquarters; transition plan for downsizing to anticipated workforce levels; implementation of a phased transition to a prime contractor for operations; Shuttle flight rate for Space Station assembly; and planned safety and performance upgrades for Space Station assembly. The study teams collected information through briefings, interviews, telephone conversations and from reviewing applicable documentation. These inputs were distilled by each team into observations and recommendations which were then reviewed by the entire Panel.

  10. Managing commercial low-level radioactive waste beyond 1992: Issues and potential problems of temporary storage

    International Nuclear Information System (INIS)

    Kerr, T.A.

    1991-01-01

    In accordance with the Low-Level Radioactive Waste Policy Amendments Act of 1985, States will become responsible for managing low-level radioactive waste, including mixed waste, generated within their borders as of January 1, 1993. In response to this mandate, many States and compact regions have made substantial progress toward establishing new disposal capacity for these wastes. While this progress is noteworthy, many circumstances can adversely affect States' abilities to meet the 1993 deadline, and many States have indicated that they are considering other waste management options in order to fulfill their responsibilities beyond 1992. Among the options that States are considering for the interim management of low- level radioactive waste is temporary storage. Temporary storage may be either short term or long term and may be at a centralized temporary storage facility provided by the State or a contractor, or may be at the point of generation or collection. Whether States choose to establish a centralized temporary storage facility or choose to rely on generators or brokers to provide additional and problem areas that must be addressed and resolved. Areas with many potential issues associated with the temporary storage of waste include: regulations, legislation, and policy and implementation guidance; economics; public participation; siting, design, and construction; operations; and closure and decommissioning

  11. Immunity, feed, and husbandry in fish health management of cultured Epinephelus fuscoguttatus with reference to Epinephelus coioides

    Directory of Open Access Journals (Sweden)

    Catherine Cheng Yun Chieng

    2018-03-01

    Full Text Available Groupers are dispersed worldwide in the tropical and subtropical waters. They are prized in the live reef fish trade, making them candidates with high market value and consumer demand. In the Asian-Pacific region, the brown-marbled grouper (Epinephelus fuscoguttatus is widely adapted as an aquaculture species. However, health management remains a major concern in the stressful intensive culture process. The present review discusses techniques and current knowledge in the cultivation of E. fuscoguttatus towards healthy fish growth focusing on aspects of immunity, feed, and husbandry. Understanding how the fish immune system responds during infections provides insights into the intricate ways fish resist pathogens. This information is helpful when developing vaccination strategies or immunostimulant compounds to strengthen fish immunity. Feeds that are formulated according to the needs of the fish ensure optimal growth and using suitable alternative ingredients may lower production cost without compromising fish health. Good husbandry practices contribute to a favourable environment for the fish to grow, while interspecific hybridization may be a convenient approach to generate hardier species. Nevertheless, it has been noted that research in E. fuscoguttatus is relatively scarce in contrast to the closely-related orange-spotted grouper (E. coioides, which is used in the present article as a reference. Ultimately, the identified gaps in knowledge between the two species warrant species-specific research in E. fuscoguttatus to promote fish health and ensure continued success in aquaculture. Keywords: Epinephelus fuscoguttatus, Epinephelus coioides, Health, Immunity, Feed, Husbandry

  12. The PSI Artist Project: Aerosol Retention and Accident Management Issues Following a Steam Generator Tube Rupture

    International Nuclear Information System (INIS)

    Guntay, Salih; Dehbi, Abdel; Suckow, Detlef; Birchley, Jon

    2002-01-01

    Steam generator tube rupture (SGTR) incidents, such as those, which occurred in various operating pressurized, water reactors in the past, are serious operational concerns and remain among the most risk-dominant events. Although considerable efforts have been spent to understand tube degradation processes, develop improved modes of operation, and take preventative and corrective measures, SGTR incidents cannot be completely ruled out. Under certain conditions, high releases of radionuclides to the environment are possible during design basis accidents (DBA) and severe accidents. The severe accident codes' models for aerosol retention in the secondary side of a steam generator (SG) have not been assessed against any experimental data, which means that the uncertainties in the source term following an un-isolated SGTR concurrent with a severe accident are not currently quantified. The accident management (AM) procedures aim at avoiding or minimizing the release of fission products from the SG. The enhanced retention of activity within the SG defines the effectiveness of the accident management actions for the specific hardware characteristics and accident conditions of concern. A sound database on aerosol retention due to natural processes in the SG is not available, nor is an assessment of the effect of management actions on these processes. Hence, the effectiveness of the AM in SGTR events is not presently known. To help reduce uncertainties relating to SGTR issues, an experimental project, ARTIST (Aerosol Trapping In a Steam generator), has been initiated at the Paul Scherrer Institut to address aerosol and droplet retention in the various parts of the SG. The test section is comprised of a scaled-down tube bundle, a full-size separator and a full-size dryer unit. The project will study phenomena at the separate effect and integral levels and address AM issues in seven distinct phases: Aerosol retention in 1) the broken tube under dry secondary side conditions, 2

  13. Market-Driven Solutions to Economic, Environmental, and Social Issues Related to Water Management in the Western USA

    Directory of Open Access Journals (Sweden)

    Jordan A. Clayton

    2009-10-01

    Full Text Available Water management issues continue to plague the western United States, including rapid population growth, degraded aquatic ecosystems, unfulfilled claims to American Indian users, the threat of global warming, an economic recession, and many other issues. This essay outlines some advantages of market-driven reforms to the management of water resources in the western USA. Historical and contemporary western water resource issues are examined from economic, environmental, and social viewpoints. In all such contexts, it is argued that regulated water markets provide flexible and just solutions to western water dilemmas, and reallocations may provide much-needed additional water supply.

  14. A Review of Immune Checkpoint Inhibitors for the Management of Locally Advanced or Metastatic Urothelial Carcinoma.

    Science.gov (United States)

    Hanna, Kirollos S

    2017-11-01

    Urothelial carcinoma (UC) is the second most common malignancy of the genitourinary system and the sixth most common cancer in the United States. The overall incidence of UC appears to be on the decline, but death rates have remained stable. Stage IV metastatic disease is associated with only a 5% survival rate at 5 years. Gemcitabine and cisplatin combinations or dose-dense methotrexate, vinblastine, doxorubicin, and cisplatin are the preferred regimens for individuals with advance, metastatic disease and a good performance status and organ function. Second-line therapies in this setting are limited. During the course of 1 year, five immune checkpoint inhibitors were approved for treatment of cancers in the locally advanced or metastatic setting: atezolizumab, nivolumab, durvalumab, avelumab, and pembrolizumab. Immunotherapies have played a significant role in the treatment of various cancers and have continued to expand. It is of utmost importance that practitioners include checkpoint inhibitors as treatment options for UC. Based on the limited data, pembrolizumab and atezolizumab may be the drugs of choice, as they are supported by the most influential data to date; however, further research is warranted. Ongoing clinical trials will further assess the benefits of inducing cellular immunity in the treatment of UC. These therapies mark a new landscape in the treatment of UC. In this article, the available data on immune checkpoint inhibitors for the treatment of locally advanced or metastatic UC and their place in therapy are reviewed. © 2017 Pharmacotherapy Publications, Inc.

  15. Ceramic transactions: Environmental and waste management issues in the ceramic industry. Volume 39

    International Nuclear Information System (INIS)

    Mellinger, G.B.

    1994-01-01

    A symposium on environmental and waste management issues in the ceramic industry took place in Cincinnati, Ohio, April 19-22, 1993. The symposium was held in conjunction with the 95th Annual Meeting of the American Ceramic Society and was sponsored by the Ceramic Manufacturing Council, Legislative and Regulatory Affairs Committee with the Glass and Optical Materials, Basic Science, Cements, Nuclear, Refractory Ceramics, Structural Clay Products, Whitewares, Design, Electronics, Engineering Ceramics, and Materials and Equipment Divisions. This volume documents several of the papers that were presented at the symposium. Papers presented in this volume are categorized under the following headings: vitrification of hazardous and mixed wastes; waste glass properties and microstructure; processing of nuclear waste disposal glasses; waste form qualification; glass dissolution: modeling and mechanisms; systems and field testing of waste forms

  16. SELECTED RENEWABLE ENERGY LEGAL ISSUES IN THE CONTEXT OF LOGISTICS MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Aneta Suchoń

    2015-06-01

    Full Text Available The purpose of the paper is, fi rstly, to present renewable energy sources in Poland compared with other EU countries and, secondly, to evaluate legal regulations relating to the implementation of renewable energy projects and to operation in the context of logistics management. The article also presents the defi nition and statistical data on renewable energy. Then, it focuses on legal aspects of the building process of wind farms and biogas plants. It also points out the process of organising the project, including ensuring a legal title to lands and obtaining, apart from the building permit, some other decisions. Next, the paper raises selected issues of fi nancing the projects and of a contract engineer. Finally, it refers to the stage of operating the biogas plants and to the obligations relating to the agricultural biogas.

  17. Municipal solid waste management in the Southern Province of Sri Lanka: Problems, issues and challenges

    International Nuclear Information System (INIS)

    Vidanaarachchi, Chandana K.; Yuen, Samuel T.S.; Pilapitiya, Sumith

    2006-01-01

    This paper describes the problems, issues and challenges faced by Sri Lanka based on the outcome of a recent study conducted in the country's Southern Province. The study consists of a public survey, discussions with local authority staff involved in waste management, discussions with Provincial Council and Government officials, dialogue with local politicians, review of documents and field observations. The study revealed that only 24% of the households have access to waste collection and that in rural areas it was less than 2%. A substantial number of households in areas without waste collection expect local authorities to collect their waste. The study also showed that most sites in the province are under capacity to handle any increased demand. Urgent and immediate improvement of the waste disposal sites is necessary to meet the current demand for improved waste collection. The study also revealed that there is a high willingness of people for home composting

  18. UK-Nuclear decommissioning authority and US Salt-stone waste management issues

    International Nuclear Information System (INIS)

    Lawless, William; Whitton, John

    2007-01-01

    Available in abstract form only. Full text of publication follows: We update two case studies of stakeholder issues in the UK and US. Earlier versions were reported at Waste Management 2006 and 2007 and at ICEM 2005. UK: The UK nuclear industry has begun to consult stakeholders more widely in recent years. Historically, methods of engagement within the industry have varied, however, recent discussions have generally been carried out with the explicit understanding that engagement with stakeholders will be 'dialogue based' and will 'inform' the final decision made by the decision maker. Engagement is currently being carried out at several levels within the industry; at the national level (via the Nuclear Decommissioning Authority's (NDA) National Stakeholder Group (NSG)); at a local site level (via Site Stakeholder Groups) and at a project level (usually via the Best Practicable Environmental Option process (BPEO)). This paper updates earlier results by the co-author with findings from a second questionnaire issued to the NSG in Phase 2 of the engagement process. An assessment is made regarding the development of stakeholder perceptions since Phase 1 towards the NDA process. US: The US case study reviews the resolution of issues on salt-stone by Department of Energy's (DOE) Savannah River Site (SRS) Citizens Advisory Board (CAB), in Aiken, SC. Recently, SRS-CAB encouraged DOE and South Carolina's regulatory Department of Health and Environmental Control (SC-DHEC) to resolve a conflict preventing SC-DHEC from releasing a draft permit to allow SRS to restart salt-stone operations. It arose with a letter sent from DOE blaming the Governor of South Carolina for delay in restarting salt processing. In reply, the Governor blamed DOE for failing to assure that Salt Waste Processing Facility (SWPF) would be built. SWPF is designed to remove most of the radioactivity from HLW prior to vitrification, the remaining fraction destined for salt-stone. (authors)

  19. Critical management issues for the Uranium Mill Tailings Remedial Action (UMTRA) Project

    International Nuclear Information System (INIS)

    Themelis, J.G.; Krishnan, K.R.

    1985-01-01

    The Uranium Mill Tailings Radiation Control Act of 1978 (PL95-604) authorized the Secretary of Energy to enter into cooperative agreements with certain states and Indian Tribes to clean up 24 inactive uranium mill tailing sites and associated vicinity properties. The Uranium Mill Tailings Remedial Action (UMTRA) Project includes the three Federal agencies (EPA, DOE, and NRC), eleven state, Indian Tribes, and at least four major contractors. The UMTRA Project extends over a period of ten years. The standards for the Project require a design life of 1000 years with a minimum performance period of 200 years. This paper discusses the critical management issues in dealing with the UMTRA Project and identifies the development of solutions for many of those issues. The highlights to date are promulgation of EPA standards, continued support from Congress and participating states and Indian Tribes, significant leadership shown at all levels, establishment of credibility with the public, and continued motivation of the team. The challenge for tomorrow is making certain NRC will license the sites and maintaining the high level of coordination exhibited to date to assure Project completion on schedule

  20. Ethical communication in clinical trials. Issues faced by data managers in obtaining informed consent.

    Science.gov (United States)

    Loh, Winnie Y; Butow, Phyllis N; Brown, Richard F; Boyle, Frances

    2002-12-01

    Informed consent has been proposed as the optimal method for ensuring the ethical entry of patients into clinical trials. However, it is known that problems with informed consent exist from the perspective of both patients and physicians. This has led to the suggestion that a third party, such as a research nurse or data manager, should be responsible for obtaining informed consent. The objective of this study was to explore the views of data managers concerning the nature, challenges, and rewards of their role and the similarities and differences between their role and that of physicians in obtaining informed consent. Four focus groups in three large teaching hospitals were conducted. Twenty-one data managers who were involved in cancer or pain clinical trials participated. The focus groups were audiotaped, transcribed, and subjected to content analysis to identify themes. Data managers identified three primary roles complementary to that of physicians: information provision, quality assurance of the informed consent process, and ongoing support during the trial. Despite expressed concern that medical and drug company interests may lead to subtle coercion of the patient, participants did not support the notion that they may be solely responsible for the consent process. Participants described a range of ethical dilemmas they confronted, including patients asking them for medical details they could not provide and situations in which they felt that informed consent was compromised in some way, for example, dealing with situations in which the patient appeared to be entering the trial for the wrong reasons due to misunderstanding, need, or passivity. Effective functioning of the multidisciplinary team assisted data managers in performing their role. A range of training needs were identified, particularly communication skills training and trial start-up briefing. The issues raised by these data managers have important implications for the successful conduct of

  1. NDA generic research programme for higher activity waste management issues - 16390

    International Nuclear Information System (INIS)

    McKinney, James; Brownridge, Melanie

    2009-01-01

    NDA has a responsibility to ensure decommissioning activities are sufficiently technically underpinned and appropriate Research and Development (Rand D) is carried out. The NDA funds research and development (R and D) indirectly via the Site Licence Companies (SLCs) or directly. The main component of directly funded R and D is the NDA Direct Research Portfolio (DRP). The DRP is split into four framework areas: - University Interactions; - Waste Processing; - Material Characterisation; - Actinide and Strategic Nuclear Materials. These four framework areas were competed through an Official Journal of European Union (OJEU) process in 2008. Although all four areas involve waste management, Waste Processing and Material Characterisation specifically deal with Higher Activity Waste (HAW) waste management issues. The Waste Processing area was awarded to three groups: (i) National Nuclear Laboratory (NNL), (ii) Consortium led by Hyder Consulting Ltd, and (iii) Consortium led by UKAEA Ltd. The Material Characterisation area was awarded to three groups: (i) NNL, (ii) Serco, and (iii) Consortium led by UKAEA Ltd. The initial work in Waste Processing and Material Characterisation was centered on establishing a forward research programme to address the generic needs of the UK civil nuclear industry and the NDA strategic drivers for waste management and land quality. This has been achieved by the four main framework contractors from the Waste Processing and Materials Characterisation areas working together with the NDA to identify the key research themes and begin the development of the NDA's HAW Management Research Programme. The process also involves active engagement with both industry and regulators via the Nuclear Waste Research Forum (NWRF). The NDA's HAW Management Research Programme includes a number of themes: - Optimisation of Interim Store Operation and Design; - Alternative Waste Encapsulants; - Waste Package Integrity; - Alternative Waste treatment methods

  2. Management of ethical issues related to care of seriously ill dialysis patients in free-standing facilities.

    Science.gov (United States)

    Song, Mi-Kyung; Hanson, Laura C; Gilet, Constance A; Jo, Minjeong; Reed, Teresa J; Hladik, Gerald A

    2014-09-01

    There are few data on the frequency and current management of clinical ethical issues related to care of seriously ill dialysis patients in free-standing dialysis facilities. To examine the extent of clinical ethical challenges experienced by care providers in free-standing facilities and their perceptions about how those issues are managed. A total of 183 care providers recruited from 15 facilities in North Carolina completed a survey regarding the occurrence and management of ethical issues in the past year. Care plan meetings were observed at four of the facilities for three consecutive months. Also, current policies and procedures at each of the facilities were reviewed. The two most frequently experienced challenges involved dialyzing frail patients with multiple comorbidities and caring for disruptive/difficult patients. The most common ways of managing ethical issues were discussions in care plan meetings (n = 47) or discussions with the clinic manager (n = 47). Although policies were in place to guide management of some of the challenges, respondents were often not aware of those policies. Also, although participants reported that ethical issues related to dialyzing undocumented immigrants were fairly common, no facility had a policy for managing this challenge. Participants suggested that all staff obtain training in clinical ethics and communication skills, facilities develop ethics teams, and there be clear policies to guide management of ethical challenges. The scope of ethical challenges was extensive, how these challenges were managed varied widely, and there were limited resources for assistance. Multifaceted efforts, encompassing endeavors at the individual, facility, organization, and national levels, are needed to support staff in improving the management of ethical challenges in dialysis facilities. Copyright © 2014 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  3. Treatment of severe non-infectious uveitis in high-risk conditions (Part I): pregnancy and malignancies, management and safety issues.

    Science.gov (United States)

    Cordero-Coma, Miguel; Salazar-Méndez, Raquel; Yilmaz, Taygan

    2015-07-01

    Management of patients with severe immune-mediated uveitis requires the use of immunosuppressive drugs in selected cases. This may be especially challenging in certain patients with concomitant conditions, which could increase the risk of side effects or modify guidelines for the use of such drugs. Therapeutic decision-making and management may be of particular difficulty in pregnancy as well as in patients with associated malignancies unrelated to a specific ophthalmic inflammatory condition. The main aim of this review is to provide an updated comprehensive practical guide for practitioners regarding the therapeutic decision-making and management of patients with severe immune-mediated uveitis in the context of pregnancy and malignancies. Management of patients with immune-mediated uveitis requiring immunosuppressive/immunomodulatory drugs might be particularly complicated by other conditions affecting their health and immune status. Clinicians should take into account such conditions, which might influence treatment response and the clinical outcome of these patients.

  4. Decommissioning, radioactive waste management and nuclear public information issues in Italy

    Energy Technology Data Exchange (ETDEWEB)

    Enrico Mainardi [AIN - ENEA (Italy)

    2006-07-01

    Full text of publication follows: AIN (Associazione Italiana Nucleare or Italian Nuclear Association) is a non-profit organization that includes a wide range of competence and expertise in the field of nuclear science and technology in Italy. A leading role among AIN members is now covered by SOGIN a company mainly involved in waste treatment and conditioning together with dismantling of the Italian nuclear power plants and installations. The same company detains most of the national competences on Nuclear Power Plants operation and safety that have allowed to provide services to a number of domestic and international clients. Radioactive waste management is a major issue for the acceptability of nuclear power energy and nuclear technologies in general. A solution to the disposal of nuclear waste from the past operation of four NPP and of the Fuel Cycle Facilities together with all the other nuclear waste from hospitals, medical facilities, industries and research centres is today essential. A nuclear-waste storage facilities located in one secured place is a national priority, given the increased risks of possible terrorist attacks, accidents or natural disasters. The Italian decision needs to follow the guidelines and paths decided at the international and European level without delegating to future generations the problems and waste connected to previous use of nuclear technologies. This issue needs to be addressed and solved before starting any discussion on nuclear power in Italy as the recent case of the strong opposition against the site proposed by the Italian Government demonstrates. The site that was selected by the Italian Government is Scanzano Jonico (Matera province in the Basilicata region). The decision is based on a study by SOGIN in cooperation with other institutions such as ENEA and Italian universities, and considering a previous work of the National Geological Service. The study follows the guidelines of ONU-IAEA and the solutions adopted at

  5. Decommissioning, radioactive waste management and nuclear public information issues in Italy

    International Nuclear Information System (INIS)

    Enrico Mainardi

    2006-01-01

    Full text of publication follows: AIN (Associazione Italiana Nucleare or Italian Nuclear Association) is a non-profit organization that includes a wide range of competence and expertise in the field of nuclear science and technology in Italy. A leading role among AIN members is now covered by SOGIN a company mainly involved in waste treatment and conditioning together with dismantling of the Italian nuclear power plants and installations. The same company detains most of the national competences on Nuclear Power Plants operation and safety that have allowed to provide services to a number of domestic and international clients. Radioactive waste management is a major issue for the acceptability of nuclear power energy and nuclear technologies in general. A solution to the disposal of nuclear waste from the past operation of four NPP and of the Fuel Cycle Facilities together with all the other nuclear waste from hospitals, medical facilities, industries and research centres is today essential. A nuclear-waste storage facilities located in one secured place is a national priority, given the increased risks of possible terrorist attacks, accidents or natural disasters. The Italian decision needs to follow the guidelines and paths decided at the international and European level without delegating to future generations the problems and waste connected to previous use of nuclear technologies. This issue needs to be addressed and solved before starting any discussion on nuclear power in Italy as the recent case of the strong opposition against the site proposed by the Italian Government demonstrates. The site that was selected by the Italian Government is Scanzano Jonico (Matera province in the Basilicata region). The decision is based on a study by SOGIN in cooperation with other institutions such as ENEA and Italian universities, and considering a previous work of the National Geological Service. The study follows the guidelines of ONU-IAEA and the solutions adopted at

  6. Addressing public concerns about ethical and environmental issues in the discussion on nuclear waste management

    International Nuclear Information System (INIS)

    Luthi, A.

    1996-01-01

    According to Swiss Federal Law, the producers of radioactive waste are responsible for its safe disposal. The government, therefore, plays a relatively modest role in the public debate on nuclear waste management. Whenever asked to express an opinion, it tries to inform openly. Active public relations campaigns are led by the National Co-operative for the Disposal of Radioactive Waste (NAGRA). The operators of nuclear power plants are ready to compensate the siting community and its Canton for services rendered in the public interest. An important way to deal with ethical and environmental issues is the inclusion of opponents in every step of the time-consuming licensing procedure. This paper discusses the upcoming vote on a concession for a low and intermediate-level waste repository for which NAGRA is actively preparing. NAGRA's public relations work is based on recognition of the fact that the only way to diminish fear and gain credibility is to inform openly and regularly over many years, and to show that results achieved are based on serious, careful and transparent scientific work. Another aspect of radioactive waste management communication lies in the explanation of the ethics of 'inter-generational' and 'intra-generational' equity. Compensation will never make up for lack of safety. The ways in which the public voices its views are discussed, as well as the concept of seeking the co-operation of opponents in working groups. (author)

  7. A survey of safety issues in tree-climbing applications for forestry management

    Directory of Open Access Journals (Sweden)

    D. Longo

    2013-09-01

    Full Text Available Topping, trimming, consolidation, securing and felling are very common operations in arboriculture, in city park as well as in forests. In case of very large trees, these operations are often not possible from ground level using ladders or Mobile Elevating Work Platforms (MEWPs because of excessive height or uneven/inaccessible terrain. In past years, different people start applying techniques, materials and procedures normally used in mountaineering and caving, to climb trees and these techniques start to be applied to forestry management operations; these techniques are now worldwide used. Work activities at height, as tree-climbing for forestry management purpose, are regulated in Italy by Legislative Decree 81/08 about safety in the workplace, as this activity expose operators to fall from height and many other risks. Moreover, as this activity involves the use of specific tools, operators must be trained (with periodic refreshment and tools must been periodically checked by authorised operators. The objective of this work is to present and synthesise regulations and some technical aspects in order to allow operators to better understand different issues and general principles related to this activity.

  8. Management of pregnancy-related issues in multiple sclerosis patients: the need for an interdisciplinary approach.

    Science.gov (United States)

    Amato, Maria Pia; Bertolotto, Antonio; Brunelli, Roberto; Cavalla, Paola; Goretti, Benedetta; Marrosu, Maria Giovanna; Patti, Francesco; Pozzilli, Carlo; Provinciali, Leandro; Rizzo, Nicola; Strobelt, Nicola; Tedeschi, Gioacchino; Trojano, Maria; Comi, Giancarlo

    2017-10-01

    Multiple sclerosis (MS) is a demyelinating and neurodegenerative disease of the central nervous system (CNS), most probably autoimmune in origin, usually occurring in young adults with a female/male prevalence of approximately 3:1. Women with MS in the reproductive age may face challenging issues in reconciling the desire for parenthood with their condition, owing to the possible influence both on the ongoing or planned treatment with the possible consequences on the disease course and on the potential negative effects of treatments on foetal and pregnancy outcomes. At MS diagnosis, timely counselling should promote informed parenthood, while disease evolution should be assessed before making therapeutic decisions. Current guidelines advise the discontinuation of any treatment during pregnancy, with possible exceptions for some treatments in patients with very active disease. Relapses decline during pregnancy but are more frequent during puerperium, when MS therapy should be promptly resumed in most of the cases. First-line immunomodulatory agents, such as interferon-β (IFN-β) and glatiramer acetate (GA), significantly reduce the post-partum risk of relapse. Due to substantial evidence of safety with the use of GA during pregnancy, a recent change in European marketing authorization removed the pregnancy contraindication for GA. This paper reports a consensus of Italian experts involved in MS management, including neurologists, gynaecologists and psychologists. This consensus, based on a review of the available scientific evidence, promoted an interdisciplinary approach to the management of pregnancy in MS women.

  9. Management and Administration Issues in Greek Secondary Schools: Self-Evaluation of the Head Teacher Role

    Directory of Open Access Journals (Sweden)

    Argyrios Argyriou

    2014-01-01

    Full Text Available This study investigated the importance school headmasters attach to a number of activities associated with the effective performance of their duties. This recording aims to examine the potential of these school headmasters to exercise their role and work within the highly bureaucratic and hierarchical Greek educational system. These activities include (a establishment and realization of a common vision and mission of the school unit as well as its culture identification and formation, (b teaching and tutoring of students, (c management and development of the educational personnel, (d conducting of administrative affairs and management of resources, and (e good relations with parents, entities of external environment of the school unit, and the local community. The study found that the headmasters consider activities concerning their bureaucratic/conductive role as well as their leading behaviour as “very important” at very high percentages (over 70.0%. However, tasks involving them in administrative issues are, according to them, “less” up to “least important” so that their role is effectively fulfilled. Statistically significant diversifications have been observed in certain activities associated with the efficient performance of their duties in relation to their gender, years of experience in leadership position, and the size of the school unit.

  10. Approaches and incentives to implement integrated pest management that addresses regional and environmental issues.

    Science.gov (United States)

    Brewer, Michael J; Goodell, Peter B

    2012-01-01

    Agricultural, environmental, and social and policy interests have influenced integrated pest management (IPM) from its inception. The first 50 years of IPM paid special attention to field-based management and market-driven decision making. Concurrently, IPM strategies became available that were best applied both within and beyond the bounds of individual fields and that also provided environmental benefits. This generated an incentives dilemma for farmers: selecting IPM activities for individual fields on the basis of market-based economics versus selecting IPM activities best applied regionally that have longer-term benefits, including environmental benefits, that accrue to the broader community as well as the farmer. Over the past several decades, public-supported incentives, such as financial incentives available to farmers from conservation programs for farms, have begun to be employed to encourage use of conservation techniques, including strategies with IPM relevance. Combining private investments with public support may effectively address the incentives dilemma when advanced IPM strategies are used regionally and provide public goods such as those benefiting resource conservation. This review focuses on adaptation of IPM to these broader issues, on transitions of IPM from primarily individual field-based decision making to coordinated community decision making, and on the form of partnerships needed to gain long-lasting regional and environmental benefits. Copyright © 2012 by Annual Reviews. All rights reserved.

  11. Management of adults with paediatric-onset chronic liver disease: strategic issues for transition care.

    Science.gov (United States)

    Vajro, Pietro; Ferrante, Lorenza; Lenta, Selvaggia; Mandato, Claudia; Persico, Marcello

    2014-04-01

    Advances in the management of children with chronic liver disease have enabled many to survive into adulthood with or without their native livers, so that the most common of these conditions are becoming increasingly common in adult hepatology practice. Because the aetiologies of chronic liver disease in children may vary significantly from those in adulthood, adults with paediatric-onset chronic liver disease may often present with clinical manifestations unfamiliar to their adulthood physician. Transition of medical care to adult practice requires that the adulthood medical staff (primary physicians and subspecialists) have a comprehensive knowledge of childhood liver disease and their implications, and of the differences in caring for these patients. Pending still unavailable Scientific Society guidelines, this article examines causes, presentation modes, evaluation, management, and complications of the main paediatric-onset chronic liver diseases, and discusses key issues to aid in planning a program of transition from paediatric to adult patients. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

  12. Bataan Coastal Resource Management Programs: Environmental, Socio-Economic, and Implementation Issues from Stakeholders’ Views

    Directory of Open Access Journals (Sweden)

    Alvin B. Cervania

    2018-02-01

    Full Text Available A study on the status of Bataan’s coastal zones, and the issues on the province’s coastal resource management (CRM programs under an integrated framework was commissioned by the Department of Science and Technology-Region III in the Philippines. Twenty-eight representative coastal villages and 11 water testing sites served as study areas. The research participants totalled to 1,300. Focused group discussions, survey and interviews, laboratory testing, documentary analysis, and literature review were used in the data gathering. It was concluded that the province’s coastal zones are in a disturbed state, which has negative implications to its already subsistent coastal population and important coastal economic activities. The province’s CRM projects have been arbitrary and intermittent. There are too few conservation initiatives due to scarcity of baseline data necessary for more methodical CRM programs. There is poor grassroots level involvement in CRM decision-making processes as well which clearly defeats the essence of integrated coastal management. A coordinated effort to strengthen stakeholder participation in critical CRM stages, and to conduct more comprehensive profilings and assessments of the province’s coastal environment involving the government, academics, and scientists are recommended to substantiate stakeholder involvement and increase the quality of data for CRM projects.

  13. Development of subsurface drainage database system for use in environmental management issues

    International Nuclear Information System (INIS)

    Azhar, A.H.; Rafiq, M.; Alam, M.M.

    2007-01-01

    A simple user-friendly menue-driven system for database management pertinent to the Impact of Subsurface Drainage Systems on Land and Water Conditions (ISIAW) has been developed for use in environment-management issues of the drainage areas. This database has been developed by integrating four soft wares, viz; Microsoft Excel, MS Word Acrobat and MS Access. The information, in the form of tables and figures, with respect to various drainage projects has been presented in MS Word files. The major data-sets of various subsurface drainage projects included in the ISLaW database are: i) technical aspects, ii) groundwater and soil-salinity aspects, iii) socio-technical aspects, iv) agro-economic aspects, and v) operation and maintenance aspects. The various ISlAW file can be accessed just by clicking at the Menu buttons of the database system. This database not only gives feed back on the functioning of different subsurface drainage projects, with respect to the above-mentioned aspects, but also serves as a resource-document for these data for future studies on other drainage projects. The developed database-system is useful for planners, designers and Farmers Organisations for improved operation of existing drainage projects as well as development of future ones. (author)

  14. Physician Perspectives on Unresolved Issues in the Management of Ulcerative Colitis: The UC Horizons Project.

    Science.gov (United States)

    Gisbert, Javier P; Barreiro-de Acosta, Manuel; Esteve, María; García-Sánchez, Valle; Gomollón, Fernando; Guardiola, Jordi; Hinojosa, Joaquin; Martín Arranz, Maria-Dolores; Minguez, Miguel; Taxonera, Carlos; Vera, Isabel

    2016-03-01

    There is still uncertainty about what constitutes the best therapeutic practice in ulcerative colitis (UC). The purpose of the "UC Horizons Project" was to raise a series of questions regarding the management of UC to provide responses based on the best scientific evidence available. The 11 members of the scientific committee prepared draft answers to the 10 questions from available evidence after a literature search. A total of 48 Spanish gastroenterology specialists nationwide participated in the project. The national meeting discussed the 10 issues in working groups and reached consensus regarding the recommendations by anonymous, interactive vote following the Delphi methodology. Final answers were developed, based on evidence and clinical experience of the participants. All the recommendations achieved a high level of agreement in the plenary vote, although the quality of the evidence was markedly heterogeneous. The lowest percentage of agreement corresponded to the questions with the weakest level of evidence, highlighting the necessity of conducting further studies in these areas. The recommendations focused on (1) aminosalicylates therapy (regarding dose and appropriateness of coadministration with thiopurines), (2) corticosteroid therapy (regarding dose and route of administration), (3) thiopurine treatment (regarding indications and possibility of withdrawal), (4) anti-tumor necrosis factor therapy (regarding appropriateness of combination with thiopurines, intensification, or discontinuation of treatment), and (5) colorectal cancer (regarding risk and time trends). The UC Horizons Project raised a series of eminently practical questions about the management of UC and provided responses based on the best scientific evidence available.

  15. Managing pediatric dental patients: issues raised by the law and changing views of proper child care.

    Science.gov (United States)

    Bross, Donald C

    2004-01-01

    The purpose of this paper was to examine legal issues regarding the management of pediatric dental patients and changing views of proper child care. Standards of care in pediatric dentistry are not static. They change in response to research, patterns of reimbursement, patient and parental expectations of reasonable care, and consensus among practitioners. The law pertaining to accountability for pediatric dental patient treatment largely reflects standards of care established by the pediatric dentistry profession. However, the law can also reflect changes in public expectations of reasonable care that can effectively outrun the discipline's efforts to reflect new knowledge or changing public concerns. A major impetus for considering the care of children in all settings has been the increasing recognition of suboptimal children's care, as well as concerns that children have either been abused or neglected in a number of settings. Too often, practices towards children have been untested and based only on the assumption that what is done is "for the child's own good." Pediatric dentists can respond to changing standards of reasonable care for pediatric dental patients, as expressed in legal decisions. They can also usefully consider how attention to child maltreatment has sensitized parents to be better consumers of services on their children's behalf. Rather than reacting only to public pressures for better means of behavior management, the challenge is to exceed expectations via new research and thoughtful anticipation of improvements that can be made.

  16. Six Decades of Nuclear Accidents, Nuclear Compensation, and Issues of Radioactive Waste Management

    International Nuclear Information System (INIS)

    Boonsuwan, P.; Songjakkeaw, A.

    2011-11-01

    Thailand has made a serious aim to employ nuclear power by adopting five 1,000 MWt in the 2010 national Power Development Plan (PDP 2010) with the first NPP coming online in 2020. However, after the Fukushima nuclear disaster in March 2011, the National Energy Policy Committee had made the resolution to postpone the plan by 3 years. The post-Fukushima atmosphere does not bode well for the public sentiment towards the proposed programme, especially with regards to safety of an NPP. Nonetheless, during the six decades that NPPs have been in operation in 32 countries worldwide, there are only 19 serious accidents involving fatalities and/or damage to properties in excess of 100 million USD. Out of the three significant accidents - Fukushima nuclear accident (2011), Chernobyl nuclear accident (1986), and Three Miles Island nuclear accident (1979) - only the accident at Three Miles Island occurs during normal operation. Such can be implied that the operation of NPPs does maintain a high level of safety. The current technology on nuclear safety has been advancing greatly to the point that the new NPP design claims to render the possibility of a severe accident resulting in core melting insignificant. Along with the technical improvements, laws and regulations have also be progressing in parallel to adequately compensate and limit the liability of operators in case of a nuclear accident. The international agreements such as the Vienna Convention on Civil Liability for Nuclear Damage and the Convention of the Third Party Liability in the Field of Nuclear Energy had also been established and also the national laws of countries such as the United States and Japan have been implemented to address such issues to the point that victims of a nuclear accidents are adequately and justly compensated. In addition to the issues of nuclear accident, the dilemma in nuclear waste management, especially with regards to the High Level Waste which is highly radioactive while having very

  17. Natural resource management issues of pakistan's agriculture: the cases of land, labour and irrigation

    International Nuclear Information System (INIS)

    Arifullah, S.A.; Farid, N.

    2009-01-01

    With the objective to understand the optimization behavior of farmers in allocating land, labor and irrigation water, Linear Programming (LP) analytic technique was applied to 13 Kharif and 7 Rabi crops, using national level data from 1990-2005. The crops included in the analysis have been occupying 80 - 85 percent of Pakistan's cropped area for the last three to four decades. The optimization analysis resulted in bringing up three major natural resource management issues of the Pakistan's crop sector to the forefront. First, Basmati rice, mung, fodders of millet and sorghum, onion and IRRI rice were found optimal Kharif crops relative to sugarcane, maize, maize fodder, millet, sorghum, cotton and tomato. For Rabi wheat, potato, gram, rapeseed and berseem proved to be optimal relative to barley and sugarcane, for this period. The results imply that to have an efficient agriculture base Pakistan should either replace the sub-optimal crops with the optimal ones, or the resource management side of such crops should be improved with the help sensitivity analysis. Second, cotton and tomato appeared to be relatively sensitive to labor availability than other crops; they seemed to establish a direct correlation between the optimality status and labor availability. And third, irrigation emerged as a critical input for IRRI rice in Kharif and for potato and gram in Rabi season; for these crops the crop optimality was directly correlated to the number of irrigations applied. In contrast, its opportunity cost is higher than the per unit return in cotton, tomato, wheat and berseem. This signified that irrigation needs to be managed efficiently in the latter four crops; whereas in the former three crops use of extra water would help in optimizing. (author)

  18. Issues on safe radioactive waste management at ChNPP site in International Shelter Implementation Plan

    International Nuclear Information System (INIS)

    Bykov, V.; Kilochytska, T.; Gromyko, S.; Kadkin, Y.; Kondratiev, S.; Pavlenko, A.; Bogorinski, P.

    2003-01-01

    The International Shelter Implementation Plan (SIP) [1], is aimed to convert the ChNPP unit 4, destroyed by a beyond-design accident in 1986, into an environmentally safe facility by means of large-scale projects such as stabilization of the existing Sarcophagus (Shelter), construction of a New Safe Confinement (NSC), and installation of engineering and monitoring systems. This report presents some important safety issues concerning radioactive waste (RAW) management at the Shelter. One of the main problems of RAW management is to dispose of large volumes of RAW generated during ground preparation work. It is necessary that RAW be sorted carefully to separate low-active radioactive waste (LLW), which will be the majority, from high-level waste. Considering the fact that the Shelter is in the exclusion zone, the interim storage of LLW in this zone is possible, but a set of safety measures is required, e.g. prevention of dust generation or spreading of radioactivity with water. Another problem is high level RAW management. Highly radioactive fragments of the core, including fuel were ejected during the accident and are now buried under the man-made layer around the Shelter. Unanticipated disclosure of such fragments may happen during any ground preparation work as well as during clearing of premises inside the damaged buildings. Therefore, permanent radiation monitoring is required to prevent any intolerable exposure of workers. Unanticipated disclosure of high-active radioactive waste (HLW) could lead to considerable delay of any work. Since it is particularly difficult to remove HLW from those locations, which can not be easily accessed with removal equipment, such waste needs to be confined and properly shielded at in situ. Due to absence of a permanent HLW storage, an interim storage needs to be provided for in the territory of the Sarcophagus. (author)

  19. Current and potential immune therapies and vaccines in the management of psoriasis

    Science.gov (United States)

    Kaffenberger, Benjamin H; Lee, Grace L; Tyler, Kelly; Chan, Derek V; Jarjour, Wael; Ariza, Maria E; Williams, Marshall V; Wong, Henry K

    2014-01-01

    Psoriasis is a chronic, immune skin disease associated with significant morbidity. Development of psoriasis is influenced by numerous genes, one allele is HLA-CW*0602. Other genes and single nucleotide polymorphisms affect immunologic pathways and antimicrobial peptide synthesis. Dendritic cells initiate psoriasis by activating T-cells toward a Th1 and Th17 response, with increased cytokines including TNF-α, IL-6, -12, -17, -22, and -23. IL-22 appears to promote keratinocyte dedifferentiation and increased antimicrobial peptide synthesis while TNF-α and IL-17 induce leukocyte localization within the psoriatic plaque. These recent insights identifying key cytokine pathways have led to the development of inhibitors with significant efficacy in the treatment of psoriasis. While a strategy for vaccine modulation of the immune response in psoriasis is in progress, with new technology they may provide a cost-effective long-term treatment that may induce tolerance or targeted self-inhibition for patients with autoimmune disorders, such as psoriasis. PMID:24492530

  20. The role of nuclear medicine in the staging and management of human immune deficiency virus infection and associated diseases

    Energy Technology Data Exchange (ETDEWEB)

    Ankrah, Alfred O.; Sathekge, Mike [Dept. of Nuclear Medicine, University of Pretoria and Steve Biko Academic Hospital, Pretoria (South Africa); Glaudemans, Andor W. J. M.; Klein, Hans; Dierckx, Rudi A. J. O. [University of Groningen, University Medical Centre Groningen, Groningen (Netherlands)

    2017-06-15

    Human immune deficiency virus (HIV) is a leading cause of death. It attacks the immune system, thereby rendering the infected host susceptible to many HIV-associated infections, malignancies and neurocognitive disorders. The altered immune system affects the way the human host responds to disease, resulting in atypical presentation of these disorders. This presents a diagnostic challenge and the clinician must use all diagnostic avenues available to diagnose and manage these conditions. The advent of highly active antiretroviral therapy (HAART) has markedly reduced the mortality associated with HIV infection but has also brought in its wake problems associated with adverse effects or drug interaction and may even modulate some of the HIV-associated disorders to the detriment of the infected human host. Nuclear medicine techniques allow non-invasive visualisation of tissues in the body. By using this principle, pathophysiology in the body can be targeted and the treatment of diseases can be monitored. Being a functional imaging modality, it is able to detect diseases at the molecular level, and thus it has increased our understanding of the immunological changes in the infected host at different stages of the HIV infection. It also detects pathological changes much earlier than conventional imaging based on anatomical changes. This is important in the immunocompromised host as in some of the associated disorders a delay in diagnosis may have dire consequences. Nuclear medicine has played a huge role in the management of many HIV-associated disorders in the past and continues to help in the diagnosis, prognosis, staging, monitoring and assessing the response to treatment of many HIV-associated disorders. As our understanding of the molecular basis of disease increases nuclear medicine is poised to play an even greater role. In this review we highlight the functional basis of the clinicopathological correlation of HIV from a metabolic view and discuss how the use of

  1. The Role of Nuclear Medicine in the Staging and Management of Human Immune Deficiency Virus Infection and Associated Diseases.

    Science.gov (United States)

    Ankrah, Alfred O; Glaudemans, Andor W J M; Klein, Hans C; Dierckx, Rudi A J O; Sathekge, Mike

    2017-06-01

    Human immune deficiency virus (HIV) is a leading cause of death. It attacks the immune system, thereby rendering the infected host susceptible to many HIV-associated infections, malignancies and neurocognitive disorders. The altered immune system affects the way the human host responds to disease, resulting in atypical presentation of these disorders. This presents a diagnostic challenge and the clinician must use all diagnostic avenues available to diagnose and manage these conditions. The advent of highly active antiretroviral therapy (HAART) has markedly reduced the mortality associated with HIV infection but has also brought in its wake problems associated with adverse effects or drug interaction and may even modulate some of the HIV-associated disorders to the detriment of the infected human host. Nuclear medicine techniques allow non-invasive visualisation of tissues in the body. By using this principle, pathophysiology in the body can be targeted and the treatment of diseases can be monitored. Being a functional imaging modality, it is able to detect diseases at the molecular level, and thus it has increased our understanding of the immunological changes in the infected host at different stages of the HIV infection. It also detects pathological changes much earlier than conventional imaging based on anatomical changes. This is important in the immunocompromised host as in some of the associated disorders a delay in diagnosis may have dire consequences. Nuclear medicine has played a huge role in the management of many HIV-associated disorders in the past and continues to help in the diagnosis, prognosis, staging, monitoring and assessing the response to treatment of many HIV-associated disorders. As our understanding of the molecular basis of disease increases nuclear medicine is poised to play an even greater role. In this review we highlight the functional basis of the clinicopathological correlation of HIV from a metabolic view and discuss how the use of

  2. The role of nuclear medicine in the staging and management of human immune deficiency virus infection and associated diseases

    International Nuclear Information System (INIS)

    Ankrah, Alfred O.; Sathekge, Mike; Glaudemans, Andor W. J. M.; Klein, Hans; Dierckx, Rudi A. J. O.

    2017-01-01

    Human immune deficiency virus (HIV) is a leading cause of death. It attacks the immune system, thereby rendering the infected host susceptible to many HIV-associated infections, malignancies and neurocognitive disorders. The altered immune system affects the way the human host responds to disease, resulting in atypical presentation of these disorders. This presents a diagnostic challenge and the clinician must use all diagnostic avenues available to diagnose and manage these conditions. The advent of highly active antiretroviral therapy (HAART) has markedly reduced the mortality associated with HIV infection but has also brought in its wake problems associated with adverse effects or drug interaction and may even modulate some of the HIV-associated disorders to the detriment of the infected human host. Nuclear medicine techniques allow non-invasive visualisation of tissues in the body. By using this principle, pathophysiology in the body can be targeted and the treatment of diseases can be monitored. Being a functional imaging modality, it is able to detect diseases at the molecular level, and thus it has increased our understanding of the immunological changes in the infected host at different stages of the HIV infection. It also detects pathological changes much earlier than conventional imaging based on anatomical changes. This is important in the immunocompromised host as in some of the associated disorders a delay in diagnosis may have dire consequences. Nuclear medicine has played a huge role in the management of many HIV-associated disorders in the past and continues to help in the diagnosis, prognosis, staging, monitoring and assessing the response to treatment of many HIV-associated disorders. As our understanding of the molecular basis of disease increases nuclear medicine is poised to play an even greater role. In this review we highlight the functional basis of the clinicopathological correlation of HIV from a metabolic view and discuss how the use of

  3. Waste management regulatory compliance issues related to D ampersand D activities at Oak Ridge National Laboratory (ORNL)

    International Nuclear Information System (INIS)

    Hitch, J.P.; Arnold, S.E.; Burwinkle, T.; Daugherty, D.

    1994-01-01

    The waste management activities at ORNL related to the decontamination and decommissioning (D ampersand D) of radioactively contaminated buildings are divided into four categories: Operational facilities, inactive or surplus facilities, future facilities planning, and D ampersand D activities. This paper only discusses regulatory issues related to inactive or surplus facilities. Additionally, rather than attempting to address all resulting waste streams and related regulations, this paper highlights only a few of the ORNL waste streams that present key regulatory issues

  4. The Western Energy Corridor Initiative: Unconventional Fuel Development Issues, Impacts, and Management Assessment

    Science.gov (United States)

    Wolfsberg, A.; Hagood, M.; Pasqualini, D.; Wood, T.; Wilson, C.; Witkowski, M.; Levitt, D.; Pawar, R.; Keating, G.; Ziock, H.

    2008-12-01

    The United States is increasingly dependent on imported oil and gas; commodities for which other nations are competing and for which future supply may be inadequate to support our transportation fuel needs. Therefore, a renewed interest in 'harder-to-get' unconventional fuels has emerged in both industry and government with directed focus on world class hydrocarbon resources within a corridor extending from Canada southward through the Rocky Mountain States. Within this Western Energy Corridor, co-located with significant conventional hydrocarbon and renewable energy resources, lie some of the world's richest unconventional hydrocarbon resources in oil shales, oil sands and coal for coal-to-liquid conversion. However, development of these resources poses substantial environmental concerns as well as increasing competition for limited resources of water and habitat. With large-scale energy development in the predominantly rural region, local communities, infrastructures, and economies will face increasing demands for roads, electricity, law enforcement, labor, and other support services. The Western Energy Corridor Initiative (WECI) seeks to develop an integrated assessment of the impacts of unconventional fuel development, the interrelationships of planned energy developments in different basins, and the resultant demands placed on the region. This initial WECI study focuses on two of the most important current issues for industry, regulators, and stakeholders -- the assessment of carbon and water resources issues, impacts, and management strategies. Through scenario analyses using coupled systems and process level models, this study investigates the viability of integrated development of multiple energy resources in a carbon neutral and environmentally acceptable manner, and the interrelationships of various energy resource development plans. The modeling framework is designed to extend to include infrastructure, employment, training, fiscal and economic demands

  5. PWSCC issues and material aging management for nuclear power plants in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Seong Sik; Lim, Yun Soo; Kim, Dong Jin; Kim, Sung Woo; Kim, Hong Pyo [Nuclear Materials Research Division, Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2012-10-15

    The primary water stress corrosion cracking (PWSCC) of alloy 600 in a PWR has been reported in the control rod drive mechanism (CRDM). Beginning in the mid-seventies, the pressurized water reactor (PWR) plants suffered from a sequence of SCC events mostly confined to S/G tubes, initially ODSCC, and then PWSCC. PWSCC was first reported in Bugey 3 vessel head penetration made of forged alloy 600 materials in September 1991. Other PWRs experienced cracking attributed to the PWSCC of the major primary side weld area made from alloy 182 at the end of the year 2000. Examples of dissimilar metal butt welds between the main austenitic stainless steel primary circuit piping and the outlet pressure vessel nozzles are the cracking of Ringhals 4, V. C. Summer and some J-groove welds of the CRDM of the RVH at Oconee 1. In addition to the Reactor Vessel Head (RVH), the PWSCC of alloy 182/82 has been reported at bottom mounted instrumentation (BMI) nozzle J-welds, steam generator(SG) J-weld drain nozzle, and SG tube sheet cladding. Two cases of boric acid precipitation were reported at the bottom head surface of a SG in Korea. Cracking was found in the cold leg drain nozzles made of alloy 600 in two units, hot side nozzles were fabricated with alloy 690 from the beginning. The cracking of steam generator tubings made of alloy 600 is another concern in Korea, because some plants still have alloy 600 HTMA tubings. The flow accelerated corrosion of secondary pipings is another type of corrosion problems, though it has not been treated as a severe problem in Korea. To properly manage the corrosion issues and seek out research items for maintaining the integrity of nuclear plants, the PRIMA-Net (Proactive Research and Innovative Material Aging Network) was organized in 2007. The research and development expert group consists of a National research laboratory (KAERI), regulatory body (KINS), utility (KHNP), engineering and design company (KEPCO EC), manufacturer (Doosan Heavy

  6. ICT as an enabler in supporting Knowledge Management in Nuclear Malaysia: Issues, challenges and best practises

    International Nuclear Information System (INIS)

    Abdul Muin Abdul Rahman

    2009-01-01

    This paper discusses the notion that ICT (Information and Communication Technology) is an enabler to KM (Knowledge Management) and how ICT can help to support KMS (KM Systems) in the context of Nuclear Malaysia. It starts by taking an academic tour and looking at the meanings and definitions of ICT and KM or KMS from various perspectives. Coincidently, ICT and KM carries a variety of meanings when view from different angles by different groups of people, as described in the following sections. The paper also discusses the issues and challenges in building ICT systems and applications such as that for the KMS. It also provides strategies, actions plans or best practises done by various sectors of the ICT industry that can also be applied to Nuclear Malaysia in its pursuit of building a KMS. As an R and D organization in which knowledge creation, preservation, storage and retrieval are its daily diet, a KMS is something that Nuclear Malaysia cannot afford to live without. (Author)

  7. Successful and unsuccessful attempts to resolve caribou management and timber harvesting issues in west central Alberta

    Directory of Open Access Journals (Sweden)

    David Hervieux

    1996-01-01

    Full Text Available Research studies of woodland caribou in west central Alberta began in 1979 in response to proposed timber harvesting on their winter ranges. Using results from initial studies, timber harvest guidelines were developed. A recent review of these guidelines, and the assumptions on which they were based, has resulted in a renegotiation by government and industry of timber harvesting on caribou range in west central Alberta. Caribou range in west central Alberta overlaps many jurisdictional boundaries: federal and provincial lands, four Forest Management Agreement Areas, three Alberta Land and Forest Service Regions and two Alberta Fish and Wildlife Service Regions. This jurisdictional complexity in combination with other factors such as total allocation of the timber resources, high levels of petroleum, natural gas and coal extraction activities, a high level of concern by public groups for caribou conservation and recent understanding of woodland caribou needs for abundant space has made resolution of caribou/timber harvest conflicts exceedingly slow and often relatively unproductive. This paper reviews 10 years of trying to resolve conflicts between timber harvesting and caribou conservation through meetings, committees, integrated resource planning, policy papers and public consultation. We describe what might be learned by other jurisdictions that are trying to resolve similar caribou/timber harvesting issues. We conclude with an overview of recent timber harvest planning initiatives on caribou range in west central Alberta.

  8. Management of eWork health issues: a new perspective on an old problem.

    Science.gov (United States)

    Kirk, Elizabeth; Strong, Jenny

    2010-01-01

    Contact centres are vehicles for a rapidly growing group of knowledge workers, or eWorkers. Using computers and high-speed telecommunications connections as work tools, these employees spend long hours performing mentally demanding work while maintaining static, physically stressful, seated positions. The complex interplay between job demands, work environment, and individual differences combine to produce high levels of physical discomfort among eWorkers. This paper discusses a new view that has emerged, one that focuses on the management rather than the elimination of work related upper limb disorders (WRULD) and computer vision syndrome (CVS) issues that are prevalent among eWorkers. It also reviews a cultural shift among practitioners and business that moves towards a consultative process and the sharing of knowledge among all stakeholders. The controlled work conditions and large single location workforce found within contact centres provide the opportunity to understand the personal and industry cost of eWork injuries and the ability to develop and review new multifaceted interventions. Advances in training and workplace design aimed at decreasing discomfort and injury and reducing the associated economic burden may then be adapted for all eWorkforce groups.

  9. Daylight Management in Mediterranean Cities: When Shortage Is Not the Issue

    Directory of Open Access Journals (Sweden)

    Judit Lopez-Besora

    2016-09-01

    Full Text Available Natural resources such as daylight and sunlight are highly appreciated in countries with prevailing overcast skies. Taking advantage of this scarce resource contributes to saving energy on artificial lighting. In contrast to northern, southern European cities are distinguished by a large number of days with direct sunlight caused by a propitious climate condition. While it is a positive issue in terms of energy availability, the abundance of it can be counterproductive if management measures are not taken. Apart from the thermal consequences, lighting penetration into buildings causes a great contrast between inside and outside. This is especially critical when the visual system does not have enough time to adapt, as happens at entrance areas. The aim of this study is to analyze the light contrast between these areas and the urban outside in sunny conditions. To attain this objective, light data from five entrance spaces and their contiguous streets were analyzed and measured. The results were divided into three zones in the visual scene, showing an increasing contrast from top to bottom of the visual field. It may be concluded that interventions applied to urban areas and building pavements can improve visual adaptation in the transition zone.

  10. Allocation and management issues in multiple-transaction open access transmission networks

    Science.gov (United States)

    Tao, Shu

    This thesis focuses on some key issues related to allocation and management by the independent grid operator (IGO) of unbundled services in multiple-transaction open access transmission networks. The three unbundled services addressed in the thesis are transmission real power losses, reactive power support requirements from generation sources, and transmission congestion management. We develop the general framework that explicitly represents multiple transactions undertaken simultaneously in the transmission grid. This framework serves as the basis for formulating various problems treated in the thesis. We use this comprehensive framework to develop a physical-flow-based mechanism to allocate the total transmission losses to each transaction using the system. An important property of the allocation scheme is its capability to effectively deal with counter flows that result in the presence of specific transactions. Using the loss allocation results as the basis, we construct the equivalent loss compensation concept and apply it to develop flexible and effective procedures for compensating losses in multiple-transaction networks. We present a new physical-flow-based mechanism for allocating the reactive power support requirements provided by generators in multiple-transaction networks. The allocatable reactive support requirements are formulated as the sum of two specific components---the voltage magnitude variation component and the voltage angle variation component. The formulation utilizes the multiple-transaction framework and makes use of certain simplifying approximations. The formulation leads to a natural allocation as a function of the amount of each transaction. The physical interpretation of each allocation as a sensitivity of the reactive output of a generator is discussed. We propose a congestion management allocation scheme for multiple-transaction networks. The proposed scheme determines the allocation of congestion among the transactions on a physical

  11. Heeding the Rebel Yell: Identification and Communication in Managing Organizational Issues

    Science.gov (United States)

    Collins, McLean

    2005-01-01

    In applying an issue development model, it is suggested that strategic identification and communication of the Colonel Reb issue would have helped the University of Mississippi to smoother transition to a new athletic mascot.

  12. Corporate political strategy: incorporating the management of public policy issues into hospital strategy.

    Science.gov (United States)

    Bigelow, B; Arndt, M; Stone, M M

    1997-01-01

    Hospitals engage in a variety of strategies designed to anticipate, shape, and respond to public policy issues. This article describes corporate political strategy and argues for its need throughout a public policy issue's life cycle.

  13. Competition and Management Issues of SME Entrepreneurs in Laos: Evidence from Empirical Studies in Vientiane Municipality, Savannakhet and Luang Prabang

    OpenAIRE

    John Walsh; Nittana Southiseng

    2010-01-01

    This study analyses competition and management issues of Small and Medium Enterprise (SME) entrepreneurs in three provinces of Laos: Vientiane Municipality (the capital city), Savannakhet (an important economic development zone) and Luang Prabang province (a famous historical site and tourist destination). Competition and management have changed dramatically after the introduction of the New Economic Mechanism in 1986, which moved the economy from central planning to market-based economic man...

  14. Small and medium sized enterprises and sustainability: managers' values and engagement with environmental and climate change issues.

    OpenAIRE

    Schaefer, Anja; Williams, Sarah

    2013-01-01

    This article reports on an in-depth, qualitative study into the pro-environmental engagement of small businesses in the east of England, with respect to climate change in particular. Managers of environmentally pro-active small businesses were asked about the proenvironmental measures they had implemented in their firms, their motivations for doing so, and their understanding of climate change. The managers in this study had a relatively good understanding of environmental issues in general a...

  15. Addressing ageing of the workforce issues by enabling knowledge management systems with social networks analysis capabilities

    International Nuclear Information System (INIS)

    Perisic, I.

    2004-01-01

    Full text: A method of addressing ageing of the workforce and knowledge transfer issues, especially in the area of potential loss of knowledge, is presented through the integration of social networks analysis capabilities within knowledge management systems. In the context of the ageing of the workforce, a key component is the identification of not only the individuals that are about to retire, but also the knowledge and the knowledge transfer capabilities that they will take with them they do so. This loss impacts decisions made about human resources 'supply side' programs such as education, but also programs for building 'communities of practices' within the IAEA community to foster development and research across regions and countries. Within this context, an integrated social network analysis component provides the ability to map out the network of knowledge on any specific topic. The stability of the network itself is a measure of the robustness of the knowledge within the selected IAEA community. Further, the network, by identifying 'brokers' and 'bridges', pinpoints key weaknesses that have to be addressed. In the case of ageing of the workforce, balancing, stabilizing and building redundancies within this social network is key to maintaining a safe nuclear policy. The core of the method relies on a system that has a holistic view of the body of knowledge accumulated within the IAEA community. For scalability issues, this system cannot replicate the plethora of potential sources of information, but rather has to harvest from each of them a set of metadata which in turn enables the knowledge management system. This metadata is defined and stored in a way to allow the rendering of a complete picture stored within the sub-systems. A key component used by the social network analysis component is, of course, the name of all individuals tied to any knowledge object within the database, but also their affiliation, country, seniority or 'age to retirement' (when

  16. Addressing ageing of the workforce issues by enabling knowledge management systems with social networks analysis capabilities

    International Nuclear Information System (INIS)

    Perisic, I.

    2004-01-01

    Full text: A method of addressing ageing of the workforce and knowledge transfer issues, especially in the area of potential loss of knowledge, is presented through the integration of social networks analysis capabilities within knowledge management systems. In the context of the ageing of the workforce, a key component is the identification of not only the individuals that are about to retire, but also the knowledge and the knowledge transfer capabilities that they will take with them they do so. This loss impacts decisions made about human resources 'supply side' programs such as education, but also programs for building 'communities of practices' within the IAEA community to foster development and research across regions and countries. Within this context, an integrated social network analysis component provides the ability to map out the network of knowledge on any specific topic. The stability of the network itself is a measure of the robustness of the knowledge within the selected IAEA community. Further, the network, by identifying 'brokers' and 'bridges', pinpoints key weaknesses that have to be addressed. In the case of ageing of the workforce, balancing, stabilizing and building redundancies within this social network is key to maintaining a safe nuclear policy. The core of the method relies on a system that has a holistic view of the body of knowledge accumulated within the IAEA community. For scalability issues, this system cannot replicate the plethora of potential sources of information, but rather has to harvest from each of them a set of metadata which in turn enables the knowledge management system. This metadata is defined and stored in a way to allow the rendering of a complete picture stored within the subsystems. A key component used by the social network analysis component is, of course, the name of all individuals tied to any knowledge object within the database, but also their affiliation, country, seniority or 'age to retirement' (when

  17. Do the Microbiota Influence Vaccines and Protective Immunity to Pathogens? Issues of Sovereignty, Federalism, and Points-Testing in the Prokaryotic and Eukaryotic Spaces of the Host-Microbial Superorganism.

    Science.gov (United States)

    Macpherson, Andrew J

    2018-02-01

    In contrast to live attenuated vaccines, which are designed to induce immunity through a time-limited bloom in systemic tissues, the microbiota is a persistent feature of body surfaces, especially the intestine. The immune responses to the microbiota are idiosyncratic depending on the niche intimacy of different taxa and generally adapt the host to avoid overgrowth and maintain mutualism rather than to eliminate the organisms of that taxon. Both the microbiota and the host have so much molecular cross talk controlling each other, that the prokaryotic and the eukaryotic spaces of the host-microbial superorganism are federal rather than sovereign. This molecular cross talk is vital for the immune system to develop its mature form. Nevertheless, the microbiota/host biomass spaces are rather well separated: The microbiota also limits colonization and penetration of pathogens through intense metabolic competition. Immune responses to those members of the microbiota mutually adapted to intimate association at mucosal surfaces have attractive potential durability, but for clinical use as persistent vehicles they would require personalization and engineered reversibility to manage the immune context and complications in individual human subjects. Copyright © 2018 Cold Spring Harbor Laboratory Press; all rights reserved.

  18. The Stop Transmission of Polio Data Management (STOP DM) assignment and its role in polio eradication and immunization data improvement in Africa.

    Science.gov (United States)

    Benke, Amalia; Williams, Alford Joseph; MacNeil, Adam

    2017-01-01

    The availability and use of high quality immunization and surveillance data are crucial for monitoring all components of the Global Polio Eradication Program (GPEI). The Stop Transmission of Polio (STOP) program was initiated in 1999 to train and mobilize human resources to provide technical support to polio endemic and at-risk countries and in 2002 the STOP data management (STOP DM) deployment was created to provide capacity development in the area of data management for immunization and surveillance data for these countries. Since 2002, Africa has received the majority of support from the STOP DM program, with almost 80% of assignments being placed in African countries. The STOP DM program has played a valuable role in improving the quality and use of data for the GPEI and has increasingly supported other immunization program data needs. In this report we provide an overview of the history, current status, and future of the STOP DM program, with a specific focus on the African continent.

  19. Tobacco industry issues management organizations: Creating a global corporate network to undermine public health

    Directory of Open Access Journals (Sweden)

    Malone Ruth E

    2008-01-01

    Full Text Available Abstract Background The global tobacco epidemic claims 5 million lives each year, facilitated by the ability of transnational tobacco companies to delay or thwart meaningful tobacco control worldwide. A series of cross-company tobacco industry "issues management organizations" has played an important role in coordinating and implementing common strategies to defeat tobacco control efforts at international, national, and regional levels. This study examines the development and enumerates the activities of these organizations and explores the implications of continuing industry cooperation for global public health. Methods Using a snowball sampling strategy, we collected documentary data from tobacco industry documents archives and assembled them into a chronologically organized case study. Results The International Committee on Smoking Issues (ICOSI was formed in 1977 by seven tobacco company chief executives to create common anti-tobacco control strategies and build a global network of regional and national manufacturing associations. The organization's name subsequently changed to INFOTAB. The multinational companies built the organization rapidly: by 1984, it had 69 members operating in 57 countries. INFOTAB material, including position papers and "action kits" helped members challenge local tobacco control measures and maintain tobacco-friendly environments. In 1992 INFOTAB was replaced by two smaller organizations. The Tobacco Documentation Centre, which continues to operate, distributes smoking-related information and industry argumentation to members, some produced by cross-company committees. Agro-Tobacco Services, and now Hallmark Marketing Services, assists the INFOTAB-backed and industry supported International Tobacco Growers Association in advancing claims regarding the economic importance of tobacco in developing nations. Conclusion The massive scale and scope of this industry effort illustrate how corporate interests, when

  20. Tobacco industry issues management organizations: creating a global corporate network to undermine public health.

    Science.gov (United States)

    McDaniel, Patricia A; Intinarelli, Gina; Malone, Ruth E

    2008-01-17

    The global tobacco epidemic claims 5 million lives each year, facilitated by the ability of transnational tobacco companies to delay or thwart meaningful tobacco control worldwide. A series of cross-company tobacco industry "issues management organizations" has played an important role in coordinating and implementing common strategies to defeat tobacco control efforts at international, national, and regional levels. This study examines the development and enumerates the activities of these organizations and explores the implications of continuing industry cooperation for global public health. Using a snowball sampling strategy, we collected documentary data from tobacco industry documents archives and assembled them into a chronologically organized case study. The International Committee on Smoking Issues (ICOSI) was formed in 1977 by seven tobacco company chief executives to create common anti-tobacco control strategies and build a global network of regional and national manufacturing associations. The organization's name subsequently changed to INFOTAB. The multinational companies built the organization rapidly: by 1984, it had 69 members operating in 57 countries. INFOTAB material, including position papers and "action kits" helped members challenge local tobacco control measures and maintain tobacco-friendly environments. In 1992 INFOTAB was replaced by two smaller organizations. The Tobacco Documentation Centre, which continues to operate, distributes smoking-related information and industry argumentation to members, some produced by cross-company committees. Agro-Tobacco Services, and now Hallmark Marketing Services, assists the INFOTAB-backed and industry supported International Tobacco Growers Association in advancing claims regarding the economic importance of tobacco in developing nations. The massive scale and scope of this industry effort illustrate how corporate interests, when threatened by the globalization of public health, sidestep competitive

  1. Tobacco industry issues management organizations: Creating a global corporate network to undermine public health

    Science.gov (United States)

    McDaniel, Patricia A; Intinarelli, Gina; Malone, Ruth E

    2008-01-01

    Background The global tobacco epidemic claims 5 million lives each year, facilitated by the ability of transnational tobacco companies to delay or thwart meaningful tobacco control worldwide. A series of cross-company tobacco industry "issues management organizations" has played an important role in coordinating and implementing common strategies to defeat tobacco control efforts at international, national, and regional levels. This study examines the development and enumerates the activities of these organizations and explores the implications of continuing industry cooperation for global public health. Methods Using a snowball sampling strategy, we collected documentary data from tobacco industry documents archives and assembled them into a chronologically organized case study. Results The International Committee on Smoking Issues (ICOSI) was formed in 1977 by seven tobacco company chief executives to create common anti-tobacco control strategies and build a global network of regional and national manufacturing associations. The organization's name subsequently changed to INFOTAB. The multinational companies built the organization rapidly: by 1984, it had 69 members operating in 57 countries. INFOTAB material, including position papers and "action kits" helped members challenge local tobacco control measures and maintain tobacco-friendly environments. In 1992 INFOTAB was replaced by two smaller organizations. The Tobacco Documentation Centre, which continues to operate, distributes smoking-related information and industry argumentation to members, some produced by cross-company committees. Agro-Tobacco Services, and now Hallmark Marketing Services, assists the INFOTAB-backed and industry supported International Tobacco Growers Association in advancing claims regarding the economic importance of tobacco in developing nations. Conclusion The massive scale and scope of this industry effort illustrate how corporate interests, when threatened by the globalization of

  2. Immune-mediated keratoconjunctivitis sicca in dogs: current perspectives on management

    Directory of Open Access Journals (Sweden)

    Dodi PL

    2015-10-01

    Full Text Available Pier Luigi Dodi Department of Veterinary Medicine Sciences, University of Parma, Parma, Italy Abstract: Keratoconjunctivitis sicca (KCS is a frequent canine ophthalmic disease, resulting from the deficiency of one or more elements in the precorneal tear film. There are different known causes of KCS in dogs, including congenital, metabolic, infectious, drug induced, neurogenic, radiation, iatrogenic, idiopathic, and immune mediated, though the last one is the most prevalent form in dogs. Initially, clinical signs of KCS include blepharospasm caused by ocular pain, mucoid to mucopurulent ocular discharge, and conjunctival hyperemia; secondary bacterial infection may also occur, with chronicity, corneal epithelial hyperplasia, pigmentation, neovascularization, and corneal ulceration. The diagnosis of KCS is based on the presence of consistent clinical signs and measurement of decreased aqueous tear production using the Schirmer tear test. Therapy is based on administering the following topical drugs: ocular lubricant, mucolytics, antibiotics, corticosteroids, pilocarpine, and immunomodulators. These last drugs (eg, cyclosporine, pimecrolimus, and tacrolimus have immunosuppressive activity and stimulate tear production. Furthermore, the nerve growth factor is a new subject matter of the research. Although these therapies are advantageous, stimulation of natural tear production seems to provide the highest recovery in clinical signs and prevention of vision loss. The goal of the following article is to describe the recent developments about KCS in dogs emphasizing the use of new therapies. Keywords: dogs, keratoconjunctivitis sicca, treatment, NGF

  3. How We Manage Adenosine Deaminase-Deficient Severe Combined Immune Deficiency (ADA SCID).

    Science.gov (United States)

    Kohn, Donald B; Gaspar, H Bobby

    2017-05-01

    Adenosine deaminase-deficient severe combined immune deficiency (ADA SCID) accounts for 10-15% of cases of human SCID. From what was once a uniformly fatal disease, the prognosis for infants with ADA SCID has improved greatly based on the development of multiple therapeutic options, coupled with more frequent early diagnosis due to implementation of newborn screening for SCID. We review the various treatment approaches for ADA SCID including allogeneic hematopoietic stem cell transplantation (HSCT) from a human leukocyte antigen-matched sibling or family member or from a matched unrelated donor or a haplo-identical donor, autologous HSCT with gene correction of the hematopoietic stem cells (gene therapy-GT), and enzyme replacement therapy (ERT) with polyethylene glycol-conjugated adenosine deaminase. Based on growing evidence of safety and efficacy from GT, we propose a treatment algorithm for patients with ADA SCID that recommends HSCT from a matched family donor, when available, as a first choice, followed by GT as the next option, with allogeneic HSCT from an unrelated or haplo-identical donor or long-term ERT as other options.

  4. SPECIAL ISSUE OF THE JOURNAL OF THE AIR & WASTE MANAGEMENT ASSOCIATION ON THE PARTICULATE MATTER SUPERSITES PROGRAM AND RELATED STUDIES

    Science.gov (United States)

    This article is the preface or editors note to the dedicated issue of the Journal of the Air & Waste Management Association for a selection of scientific papers from the specialty conference entitled, "Particulate Matter Supersites Program and Related Studies," that was...

  5. Special issue of International journal of human resource management: Conceptual and empirical discoveries in successful HRM implementation

    OpenAIRE

    Mireia Valverde; Tanya Bondarouk; Jordi Trullen

    2016-01-01

    Special issue of International journal of human resource management: Conceptual and empirical discoveries in successful HRM implementation DOI: 10.1080/09585192.2016.1154378 URL: http://www.tandfonline.com/doi/full/10.1080/09585192.2016.1154378 Filiació URV: SI Inclòs a la memòria: SI Paraules clau en blanc [No abstract available

  6. 'I'm more sick than my doctors think': ethical issues in managing somatization in developing countries.

    Science.gov (United States)

    Chandra, Prabha S; Satyanarayana, Veena A

    2013-02-01

    Several ethical issues confront the healthcare professional who is managing somatization in developing countries where cost constraints, low literacy, poverty, poor nutrition and infections and inadequate access to healthcare are common. The paper discusses these in the context of the ethical principles of autonomy, beneficence, non-maleficence and justice. Some of the ethical issues in managing somatization include being influenced by patient distress rather than rational medical decision-making, inadequate attention to the cultural meaning of symptoms, psychologizing versus medicalizing, the ethics of nomenclature and labels, communicating ethically with patients, and managing them adequately given lack of evidence and training. An ethical approach to managing somatization in this context would include using an integrated and simultaneous medical and psychiatric approach. To ensure patient beneficence, the medical, psychological and social assessment should be undertaken side-by-side as much as possible and should be cost effective. Respecting patient autonomy by using adequate communication methods and the patient's cultural model of the illness as part of management is also integral to ethical practice. In the developing world, issues of equity are also an important ethical concern. When more serious illnesses are the health priority, functional syndromes may not get equal importance or resources.

  7. A system dynamic modeling approach for evaluating municipal solid waste generation, landfill capacity and related cost management issues

    International Nuclear Information System (INIS)

    Kollikkathara, Naushad; Feng Huan; Yu Danlin

    2010-01-01

    As planning for sustainable municipal solid waste management has to address several inter-connected issues such as landfill capacity, environmental impacts and financial expenditure, it becomes increasingly necessary to understand the dynamic nature of their interactions. A system dynamics approach designed here attempts to address some of these issues by fitting a model framework for Newark urban region in the US, and running a forecast simulation. The dynamic system developed in this study incorporates the complexity of the waste generation and management process to some extent which is achieved through a combination of simpler sub-processes that are linked together to form a whole. The impact of decision options on the generation of waste in the city, on the remaining landfill capacity of the state, and on the economic cost or benefit actualized by different waste processing options are explored through this approach, providing valuable insights into the urban waste-management process.

  8. The application of RFIDs in libraries : an assessment of technological, management and professional issues

    OpenAIRE

    Gibb, Forbes; Thornley, Clare V.; Ferguson, Stuart; Weckert, John

    2011-01-01

    This paper starts by outlining the technologies involved in RFIDs and reviews the issues raised by their general application. It then identifies their potential application areas within the library sector based on a generic process view of library activities. Finally it highlights the issues that are raised by their application in libraries and provides an assessment of which of these issues are likely to raise ethical concerns for library professionals. The purpose is to provide an overview ...

  9. Scaling issues in forest ecosystem management and how to address them with models

    NARCIS (Netherlands)

    Seidl, R.; Eastaugh, C.S.; Kramer, K.; Maroschek, M.; Reyer, C.; Socha, J.; Vacchiano, G.; Zlatanov, T.; Hasenauer, H.

    2013-01-01

    Scaling is widely recognized as a central issue in ecology. The associated cross-scale interactions and process transmutations make scaling (i.e. a change in spatial or temporal grain and extent) an important issue in understanding ecosystem structure and functioning. Moreover, current concepts of

  10. Inernational research in health care management: its need in the 21st century, methodological challenges, ethical issues, pitfalls, and practicalities.

    Science.gov (United States)

    Buttigieg, Sandra C; Rathert, Cheryl; D'Aunno, Thomas A; Savage, Grant T

    2015-01-01

    This commentary argues in favor of international research in the 21st century. Advances in technology, science, communication, transport, and infrastructure have transformed the world into a global village. Industries have increasingly adopted globalization strategies. Likewise, the health sector is more internationalized whereby comparisons between diverse health systems, international best practices, international benchmarking, cross-border health care, and cross-cultural issues have become important subjects in the health care literature. The focus has now turned to international, collaborative, cross-national, and cross-cultural research, which is by far more demanding than domestic studies. In this commentary, we explore the methodological challenges, ethical issues, pitfalls, and practicalities within international research and offer possible solutions to address them. The commentary synthesizes contributions from four scholars in the field of health care management, who came together during the annual meeting of the Academy of Management to discuss with members of the Health Care Management Division the challenges of international research. International research is worth pursuing; however, it calls for scholarly attention to key methodological and ethical issues for its success. This commentary addresses salient issues pertaining to international research in one comprehensive account.

  11. Tribal Waste Journal: What Is an Integrated Waste Management Plan (Issue 7)

    Science.gov (United States)

    Integrated Waste Management Plans (IWMPs) may offer tribes an efficient and cost-effective way to reduce open dumping, effectively manage solid waste, and protect human health and the environment for this generation and the next.

  12. A Systems Engineering Approach to Address Human Capital Management Issues in the Shipbuilding Industry

    National Research Council Canada - National Science Library

    Todd, Hal M; Parten, Douglas S

    2008-01-01

    .... This study investigated current DoD Human Capital Management (HCM) strategies for attracting, developing, retaining, and managing competencies and intellectual resources for science and engineering talent within the shipbuilding industry...

  13. How reframing a water management issue across scales and levels impacts on perceptions of justice and injustice

    Science.gov (United States)

    Patrick, M. J.; Syme, G. J.; Horwitz, P.

    2014-11-01

    Social justice is a key outcome of water allocation, management and governance. It is commonly expressed in water policies and strategies in terms of achieving equitable distribution of water resources. In complex multi-level systems just and unjust outcomes can result from the same water allocation decision. In some cases a just outcome at one level may cause an injustice at another level for the same or a different set of stakeholders. The manner in which a water management issue is framed and reframed across different levels within a system influences stakeholder perceptions of whether a water allocation decision is just or unjust, which in turn influences the successful adoption and implementation of such a decision. This paper utilises a case study from the Murray-Darling Basin in Australia to illustrate how reframing a water management issue across multiple scales and levels can help understand stakeholders' perceptions of justice and injustice. In this case study two scales are explored, an institutional and an organisational scale; each comprising levels at the federal, basin, state and region. The water management issue of domestic and stock dams was tracked through the various scales and levels and illustrated how reframing an issue at different levels can influence the analysis of just or equitable outcomes. The case study highlights the need to treat justice in water allocation as an ever evolving problem of the behaviour of a social system rather than the meeting of static principles of what is 'right'. This points to the importance of being attentive to the dynamic and dialogical nature of justice when dealing with water allocation issues across scales and levels of water governance.

  14. Space Station Engineering Design Issues

    Science.gov (United States)

    Mcruer, Duane T.; Boehm, Barry W.; Debra, Daniel B.; Green, C. Cordell; Henry, Richard C.; Maycock, Paul D.; Mcelroy, John H.; Pierce, Chester M.; Stafford, Thomas P.; Young, Laurence R.

    1989-01-01

    Space Station Freedom topics addressed include: general design issues; issues related to utilization and operations; issues related to systems requirements and design; and management issues relevant to design.

  15. Strategic management and organizational behavior in dental education: reflections on key issues in an environment of change.

    Science.gov (United States)

    Dunning, David G; Durham, Timothy M; Lange, Brian M; Aksu, Mert N

    2009-06-01

    With issues such as shrinking revenue, access to care, faculty workloads, and graying faculty, dental schools are faced with difficult challenges that fall to dental school deans to manage. Do dental school deans have the organizational skill sets and ethical frameworks necessary to address the challenges now facing dental schools? The purpose of this article is to pose questions and suggestions regarding some of the key issues in dental colleges today and to stimulate discussion in the dental community about needed changes in dental education.

  16. Legal and Ethical Issues Related to the Management of Cultural Heritage in Space

    Science.gov (United States)

    Walsh, Justin

    in space. The United Nations Outer Space Treaty of 1967 -the primary document governing how nations act in outer space -is now hopelessly out-of-date. There is no mention in the treaty of cultural heritage (the UNESCO convention that concerns international protection of cultural heritage on Earth was not completed until 1970), nor was there any recognition of the role private groups and individuals might play in space exploration. This paper will outline key legal and ethical issues related to cultural heritage management and protection. It will also suggest some ways in which culturally significant sites in space can be protected for future study and even touristic appreciation.

  17. Present situation and issues for the French radioactive waste management agency

    International Nuclear Information System (INIS)

    Dupuis, M.C.

    2009-01-01

    This series of slides makes a status of the radioactive waste management in France: 1 - Planned disposal facilities: A - Low level long lived waste (LL-LL: Graphite Waste And Radium Bearing Waste): Implementation within a shallow clay formation (between 15 and 200 m in depth). For graphite waste: a 'repository with an intact cover' as a reference option. For radium-bearing waste: a 'repository with a reworked cover' under investigation. The required footprint on ground surface is in the order of 100 ha. Siting approach: June 2, 2008: letter from the Minister of State to the Chairman of ANDRA; June 2008: file addressed by ANDRA to the mayors of 3,115 communes. Until the end of October 2008: expression of interest by local communities. Possibility to confirm their application in late 2010. December 2008: assessment report by ANDRA and proposal of ranked zones to the government. Beginning of 2009: government decision concerning the pre-selection still pending. 2009-2010: geological surveys, consultations, territorial projects. B - High level and Intermediate level long lived waste (HL and IL-LL): Preparing disposal in a clay formation. 2012: public debate, 2013: site selection, 2015: application, 2025: start up. The Meuse Haute Marne Underground Research Laboratory Siting: the disposal facility (drilling campaigns), Construction of a Visitors' Centre designed to present the waste-repository project and its technological aspect. Inauguration scheduled in June 2009. 2 - Operated disposal facilities: A - Low and intermediate level short lived waste (LIL-SL) and Very low level waste (VLL). LIL-SL Manche Centre: 1969: start up, 1994: end of operation, 2003: institutional control period, Disposed volume (1969-1994): 527,000 m 3 , Impact of the facility ∼0,65 μSv/year (2008). Institutional control period monitoring: Radiological and chemical monitoring (Discharges, Underground water, Surface water), Capping system monitoring (Water-tightness performances, Rainfall water

  18. The Major Players in Adaptive Immunity-Cell-mediated Immunity

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 14; Issue 6. The Major Players in Adaptive Immunity - Cell-mediated Immunity. Asma Ahmed Banishree Saha Anand Patwardhan Shwetha Shivaprasad Dipankar Nandi. General Article Volume 14 Issue 6 June 2009 pp 610-621 ...

  19. A Special Issue of the Journal of Forestry—Tribal Forest Management: Innovations for Sustainable Forest Management

    Science.gov (United States)

    Michael J. Dockry; Serra J. Hoagland

    2017-01-01

    Native American forests and tribal forest management practices have sustained indigenous communities, economies, and resources for millennia. These systems provide a wealth of knowledge and successful applications of long-term environmental stewardship and integrated, sustainable forest management. Tribal forestry has received an increasing amount of attention from...

  20. Human Machine Interface and Usability Issues: Exploring a Preliminary Mission Management System Evaluation Methodology

    National Research Council Canada - National Science Library

    Kardos, Monique

    2001-01-01

    ...) concept demonstrator test during June 2000. The questionnaire was designed to examine usability and interface issues relating to the design of the systems or tools, and to provide suggestions for future iterations of the system...

  1. Diagnosis and management of Alzheimer's disease: past, present and future ethical issues.

    Science.gov (United States)

    Gauthier, S; Leuzy, A; Racine, E; Rosa-Neto, P

    2013-11-01

    There is great interest in the ethical issues associated with Alzheimer's disease (AD) and related dementias given the prevalence of AD and the evolving neuroscience landscape in matters of diagnoses and therapeutics. Much of the ethics discussion arises in the tension between the principle of not doing harm (principle of non-maleficence) in this vulnerable population and the development of effective treatments (principle of beneficence). Autonomy and capacity issues are also numerous, wide-ranging, and concern (1) day to day affairs such as driving safely and spending money wisely, (2) life-time events such as designating a legal representative in case of incapacity, making a will, (3) consenting to treatment and diagnostic procedures, (4) participating in research. The latter issue is particularly thorny and illustrates well the complexity of tackling concerns related to capacity. The impetus to protect AD patients has partly led to ethics regulation and policies making research on inapt patients more difficult because of stringent requirements for signed informed consent or for showing the value of the research to this specific patient population. New issues are arising that relate to earlier diagnosis using biomarkers and (possibly soon) the use of drugs that modify disease progression. We here summarize and discuss the different ethical issues associated with AD from a historical perspective, with emphasis on diagnostic and treatments issues. Copyright © 2013 Elsevier Ltd. All rights reserved.

  2. ISSUES REGARDING THE MANAGEMENT OF INTERNAL CONTROL/ MANAGERIAL AND COMBATING SOME NEGATIVE EFFECTS IN ROMANIAN PUBLIC INSTITUTIONS' ACTIVITY

    Directory of Open Access Journals (Sweden)

    Ion Stegaroiu

    2015-05-01

    Full Text Available The paper aims to analyze the importance and impact of the management of internal control/ managerial in Romanian public institutions, as well as the consequences arising as a result of not implementing it. It also analyzed the legal framework governing the internal control/managerial and the main conclusions issued by the Romanian Court of Accounts on the status of its implementation in Romanian public institutions. At the same time, it is stressed the role of management carried out by heads of public institutions in terms of combating the negative effects that have a direct impact on their activity.

  3. Radioactive waste management status and trends - Issue no. 4, February 2005

    International Nuclear Information System (INIS)

    2005-03-01

    The purpose of this publication is to compile and disseminate information about the status of and trends in radioactive waste management in IAEA Member States in a timely manner. The publication is suitable for radioactive waste managers and regulators, and decision making organizations in both governmental and private sectors. Currently, the report is targeted at readers with a good knowledge of radioactive waste management. It addresses national systems for radioactive waste management, classification of radioactive waste, sources of radioactive waste, decommissioning of nuclear facilities, predisposal management of radioactive waste, managing the consequences of best practices, data collection and reporting and highlights of the work of the IAEA and other international organizations in 2003. It ends with achievements and challenges, acronyms, abbreviations, symbols and expressions. The plan is to have the publication evolve to serve a broader audience using easy-to-understand graphical and tabular data

  4. Radioactive waste management status and trends - Issue no. 4, February 2005

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-03-15

    The purpose of this publication is to compile and disseminate information about the status of and trends in radioactive waste management in IAEA Member States in a timely manner. The publication is suitable for radioactive waste managers and regulators, and decision making organizations in both governmental and private sectors. Currently, the report is targeted at readers with a good knowledge of radioactive waste management. It addresses national systems for radioactive waste management, classification of radioactive waste, sources of radioactive waste, decommissioning of nuclear facilities, predisposal management of radioactive waste, managing the consequences of best practices, data collection and reporting and highlights of the work of the IAEA and other international organizations in 2003. It ends with achievements and challenges, acronyms, abbreviations, symbols and expressions. The plan is to have the publication evolve to serve a broader audience using easy-to-understand graphical and tabular data.

  5. Cancer as an immune-mediated disease

    Directory of Open Access Journals (Sweden)

    Shurin MR

    2012-06-01

    Full Text Available Michael R ShurinDepartments of Pathology and Immunology, University of Pittsburgh Medical Center, Pittsburgh, PA, USAAbstract: The link between oncology and immunology has a long history and its development is forced by the necessity to develop innovative and highly efficient modalities for immunological destruction of malignant cells. The limited efficacy of surgery, chemotherapy and radiation also exemplify these issues, as these treatments do not eliminate all cancerous cells, do not address the immunosuppressive nature of the disease and can further impair the patient's immune response weakening patient's resistance to the cancer. Multidisciplinary analysis of the interaction between the immune system and cancer in preclinical and clinical settings suggests that the immune system is closely intertwined with both cancer pathogenesis and treatment. On the one hand, cancer is a manifestation of malfunctions in immunity, as malignant cells manage to escape recognition and elimination by the immune system. Chronic infections and inflammation associated with limited or polarized immune responses also contribute to carcinogenesis and tumor progression. The tumor immunoenvironment represents specific conditions and elements that support cancerous cell survival, proliferation and spreading. On the other hand, the specificity and strength of antitumor immunity is a powerful and efficient tool that can be used to recognize and destroy neoplastic cells or their supporting microenvironment. Understanding the role of the immune system in controlling and supporting tumor initiation, formation, growth and progression has crucial implications for cancer therapy and will therefore guide the future development of cancer immunotherapy and its combination with conventional therapies to achieve optimal antitumor effects in patients with different types of cancer.Keywords: tumor immunology and immunotherapy, tumor immunoenvironment, cancer, immunosuppression

  6. Current issues and regulatory infrastructure aspects on radioactive waste management in Romania

    International Nuclear Information System (INIS)

    Vieru, G.

    2002-01-01

    The nuclear facilities that exist throughout Romania perform a broad range of missions from research to nuclear materials production to radioactive waste management, and to deactivation and decommissioning. As a consequence, there is a broad array of external regulations and internal requirements that potentially applies to a facility or activity. Therefore, the management of radioactive waste occurs within a larger context of managing hazards, both radiological and industrial, at these facilities. At the same time, concern for upgrading existing facilities used for radioactive waste management, as called for in Article 12, fits into a larger framework of safety management. The primary objective of the Romanian Nuclear Regulatory Body-CNCAN on legislation and regulatory infrastructure for the safety of radioactive waste management is to protect human health and the environment now and in the future. It is unanimously recognized that a well developed regulated system for the management and disposal of radioactive waste is a prerequisite for both public and market acceptance of nuclear energy. It is to underline that the continuing internationalization of the nuclear industry following terrorist attacks of 11 September 2001 stresses the need for national legislation and regulatory infrastructure to be based on internationally endorsed principles and safety standards. The paper presents some aspects of the Romanian experience on the national legislative and regulatory system related to the followings aspects of the safety aspects of radioactive waste management: definition of responsibilities; nuclear and radiation safety requirements; siting and licensing procedures; regulatory functions; international co-operation and coherence on strategies and criteria in the area of safety of radioactive waste management. Finally, prescriptive and goal oriented national as well international regimes in the field of the safety of radioactive waste management are briefly commented

  7. A psychology literature study on modality related issues for multimodal presentation in crisis management

    NARCIS (Netherlands)

    Cao, Y.

    2008-01-01

    The motivation of this psychology literature study is to obtain modality related guidelines for real-time information presentation in crisis management environment. The crisis management task is usually companied by time urgency, risk, uncertainty, and high information density. Decision makers

  8. Ecosystem-based marine spatial management: review of concepts, policies, tools and critical issues

    NARCIS (Netherlands)

    Katsanevakis, S.; Stelzenmueller, V.; South, A.; Hoof, van L.J.W.; Hofstede, ter R.

    2011-01-01

    Conventional sectoral management and piecemeal governance are considered less and less appropriate in pursuit of sustainable development. Ecosystem based marine spatial management (EB-MSM) is an approach that recognizes the full array of interactions within an ecosystem, including human uses, rather

  9. New perspectives in forest management: background, science issues, and research agenda.

    Science.gov (United States)

    David J. Brooks; Gordon E. Grant

    1992-01-01

    Scientific, management, and social factors that have contributed to changes in United States forest management are examined. Principles underlying new approaches are developed and implications are considered at various spatial and temporal scales. A general framework for a research program is outlined.

  10. Empirical research in business process management: introduction to the special issue

    NARCIS (Netherlands)

    Recker, Jan; Mutschler, B.B.; Wieringa, Roelf J.

    In this editorial letter, we provide the readers of Information Systems and e-Business Management with an introduction to Business Process Management and the challenges of empirical research in this field. We then briefly describe selected examples of current research efforts in this field and how

  11. Ecosystem-based marine spatial management: Review of concepts, policies, tools, and critical issues

    NARCIS (Netherlands)

    Katsanevakis, Stelios; Stelzenmuller, Vanessa; Filatova, Tatiana

    2011-01-01

    Conventional sectoral management and piecemeal governance are considered less and less appropriate in pursuit of sustainable development. Ecosystem based marine spatial management (EB-MSM) is an approach that recognizes the full array of interactions within an ecosystem, including human uses, rather

  12. How Partners are Producing Science and Addressing Issues of Scale for Springs Management in the Desert Southwest

    Science.gov (United States)

    Johnson, G.; Springer, A. E.; Misztal, L.; Grabau, M.

    2017-12-01

    Climate changes in the arid Southwest are expected to further stress critical water sources, such as springs, in the near future. Springs are abundant features in the Southwest, providing habitat for listed species and water for wildlife, agricultural, cities, recreation, and the base flow for many rivers. But springs occupy a small fraction of the land area and, as a result, they have not been significantly studied or mapped. Managers recognize that effective stewardship of these critical resources requires a landscape-scale understanding of distribution, ecological integrity, and risks; access to comprehensive inventory, assessment and restoration protocols; and local implementation. They need easy access to information at varying scales to respond to stressors like climate change. The Desert Landscape Conservation Cooperative, Sky Island Alliance, and Springs Stewardship Institute worked with scientists, resource managers, and conservationists to develop and increase access to data by involving them in the entire research process through field surveys, workshops, trainings, and development of products needed to solve critical management challenges. We built on and connected existing efforts underway in the Southwest, including developing: 1) Springs Inventory Protocol, 2) an online geospatial database, 3) methodologies for climate-savvy monitoring and 4) a springs restoration handbook. We also worked with partners to evaluate the condition and risk of springs' resources at the local scale to create products used in site-specific management planning. Our results indicate that coproduction resulted in more understanding of common issues, more focus on solving management challenges, and increased use of the science and protocols produced. Information developed through this project assists managers in understanding how their springs contribute at local and landscape scales. New information developed through this project is being used in support of planning and

  13. Strategies to improve the performance of learners in a nursing college Part II: Issues pertaining to management, attitudes and values

    Directory of Open Access Journals (Sweden)

    E Waterson

    2006-09-01

    Full Text Available This article forms part two of a bigger study that was conducted in a nursing college to explore and describe the reasons for the poor performance of learners. Part one of the study dealt with the issues pertaining to education, while this article (part two seeks to describe issues pertaining to management, attitudes and values that lead to the poor performance of learners in the nursing college under study. A qualitative, exploratory and descriptive design that was contextual in nature was employed, and three focus groups interviews were conducted. Seven tutors formed one group while other two groups were formed by fourth-year learners following a comprehensive diploma course. All participants voluntarily participated in the study. Data was analyzed using the descriptive method of open coding in accordance with Tesch’s protocol (in Creswell, 1994:154-156. Trustworthiness was ensured using the following principles: credibility, conformability, transferability and dependability (Lincoln & Guba 1985:290-326. Findings were categorized into issues pertaining to management, attitudes and values that had an influence on the poor performance of learners as follows: Management: Inadequate resources and study facilities; policies that change frequently; tutors’ dissatisfaction with regard to staff development, the lack of involvement by management and lack of management support, staff shortage and maldistribution of staff members; ineffective selection process of learners; inconsistent regulations, and too many of them; policies and procedures resulting in confusion and poor discipline. Attitudes and values: Tutors’ lack of motivation and interest, lack of respect by learners and no team work among tutors.Through a conceptualization process and the recommendations by participants, strategies to improve the learners’ performance were described. It is recommended that these strategies be submitted to the staff development committee for

  14. Status of native fishes in the western United States and issues for fire and fuels management

    Science.gov (United States)

    Rieman, B.; Lee, D.; Burns, D.; Gresswell, Robert E.; Young, M.; Stowell, R.; Rinne, J.; Howell, P.

    2003-01-01

    Conservation of native fishes and changing patterns in wildfire and fuels are defining challenges for managers of forested landscapes in the western United States. Many species and populations of native fishes have declined in recorded history and some now occur as isolated remnants of what once were larger more complex systems. Land management activities have been viewed as one cause of this problem. Fires also can have substantial effects on streams and riparian systems and may threaten the persistence of some populations of fish, particularly those that are small and isolated. Despite that, major new efforts to actively manage fires and fuels in forests throughout the region may be perceived as a threat rather than a benefit to conservation of native fishes and their habitats. The management of terrestrial and aquatic resources has often been contentious, divided among a variety of agencies with different goals and mandates. Management of forests, for example, has generally been viewed as an impact on aquatic systems. Implementation of the management-regulatory process has reinforced a uniform approach to mitigate the threats to aquatic species and habitats that may be influenced by management activities. The problems and opportunities, however, are not the same across the landscapes of interest. Attempts to streamline the regulatory process often search for generalized solutions that may oversimplify the complexity of natural systems. Significant questions regarding the influence of fire on aquatic ecosystems, changing fire regimes, and the effects of fire-related management remain unresolved and contribute to the uncertainty. We argue that management of forests and fishes can be viewed as part of the same problem, that of conservation and restoration of the natural processes that create diverse and productive ecosystems. We suggest that progress toward more integrated management of forests and native fishes will require at least three steps: (1) better

  15. Project Management Information System: the Role and the Issues of Implementation

    Directory of Open Access Journals (Sweden)

    Dumitru OPREA

    2006-01-01

    Full Text Available We are coping more and more with the project and project management in day by day life. Even if some activities are the similarly with common organization actions, the life cycle project activities request more information and more actions. So it is necessary to have some tools, methods and rules to manage a large amount of information which must be disseminated to numerous stakeholders. This need could be solved by project management information systems (PMIS. PMIS is a complex one, with various components which are depending on type of project, type of organization etc. The latest evolution of information and communication technology was favorable to our research field. Therefore, there are different tools to support the structure, automation and efficiency of PMIS. Moreover from several years it is spread the following notions: web-based project management, project management office, enterprise project management. So, we can see the fast evolution of this field. But, our paper will bring general ideas relating to project management information systems, like definition of PMIS, the project life cycle and the information needed of each stage, various tools to support the PMIS procedures. The characteristics, tools, trends will be our future research.

  16. Essential 'ways-of-working' features of 'configuration management for new-build 2011' and 'issue-resolved replication'

    International Nuclear Information System (INIS)

    Schneider, B.

    2011-01-01

    The 'Ways-of-Working Foundation' of the Competencies most vital to 'New-Build' are provided. Examples are provided of local CM disasters and I-R.R success stories from else-where. [Configuration Management for New-Build 2011 - State-of-Art Specifications at Every Level - driven by Best-Available OpEx - based on SofA Expertise - subjected to Transparent, Independent Review]. It is the position of CMC2011 that weak CM is at the root of much 'less-than-adequate performance' (especially refurb programs - since ∼1986). For New-Build, the 'Foundation' of Configuration-Management is 'State-of-Art Specifications for All Systems, Equipment, Materials, and Processes' - supported by 'State-of-Art Service-Provider Expertise' - and Audit-able via 'Transparent, Third-Party, Issue-Review-and-Resolution Programs'. CM must be executed by the Architecture-Service-Providers - but it must be demanded by the Utility-Owners. [Issue-Resolved, Configuration-Managed, Replication - Rigorous, Configuration-Managed Replication for the Capture of the 85% that is Proven - plus - Parallel, Transparent, Separately-Managed, Contractually-Facilitated, Side-Stream Programs for the Identification and Resolution of the highly-troublesome 15% that remains Un-Resolved]. For New-Build in 2011, as well as for Refurb and Ops/Outage Support at any time, the last thing the Owner-Utilities want is innovation - or invention - or anything else for which substantial operating-experience and reliability-verification cannot be provided. I-R.R is discussed as - i) 'Rigorous Replication' and ii) 'Issue-Identification and Resolution'. What we refer to as 'Side-Stream, Independently-Driven, Issue-Identification and Resolution' is already practiced by utility 'SIR Teams' - i.e. - 'go-anywhere, do-anything, flying-squads' - for whom the watch-word is 'expect the un-anticipated'. Issue-Resolution must be provided as part of every project. It must be demanded (and contractually-facilitated) up-front by the Utility

  17. Organizational culture, team climate, and quality management in an important patient safety issue: nosocomial pressure ulcers.

    Science.gov (United States)

    Bosch, Marije; Halfens, Ruud J G; van der Weijden, Trudy; Wensing, Michel; Akkermans, Reinier; Grol, Richard

    2011-03-01

    Increasingly, policy reform in health care is discussed in terms of changing organizational culture, creating practice teams, and organizational quality management. Yet, the evidence for these suggested determinants of high-quality care is inconsistent. To determine if the type of organizational culture (Competing Values Framework), team climate (Team Climate Inventory), and preventive pressure ulcer quality management at ward level were related to the prevalence of pressure ulcers. Also, we wanted to determine if the type of organizational culture, team climate, or the institutional quality management related to preventive quality management at the ward level. In this cross-sectional observational study multivariate (logistic) regression analyses were performed, adjusting for potential confounders and institution-level clustering. Data from 1274 patients and 460 health care professionals in 37 general hospital wards and 67 nursing home wards in the Netherlands were analyzed. The main outcome measures were nosocomial pressure ulcers in patients at risk for pressure ulcers (Braden score ≤ 18) and preventive quality management at ward level. No associations were found between organizational culture, team climate, or preventive quality management at the ward level and the prevalence of nosocomial pressure ulcers. Institutional quality management was positively correlated with preventive quality management at ward level (adj. β 0.32; p organizational culture, team climate, or preventive quality management at the ward level. These results would therefore not subscribe the widely suggested importance of these factors in improving health care. However, different designs and research methods (that go beyond the cross-sectional design) may be more informative in studying relations between such complex factors and outcomes in a more meaningful way. Copyright ©2010 Sigma Theta Tau International.

  18. Using Small Models for Big Issues : Exploratory System Dynamics Modelling and Analysis for Insightful Crisis Management

    NARCIS (Netherlands)

    Pruyt, E.

    2010-01-01

    The main goal of this paper is to explain and illustrate different exploratory uses of small System Dynamics models for analysis and decision support in case of dynamically complex issues that are deeply uncertain. The applied focuss of the paper is the field of inter/national safety and security.

  19. Outsourcing, Globalizing Economics, and Shifting Language Policies: Issues in Managing Indian Call Centres

    Science.gov (United States)

    Morgan, Brian; Ramanathan, Vaidehi

    2009-01-01

    This paper offers a dialogic discussion about several issues concerning call centers, including globalizing surges, modernity tropes and educational practices. Based on a critical discourse analysis of a document offering to train west-based entrepreneurs to assume managerial positions in call centers in India, the paper explores ways in which…

  20. What in the World Is a State Library? Issues in State Library Management.

    Science.gov (United States)

    Weaver, Barbara

    1990-01-01

    Provides an overview of the various roles of state libraries and discusses several issues of concern to all state libraries: the role of the library within state government; resources sharing; school library development; public library development; automation consulting; continuing education for library professionals; and the leadership role of…