Advanced control room design review guidelines: Integration of the NUREG-0700 guidelines and development of new human-system interface guidelines

Energy Technology Data Exchange (ETDEWEB)

Carter, R.J.

1997-07-01

This report documents the work conducted in four tasks of the Nuclear Regulatory Commission (NRC) project entitled Review Criteria for Human Factors Aspects of Advanced Controls and Instrumentation. The purpose of the first task was to integrate the applicable sections of NUREG-0700 into the advanced control room design review (ACRDR) guidelines to ensure that all applicable guidelines are together in one document and conveniently accessible to users. The primary objective of the second task was to formulate a strategy for the development of new ACRDR guidelines that have not otherwise been identified. The main focus of the third task was to modify the individual ACRDR guidelines generated to date to ensure that they are suitable for the intended nuclear power plant (NPP) control station system application. The goal of the fourth task was to develop human factors guidelines for two human-system interface categories that are missing from the current ACRDR guidelines document. During the first task those areas in NUREG-0700 that are not addressed by the ACRDR guidelines document were identified, the areas were subsequently reviewed against six recent industry human factors engineering review guidelines, and the NUREG-0700 guidelines were updated as necessary. In the second task 13 general categories of human-system interface guidelines that are either missing from or not adequately addressed by the ACRDR document were discovered. An approach was derived for the development of new ACRDR guidelines, a preliminary assessment of the available sources that may be useful in the creation of new guidelines and their applicability to the identified human-system interface categories was performed, and an estimate was made of the amount of time and level of effort required to complete the development of needed new ACRDR guidelines. During the third task those NPP control station systems to which the NUREG-0700 and ACRDR guidelines apply were identified, matrices of such

Advanced control room design review guidelines: Integration of the NUREG-0700 guidelines and development of new human-system interface guidelines

International Nuclear Information System (INIS)

Carter, R.J.

1997-07-01

This report documents the work conducted in four tasks of the Nuclear Regulatory Commission (NRC) project entitled Review Criteria for Human Factors Aspects of Advanced Controls and Instrumentation. The purpose of the first task was to integrate the applicable sections of NUREG-0700 into the advanced control room design review (ACRDR) guidelines to ensure that all applicable guidelines are together in one document and conveniently accessible to users. The primary objective of the second task was to formulate a strategy for the development of new ACRDR guidelines that have not otherwise been identified. The main focus of the third task was to modify the individual ACRDR guidelines generated to date to ensure that they are suitable for the intended nuclear power plant (NPP) control station system application. The goal of the fourth task was to develop human factors guidelines for two human-system interface categories that are missing from the current ACRDR guidelines document. During the first task those areas in NUREG-0700 that are not addressed by the ACRDR guidelines document were identified, the areas were subsequently reviewed against six recent industry human factors engineering review guidelines, and the NUREG-0700 guidelines were updated as necessary. In the second task 13 general categories of human-system interface guidelines that are either missing from or not adequately addressed by the ACRDR document were discovered. An approach was derived for the development of new ACRDR guidelines, a preliminary assessment of the available sources that may be useful in the creation of new guidelines and their applicability to the identified human-system interface categories was performed, and an estimate was made of the amount of time and level of effort required to complete the development of needed new ACRDR guidelines. During the third task those NPP control station systems to which the NUREG-0700 and ACRDR guidelines apply were identified, matrices of such

Standards and Guidelines in Telemedicine and Telehealth

Science.gov (United States)

Krupinski, Elizabeth A.; Bernard, Jordana

2014-01-01

The development of guidelines and standards for telemedicine is an important and valuable process to help insure effective and safe delivery of quality healthcare. Some organizations, such as the American Telemedicine Association (ATA), have made the development of standards and guidelines a priority. The practice guidelines developed so far have been well received by the telemedicine community and are being adopted in numerous practices, as well as being used in research to support the practice and growth of telemedicine. Studies that utilize published guidelines not only help bring them into greater public awareness, but they also provide evidence needed to validate existing guidelines and guide the revision of future versions. Telemedicine will continue to grow and be adopted by more healthcare practitioners and patients in a wide variety of forms not just in the traditional clinical environments, and practice guidelines will be a key factor in fostering this growth. Creation of guidelines is important to payers and regulators as well as increasingly they are adopting and integrating them into regulations and policies. This paper will review some of the recent ATA efforts in developing telemedicine practice guidelines, review the role of research in guidelines development, review data regarding their use, and discuss some of areas where guidelines are still needed. PMID:27429261

The UX Book Process and Guidelines for Ensuring a Quality User Experience

CERN Document Server

Hartson, Rex

2012-01-01

This is a comprehensive textbook on designing interaction to ensure a quality user experience. Combining breadth, depth, and practical applications, this book takes a time-tested process-and-guidelines approach that provides readers with actionable methods and techniques while retaining a firm grounding in HCI concepts and theory. The authors will guide you through the UX lifecycle process, including contextual inquiry and analysis, requirements extraction, design ideation and creation, practical design production, prototyping, and UX evaluation. Development activities are linked via handof

Stakeholder views on the creation and use of genetically-engineered animals in research.

Science.gov (United States)

Ormandy, Elisabeth H

2016-05-01

This interview-based study examined the diversity of views relating to the creation and use of genetically-engineered (GE) animals in biomedical science. Twenty Canadian participants (eight researchers, five research technicians and seven members of the public) took part in the interviews, in which four main themes were discussed: a) how participants felt about the genetic engineering of animals as a practice; b) governance of the creation and use of GE animals in research, and whether current guidelines are sufficient; c) the Three Rs (Replacement, Reduction, Refinement) and how they are applied during the creation and use of GE animals in research; and d) whether public opinion should play a greater role in the creation and use of GE animals. Most of the participants felt that the creation and use of GE animals for biomedical research purposes (as opposed to food purposes) is acceptable, provided that tangible human health benefits are gained. However, obstacles to Three Rs implementation were identified, and the participants agreed that more effort should be placed on engaging the public on the use of GE animals in research. 2016 FRAME.

Ludic Educational Game Creation Tool

DEFF Research Database (Denmark)

Vidakis, Nikolaos; Syntychakis, Efthimios; Kalafatis, Konstantinos

2015-01-01

This paper presents initial findings and ongoing work of the game creation tool, a core component of the IOLAOS(IOLAOS in ancient Greece was a divine hero famed for helping with some of Heracles’s labors.) platform, a general open authorable framework for educational and training games. The game...... creation tool features a web editor, where the game narrative can be manipulated, according to specific needs. Moreover, this tool is applied for creating an educational game according to a reference scenario namely teaching schoolers road safety. A ludic approach is used both in game creation and play....... Helping children staying safe and preventing serious injury on the roads is crucial. In this context, this work presents an augmented version of the IOLAOS architecture including an enhanced game creation tool and a new multimodality module. In addition presents a case study for creating educational games...

Spanish Clinical Guidelines on Vascular Access for Haemodialysis.

Science.gov (United States)

Ibeas, José; Roca-Tey, Ramon; Vallespín, Joaquín; Moreno, Teresa; Moñux, Guillermo; Martí-Monrós, Anna; Del Pozo, José Luis; Gruss, Enrique; Ramírez de Arellano, Manel; Fontseré, Néstor; Arenas, María Dolores; Merino, José Luis; García-Revillo, José; Caro, Pilar; López-Espada, Cristina; Giménez-Gaibar, Antonio; Fernández-Lucas, Milagros; Valdés, Pablo; Fernández-Quesada, Fidel; de la Fuente, Natalia; Hernán, David; Arribas, Patricia; Sánchez de la Nieta, María Dolores; Martínez, María Teresa; Barba, Ángel

2017-11-01

Vascular access for haemodialysis is key in renal patients both due to its associated morbidity and mortality and due to its impact on quality of life. The process, from the creation and maintenance of vascular access to the treatment of its complications, represents a challenge when it comes to decision-making, due to the complexity of the existing disease and the diversity of the specialities involved. With a view to finding a common approach, the Spanish Multidisciplinary Group on Vascular Access (GEMAV), which includes experts from the five scientific societies involved (nephrology [S.E.N.], vascular surgery [SEACV], vascular and interventional radiology [SERAM-SERVEI], infectious diseases [SEIMC] and nephrology nursing [SEDEN]), along with the methodological support of the Cochrane Center, has updated the Guidelines on Vascular Access for Haemodialysis, published in 2005. These guidelines maintain a similar structure, in that they review the evidence without compromising the educational aspects. However, on one hand, they provide an update to methodology development following the guidelines of the GRADE system in order to translate this systematic review of evidence into recommendations that facilitate decision-making in routine clinical practice, and, on the other hand, the guidelines establish quality indicators which make it possible to monitor the quality of healthcare. Copyright © 2017 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.

Multi-pair states in electron–positron pair creation

Directory of Open Access Journals (Sweden)

Anton Wöllert

2016-09-01

Full Text Available Ultra strong electromagnetic fields can lead to spontaneous creation of single or multiple electron–positron pairs. A quantum field theoretical treatment of the pair creation process combined with numerical methods provides a description of the fermionic quantum field state, from which all observables of the multiple electron–positron pairs can be inferred. This allows to study the complex multi-particle dynamics of electron–positron pair creation in-depth, including multi-pair statistics as well as momentum distributions and spin. To illustrate the potential benefit of this approach, it is applied to the intermediate regime of pair creation between nonperturbative Schwinger pair creation and perturbative multiphoton pair creation where the creation of multi-pair states becomes nonnegligible but cascades do not yet set in. Furthermore, it is demonstrated how spin and helicity of the created electrons and positrons are affected by the polarization of the counterpropagating laser fields, which induce the creation of electron–positron pairs.

Multi-pair states in electron–positron pair creation

Energy Technology Data Exchange (ETDEWEB)

Wöllert, Anton, E-mail: woellert@mpi-hd.mpg.de; Bauke, Heiko, E-mail: heiko.bauke@mpi-hd.mpg.de; Keitel, Christoph H.

2016-09-10

Ultra strong electromagnetic fields can lead to spontaneous creation of single or multiple electron–positron pairs. A quantum field theoretical treatment of the pair creation process combined with numerical methods provides a description of the fermionic quantum field state, from which all observables of the multiple electron–positron pairs can be inferred. This allows to study the complex multi-particle dynamics of electron–positron pair creation in-depth, including multi-pair statistics as well as momentum distributions and spin. To illustrate the potential benefit of this approach, it is applied to the intermediate regime of pair creation between nonperturbative Schwinger pair creation and perturbative multiphoton pair creation where the creation of multi-pair states becomes nonnegligible but cascades do not yet set in. Furthermore, it is demonstrated how spin and helicity of the created electrons and positrons are affected by the polarization of the counterpropagating laser fields, which induce the creation of electron–positron pairs.

Multi-pair states in electron–positron pair creation

International Nuclear Information System (INIS)

Wöllert, Anton; Bauke, Heiko; Keitel, Christoph H.

2016-01-01

Ultra strong electromagnetic fields can lead to spontaneous creation of single or multiple electron–positron pairs. A quantum field theoretical treatment of the pair creation process combined with numerical methods provides a description of the fermionic quantum field state, from which all observables of the multiple electron–positron pairs can be inferred. This allows to study the complex multi-particle dynamics of electron–positron pair creation in-depth, including multi-pair statistics as well as momentum distributions and spin. To illustrate the potential benefit of this approach, it is applied to the intermediate regime of pair creation between nonperturbative Schwinger pair creation and perturbative multiphoton pair creation where the creation of multi-pair states becomes nonnegligible but cascades do not yet set in. Furthermore, it is demonstrated how spin and helicity of the created electrons and positrons are affected by the polarization of the counterpropagating laser fields, which induce the creation of electron–positron pairs.

Creatio in musica - Creation in Music

DEFF Research Database (Denmark)

Schwab, Heinrich Wilhelm

2007-01-01

Book abstract  The meaning of the noun 'creation', and the verb 'to create', range from the traditional theological idea of God creating ex nihilo to a more recent sense of the process of artistic conception. This collection of thirteen essays, written by scholars of music, literature, the visual...... includes some twentieth-century musicians. Each essay is dedicated to a particular topic concerned with ritual or artistic beginnings, inventions, harmony and disharmony, as well as representations or celebrations of creation. Central themes include the interplay of the ideas of God as creator, of God...

The Multiverse and Divine Creation

Directory of Open Access Journals (Sweden)

Michael Almeida

2017-11-01

Full Text Available I provide the account of divine creation found in multiverse theorists Donald Turner, Klaas Kraay, and Tim O’Connor. I show that the accounts Kraay and Turner offer are incoherent. God does not survey all possible worlds and necessarily actualize those universes in the (on balance good worlds or the worthy worlds. If God necessarily actualizes the multiverse, we have no idea which universes are parts of that multiverse. I show next that Tim O’Connor’s multiverse account of creation is also incoherent. I argue that a preferable multiverse would include a much greater variety of universes than are included in Turner, Kraay or O’Connor. In the last section I offer some concluding remarks.

Astronomy and Creationism.

Science.gov (United States)

Morrison, David

1982-01-01

Discusses the effects on astronomy courses/curriculum if equal time were given to the concept that the universe was created in its present form about ten thousand years ago. Includes the full text on a resolution concerning creationism passed by the Board of Directors of the Astronomical Society of the Pacific. (Author/JN)

[Definition of nodal volumes in breast cancer treatment and segmentation guidelines].

Science.gov (United States)

Kirova, Y M; Castro Pena, P; Dendale, R; Campana, F; Bollet, M A; Fournier-Bidoz, N; Fourquet, A

2009-06-01

To assist in the determination of breast and nodal volumes in the setting of radiotherapy for breast cancer and establish segmentation guidelines. Materials and methods. Contrast metarial enhanced CT examinations were obtained in the treatment position in 25 patients to clearly define the target volumes. The clinical target volume (CTV) including the breast, internal mammary nodes, supraclavicular and subclavicular regions and axxilary region were segmented along with the brachial plexus and interpectoral nodes. The following critical organs were also segmented: heart, lungs, contralateral breast, thyroid, esophagus and humeral head. A correlation between clinical and imaging findings and meeting between radiation oncologists and breast specialists resulted in a better definition of irradiation volumes for breast and nodes with establishement of segmentation guidelines and creation of an anatomical atlas. A practical approach, based on anatomical criteria, is proposed to assist in the segmentation of breast and node volumes in the setting of breast cancer treatment along with a definition of irradiation volumes.

Theories of opportunity creation and effective entrepreneurial actions in opportunity creation context

Directory of Open Access Journals (Sweden)

Behrooz Jamali

2018-09-01

Full Text Available Created opportunities are refered as the opportunities in which none of the supply and demand parties exists clearly and obviously one or both of them must be created. Therefore, several economic inventions should take place in marketing, franchising, etc. so that opportunity can be created. This perception of opportunity deals with the creation of new markets. In the meantime, identifying some entrepreneurial actions influencing on the creation of entrepreneurial opportunities can provide backgrounds for the formation and empowering the opportunity creation. In this paper, some basic ideas about the creation of entrepreneurial opportunities and the evolution of opportunity creation theories are examined. Then effective actions on the opportunity creation are identified. Finally, the structure of the investigated actions is examined using the DEMATLE Method. The results which were according to the opinions of 15 experts of entrepreneurship showed that leadership, decision making, and strategy actions influence other entrepreneurial actions.

Guidelines for an environmental code of ethics for research institutions

International Nuclear Information System (INIS)

Gardusi, Claudia; Aquino, Afonso Rodrigues de

2009-01-01

The purpose of this work is to reflect about actions that may contribute to the creation of mechanisms to protect the environment in the development of research projects at research institutions, specifically the Nuclear and Energy Research Institute - IPEN. A brief review of part of the ethical values applied to the process of scientific development during the old, medieval and modern periods is presented, showing the split of the nature ethical principles. It is also reported an overview of the creation of codes of ethics applied to research institutions. Moreover, criteria are presented to settle guidelines to protect the environment during the development of research projects. (author)

Survey < > Creation

DEFF Research Database (Denmark)

2017-01-01

The project, Survey Creation suggests that point cloud models from 3D scans of an existing space can be the source for explorative drawings. By probing into the procedure of 3D laser scanning, it became possible to make use of the available point clouds to both access geometric representation......) and the creation drawing (of the anticipated)....

Clinical imaging guidelines part 4: challenges in identifying, engaging and collaborating with stakeholders.

Science.gov (United States)

Bettmann, Michael A; Oikarinen, Helja; Rehani, Madan; Holmberg, Ola; del Rosario Perez, Maria; Naidoo, Anusha; Do, Kyung-Hyun; Dreyer, Keith; Ebdon-Jackson, Steve

2015-04-01

The effective development and use of clinical imaging guidelines requires an understanding of who the stakeholders are, what their interests in the process are, and what roles they should play. If the appropriate stakeholders are not engaged in the right roles, it is unlikely that clinical imaging guidelines will be successfully developed, relied on, and actually used. Some stakeholders are obvious: for the development of clinical imaging guidelines, both imagers and those who request examinations, such as general practitioners, internists, and medical specialists, must be involved. To gain acceptance, other relevant groups are stakeholders, including medical societies, other health care professionals, insurers, health IT experts and vendors, and patients. The role of stakeholders must be dictated by their specific interest. For some, involvement in the creation of guidelines is the right role. For others, such as regulators or insurers, reviews or invitations to comment are required, and for others, such as medical educators, it is probably sufficient to provide information and create awareness. Only through a careful consideration of who the stakeholders are and what are their interests are the successful development, acceptance, and use of clinical imaging guidelines likely to occur. Future efforts must focus on collaboration, particularly among groups that create clinical imaging guidelines and those that can support their use, and on regulatory roles and mandates. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Positron creation in superheavy quasi-molecules

International Nuclear Information System (INIS)

Mueller, B.

1976-01-01

The review of positron creation in superheavy quasi-molecules includes spontaneous positron emission from superheavy atoms, supercritical quasi-molecules, background effects, and some implications of the new ground state. 66 references

Revising the South African guidelines for human settlement planning and design (the red book)

CSIR Research Space (South Africa)

Van Niekerk, Willemien

2015-11-01

Full Text Available The Guidelines for Human Settlement Planning and Design, commonly known as the Red Book, is a South African publication aimed at providing practical guidance to built environment professionals in support of the creation of sustainable and vibrant...

Dutch guideline for clinical foetal-neonatal and paediatric post-mortem radiology, including a review of literature.

Science.gov (United States)

Sonnemans, L J P; Vester, M E M; Kolsteren, E E M; Erwich, J J H M; Nikkels, P G J; Kint, P A M; van Rijn, R R; Klein, W M

2018-06-01

Clinical post-mortem radiology is a relatively new field of expertise and not common practice in most hospitals yet. With the declining numbers of autopsies and increasing demand for quality control of clinical care, post-mortem radiology can offer a solution, or at least be complementary. A working group consisting of radiologists, pathologists and other clinical medical specialists reviewed and evaluated the literature on the diagnostic value of post-mortem conventional radiography (CR), ultrasonography, computed tomography (PMCT), magnetic resonance imaging (PMMRI), and minimally invasive autopsy (MIA). Evidence tables were built and subsequently a Dutch national evidence-based guideline for post-mortem radiology was developed. We present this evaluation of the radiological modalities in a clinical post-mortem setting, including MIA, as well as the recently published Dutch guidelines for post-mortem radiology in foetuses, neonates, and children. In general, for post-mortem radiology modalities, PMMRI is the modality of choice in foetuses, neonates, and infants, whereas PMCT is advised in older children. There is a limited role for post-mortem CR and ultrasonography. In most cases, conventional autopsy will remain the diagnostic method of choice. Based on a literature review and clinical expertise, an evidence-based guideline was developed for post-mortem radiology of foetal, neonatal, and paediatric patients. What is Known: • Post-mortem investigations serve as a quality check for the provided health care and are important for reliable epidemiological registration. • Post-mortem radiology, sometimes combined with minimally invasive techniques, is considered as an adjunct or alternative to autopsy. What is New: • We present the Dutch guidelines for post-mortem radiology in foetuses, neonates and children. • Autopsy remains the reference standard, however minimal invasive autopsy with a skeletal survey, post-mortem computed tomography, or post

The potential of shared value creation: a theoretical analysis

Directory of Open Access Journals (Sweden)

Victor Danciu

2016-06-01

Full Text Available The urgent issues economy, environment and society are facing need new approaches which allow a well-balanced sharing of value created by the economy. A step forward is the concept of shared value creation. This paper aims to analyze the main features, the content of strategy of shared value creation and to propose the social innovation as main strategic way of shared value creation. At the beginning, the drivers and challenges of shared value creation are investigated in a systematized manner, in order to better understand why this new way of doing business is needed. Then, the concept and the three levels of shared value creation are investigated as sources of economic, environmental and social benefits that a business creates. These benefits depend on how efficient and diligent the company works. We are advancing the social innovation as main strategy having the greatest potential to create value with economic, environmental and social benefits. Finally, a framework for measurement of shared value creation is included. This framework is aiming at giving a tool for checking up the potential the shared value creation has for solving environmental and social issues.

Overcoming the Challenges of Co-creation

Science.gov (United States)

Pandya, R.; Udu-gama, N.; Goodwin, M.; Otellini, P.

2016-12-01

There is growing interest in co-creation, especially for community-related issues like climate change, resilience, pollution, and environmental justice. Nevertheless, co-creation is still not mainstream practice in either geosciences or the world of decision-makers. This presents many challenges. On the science side, challenges include a paucity of training opportunities, lack of funding for co-creation, difficulty publishing or otherwise getting credit for the effort, and a perceived lack of prestige compared to theoretical research. On the community side, parallel challenges include a lack of experience working with scientists or thinking about geoscience's relevance to community issues, tight budgets and competing priorities, the need for outputs beyond publications, and the difficulty including science among a range of factors. Additionally, scientists and community leaders often work across public and private sectors and must navigate different approaches to data, privacy, and accountability. We'll use this session to explore opportunities to overcome the challenges of co-creation. Systems thinking suggests a range of approaches: enabling individuals, reducing specific challenges, changing the relationship between the elements of the systems, and changing the goals or mindsets of the systems - each more powerful than the last. For example, mentoring and coaching enables individuals, and pro-bono work eases the challenge of getting professional credit. New modes of output, like plain language abstracts, change the relationship between publications and other outputs. We can work on changing mindsets by publicizing and celebrating individual successes. With more effort and impact, we can build collaborations in the collective impact model, where we bring scientific and community organizations together around a common agenda and shared measurement. Building on these examples, we will use this session to collect strategies and opportunities from all participants.

Path Creation

DEFF Research Database (Denmark)

Karnøe, Peter; Garud, Raghu

2012-01-01

This paper employs path creation as a lens to follow the emergence of the Danish wind turbine cluster. Supplier competencies, regulations, user preferences and a market for wind power did not pre-exist; all had to emerge in a tranformative manner involving multiple actors and artefacts. Competenc......This paper employs path creation as a lens to follow the emergence of the Danish wind turbine cluster. Supplier competencies, regulations, user preferences and a market for wind power did not pre-exist; all had to emerge in a tranformative manner involving multiple actors and artefacts....... Competencies emerged through processes and mechanisms such as co-creation that implicated multiple learning processes. The process was not an orderly linear one as emergent contingencies influenced the learning processes. An implication is that public policy to catalyse clusters cannot be based...

Measure Guideline: Summary of Interior Ducts in New Construction, Including an Efficient, Affordable Method to Install Fur-Down Interior Ducts

Energy Technology Data Exchange (ETDEWEB)

Beal, D.; McIlvaine , J.; Fonorow, K.; Martin, E.

2011-11-01

This document illustrates guidelines for the efficient installation of interior duct systems in new housing, including the fur-up chase method, the fur-down chase method, and interior ducts positioned in sealed attics or sealed crawl spaces. This document illustrates guidelines for the efficient installation of interior duct systems in new housing. Interior ducts result from bringing the duct work inside a home's thermal and air barrier. Architects, designers, builders, and new home buyers should thoroughly investigate any opportunity for energy savings that is as easy to implement during construction, such as the opportunity to construct interior duct work. In addition to enhanced energy efficiency, interior ductwork results in other important advantages, such as improved indoor air quality, increased system durability and increased homeowner comfort. While the advantages of well-designed and constructed interior duct systems are recognized, the implementation of this approach has not gained a significant market acceptance. This guideline describes a variety of methods to create interior ducts including the fur-up chase method, the fur-down chase method, and interior ducts positioned in sealed attics or sealed crawl spaces. As communication of the intent of an interior duct system, and collaboration on its construction are paramount to success, this guideline details the critical design, planning, construction, inspection, and verification steps that must be taken. Involved in this process are individuals from the design team; sales/marketing team; and mechanical, insulation, plumbing, electrical, framing, drywall and solar contractors.

Creation of an Open Framework for Point-of-Care Computer-Assisted Reporting and Decision Support Tools for Radiologists.

Science.gov (United States)

Alkasab, Tarik K; Bizzo, Bernardo C; Berland, Lincoln L; Nair, Sujith; Pandharipande, Pari V; Harvey, H Benjamin

2017-09-01

Decreasing unnecessary variation in radiology reporting and producing guideline-concordant reports is fundamental to radiology's success in value-based payment models and good for patient care. In this article, we present an open authoring system for point-of-care clinical decision support tools integrated into the radiologist reporting environment referred to as the computer-assisted reporting and decision support (CAR/DS) framework. The CAR/DS authoring system, described herein, includes: (1) a definition format for representing radiology clinical guidelines as structured, machine-readable Extensible Markup Language documents and (2) a user-friendly reference implementation to test the fidelity of the created definition files with the clinical guideline. The proposed definition format and reference implementation will enable content creators to develop CAR/DS tools that voice recognition software (VRS) vendors can use to extend the commercial tools currently in use. In making the definition format and reference implementation software freely available, we hope to empower individual radiologists, expert groups such as the ACR, and VRS vendors to develop a robust ecosystem of CAR/DS tools that can further improve the quality and efficiency of the patient care that our field provides. We hope that this initial effort can serve as the basis for a community-owned open standard for guideline definition that the imaging informatics and VRS vendor communities will embrace and strengthen. To this end, the ACR Assist™ initiative is intended to make the College's clinical content, including the Incidental Findings Committee White Papers, available for decision support tool creation based upon the herein described CAR/DS framework. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Technical standards and guidelines: prenatal screening for Down syndrome that includes first-trimester biochemistry and/or ultrasound measurements.

Science.gov (United States)

Palomaki, Glenn E; Lee, Jo Ellen S; Canick, Jacob A; McDowell, Geraldine A; Donnenfeld, Alan E

2009-09-01

This statement is intended to augment the current general ACMG Standards and Guidelines for Clinical Genetics Laboratories and to address guidelines specific to first-trimester screening for Down syndrome. The aim is to provide the laboratory the necessary information to ensure accurate and reliable Down syndrome screening results given a screening protocol (e.g., combined first trimester and integrated testing). Information about various test combinations and their expected performance are provided, but other issues such as availability of reagents, patient interest in early test results, access to open neural tube defect screening, and availability of chorionic villus sampling are all contextual factors in deciding which screening protocol(s) will be selected by individual health care providers. Individual laboratories are responsible for meeting the quality assurance standards described by the Clinical Laboratory Improvement Act, the College of American Pathologists, and other regulatory agencies, with respect to appropriate sample documentation, assay validation, general proficiency, and quality control measures. These guidelines address first-trimester screening that includes ultrasound measurement and interpretation of nuchal translucency thickness and protocols that combine markers from both the first and second trimesters. Laboratories can use their professional judgment to make modification or additions.

[Vascular access guidelines for hemodialysis].

Science.gov (United States)

Rodríguez Hernández, J A; González Parra, E; Julián Gutiérrez, J M; Segarra Medrano, A; Almirante, B; Martínez, M T; Arrieta, J; Fernández Rivera, C; Galera, A; Gallego Beuter, J; Górriz, J L; Herrero, J A; López Menchero, R; Ochando, A; Pérez Bañasco, V; Polo, J R; Pueyo, J; Ruiz, Camps I; Segura Iglesias, R

2005-01-01

Quality of vascular access (VA) has a remarkable influence in hemodialysis patients outcomes. Dysfunction of VA represents a capital cause of morbi-mortality of these patients as well an increase in economical. Spanish Society of Neprhology, aware of the problem, has decided to carry out a revision of the issue with the aim of providing help in comprehensión and treatment related with VA problems, and achieving an homogenization of practices in three mayor aspects: to increase arteriovenous fistula utilization as first vascular access, to increment vascular access monitoring practice and rationalise central catheters use. We present a consensus document elaborated by a multidisciplinar group composed by nephrologists, vascular surgeons, interventional radiologysts, infectious diseases specialists and nephrological nurses. Along six chapters that cover patient education, creation of VA, care, monitoring, complications and central catheters, we present the state of the art and propose guidelines for the best practice, according different evidence based degrees, with the intention to provide help at the professionals in order to make aproppiate decissions. Several quality standars are also included.

Guidelines for Description

NARCIS (Netherlands)

Links, P.; Horsman, Peter; Kühnel, Karsten; Priddy, M.; Reijnhoudt, Linda; Merenmies, Mark

2013-01-01

The Guidelines follow the conceptual metadata model (deliverable 17.2). They include guidelines for description of collection-holding institutions, document collections, organisations, personalities, events, camps and ghettos. As much as possible the guidelines comply with the descriptive standards

Measure Guideline: Summary of Interior Ducts in New Construction, Including an Efficient, Affordable Method to Install Fur-Down Interior Ducts

Energy Technology Data Exchange (ETDEWEB)

Beal, D. [BA-PIRC, Cocoa, FL (United States); McIlvaine, J. [BA-PIRC, Cocoa, FL (United States); Fonorow, K. [BA-PIRC, Cocoa, FL (United States); Martin, E. [BA-PIRC, Cocoa, FL (United States)

2011-11-01

This document illustrates guidelines for the efficient installation of interior duct systems in new housing, including the fur-up chase method, the fur-down chase method, and interior ducts positioned in sealed attics or sealed crawl spaces.

Guidelines for Guidelines: Are They Up to the Task? A Comparative Assessment of Clinical Practice Guideline Development Handbooks

Science.gov (United States)

Ansari, Shabnam; Rashidian, Arash

2012-01-01

Objectives We conducted a comparative review of clinical practice guideline development handbooks. We aimed to identify the main guideline development tasks, assign weights to the importance of each task using expert opinions and identify the handbooks that provided a comprehensive coverage of the tasks. Methods We systematically searched and included handbooks published (in English language) by national, international or professional bodies responsible for evidenced-based guideline development. We reviewed the handbooks to identify the main guideline development tasks and scored each handbook for each task from 0 (the handbook did not mention the task) to 2 (the task suitably addressed and explained), and calculated a weighted score for each handbook. The tasks included in over 75% of the handbooks were considered as ‘necessary’ tasks. Result Nineteen guideline development handbooks and twenty seven main tasks were identified. The guideline handbooks’ weighted scores ranged from 100 to 220. Four handbooks scored over 80% of the maximum possible score, developed by the National Institute for Health and Clinical Excellence, Swiss Centre for International Health, Scottish Intercollegiate Guidelines Network and World Health Organization. Necessary tasks were: selecting the guideline topic, determining the guideline scope, identifying relevant existing guidelines, involving the consumers, forming guideline development group,, developing clinical questions, systematic search for evidence, selecting relevant evidence, appraising identifies research evidence, making group decision, grading available evidence, creating recommendations, final stakeholder consultation, guideline implementation strategies, updating recommendations and correcting potential errors. Discussion Adequate details for evidence based development of guidelines were still lacking from many handbooks. The tasks relevant to ethical issues and piloting were missing in most handbooks. The findings

Schwinger pair creation of Kaluza-Klein particles: Pair creation without tunneling

International Nuclear Information System (INIS)

Friedmann, Tamar; Verlinde, Herman

2005-01-01

We study Schwinger pair creation of charged Kaluza-Klein (KK) particles from a static KK electric field. We find that the gravitational backreaction of the electric field on the geometry--which is incorporated via the electric KK-Melvin solution--prevents the electrostatic potential from overcoming the rest mass of the KK particles, thus impeding the tunneling mechanism which is often thought of as responsible for the pair creation. However, we find that pair creation still occurs with a finite rate formally similar to the classic Schwinger result, but via an apparently different mechanism, involving a combination of the Unruh effect and vacuum polarization due to the E-field

Developing clinical practice guidelines: target audiences, identifying topics for guidelines, guideline group composition and functioning and conflicts of interest.

Science.gov (United States)

Eccles, Martin P; Grimshaw, Jeremy M; Shekelle, Paul; Schünemann, Holger J; Woolf, Steven

2012-07-04

Clinical practice guidelines are one of the foundations of efforts to improve health care. In 1999, we authored a paper about methods to develop guidelines. Since it was published, the methods of guideline development have progressed both in terms of methods and necessary procedures and the context for guideline development has changed with the emergence of guideline clearing houses and large scale guideline production organisations (such as the UK National Institute for Health and Clinical Excellence). It therefore seems timely to, in a series of three articles, update and extend our earlier paper. In this first paper we discuss: the target audience(s) for guidelines and their use of guidelines; identifying topics for guidelines; guideline group composition (including consumer involvement) and the processes by which guideline groups function and the important procedural issue of managing conflicts of interest in guideline development.

Value Creation in Digital Service Platforms

DEFF Research Database (Denmark)

Ghazawneh, Ahmad; Mansour, Osama

2017-01-01

Value creation is increasingly relevant for owners of digital service platforms (DSPs). These owners have two vital goals: increase their service base and sustain their service offerers. A key element in continuously accommodating these goals is value creation. While the literature on DSPs is gro...... of service offerers. As such, our study proposes and contributes a value creation framework for DSPs that identifies 8 value sources and highlights resource combination and exchange in the process of value creation.......Value creation is increasingly relevant for owners of digital service platforms (DSPs). These owners have two vital goals: increase their service base and sustain their service offerers. A key element in continuously accommodating these goals is value creation. While the literature on DSPs...... is growing, there is a paucity of knowledge on the value creation process in these platforms. Drawing on a qualitative study of Uber drivers in Denmark and Sweden, we synthesize Schumpeter’s theory of value creation to develop an understanding of the value creation process in DSPs from the perspective...

'Ethos' Enabling Organisational Knowledge Creation

Science.gov (United States)

Matsudaira, Yoshito

This paper examines knowledge creation in relation to improvements on the production line in the manufacturing department of Nissan Motor Company and aims to clarify embodied knowledge observed in the actions of organisational members who enable knowledge creation will be clarified. For that purpose, this study adopts an approach that adds a first, second, and third-person's viewpoint to the theory of knowledge creation. Embodied knowledge, observed in the actions of organisational members who enable knowledge creation, is the continued practice of 'ethos' (in Greek) founded in Nissan Production Way as an ethical basis. Ethos is knowledge (intangible) assets for knowledge creating companies. Substantiated analysis classifies ethos into three categories: the individual, team and organisation. This indicates the precise actions of the organisational members in each category during the knowledge creation process. This research will be successful in its role of showing the indispensability of ethos - the new concept of knowledge assets, which enables knowledge creation -for future knowledge-based management in the knowledge society.

Guidelines 2.0: systematic development of a comprehensive checklist for a successful guideline enterprise

Science.gov (United States)

Schünemann, Holger J.; Wiercioch, Wojtek; Etxeandia, Itziar; Falavigna, Maicon; Santesso, Nancy; Mustafa, Reem; Ventresca, Matthew; Brignardello-Petersen, Romina; Laisaar, Kaja-Triin; Kowalski, Sérgio; Baldeh, Tejan; Zhang, Yuan; Raid, Ulla; Neumann, Ignacio; Norris, Susan L.; Thornton, Judith; Harbour, Robin; Treweek, Shaun; Guyatt, Gordon; Alonso-Coello, Pablo; Reinap, Marge; Brožek, Jan; Oxman, Andrew; Akl, Elie A.

2014-01-01

Background: Although several tools to evaluate the credibility of health care guidelines exist, guidance on practical steps for developing guidelines is lacking. We systematically compiled a comprehensive checklist of items linked to relevant resources and tools that guideline developers could consider, without the expectation that every guideline would address each item. Methods: We searched data sources, including manuals of international guideline developers, literature on guidelines for guidelines (with a focus on methodology reports from international and national agencies, and professional societies) and recent articles providing systematic guidance. We reviewed these sources in duplicate, extracted items for the checklist using a sensitive approach and developed overarching topics relevant to guidelines. In an iterative process, we reviewed items for duplication and omissions and involved experts in guideline development for revisions and suggestions for items to be added. Results: We developed a checklist with 18 topics and 146 items and a webpage to facilitate its use by guideline developers. The topics and included items cover all stages of the guideline enterprise, from the planning and formulation of guidelines, to their implementation and evaluation. The final checklist includes links to training materials as well as resources with suggested methodology for applying the items. Interpretation: The checklist will serve as a resource for guideline developers. Consideration of items on the checklist will support the development, implementation and evaluation of guidelines. We will use crowdsourcing to revise the checklist and keep it up to date. PMID:24344144

12 CFR 987.4 - Creation of Participant's Security Entitlement; security interests.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Creation of Participant's Security Entitlement... BOOK-ENTRY PROCEDURE FOR CONSOLIDATED OBLIGATIONS § 987.4 Creation of Participant's Security... of the United States to secure deposits of public money, including, without limitation, deposits to...

Dockomatic - automated ligand creation and docking.

Science.gov (United States)

Bullock, Casey W; Jacob, Reed B; McDougal, Owen M; Hampikian, Greg; Andersen, Tim

2010-11-08

The application of computational modeling to rationally design drugs and characterize macro biomolecular receptors has proven increasingly useful due to the accessibility of computing clusters and clouds. AutoDock is a well-known and powerful software program used to model ligand to receptor binding interactions. In its current version, AutoDock requires significant amounts of user time to setup and run jobs, and collect results. This paper presents DockoMatic, a user friendly Graphical User Interface (GUI) application that eases and automates the creation and management of AutoDock jobs for high throughput screening of ligand to receptor interactions. DockoMatic allows the user to invoke and manage AutoDock jobs on a single computer or cluster, including jobs for evaluating secondary ligand interactions. It also automates the process of collecting, summarizing, and viewing results. In addition, DockoMatic automates creation of peptide ligand .pdb files from strings of single-letter amino acid abbreviations. DockoMatic significantly reduces the complexity of managing multiple AutoDock jobs by facilitating ligand and AutoDock job creation and management.

Dockomatic - automated ligand creation and docking

Directory of Open Access Journals (Sweden)

Hampikian Greg

2010-11-01

Full Text Available Abstract Background The application of computational modeling to rationally design drugs and characterize macro biomolecular receptors has proven increasingly useful due to the accessibility of computing clusters and clouds. AutoDock is a well-known and powerful software program used to model ligand to receptor binding interactions. In its current version, AutoDock requires significant amounts of user time to setup and run jobs, and collect results. This paper presents DockoMatic, a user friendly Graphical User Interface (GUI application that eases and automates the creation and management of AutoDock jobs for high throughput screening of ligand to receptor interactions. Results DockoMatic allows the user to invoke and manage AutoDock jobs on a single computer or cluster, including jobs for evaluating secondary ligand interactions. It also automates the process of collecting, summarizing, and viewing results. In addition, DockoMatic automates creation of peptide ligand .pdb files from strings of single-letter amino acid abbreviations. Conclusions DockoMatic significantly reduces the complexity of managing multiple AutoDock jobs by facilitating ligand and AutoDock job creation and management.

Value Creation in International Business

DEFF Research Database (Denmark)

The edited collection brings into focus the meanings, interpretations and the process of value creation in international business. Exploring value creation in the context of emerging and developed economies, Volume 2 takes the perspective of small and medium sized enterprises and examines various...... approaches to value creation in the process of firm internationalization. Providing theoretical and practical insights, the authors open an intellectual debate into what value is, and how it is created through the internationalization activities of firms. Value Creation in International Business...... is a pioneering two volume work intended to provoke theoretical and empirical development in International Business research. Moreover, it is intended as a bridge between concepts derived from general business firm-level research agendas such as value creation and business model, and internationalization...

77 FR 29167 - Effluent Limitations Guidelines and New Source Performance Standards for the Airport Deicing...

Science.gov (United States)

2012-05-16

... of drinking water sources (both surface and groundwater), creation of noxious odors and discolored... individual water bodies as the guidelines are developed; see Statement of Senator Muskie (October 4, 1972... biological process is contained in a sealed reactor, odors are eliminated. Based on EPA sampling results, the...

Logistics potentials in business competitive advantage creation

Directory of Open Access Journals (Sweden)

Rafał Matwiejczuk

2013-12-01

Full Text Available Background: Companies constantly search for ways to achieve and sustain long-term competitive advantage. Among the factors influencing the competitive advantage creation there are so called logistics potentials, which constitute a component part of a business strategic potentials. Logistics resources, logistics capabilities and logistics competences are the main components of the logistics potentials structure and hierarchy. Methods: In order to recognize the logistics potentials which determine the competitive advantage creation one may use the assumptions and elements of contemporary management concepts, including strategic management. In particular the article deals with Resource-Based View (RBV, Dynamic Capabilities Concept (DCC and - first of all - Competence-Based Management (CBM. Results and conclusions: Several significant research projects have presented a wide scope and a large number of possibilities of logistics potentials (and logistics competences in particular influence on business competitive advantage creation. The article briefly presents the research results conducted by: (1 Michigan State University (USA, (2 European Logistics Association (ELA in cooperation with A.T. Kearney, (3 Computer Sciences Corporation and (4 Capgemini. The research results have pointed out to differentiated but at the same distinctive symptoms of logistics competences influence on competitive advantage creation. The article also refers to the results of the research carried out by the Chair of Logistics & Marketing at Opole University (Poland in companies operating in Poland. The research has been mainly dealing with the significance of logistics competences in competitive advantage creation.

Investment guidelines based on future growth indicators / Christo Vorster

OpenAIRE

Vorster, Christo

2008-01-01

The stock market is cited to be one of the greatest tools ever invented for building wealth. The relative small size of the ideal portfolio, consisting of 10 to 12 shares, reiterates the fact that share selection is absolutely crucial to portfolio success and ultimately the creation of personal financial independence. The main objective of this study is to research, identify and develop investment guidelines based on possible future growth indicators of organisations listed on the JSE. ...

24 CFR 350.5 - Creation of Participant's Security Entitlement; Security Interests.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Creation of Participant's Security... AND URBAN DEVELOPMENT BOOK-ENTRY PROCEDURES § 350.5 Creation of Participant's Security Entitlement... States to secure deposits of public money, including without limitation deposits to the Treasury tax and...

12 CFR 615.5454 - Creation of participant's security entitlement; security interests.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Creation of participant's security entitlement... Procedures for Farm Credit Securities § 615.5454 Creation of participant's security entitlement; security... public money, including without limitation deposits to the Treasury tax and loan accounts, or other...

12 CFR 1511.4 - Creation of Participant's Security Entitlement; security interests.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Creation of Participant's Security Entitlement... CORPORATION BOOK-ENTRY PROCEDURE § 1511.4 Creation of Participant's Security Entitlement; security interests... to secure deposits of public money, including without limitation deposits to the Treasury tax and...

24 CFR 81.93 - Creation of Participant's Security Entitlement; security interests.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Creation of Participant's Security... Procedures § 81.93 Creation of Participant's Security Entitlement; security interests. (a) A Participant's... Entitlement of a Participant in favor of the United States to secure deposits of public money, including...

Tending the tensions in co-creation

DEFF Research Database (Denmark)

Phillips, Professor MSO Louise; Nordentoft, Helle Merete; Pedersen, Lektor Christina Hee

-for-granted positive value. In the panel we de-romanticise “co-creation” and explore how it is enacted in particular organisational contexts, concentrating on context-specific tensions arising in the meeting between different knowledge forms and interests. These include tensions BETWEEN dialogic views of knowledge co-creation...

The Co-creation Continuum

DEFF Research Database (Denmark)

Ind, Nicholas; Iglesias, Oriol; Markovic, Stefan

2017-01-01

-creation - from tactical market research tool to strategic collaborative innovation method, and shows that brands can be positioned along a continuum between these two polarities. This article also presents the implications for those that want to seize the potential of co-creation....

Technical Knowledge Creation: Enabling Tacit Knowledge Use

DEFF Research Database (Denmark)

Søberg, Peder Veng; Chaudhuri, Atanu

2018-01-01

The paper investigates knowledge creation in nascent technical industries, a somewhat neglected empirical setting concerning knowledge creation. Frameworks on organizational learning and knowledge creation assume that knowledge creation depends on language creation and neglect the benefits involved...... by allowing elements of new product and process ideas to mature in a tacit form, whereas cognitive neuroscience data suggests that technical knowledge creation is largely nonlinguistic. The four case studies point to excessive reliance on group discussion, a need for more trial and error and that field tests...... and prototypes generate new learnings that save time and lowers subsequent risks. Technical knowledge creation in nascent high tech industries requires opportunities to work with and further develop knowledge in its tacit form. The paper refines frameworks on organizational learning and knowledge creation...

Job Creation and Job Types

DEFF Research Database (Denmark)

Kuhn, Johan M.; Malchow-Møller, Nikolaj; Sørensen, Anders

We extend earlier analyses of the job creation of start-ups vs. established firms by taking into consideration the educational content of the jobs created and destroyed. We define educationspecific measures of job creation and job destruction at the firm level, and we use these to construct...... a measure of “surplus job creation” defined as jobs created on top of any simultaneous destruction of similar jobs in incumbent firms in the same region and industry. Using Danish employer-employee data from 2002-7, which identify the start-ups and which cover almost the entire private sector......, these measures allow us to provide a more nuanced assessment of the role of entrepreneurial firms in the job-creation process than previous studies. Our findings show that while start-ups are responsible for the entire overall net job creation, incumbents account for more than a third of net job creation within...

The development of oncology treatment guidelines: an analysis of the National Guidelines Clearinghouse.

Science.gov (United States)

Palta, Manisha; Lee, W Robert

2011-01-01

In the last 2 decades, guidelines have been developed to improve quality of patient care. A recent editorial of guideline development procedures suggested the process has significant limitations that affect their scientific validity.(1) This prompted us to review oncology treatment guidelines to determine if such limitations are widespread. We performed a review of oncology treatment guidelines registered at the National Guidelines Clearinghouse (www.guideline.gov). Each guideline was independently reviewed by 2 authors and the following criteria were assessed: coordinating organization, guideline panel composition, reporting conflict of interest, peer review, dissent, expiration date, PubMed citation, and evidence-based scoring and grading of recommendations. Disagreements were resolved by consensus in subsequent discussions. Sixty-four guidelines were reviewed (39 [61%] were developed by a medical specialty society and 25 [39%] were developed by government agencies). Fifty (78%) guideline panels were multidisciplinary and 44 (69%) included individuals with epidemiologic and health services research expertise. Potential conflicts of interest were disclosed in 43 (67%) guidelines. Sixty (94%) guidelines underwent peer review, with external review in 31 (48%). Seventeen (27%) guidelines are indexed by PubMed. Fifty-one (80%) guidelines included evidence-based methodologies and 46 (72%) used evidence-based scoring of recommendations. Significant differences were observed according to coordinating organization (eg, disclosure of conflict of interest in 46% of guidelines developed by medical specialty societies versus 100% authored by government agencies [P <.0001]). The majority of oncology-related treatment guidelines registered at the National Guidelines Clearinghouse satisfy most of the criteria for sound guideline development. Significant differences in these criteria were observed according to the coordinating organization that developed the guideline. Copyright

Guideline of guidelines: asymptomatic microscopic haematuria.

Science.gov (United States)

Linder, Brian J; Bass, Edward J; Mostafid, Hugh; Boorjian, Stephen A

2018-02-01

The aim of the present study was to review major organizational guidelines on the evaluation and management of asymptomatic microscopic haematuria (AMH). We reviewed the haematuria guidelines from: the American Urological Association; the consensus statement by the Canadian Urological Association, Canadian Urologic Oncology Group and Bladder Cancer Canada; the American College of Physicians; the Joint Consensus Statement of the Renal Association and British Association of Urological Surgeons; and the National Institute for Health and Care Excellence. All guidelines reviewed recommend evaluation for AMH in the absence of potential benign aetiologies, with the evaluation including cystoscopy and upper urinary tract imaging. Existing guidelines vary in their definition of AMH (role of urine dipstick vs urine microscopy), the age threshold for recommending evaluation, and the optimal imaging method (computed tomography vs ultrasonography). Of the reviewed guidelines, none recommended the use of urine cytology or urine markers during the initial AMH evaluation. Patients should have ongoing follow-up after a negative initial AMH evaluation. Significant variation exists among current guidelines for AMH with respect to who should be evaluated and in what manner. Given the patient and health system implications of balancing appropriately focused and effective diagnostic evaluation, AMH represents a valuable future research opportunity. © 2017 The Authors BJU International © 2017 BJU International Published by John Wiley & Sons Ltd.

Global Imaging referral guidelines

International Nuclear Information System (INIS)

Kawooya, M.; Perez, M.; Lau, L.; Reeed, M.

2010-01-01

The medical imaging specialists called for global referral guidelines which would be made available to referring doctors. These referral guidelines should be:- Applicable in different health care settings, including resource-poor settings; Inclusive in terms of the range of clinical conditions; User-friendly and accessible (format/media); Acceptable to stakeholders, in particular to the referrers as the main target audience. To conceive evidence-based medicine as an integration of best research evidence with clinical expertise and patient values. The Direct recipients of the Referral Guidelines would be:- Referrers: general practitioners / family doctors; paediatricians; emergency department doctors; other specialists and health workers. Providers (medical imaging practitioners): radiologists; nuclear medicine physicians; radiographers; other appropriately qualified practitioners providing diagnostic imaging services. For the Referral Guidelines to be effective there need to be: Credibility evidence-based Practicality end user involvement Context local resources, disease profiles Endorsement, opinion leaders Implementation- policy, education, CPOE - Monitoring of the use clinical audit, report feedback. The aim of the Referral Guidelines Project was to: Produce global referral guidelines that are evidence-based, cost effective and appropriate for the local setting, and include consideration of available equipment and expertise (RGWG; SIGs); Include supporting information about radiation doses, potential risks, protection of children and pregnant women (introductory chapter); Facilitate the implementation of the guidelines through guidance and tools (e.g. implementation guides, checklists, capacity building tools, guides on stakeholders engagement, audit support criteria); Conduct pilot testing in different clinical settings from each of the six WHO regions; Promote the inclusion of the referral guidelines in the curricula of medical schools; Develop and implement

Creationism in Europe

DEFF Research Database (Denmark)

Blancke, Stefaan; Hjermitslev, Hans Henrik; Braeckman, Johan

2013-01-01

which material is missing from the literature (the “gaps”) and signal which gaps we think should first be filled. Third, on the basis of a forthcoming international historical study, we outline the possible factors that affect the popularity of creationism in Europe (the “prospects”). We also sketch how...... a sustained study of European creationism can contribute to other research domains such as the study of cultural evolution and the relation between science and religion....

Is the continuous matter creation cosmology an alternative to ΛCDM?

International Nuclear Information System (INIS)

Fabris, J.C.; Pacheco, J.A. de Freitas; Piattella, O.F.

2014-01-01

The matter creation cosmology is revisited, including the evolution of baryons and dark matter particles. The creation process affects only dark matter and not baryons. The dynamics of the ΛCDM model can be reproduced only if two conditions are satisfied: 1) the entropy density production rate and the particle density variation rate are equal and 2) the (negative) pressure associated to the creation process is constant. However, the matter creation model predicts a present dark matter-to-baryon ratio much larger than that observed in massive X-ray clusters of galaxies, representing a potential difficulty for the model. In the linear regime, a fully relativistic treatment indicates that baryons are not affected by the creation process but this is not the case for dark matter. Both components evolve together at early phases but lately the dark matter density contrast decreases since the background tends to a constant value. This behaviour produces a negative growth factor, in disagreement with observations, being a further problem for this cosmology

Ensuring availability of in date and fit for purpose emergency guidelines in all anaesthetic areas throughout the South East Scotland deanery.

Science.gov (United States)

Hindle, Elise

2016-01-01

Our aim was to institute a system whereby emergency anaesthetic guidelines are available in >90% of appropriate clinical areas throughout each of the acute hospital sites in three health board administrative regions, and whereby >90% of available guidelines are deemed to be in date and fit for purpose. Our objective was to achieve these targets within 6 months. Using quality improvement methodology, we inventoried available emergency anaesthetic guidelines in 132 locations throughout seven acute care hospitals. Five guidelines were then randomly selected per site per month and assessed for three process markers: was the guideline available in all appropriate areas, was it in-date (i.e. within date of review as specified on guideline or on consultation with author) and was it fit for purpose. Fitness for purpose was assessed by asking a junior colleague to simulate the emergency in a table top exercise using the guideline to aid management. This project was also used as a surveillance system to highlight outdated, unfit or missing guidance. Interventions included iterative revision of the master guideline lists, removal of outdated or unfit guidelines and creation or updating of guideline folders. 30 guidelines were assessed pre-intervention and 203 post-intervention. 52% of guidelines were available in appropriate areas pre-intervention rising to 76% post intervention, 67% of guidelines were in date pre-intervention rising to 82% post-intervention and 87% of guidelines were deemed fit for purpose pre-intervention rising to 92% post-intervention. We have demonstrated that regular review of emergency guidelines to maintain their currency is achievable and also demonstrated the feasibility of recruiting over 20 trainees across a training deanery to complete a QI project. We believe that organisations should maximise the resource of highly motivated trainees to achieve their QI goals.

Creation of computer system for simulation nanoparticles interaction with biological objects concept

International Nuclear Information System (INIS)

Sarana, Yu.V.; Smol'nik, N.S.; Mel'nov, S.B.

2014-01-01

Main problem of nanotoxicology is that biological effects of most nanoparticles are unknown. So creation of system predictioning nanoparticles biological activity spectra is a great challenge. Here we give a concept of such system creation; it includes 6 stages realization of which help to implement nanotechnology most safely and effectively. (authors)

The plant operating procedure information modeling system for creation and maintenance of procedures

International Nuclear Information System (INIS)

Fanto, S.V.; Petras, D.S.; Reiner, R.T.; Frost, D.R.; Orendi, R.G.

1990-01-01

This paper reports that as a result of the accident at Three Mile Island, regulatory requirements were issued to upgrade Emergency Operating Procedures for nuclear power plants. The use of human-factored, function-oriented, EOPs were mandated to improve human reliability and to mitigate the consequences of a broad range of initiating events, subsequent failures and operator errors, without having to first diagnose the specific events. The Westinghouse Owners Group responded by developing the Emergency Response Guidelines in a human-factored, two-column format to aid in the transfer of the improved technical information to the operator during transients and accidents. The ERGs are a network of 43 interrelated guidelines which specify operator actions to be taken during plant emergencies to restore the plant to a safe and stable condition. Each utility then translates these guidelines into plant specific EOPs. The creation and maintenance of this large web of interconnecting ERGs/EOPs is an extremely complex task. This paper reports that in order to aid procedure documentation specialists with this time-consuming and tedious task, the Plant Operating Procedure Information Modeling system was developed to provide a controlled and consistent means to build and maintain the ERGs/EOPs and their supporting documentation

Knowledge creation in nursing education.

Science.gov (United States)

Hassanian, Zahra Marzieh; Ahanchian, Mohammad Reza; Ahmadi, Suleiman; Hossein Gholizadeh, Rezvan; Karimi-Moonaghi, Hossein

2014-09-28

In today's society, knowledge is recognized as a valuable social asset and the educational system is in search of a new strategy that allows them to construct their knowledge and experience. The purpose of this study was to explore the process of knowledge creation in nursing education. In the present study, the grounded theory approach was used. This method provides a comprehensive approach to collecting, organizing, and analyzing data. Data were obtained through 17 semi-structured interviews with nursing faculties and nursing students. Purposeful and theoretical sampling was conducted. Based on the method of Strauss and Corbin, the data were analyzed using fragmented, deep, and constant-comparative methods. The main categories included striving for growth and reduction of ambiguity, use of knowledge resources, dynamism of mind and social factors, converting knowledge, and creating knowledge. Knowledge was converted through mind processes, individual and group reflection, praxis and research, and resulted in the creation of nursing knowledge. Discrete nursing knowledge is gained through disconformity research in order to gain more individual advantages. The consequence of this analysis was gaining new knowledge. Knowledge management must be included in the mission and strategic planning of nursing education, and it should be planned through operational planning in order to create applicable knowledge.

Space Creation Mechanism during the Expansion of Universe

Directory of Open Access Journals (Sweden)

Emre Dil

2016-01-01

Full Text Available We propose a novel mechanism related to the expansion of universe. Recently Verlinde’s proposal has been applied to the deformed bosons being a candidate for the dark energy constituents, since the negative pressure of the deformed bosons. The expansion of universe is dependent on the dark energy and implies a creation of space; we admit that the space creation mechanism is related to the deformed bosons and so is the dark energy. In order to relate the dark energy and the mechanism for creation of space, we consider Verlinde’s proposal including the Holographic principle for emergence of space, which was recently applied to the deformed bosons. To check the validity of our mechanism, we calculate the ratio of the size of universe before and after the expansion and compare the results with the observational data. We find that the results are consistent with each other and infer that the proposed mechanism works correctly.

Quantum creation of an inflationary Universe

International Nuclear Information System (INIS)

Linde, A.D.

1984-01-01

The problem of quantum creation of the Universe is discussed. It is shown that the process of quantum creation of the Universe in a wide class on elementary particle theories leads with a high probability to the creation of an exponentially expanding (inflationary) Universe. Universe size after expansion should exceed l approximately 10 28 cm

Integrating guideline development and implementation: analysis of guideline development manual instructions for generating implementation advice

Directory of Open Access Journals (Sweden)

Gagliardi Anna R

2012-07-01

Full Text Available Abstract Background Guidelines are important tools that inform healthcare delivery based on best available research evidence. Guideline use is in part based on quality of the guidelines, which includes advice for implementation and has been shown to vary. Others hypothesized this is due to limited instructions in guideline development manuals. The purpose of this study was to examine manual instructions for implementation advice. Methods We used a directed and summative content analysis approach based on an established framework of guideline implementability. Six manuals identified by another research group were examined to enumerate implementability domains and elements. Results Manuals were similar in content but lacked sufficient detail in particular domains. Most frequently this was Accomodation, which includes information that would help guideline users anticipate and/or overcome organizational and system level barriers. In more than one manual, information was also lacking for Communicability, information that would educate patients or facilitate their involvement in shared decision making, and Applicability, or clinical parameters to help clinicians tailor recommendations for individual patients. Discussion Most manuals that direct guideline development lack complete information about incorporating implementation advice. These findings can be used by those who developed the manuals to consider expanding their content in these domains. It can also be used by guideline developers as they plan the content and implementation of their guidelines so that the two are integrated. New approaches for guideline development and implementation may need to be developed. Use of guidelines might be improved if they included implementation advice, but this must be evaluated through ongoing research.

Value Creation in International Business

DEFF Research Database (Denmark)

is a pioneering two volume work intended to provoke theoretical and empirical development in International Business research. Moreover, it is intended as a bridge between concepts derived from general business firm-level research agendas such as value creation and business model, and internationalization......The edited collection brings into focus the meanings, interpretations and the process of value creation in international business. Exploring value creation in the context of emerging and developed economies, Volume 2 takes the perspective of small and medium sized enterprises and examines various...

Particle creation in inhomogeneous spacetimes

International Nuclear Information System (INIS)

Frieman, J.A.

1989-01-01

We study the creation of particles by inhomogeneous perturbations of spatially flat Friedmann-Robertson-Walker cosmologies. For massless scalar fields, the pair-creation probability can be expressed in terms of geometric quantities (curvature invariants). The results suggest that inhomogeneities on scales up to the particle horizon will be damped out near the Planck time. Perturbations on scales larger than the horizon are explicitly shown to yield no created pairs. The results generalize to inhomogeneous spacetimes several earlier studies of pair creation in homogeneous anisotropic cosmologies

Skyrmion creation and annihilation by spin waves

International Nuclear Information System (INIS)

Liu, Yizhou; Yin, Gen; Lake, Roger K.; Zang, Jiadong; Shi, Jing

2015-01-01

Single skyrmion creation and annihilation by spin waves in a crossbar geometry are theoretically analyzed. A critical spin-wave frequency is required both for the creation and the annihilation of a skyrmion. The minimum frequencies for creation and annihilation are similar, but the optimum frequency for creation is below the critical frequency for skyrmion annihilation. If a skyrmion already exists in the cross bar region, a spin wave below the critical frequency causes the skyrmion to circulate within the central region. A heat assisted creation process reduces the spin-wave frequency and amplitude required for creating a skyrmion. The effective field resulting from the Dzyaloshinskii-Moriya interaction and the emergent field of the skyrmion acting on the spin wave drive the creation and annihilation processes

Value Co-creation Behaviour

DEFF Research Database (Denmark)

Laud, Gaurangi; Karpen, Ingo Oswald

2017-01-01

Purpose:The purpose of this paper is to identify antecedents and consequences ofcustomers’ value co-creation behaviour (VCB). VCB as a means to facilitatevalue realisation processes is gaining importance in service research andpractice. Encouraging such enactments can be challenging, but can also...... offercompetitive advantages. Design/methodology/approach:We empirically investigate a conceptual model by converging threecontemporary concepts of co-creation research – embeddedness, VCB and value-in-context– and examining the interdependencies between them. Data were collected in anonline forum of a leading......, the studyhighlights the significance of the nature of customer’s social constellationsto develop contexts where value outcomes are actualised. Understanding thefactors that shape VCB offers insights for firms to recognise how and wherevalue propositions can be deployed that drives on-going co-creation processes...

Leadership, organizational culture, knowledge productivity and value creation in four successful Korean companies: toward guidelines for people-oriented business leaders

NARCIS (Netherlands)

Kang, S.

2015-01-01

This study explores the relationships between leadership characteristics, organizational culture, knowledge productivity and value creation in leading Korean corporations. The empirical part of this study is based on the selection of four highly successful and leading companies, namely LG

Designing Learning for Co-Creation

DEFF Research Database (Denmark)

Gnaur, Dorina; Larsen-Nielsen, Marie

2017-01-01

Designing learning for co-creation - conceptual and practical considerations, Dorina Gnaur and Inger Marie Larsen-Nielsen explore the practical educational point of view. The question they are posing themselves is: how can higher and further education (HE) educate for co-creation, that is, provide...... educational frameworks that respond to the societal demand for co-creation, particularly within the public welfare sector? First, they focus on which organisational and individual requirements an HE learning design should take into account in order to support the diffusion of co-creation competences....... Then they argue for the need to integrate these considerations in the learning design and demonstrate a practical application in the form of a didactical design. They call this a hybrid learning design, in that it takes advantage of technological developments to mediate co-creative learning in multiple learning...

The Partners in Recovery program: mental health commissioning using value co-creation.

Science.gov (United States)

Cheverton, Jeff; Janamian, Tina

2016-04-18

The Australian Government's Partners in Recovery (PIR) program established a new form of mental health intervention which required multiple sectors, services and consumers to work in a more collaborative way. Brisbane North Primary Health Network applied a value co-creation approach with partners and end users, engaging more than 100 organisations in the development of a funding submission to PIR. Engagement platforms were established and continue to provide opportunities for new co-creation experiences. Initially, seven provider agencies - later expanded to eight to include an Aboriginal and Torres Strait Islander provider organisation - worked collaboratively as a Consortium Management Committee. The co-creation development process has been part of achieving the co-created outcomes, which include new initiatives, changes to existing interventions and referral practices, and an increased understanding and awareness of end users' needs.

The relation between creation and salvation in the Trinitarian theology of Robert Jenson

Directory of Open Access Journals (Sweden)

Anné H. Verhoef

2013-02-01

Full Text Available This article explored the relation between creation and salvation as acts of God in the theology of Robert Jenson, an American Lutheran theologian. This is important due to Jenson’s growing importance as theologian and because of the current importance of ecotheology (and related themes that were implicated by the relation between creation and salvation. Jenson’s theology is an effort to tell God’s particular story and it can be described as a Trinitarian, narrative and eschatological theology. His starting point is that God’s eternity must not be understood as timeless (this is unbiblical and incompatible with the story of creation and redemption and that creation (space and time takes place somehow within the being of God. Jenson qualified this ‘withinness’, but also emphasised that creation is an intelligible whole, a history with an intended end. It is important for him that God’s story – a story of dramatic coherence – is not separated from our own and creation’s story. Within this understanding of God’s story (as dramatic coherence, creation found its own dramatic teleology because salvation also includes creation. Creation is therefore not subjected to pointlessness any longer, but will find its final place within God. The implication of this is that we must value creation much more and act with more responsibility towards it. According to Jenson we must enjoy creation in an aesthetic fashion and delight in creation as a whole because of its dramatic teleology.

Facilitating Value Co-Creation

DEFF Research Database (Denmark)

Veith, Anne; Assaf, Albert; Josiassen, Alexander

2013-01-01

will also lead to a high rewards. According to postmodern consumerism theory, consumers are intrinsically motivated to participate (Arnould et al., 2006; Borghini & Caru, 2008; Etgar, 2008; Fisher & Smith, 2011), but may also be extrinsic motivated by, for instance, appraisal and 'autonomy' (Etgar, 2008......). Therefore, for instance, being part of the process is a key incentive for consumers. Postmodern consumers' search for unique experiences calls for individualization, personalization, etc. Although Prahalad & Ramaswamy (2004), Karpen et al. (2008), and Karpen et al. (2011) have presented S-D Logic...... as a middle range theory it is still difficult for organizations to operationalize their co-creation efforts. This paper argues that postmodern consumerism can be used to guide the operationalization of the co-creation process by identifying the key facilitators of co-creation for the postmodern consumer...

Creation of radiation defects in KCl crystals

International Nuclear Information System (INIS)

Lushchik, A.Ch.; Pung, L.A.; Khaldre, Yu.Yu.; Kolk, Yu.V.

1981-01-01

Optical and EPR methods were used to study the creation of anion and cation Frenkel defects in KCl crystals irradiated by X-ray and VUV-radiation. The decay of excitons with the creation of charged Frenkel defects (α and I centres) was detected and investigated at 4.2 K. The decay of excitons as well as the recombination of electrons with self-trapped holes leads to the creation of neutral Frenkel defects (F and H centres). The creation of Cl 3 - and Vsub(F) centres (cation vacancy is a component of these centres) by X-irradiation at 80 K proves the possibility of cation defects creation in KCl [ru

Summary guidelines

Energy Technology Data Exchange (ETDEWEB)

Halsnaes, K.; Painuly, J.P.; Turkson, J.; Meyer, H.J.; Markandya, A.

1999-09-01

This document is a summary version of the methodological guidelines for climate change mitigation assessment developed as part of the Global Environment Facility (GEF) project Economics of Greenhouse Gas Limitations; Methodological Guidelines. The objectives of this project have been to develop a methodology, an implementing framework and a reporting system which countries can use in the construction of national climate change mitigation policies and in meeting their future reporting obligations under the FCCC. The methodological framework developed in the Methodological Guidelines covers key economic concepts, scenario building, modelling tools and common assumptions. It was used by several country studies included in the project. (au) 13 refs.

Magnetic Pair Creation Transparency in Pulsars

Science.gov (United States)

Story, Sarah; Baring, M. G.

2013-04-01

The Fermi gamma-ray pulsar database now exceeds 115 sources and has defined an important part of Fermi's science legacy, providing rich information for the interpretation of young energetic pulsars and old millisecond pulsars. Among the well established population characteristics is the common occurrence of exponential turnovers in the 1-10 GeV range. These turnovers are too gradual to arise from magnetic pair creation in the strong magnetic fields of pulsar inner magnetospheres, so their energy can be used to provide lower bounds to the typical altitude of GeV band emission. We explore such constraints due to single-photon pair creation transparency below the turnover energy. We adopt a semi-analytic approach, spanning both domains when general relativistic influences are important and locales where flat spacetime photon propagation is modified by rotational aberration effects. Our work clearly demonstrates that including near-threshold physics in the pair creation rate is essential to deriving accurate attenuation lengths. The altitude bounds, typically in the range of 2-6 neutron star radii, provide key information on the emission altitude in radio quiet pulsars that do not possess double-peaked pulse profiles. For the Crab pulsar, which emits pulsed radiation up to energies of 120 GeV, we obtain a lower bound of around 15 neutron star radii to its emission altitude.

NEW MEAT PRODUCTS WITH IMMUNOMODULATORY EFFECT CREATION METHOD

Directory of Open Access Journals (Sweden)

I. V. Kaltovich

2016-01-01

Full Text Available New meat products with immunomodulatory effect creation method reflecting differential characteristics of technological stages of manufacture of those types of meat products, including issues on the selection of primary and secondary raw materials, guidelines for development of formulations and production technologies, legislative requirements towards its labeling, etc, has been developed for the first time. A list of prospective meat raw materials for the manufacture of products with immunomodulatory effect was established: beef, pork, rabbit meat, broiler chicken meat, turkey, veal, ostrich meat, which have high content of protein (14,3– 21,7%, low content of fat (1,2–16,1%, excluding pork (33,3%, high levels of minimum amino-acid score (90,0–104,0%, protein quality indicator(0,91–1,64, essential amino acid index (1,16-1,25, coefficient of utility of amino acid content (0,72–0,86 and close to optimum fatty acid content, and also contain a great number of vitamins and minerals which play a significant role for immunity improvement. It was determined that the following functional ingredients are recommended to use: amino acids (valine, leucine, isoleucine, methionine, threonine, arginine, tryptophan, lysine, histidin, phenylalanyl, vitamins and provitamins (C,E, beta-carotene, B vitamins(Bc, B12, PP, etc., P(bioflavonoid complex, H, K, minerals (calcium, magnesium, iron, cuprum, zinc, manganese, selenium, polyunsaturated fatty acids omega-3 and omega-6, pseudo-vitamins (L-carnitin, coenzyme Q10, polysaccharides and peptides naturally occurring(squalen, B-Carotene, ginger, shiitake mushrooms, probiotics and prebiotics, glutathione, indole and lycopienes, bioflavonoids, L-arginine, N-acetylcysteine, gel from seaweed «Lamifaren». The use of the developed meat products with immunomodulatory effect creation method by process engineers of meat processing factories will allow them to form a single scientifically grounded approach during the

A cosmological model with particle creation

International Nuclear Information System (INIS)

Chatterjee, Sujit

2001-01-01

A higher dimensional cosmological model is proposed where an expanding universe evolves from the vacuum fluctuation and matter creation takes place out of the gravitational energy. Choosing a particular form of the matter creation function N(t) as an initial conditions it can be shown that starting from an inflationary era the cosmos enters the higher dimensional Friedmann-like phase after a time scale when the matter creation stops

Transparent Guideline Methodology Needed

DEFF Research Database (Denmark)

Lidal, Ingeborg; Norén, Camilla; Mäkelä, Marjukka

2013-01-01

As part of learning at the Nordic Workshop of Evidence-based Medicine, we have read with interest the practice guidelines for central venous access, published in your Journal in 2012.1 We appraised the quality of this guideline using the checklist developed by The Evidence-Based Medicine Working ...... are based on best currently available evidence. Our concerns are in two main categories: the rigor of development, including methodology of searching, evaluating, and combining the evidence; and editorial independence, including funding and possible conflicts of interest....... Group.2 Similar criteria for guideline quality have been suggested elsewhere.3 Our conclusion was that this much needed guideline is currently unclear about several aspects of the methodology used in developing the recommendations. This means potential users cannot be certain that the recommendations...

Particle creation during vacuum decay

International Nuclear Information System (INIS)

Rubakov, V.A.

1984-01-01

The hamiltonian approach is developed with regard to the problem of particle creation during the tunneling process, leading to the decay of the false vacuum in quantum field theory. It is shown that, to the lowest order in (h/2π), the particle creation is described by the euclidean Schroedinger equation in an external field of a bounce. A technique for solving this equation is developed in an analogy to the Bogoliubov transformation technique, in the theory of particle creation in the presence of classical background fields. The technique is illustrated by two examples, namely, the particle creation during homogeneous vacuum decay and during the tunneling process leading to the materialization of the thin-wall bubble of a new vacuum in the metastable one. The curious phenomenon of intensive particle annihilation during vacuum decay is discussed and explicitly illustrated within the former example. The non-unitary extension of the Bogoliubov u, v transformations is described in the appendix. (orig.)

Job Creation and Job Types

DEFF Research Database (Denmark)

Kuhn, Johan Moritz; Malchow-Møller, Nikolaj; Sørensen, Anders

2016-01-01

We extend earlier analyses of the job creation of start-ups versus established firms by considering the educational content of the jobs created and destroyed. We define education-specific measures of job creation and job destruction at the firm level, and we use these measures to construct a meas...

Job Creation and Job Types

DEFF Research Database (Denmark)

Kuhn, Johan M.; Malchow-Møller, Nikolaj; Sørensen, Anders

We extend earlier analyses of the job creation of start-ups vs. established firms by taking into consideration the educational content of the jobs created and destroyed. We define educationspecific measures of job creation and job destruction at the firm level, and we use these to construct a mea...

Money Creation in a Random Matching Model

OpenAIRE

Alexei Deviatov

2006-01-01

I study money creation in versions of the Trejos-Wright (1995) and Shi (1995) models with indivisible money and individual holdings bounded at two units. I work with the same class of policies as in Deviatov and Wallace (2001), who study money creation in that model. However, I consider an alternative notion of implementability–the ex ante pairwise core. I compute a set of numerical examples to determine whether money creation is beneficial. I find beneficial e?ects of money creation if indiv...

Components of Co-creation

DEFF Research Database (Denmark)

Tanev, Stoyan

2009-01-01

, such an approach misses the advantages of an empirically driven quantitative approach that benefits from larger size samples and is more appropriate for theory building through the development and testing of hypotheses. It is important, therefore, to seek the development of a research methodology that combines...... the benefits of both qualitative and quantitative research approaches for studying the nature of value co-creation. The article provides a first attempt to identify the main research steps of such a methodology. It provides some preliminary results on the key components of value co-creation between firms...... the inner logic of the value co-creation phenomenon as well as the nature of the results reported in this article. The specific nature of the results was found to be suitable for the application of small-N techniques such as the Qualitative Comparative Analysis (QCA) technique which combines the advantages...

Network Analysis of an Emergent Massively Collaborative Creation on Video Sharing Website

Science.gov (United States)

Hamasaki, Masahiro; Takeda, Hideaki; Nishimura, Takuichi

The Web technology enables numerous people to collaborate in creation. We designate it as massively collaborative creation via the Web. As an example of massively collaborative creation, we particularly examine video development on Nico Nico Douga, which is a video sharing website that is popular in Japan. We specifically examine videos on Hatsune Miku, a version of a singing synthesizer application software that has inspired not only song creation but also songwriting, illustration, and video editing. As described herein, creators of interact to create new contents through their social network. In this paper, we analyzed the process of developing thousands of videos based on creators' social networks and investigate relationships among creation activity and social networks. The social network reveals interesting features. Creators generate large and sparse social networks including some centralized communities, and such centralized community's members shared special tags. Different categories of creators have different roles in evolving the network, e.g., songwriters gather more links than other categories, implying that they are triggers to network evolution.

Co-Innovation : motivators and inhibitors for customers to participate in online co-creation processes

NARCIS (Netherlands)

Constantinides, Efthymios; Wittenberg, Katharina; Lorenzo Romero, Carlota

2014-01-01

This study is concerned with identifying the motivators and deterrents of consumers to participate in co-creation processes. Co-creation processes are activities by firms to include consumers in the product development process in order to achieve a higher value through a better fit between need and

Effects of co-creation in a tourism destination brand image through twitter

Directory of Open Access Journals (Sweden)

Mercedes Revilla Hernández

2016-12-01

Full Text Available The purpose of this paper is to analyze the effects of co-creation of a tourist brand image projected in Twitter by using NVIVO 11. It takes the case study of the Smart Fuerteventura brand, an ecotourism association made up of a group of local firms. The brand concept is linked to the enhancement of heritage of the island of Fuerteventura, that is included in the World Network of Biosphere Reserves. The results show that there is no brand awareness and co-creation is negative. This analysis can contribute to methodologies on marketing strategies within the framework of co-creation in similar destinations.

Exploring value creation from corporate-foresight activities

DEFF Research Database (Denmark)

Rohrbeck, René

2012-01-01

This paper looks at value creation from corporate futures research. Through a literature review, potential value creation is identified. This serves as guidance for an empirical investigation in which value creation is observed and linked to methods and practices. Using data from 20 case studies......, three examples of value creation are discussed in detail. In addition, cross-case analysis allowed me to identify four success criteria for corporate foresight activities: (1) foresighters committed to creating value, (2) participation of internal stakeholders, (3) analysis that follows a systemic logic...

BWR emergency procedure guidelines

International Nuclear Information System (INIS)

Post, J.S.; Karner, E.F.; Stratman, R.A.

1984-01-01

This chapter describes plans for dealing with reactor accidents developed by the Boiling Water Reactor (BWR) Owners' Group in response to post-Three Mile Island US NRC requirements. The devised Emergency Procedure Guidelines (EPGs), applicable to all BWRs, are symptom-based rather than event-based. According to the EPGs, the operator does not need to identify what event is occurring in the plant in order to decide what action to take, but need only observe the symptoms (values and trends of key control parameters) which exist and take appropriate action to control these symptoms. The original objective was to provide reactor operator guidance in responding to a small break loss-of-coolant accident (LOCA), but subsequent revisions have included other types of reactor accidents. Topics considered include the reactor pressure vessel (RPV) control guideline, the primary containment control guideline, the secondary containment control guideline, the radioactivity release control guideline, multiple failures vs. the design basis, safe limits vs. technical specifications, the technical status, licensing, and implementation. The EPGs are based upon maintaining both adequate core cooling and primary containment integrity

Embracing value co-creation in primary care services research: a framework for success.

Science.gov (United States)

Janamian, Tina; Crossland, Lisa; Jackson, Claire L

2016-04-18

Value co-creation redresses a key criticism of researcher-driven approaches to research - that researchers may lack insight into the end users' needs and values across the research journey. Value co-creation creates, in a step-wise way, value with, and for, multiple stakeholders through regular, ongoing interactions leading to innovation, increased productivity and co-created outcomes of value to all parties - thus creating a "win more-win more" environment. The Centre of Research Excellence (CRE) in Building Primary Care Quality, Performance and Sustainability has co-created outcomes of value that have included robust and enduring partnerships, research findings that have value to end users (such as the Primary Care Practice Improvement Tool and the best-practice governance framework), an International Implementation Research Network in Primary Care and the International Primary Health Reform Conference. Key lessons learned in applying the strategies of value co-creation have included the recognition that partnership development requires an investment of time and effort to ensure meaningful interactions and enriched end user experiences, that research management systems including governance, leadership and communication also need to be "co-creative", and that openness and understanding is needed to work across different sectors and cultures with flexibility, fairness and transparency being essential to the value co-creation process.

[Guidelines for management of epilepsy--commentary on Scottish ("SIGN") guidelines].

Science.gov (United States)

Planjar-Prvan, Miljenka; Granić, Davorka

2005-01-01

The choice of AED (antiepileptic drug), worldwide and in Croatia, is been still based on the physician's subjective decision, personal experience, knowledge and marketing pressure made by big pharmaceutical industries. Therefore, according to some opinions, there is a need of treatment guidelines for epilepsy that would provide relevant information based on scientific evidence on the efficacy, tolerability and safety of AEDs. The guidelines, published by a competent source, should be designed as to allow for easy access to the information on the best practice in specific cases. An extensive background literature review was made to identify such a type of guidelines for the management of epilepsy. The literature review revealed a number of references with the recommendations for treating epilepsy in different groups of patients and from various, specific aspects of epilepsy treatment. However, only one comprehensive set of guidelines for the diagnosis and treatment of epilepsy treatment was found, i.e. the evidence-based guidelines published by the Scottish Intercollegiate Guidelines Network (SIGN). The development of this set of guidelines is quite extensively described in order to illustrate how rigorous and long-lasting the process was, including a great number of health professionals at the national level. Such a type of well designed guidelines facilitates access to highest educational standards for all professionals involved in the primary and secondary care of people with epilepsy. However, it is clear that guidelines can fully replace the standards of clinical practice based on critical evaluation and integration of all clinical data of each individual patient. No guidelines can replace the physician's obligation to keep informed of the novel achievements in the epileptology either.

Money Creation and Destruction

OpenAIRE

Faure, Salomon; Gersbach, Hans

2017-01-01

We study money creation and destruction in today’s monetary architecture and examine the impact of monetary policy and capital regulation in a general equilibrium setting. There are two types of money created and destructed: bank deposits, when banks grant loans to firms or to other banks and central bank money, when the central bank grants loans to private banks. We show that equilibria yield the first-best level of money creation and lending when prices are flexible, regardless of the monet...

The appraisal of clinical guidelines in dentistry.

Science.gov (United States)

Glenny, Anne-Marie; Worthington, Helen V; Clarkson, Jan E; Esposito, Marco

2009-01-01

To appraise the reported processes involved in the development of published dental guidelines. Electronic databases were searched to identify guidelines making recommendations for any health professional within dentistry. All included guidelines were appraised using the Appraisal of Guidelines Research and Evaluation (AGREE) instrument. A total of 105 guidelines met the inclusion criteria. The appraised guidelines showed lack of rigour in their development (median score 14.3%; range 0% to 100%). Only 10 (9.5%) were coded as 'strongly recommend' by at least two assessors. If recommendations within clinical guidelines are to be relied upon, the methods used in their development must be explicit and free from bias. When using the AGREE checklist to make decisions on whether or not to implement individual sets of guidelines, the findings of the present assessment reinforce the need for more than two assessors to be included in the appraisal of each set of guidelines.

Automated CD-SEM recipe creation technology for mass production using CAD data

Science.gov (United States)

Kawahara, Toshikazu; Yoshida, Masamichi; Tanaka, Masashi; Ido, Sanyu; Nakano, Hiroyuki; Adachi, Naokaka; Abe, Yuichi; Nagatomo, Wataru

2011-03-01

Critical Dimension Scanning Electron Microscope (CD-SEM) recipe creation needs sample preparation necessary for matching pattern registration, and recipe creation on CD-SEM using the sample, which hinders the reduction in test production cost and time in semiconductor manufacturing factories. From the perspective of cost reduction and improvement of the test production efficiency, automated CD-SEM recipe creation without the sample preparation and the manual operation has been important in the production lines. For the automated CD-SEM recipe creation, we have introduced RecipeDirector (RD) that enables the recipe creation by using Computer-Aided Design (CAD) data and text data that includes measurement information. We have developed a system that automatically creates the CAD data and the text data necessary for the recipe creation on RD; and, for the elimination of the manual operation, we have enhanced RD so that all measurement information can be specified in the text data. As a result, we have established an automated CD-SEM recipe creation system without the sample preparation and the manual operation. For the introduction of the CD-SEM recipe creation system using RD to the production lines, the accuracy of the pattern matching was an issue. The shape of design templates for the matching created from the CAD data was different from that of SEM images in vision. Thus, a development of robust pattern matching algorithm that considers the shape difference was needed. The addition of image processing of the templates for the matching and shape processing of the CAD patterns in the lower layer has enabled the robust pattern matching. This paper describes the automated CD-SEM recipe creation technology for the production lines without the sample preparation and the manual operation using RD applied in Sony Semiconductor Kyusyu Corporation Kumamoto Technology Center (SCK Corporation Kumamoto TEC).

Achieving Research Impact Through Co-creation in Community-Based Health Services: Literature Review and Case Study.

Science.gov (United States)

Greenhalgh, Trisha; Jackson, Claire; Shaw, Sara; Janamian, Tina

2016-06-01

Co-creation-collaborative knowledge generation by academics working alongside other stakeholders-is an increasingly popular approach to aligning research and service development. It has potential for "moving beyond the ivory towers" to deliver significant societal impact via dynamic, locally adaptive community-academic partnerships. Principles of successful co-creation include a systems perspective, a creative approach to research focused on improving human experience, and careful attention to governance and process. If these principles are not followed, co-creation efforts may fail. Co-creation-collaborative knowledge generation by academics working alongside other stakeholders-reflects a "Mode 2" relationship (knowledge production rather than knowledge translation) between universities and society. Co-creation is widely believed to increase research impact. We undertook a narrative review of different models of co-creation relevant to community-based health services. We contrasted their diverse disciplinary roots and highlighted their common philosophical assumptions, principles of success, and explanations for failures. We applied these to an empirical case study of a community-based research-service partnership led by the Centre of Research Excellence in Quality and Safety in Integrated Primary-Secondary Care at the University of Queensland, Australia. Co-creation emerged independently in several fields, including business studies ("value co-creation"), design science ("experience-based co-design"), computer science ("technology co-design"), and community development ("participatory research"). These diverse models share some common features, which were also evident in the case study. Key success principles included (1) a systems perspective (assuming emergence, local adaptation, and nonlinearity); (2) the framing of research as a creative enterprise with human experience at its core; and (3) an emphasis on process (the framing of the program, the nature of

Particle creation and reheating in a braneworld inflationary scenario

Science.gov (United States)

Bilić, Neven; Domazet, Silvije; Djordjevic, Goran S.

2017-10-01

We study the cosmological particle creation in the tachyon inflation based on the D-brane dynamics in the Randall-Sundrum (RSII) model extended to include matter in the bulk. The presence of matter modifies the warp factor which results in two effects: a modification of the RSII cosmology and a modification of the tachyon potential. Besides, a string theory D-brane supports among other fields a U(1) gauge field reflecting open strings attached to the brane. We demonstrate how the interaction of the tachyon with the U(1) gauge field drives cosmological creation of massless particles and estimate the resulting reheating at the end of inflation.

Value Encounters - Modeling and Analyzing Co-creation of Value

Science.gov (United States)

Weigand, Hans

Recent marketing and management literature has introduced the concept of co-creation of value. Current value modeling approaches such as e3-value focus on the exchange of value rather than co-creation. In this paper, an extension to e3-value is proposed in the form of a “value encounter”. Value encounters are defined as interaction spaces where a group of actors meet and derive value by each one bringing in some of its own resources. They can be analyzed from multiple strategic perspectives, including knowledge management, social network management and operational management. Value encounter modeling can be instrumental in the context of service analysis and design.

Value co-creation in healthcare through positive deviance.

Science.gov (United States)

Zanetti, Cole Anthony; Taylor, Natalie

2016-12-01

To explore how converging fields of co-creation and positive deviance may increase value in healthcare. Informed by research in positive deviance, patient engagement, value co-creation, and quality improvement, we propose a positive deviance approach to co-creation of health. Co-creation has shown to improve health outcomes with regard to multiple health conditions. Positive deviance has also shown to improve outcomes in multiple healthcare and patient community environments. A positive deviance co-creation framework may aid in achieving improved outcomes for patients, care teams and their respective healthcare organizations. Copyright © 2016 Elsevier Inc. All rights reserved.

Germen Mitolojisinde Yaratılış / Creation in Germen Mythology

OpenAIRE

Akyıldız Ercan, Cemile

2014-01-01

In our study we tried to include creation story arisen in Germanic mythology. Even though mythologic stories are developed in various societies and cultures, it is clear that they are affected by one another. Trying to give information associated with mythology that provides inspiration for art and literary works shortly, we aimed to address myth of creation in Germanic mythology which appears in every culture.In the continuation of the legend saying “There is Ginnungagap id est abyss initial...

Soliton pair creation at finite temperatures

International Nuclear Information System (INIS)

Grigoriev, D.Yu.; Rubakov, V.A.

1988-01-01

Creation of soliton-antisoliton pairs at finite temperature is considered within a (1+1)-dimensional model of a real scalar field. It is argued that at certain temperatures, the soliton pair creation in quantum theory can be investigated by studying classical field evolution in real time. The classical field equations are solved numerically, and the pair creation rate and average number of solitons are evaluated. No peculiar suppression of the rate is observed. Some results on the sphaleron transitions in (1+1)-dimensional abelian Higgs model are also presented. (orig.)

Guidelines for the Gamification of Self-Management of Chronic Illnesses: Multimethod Study.

Science.gov (United States)

AlMarshedi, Alaa; Wills, Gary; Ranchhod, Ashok

2017-05-12

Gamification is the use of game elements and techniques in nongaming contexts. The use of gamification in health care is receiving a great deal of attention in both academic research and the industry. However, it can be noticed that many gamification apps in health care do not follow any standardized guidelines. This research aims to (1) present a set of guidelines based on the validated framework the Wheel of Sukr and (2) assess the guidelines through expert interviews and focus group sessions with developers. Expert interviews (N=6) were conducted to assess the content of the guidelines and that they reflect the Wheel of Sukr. In addition, the guidelines were assessed by developers (N=15) in 5 focus group sessions, where each group had an average of 3 developers. The guidelines received support from the experts. By the end of the sixth interview, it was determined that a saturation point was reached. Experts agreed that the guidelines accurately reflect the framework the Wheel of Sukr and that developers can potentially use them to create gamified self-management apps for chronic illnesses. Moreover, the guidelines were welcomed by developers who participated in the focus group sessions. They found the guidelines to be clear, useful, and implementable. Also, they were able to suggest many ways of gamifying a nongamified self-management app when they were presented with one. The findings suggest that the guidelines introduced in this research are clear, useful, and ready to be implemented for the creation of self-management apps that use the notion of gamification as described in the Wheel of Sukr framework. The guidelines are now ready to be practically tested. Further practical studies of the effectiveness of each element in the guidelines are to be carried out. ©Alaa AlMarshedi, Gary Wills, Ashok Ranchhod. Originally published in JMIR Serious Games (http://games.jmir.org), 12.05.2017.

How Co-Creation Helped Address Hierarchy, Overwhelmed Patients, and Conflicts of Interest in Health Care Quality and Safety.

Science.gov (United States)

Israilov, Sigal; Cho, Hyung J

2017-11-01

Co-creation is health professionals' and systems' development of health care together with patients and families. Such collaborations yield an exchange of values, ideas, and priorities that can individualize care for each patient. Co-creation has been discussed interchangeably with co-production and shared decision making; this article explores co-creation through the lens of quality improvement. Although there are barriers to co-creation including physician autonomy, patient overwhelm, and conflicts of interest, co-creation has been shown to promote patient engagement, peer learning, and improved outcomes. Further research is needed in co-creation for systems improvement. © 2017 American Medical Association. All Rights Reserved.

Risk factors for stent graft thrombosis after transjugular intrahepatic portosystemic shunt creation.

Science.gov (United States)

Jahangiri, Younes; Kerrigan, Timothy; Li, Lei; Prosser, Dominik; Brar, Anantnoor; Righetti, Johnathan; Schenning, Ryan C; Kaufman, John A; Farsad, Khashayar

2017-12-01

To identify risk factors of stent graft thrombosis after transjugular intrahepatic portosystemic shunt (TIPS) creation. Patients who underwent TIPS creation between June 2003 and January 2016 and with follow-up assessing stent graft patency were included (n=174). Baseline comorbidities, liver function, procedural details and follow-up liver function tests were analyzed in association with hazards of thrombosis on follow-up. Competing risk cox regression models were used considering liver transplant after TIPS creation as the competing risk variable. One-, 2- and 5-year primary patency rates were 94.1%, 91.7% and 78.2%, respectively. Patient age [sub-hazard ratio (sHR): 1.13; P=0.001], body mass index (BMI) value for trend=0.017). Older age, lower BMI and higher post-TIPS portosystemic gradients were associated with higher hazards of shunt thrombosis after TIPS creation using stent grafts. Higher rates of shunt thrombosis were seen in patients for whom TIPS creation was clinically unsuccessful. The association between TIPS thrombosis and higher post-TIPS portosystemic gradients may indicate impaired flow through the shunt, a finding which may be technical or anatomic in nature and should be assessed before procedure completion.

Duality invariance of black hole creation rates

International Nuclear Information System (INIS)

Brown, J.D.

1997-01-01

Pair creation of electrically charged black holes and its dual process, pair creation of magnetically charged black holes, are considered. It is shown that the creation rates are equal provided the boundary conditions for the two processes are dual to one another. This conclusion follows from a careful analysis of boundary terms and boundary conditions for the Maxwell action. copyright 1997 The American Physical Society

Service creation: a model-based approach

NARCIS (Netherlands)

Quartel, Dick; van Sinderen, Marten J.; Ferreira Pires, Luis

1999-01-01

This paper presents a model-based approach to support service creation. In this approach, services are assumed to be created from (available) software components. The creation process may involve multiple design steps in which the requested service is repeatedly decomposed into more detailed

Evidence-based guidelines for the wise use of computers by children: physical development guidelines.

Science.gov (United States)

Straker, L; Maslen, B; Burgess-Limerick, R; Johnson, P; Dennerlein, J

2010-04-01

Computer use by children is common and there is concern over the potential impact of this exposure on child physical development. Recently principles for child-specific evidence-based guidelines for wise use of computers have been published and these included one concerning the facilitation of appropriate physical development. This paper reviews the evidence and presents detailed guidelines for this principle. The guidelines include encouraging a mix of sedentary and whole body movement tasks, encouraging reasonable postures during computing tasks through workstation, chair, desk, display and input device selection and adjustment and special issues regarding notebook computer use and carriage, computing skills and responding to discomfort. The evidence limitations highlight opportunities for future research. The guidelines themselves can inform parents and teachers, equipment designers and suppliers and form the basis of content for teaching children the wise use of computers. STATEMENT OF RELEVANCE: Many children use computers and computer-use habits formed in childhood may track into adulthood. Therefore child-computer interaction needs to be carefully managed. These guidelines inform those responsible for children to assist in the wise use of computers.

Methodological quality of guidelines in gastroenterology.

Science.gov (United States)

Malheiro, Rui; de Monteiro-Soares, Matilde; Hassan, Cesare; Dinis-Ribeiro, Mário

2014-06-01

Clinical guidelines are a common feature in modern endoscopy practice and they are being produced faster than ever. However, their methodological quality is rarely assessed. This study evaluated the methodological quality of current clinical guidelines in the field of gastroenterology, with an emphasis on endoscopy. Practice guidelines published by the American College of Gastroenterology (ACG), American Gastroenterological Association (AGA), American Society for Gastrointestinal Endoscopy (ASGE), European Society of Gastrointestinal Endoscopy (ESGE), British Society of Gastroenterology (BSG), National Institute for Health and Care Excellence (NICE), and the Scottish Intercollegiate Guidelines Network (SIGN) were searched between September and October 2012 and evaluated using the AGREE II (Appraisal of Guidelines for Research and Evaluation) instrument (23 items, scores 1 - 7 for each item; higher scores mean better quality). A total of 100 guidelines were assessed. The mean number of items scoring 6 or 7 per guideline was 9.2 (out of 23 items). Overall, 99 % of guidelines failed to include the target population in the development process, and 96 % did not report facilitators and barriers to guideline application. In addition, 86 % did not include advice or tools, and 94 % did not present monitoring or auditing criteria. The global methodological quality of clinical guidelines in the field of gastroenterology is poor, particularly regarding involvement of the target population in the development of guidelines and in the provision of clear suggestions to practitioners. © Georg Thieme Verlag KG Stuttgart · New York.

Co-creation theory.

Science.gov (United States)

Lynch, Elizabeth

The Design Council is working with healthcare staff and users to reconfigure services for the 21st century. This 'co-creation approach' has focused on diabetes and motivating older people to stay healthy.

Interconnection Guidelines

Science.gov (United States)

The Interconnection Guidelines provide general guidance on the steps involved with connecting biogas recovery systems to the utility electrical power grid. Interconnection best practices including time and cost estimates are discussed.

Banks’ Capital and Liquidity Creation

OpenAIRE

Horváth, Roman; Seidler, Jakub; Weill, Laurent

2012-01-01

This paper examines the relation between banks’ capital and liquidity creation. This issue is of interest to determine the potential impact of higher capital requirements for banks on their liquidity creation, which may have particular importance with new Basel III reform demanding from banks higher capital. We perform Granger-causality tests in a dynamic GMM panel estimator framework on an exhaustive dataset of Czech banks from 2000 to 2010.

Heat exchanger performance monitoring guidelines

International Nuclear Information System (INIS)

Stambaugh, N.; Closser, W. Jr.; Mollerus, F.J.

1991-12-01

Fouling can occur in many heat exchanger applications in a way that impedes heat transfer and fluid flow and reduces the heat transfer or performance capability of the heat exchanger. Fouling may be significant for heat exchanger surfaces and flow paths in contact with plant service water. This report presents guidelines for performance monitoring of heat exchangers subject to fouling. Guidelines include selection of heat exchangers to monitor based on system function, safety function and system configuration. Five monitoring methods are discussed: the heat transfer, temperature monitoring, temperature effectiveness, delta P and periodic maintenance methods. Guidelines are included for selecting the appropriate monitoring methods and for implementing the selected methods. The report also includes a bibliography, example calculations, and technical notes applicable to the heat transfer method

Radiological risk comparison guidelines

International Nuclear Information System (INIS)

Hallinan, E.J.; Muhlestein, L.D.; Brown, L.F.; Yoder, R.E.

1992-01-01

An important aspect of DOE safety analyses is estimating potential accident risk. The estimates are used to: determine if additional controls are needed, identify Safety Class Items, and demonstrate adequate risk reduction. Thus, guidelines are needed to measure comparative risks. The Westinghouse M ampersand O Nuclear Facility Safety Committee and the Safety Envelope Working Group have developed radiological risk guidelines for comparing the risks from individual accident analyses. These guidelines were prepared under contract with the US Department of Energy. These guidelines are based on historical DOE guidelines and current requirements, and satisfy DOE and technical community proposals. for goals that demonstrate acceptable risk. The guidelines consist of a frequency versus consequence curve for credible accidents. Offsite and onsite guidelines are presented. The offsite risk acceptance guidelines are presented in Figure 1. The guidelines are nearly isorisk for anticipated events where impacts are chronic, and provide additional reduction for unlikely events where impacts may be acute and risk uncertainties may be significant. The guidelines are applied to individual release accident scenarios where a discrete frequency and consequence has been estimated. The guideline curves are not to be used for total risk assessments. Common cause events are taken into consideration only for an individual facility. Frequencies outside the guideline range are considered to be local site option (analyst judgement) as far as assessments of risk acceptance are concerned. If the curve is exceeded, then options include either a more detailed analysis or imposing additional preventive or mitigative features. Another presentation discusses implementation in detail. Additional work is needed to provide risk comparison guidelines for releases from multiple facilities and for toxic releases

Core story creation: analysing narratives to construct stories for learning.

Science.gov (United States)

Petty, Julia; Jarvis, Joy; Thomas, Rebecca

2018-03-16

Educational research uses narrative enquiry to gain and interpret people's experiences. Narrative analysis is used to organise and make sense of acquired narrative. 'Core story creation' is a way of managing raw data obtained from narrative interviews to construct stories for learning. To explain how core story creation can be used to construct stories from raw narratives obtained by interviewing parents about their neonatal experiences and then use these stories to educate learners. Core story creation involves reconfiguration of raw narratives. Reconfiguration includes listening to and rereading transcribed narratives, identifying elements of 'emplotment' and reordering these to form a constructed story. Thematic analysis is then performed on the story to draw out learning themes informed by the participants. Core story creation using emplotment is a strategy of narrative reconfiguration that produces stories which can be used to develop resources relating to person-centred education about the patient experience. Stories constructed from raw narratives in the context of constructivism can provide a medium or an 'end product' for use in learning resource development. This can then contribute to educating students or health professionals about patients' experiences. ©2018 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

Crowdsourcing Content Creation in the Classroom

Science.gov (United States)

Hills, Thomas T.

2015-01-01

The recent growth in crowdsourcing technologies offers a new way of envisioning student involvement in the classroom. This article describes a participatory action research approach to combining crowdsourced content creation with the student as producer model, whereby students' interests are used to drive the identification and creation of…

Ecological ethics and creation faith

Directory of Open Access Journals (Sweden)

Ulrich Körtner

2016-08-01

Full Text Available Over past decades a concept of ecological ethics has taken root, which is often equated with environmental ethics. Church and theology have also responded to the environmental crisis. In the last third of the past century an intense discourse about the concerns and extent of a so called creation ethics was conducted. In connection with the question of a creation ethics, and the global responsibility of humans for the biosphere of our planet, the topic of creation has also gained new attention in dogmatics. In this way, ecology has also become a topic of systematic theology. The article focuses on the debate in the German speaking context. Occasionally, a quasi-religious elevation of ecology to the status of a doctrine of salvation is observable. Because theology always also has a function of critique of religion, it must also critically engage the sometimes open and sometimes hidden religious contents and claims of eco-ethical concepts. For this purpose, the first step of the present contribution is to more precisely determine the concepts of creation and nature. Thereafter, the problem of anthropocentrism is analysed. In a further step, the concept of sustainability is analysed. In conclusion, the main features of a responsibility-ethics model of ecological ethics are outlined.

Organizing for creativity, quality and speed in product creation processes

NARCIS (Netherlands)

Eijnatten, van F.M.; Simonse, W.L.

1999-01-01

Current research in industrial engineering and management sciences shows that organizational architectures are of critical importance for a better performance of product creation processes in terms of creativity, quality and speed. For many companies, streamlining those processes - including

Capacity factors and solar job creation

International Nuclear Information System (INIS)

Croucher, Matt

2011-01-01

We discuss two main job creation statistics often used by solar advocates to support increased solar deployment. Whilst overall solar technologies have a tendency to be labor-intensive, we find that the jobs per gigawatt hour statistic is relatively mis-leading as it has a tendency to reward technologies that have a low capacity factor. Ultimately the lower the capacity factor the more amplified the solar job creation number. - Highlights: → Solar generation is labor intensive. → Jobs per gigawatt hour statistics are often mis-leading. → The lower the capacity factor the higher the jobs per gigawatt. → Reliance on job creation statistics may lead to inefficient deployment.

Capacity factors and solar job creation

Energy Technology Data Exchange (ETDEWEB)

Croucher, Matt, E-mail: matthew.croucher@asu.edu [Department of Economics, L. William Seidman Research Institute, W.P. Carey School of Business, Arizona State University, P.O. Box 873806, Tempe, AZ 85287 (United States)

2011-11-15

We discuss two main job creation statistics often used by solar advocates to support increased solar deployment. Whilst overall solar technologies have a tendency to be labor-intensive, we find that the jobs per gigawatt hour statistic is relatively mis-leading as it has a tendency to reward technologies that have a low capacity factor. Ultimately the lower the capacity factor the more amplified the solar job creation number. - Highlights: > Solar generation is labor intensive. > Jobs per gigawatt hour statistics are often mis-leading. > The lower the capacity factor the higher the jobs per gigawatt. > Reliance on job creation statistics may lead to inefficient deployment.

Man creation had began since the creation of the first biological ...

African Journals Online (AJOL)

Keywords – Man creation, Early life evolution, Montmorillonite clay, RNA oligomerization ... appearance of specific conditions when liquid hydrocarbons and water could meet each ..... Journal of Physical Chemistry B. 112, 3597–3604. Nahvi ...

Contextual-Based Knowledge Creation for Agroindustrial Innovation

Directory of Open Access Journals (Sweden)

Elisa Anggraeni

2017-08-01

Full Text Available This paper discusses the knowledge creation process in one department, in a higher educational context, and the possible actions to take to improve the efficiency and effectiveness of the knowledge creation system in it. We conducted a case study at one department of a university that strives to improve its innovations, in terms of their quantity and quality.We used a soft system methodology to investigate the knowledge creation system in the chosen department. From the study, we conclude that the department can be considered as a learning organization, within which its staff continually create, acquire and transfer knowledge. This department has a learning environment which is conducive, concrete learning processes, and leadership that reinforces learning. In the context of producing agroindustry innovations, the knowledge creation system in this department is considered to be less effective since it frequently happens more at individual or small group levels. To improve its effectiveness, the management may facilitate the institutionalization of knowledge creation processes at every phase of the interactions between tacit and explicit knowledge.

Guidelines for Learning Stations.

Science.gov (United States)

Fehrle, Carl C.; Schulz, Jolene

Guidelines for designing and planning learning stations for pupils at the elementary grade level include suggestions on how to develop a station that will be successful in meeting the learners' needs. Instructions for the use of tapes at a station and matching pupils with stations are given, as are guidelines on classroom arrangement and record…

Guidelines on Building Regulations 2008

DEFF Research Database (Denmark)

Thse guidelines clarify and intepret the provisions of the Building Regulations of 2008 (BR08). The Guidelines, which match BR08 in terms of organisation into Parts, are accompanied by the full text of the regulations and the explanatory notes issued by the Danish Enterprise and Construction...... Authority. The Guidelines refer the reader to sources such as relevant standards, instructions and other background material which provides more detailed information. The Guidelines cover the same ground as BR08, including building control regulations, layout, fitting out, structures, fire safety, indoor...... climate, energy consumotion and services. The Guidelines are aimed at all professionals involved in building projects, particularly building design consultants, contractors and municipal application officers....

Edward Burne-Jones’ The Days of Creation: A Celestial Utopia

Directory of Open Access Journals (Sweden)

Liana De Girolami Cheney

2014-09-01

Full Text Available Edward Burne-Jones’ cycle of The Days of Creation of 1870-66(Fogg Art Museum, Harvard University Museums, Cambridge, MA was highly praised and elegantly described by Oscar Wilde: “The picture is divided into six compartments, each representing a day in the Creation of the World, under the symbol of an angel holding a crystal globe, within which is shown the work of a day.” This essay examines how Burne-Jones visualized an unusual celestial creation where angels holding magical spheres unveil the divine manifestation for the creation of a terrestrial realm. His The Days of Creation is an aesthetic culmination of the artistic power of invention, imitation and creation of beauty. Burne-Jones borrows the divine concept of world creation to formulate his own artist creation. Selecting God’s week of creation, he empowers a daily angel to manifest the beauty and power of divine creation. Ultimately, Burne-Jones creates a cosmic utopia, a mythical heavenly and natural realm, where angels design a world of beauty to be emulated not only by the artist, but also by most of all by the viewer.

Speech pathologists' experiences with stroke clinical practice guidelines and the barriers and facilitators influencing their use: a national descriptive study.

Science.gov (United States)

Hadely, Kathleen A; Power, Emma; O'Halloran, Robyn

2014-03-06

Communication and swallowing disorders are a common consequence of stroke. Clinical practice guidelines (CPGs) have been created to assist health professionals to put research evidence into clinical practice and can improve stroke care outcomes. However, CPGs are often not successfully implemented in clinical practice and research is needed to explore the factors that influence speech pathologists' implementation of stroke CPGs. This study aimed to describe speech pathologists' experiences and current use of guidelines, and to identify what factors influence speech pathologists' implementation of stroke CPGs. Speech pathologists working in stroke rehabilitation who had used a stroke CPG were invited to complete a 39-item online survey. Content analysis and descriptive and inferential statistics were used to analyse the data. 320 participants from all states and territories of Australia were surveyed. Almost all speech pathologists had used a stroke CPG and had found the guideline "somewhat useful" or "very useful". Factors that speech pathologists perceived influenced CPG implementation included the: (a) guideline itself, (b) work environment, (c) aspects related to the speech pathologist themselves, (d) patient characteristics, and (e) types of implementation strategies provided. There are many different factors that can influence speech pathologists' implementation of CPGs. The factors that influenced the implementation of CPGs can be understood in terms of knowledge creation and implementation frameworks. Speech pathologists should continue to adapt the stroke CPG to their local work environment and evaluate their use. To enhance guideline implementation, they may benefit from a combination of educational meetings and resources, outreach visits, support from senior colleagues, and audit and feedback strategies.

Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Treatment of Adults With Vestibular Schwannomas: Executive Summary.

Science.gov (United States)

Olson, Jeffrey J; Kalkanis, Steven N; Ryken, Timothy C

2018-02-01

Vestibular schwannomas (VS) are uncommon lesions that are a substantial challenge to the neurosurgeons, otologists, and radiation oncologists who undertake their clinical management. A starting point to improving the current knowledge is to define the benchmarks of the current research studying VS management using evidence-based techniques in order to allow meaningful points of departure for future scientific and clinical research. To establish the best evidence-based management of VS, including initial otologic evaluation, imaging diagnosis, use of surgical techniques, assessment of tumor pathology, and the administration of radiation therapy. Multidisciplinary writing groups were identified to design questions, literature searches, and collection and classification of relevant findings. This information was then translated to recommendations based on the strength of the available literature. This guideline series yielded some level 2 recommendations and a greater number of level 3 recommendations directed at the management of VS. Importantly, in some cases, a number of well-designed questions and subsequent searches did not yield information that allowed creation of a meaningful and justifiable recommendation. This series of guidelines was constructed to assess the most current and clinically relevant evidence for the management of VS. They set a benchmark regarding the current evidence base for this type of tumor while also highlighting important key areas for future basic and clinical research, particularly on those topics for which no recommendations could be formulated.  The full guidelines can be found at: https://www.cns.org/guidelines/guidelines-management-patients-vestibular-schwannoma. Copyright © 2017 by the Congress of Neurological Surgeons

Guidelines for nuclear reactor equipments safety-analysis

International Nuclear Information System (INIS)

1978-01-01

The safety analysis in approving the applications for nuclear reactor constructions (or alterations) is performed by the Committee on Examination of Reactor Safety in accordance with various guidelines prescribed by the Atomic Energy Commission. In addition, the above Committee set forth its own regulations for the safety analysis on common problems among various types of nuclear reactors. This book has collected and edited those guidelines and regulations. It has two parts: Part I includes the guidelines issued to date by the Atomic Energy Commission: and Part II - regulations of the Committee. Part I has collected 8 categories of guidelines which relate to following matters: nuclear reactor sites analysis guidelines and standards for their applications; standard exposure dose of plutonium; nuclear ship operation guidelines; safety design analysis guidelines for light-water type, electricity generating nuclear reactor equipments; safety evaluation guidelines for emergency reactor core cooling system of light-water type power reactors; guidelines for exposure dose target values around light-water type electricity generating nuclear reactor equipments, and guidelines for evaluation of above target values; and meteorological guidelines for the safety analysis of electricity generating nuclear reactor equipments. Part II includes regulations of the Committee concerning - the fuel assembly used in boiling-water type and in pressurized-water type reactors; techniques of reactor core heat designs, etc. in boiling-water reactors; and others

The conundrum of Hodgkin lymphoma nodes: to be or not to be included in the involved node radiation fields. The EORTC-GELA lymphoma group guidelines

DEFF Research Database (Denmark)

Girinsky, Theodore; Specht, Lena; Ghalibafian, Mithra

2008-01-01

PURPOSE: To develop easily applicable guidelines for the determination of initially involved lymph nodes to be included in the radiation fields. PATIENTS AND METHODS: Patients with supra-diaphragmatic Hodgkin lymphoma. All the imaging procedures were carried out with patients in the treatment pos...

Proponents of Creationism but not Proponents of Evolution Frame the Origins Debate in Terms of Proof

Science.gov (United States)

Barnes, Ralph M.; Church, Rebecca A.

2013-03-01

In Study 1, 72 internet documents containing creationism, ID (intelligent design), or evolution content were selected for analysis. All instances of proof cognates (the word "proof" and related terms such as "proven", "disproof", etc.) contained within these documents were identified and labeled in terms of the manner in which the terms were used. In Study 2, frequency counts for six terms (proof, evidence, establish, experiment, test, trial) were conducted on a sample of peer-reviewed research articles in the journal Science and the 72 internet documents included in Study 1. Quantitative and qualitative analyses revealed that proponents of creationism were much more likely than proponents of evolution to frame the creationism/evolution issue in terms of proof (ID proponents fell partway between the other two). Proponents of creationism frequently described empirical data favoring their position as proof of their position. Even more frequently, proponents of creationism described evolutionary scientists as being engaged in failed attempts to prove the truth of the evolutionary position. Evolution documents included fewer proof cognates than creationism or ID documents and the few proof cognates found in evolution documents were rarely used to describe the status of the theory of evolution. Qualitative data analysis indicated that proof cognates were often used to indicate certainty. The asymmetry between evolution and creationism documents was limited primarily to proof cognates; there were no major asymmetries for the terms evidence, establish, experiment, test, and trial. The results may reveal differences in the epistemological commitments of the involved parties.

The European Fiscal Union creation process

Directory of Open Access Journals (Sweden)

Oleksandr Sharov

2015-06-01

Full Text Available The paper presents evolution of the European Union fiscal system creation process as well as outlines problems in functioning thereof that have arisen during recent years and the main reforming (modification trends. The analysis is primarily focused on creation of the fiscal union within the EU. In this regard, the idea of two different groups of countries moving to the common goal at different paces is becoming ever increasingly much-talked-about in the EU. The first group comprises donor countries that adhere to all treaties and fiscal discipline, while demonstrating respective positive macroeconomic indicators. The second group implies countries of Euro-periphery, where the above processes take place along with significant complications or do not occur at all. In these countries Eurosceptic positions are also quite strong, which often leads to taking measures contrary to the jointly adopted decisions. Currently, there is no clear understanding within the EU as to which way out of the crisis should be taken. However, profound understanding of the crisis causes and active work on preparation and implementation of measures to overcome the negative effects of this crisis suggest availability of sufficiently favorable prospects for further development of the EU fiscal system (including formal creation of the Fiscal Union. Based on the conducted analysis conclusions have been made as to potential vectors of action aimed at improving EU fiscal system, while specific recommendations on actions to be taken by Ukraine have been developed (particularly, as regards budget forecasting and planning with the purpose of harmonizing Ukrainian financial institutions and mechanisms with the EU fiscal system.

Enhancing Education for Sustainable Development in Environmental University Programmes: A Co-Creation Approach

Directory of Open Access Journals (Sweden)

Maria Rosario Perello-Marín

2018-01-01

Full Text Available The purpose of this study is to analyse co-creation approach as a strategy at HE as a prerequisite for a successful implementation of sustainable development (HESD, while considering student collaboration in university processes. A questionnaire was handed in to 395 undergraduate environmental students from twelve Ecuadorian universities to test a structural equation model that included four variables—participation, co-creation, satisfaction, and trust. It is worth noting that these topics are increasingly relevant in competitive and innovative universities when promoting management in HESD. The results verify that student participation, as one of the key ESD skills, has a significant and positive influence on co-creation as a generator of student satisfaction and trust, especially in this context. Co-creation, from a higher education perspective, from the premise that students are the centre of the learning process, reinforces the education quality principles in an innovative way, and promotes the HESD perspectives.

Xeroderma pigmentosum clinical practice guidelines.

Science.gov (United States)

Moriwaki, Shinichi; Kanda, Fumio; Hayashi, Masaharu; Yamashita, Daisuke; Sakai, Yoshitada; Nishigori, Chikako

2017-10-01

Xeroderma pigmentosum (XP) is a genetic photosensitive disorder in which patients are highly susceptibe to skin cancers on the sun-exposed body sites. In Japan, more than half of patients (30% worldwide) with XP show complications of idiopathic progressive, intractable neurological symptoms with poor prognoses. Therefore, this disease does not merely present with dermatological symptoms, such as photosensitivity, pigmentary change and skin cancers, but is "an intractable neurological and dermatological disease". For this reason, in March 2007, the Japanese Ministry of Health, Labor and Welfare added XP to the neurocutaneous syndromes that are subject to government research initiatives for overcoming intractable diseases. XP is one of the extremely serious photosensitive disorders in which patients easily develop multiple skin cancers if they are not completely protected from ultraviolet radiation. XP patients thus need to be strictly shielded from sunlight throughout their lives, and they often experience idiopathic neurodegenerative complications that markedly reduce the quality of life for both the patients and their families. Hospitals in Japan often see cases of XP as severely photosensitive in children, and as advanced pigmentary disorders of the sun-exposed area with multiple skin cancers in adults (aged in their 20-40s), making XP an important disease to differentiate in everyday clinical practice. It was thus decided that there was a strong need for clinical practice guidelines dedicated to XP. This process led to the creation of new clinical practice guidelines for XP. © 2017 Japanese Dermatological Association.

Current Guidelines Have Limited Applicability to Patients with Comorbid Conditions: A Systematic Analysis of Evidence-Based Guidelines

Science.gov (United States)

Lugtenberg, Marjolein; Burgers, Jako S.; Clancy, Carolyn; Westert, Gert P.; Schneider, Eric C.

2011-01-01

Background Guidelines traditionally focus on the diagnosis and treatment of single diseases. As almost half of the patients with a chronic disease have more than one disease, the applicability of guidelines may be limited. The aim of this study was to assess the extent that guidelines address comorbidity and to assess the supporting evidence of recommendations related to comorbidity. Methodology/Principal Findings We conducted a systematic analysis of evidence-based guidelines focusing on four highly prevalent chronic conditions with a high impact on quality of life: chronic obstructive pulmonary disease, depressive disorder, diabetes mellitus type 2, and osteoarthritis. Data were abstracted from each guideline on the extent that comorbidity was addressed (general comments, specific recommendations), the type of comorbidity discussed (concordant, discordant), and the supporting evidence of the comorbidity-related recommendations (level of evidence, translation of evidence). Of the 20 guidelines, 17 (85%) addressed the issue of comorbidity and 14 (70%) provided specific recommendations on comorbidity. In general, the guidelines included few recommendations on patients with comorbidity (mean 3 recommendations per guideline, range 0 to 26). Of the 59 comorbidity-related recommendations provided, 46 (78%) addressed concordant comorbidities, 8 (14%) discordant comorbidities, and for 5 (8%) the type of comorbidity was not specified. The strength of the supporting evidence was moderate for 25% (15/59) and low for 37% (22/59) of the recommendations. In addition, for 73% (43/59) of the recommendations the evidence was not adequately translated into the guidelines. Conclusions/Significance Our study showed that the applicability of current evidence-based guidelines to patients with comorbid conditions is limited. Most guidelines do not provide explicit guidance on treatment of patients with comorbidity, particularly for discordant combinations. Guidelines should be more

International guidelines for fire protection at nuclear installations including nuclear fuel plants, nuclear fuel stores, teaching reactors, research establishments

International Nuclear Information System (INIS)

The guidelines are recommended to designers, constructors, operators and insurers of nuclear fuel plants and other facilities using significant quantities of radioactive materials including research and teaching reactor installations where the reactors generally operate at less than approximately 10 MW(th). Recommendations for elementary precautions against fire risk at nuclear installations are followed by appendices on more specific topics. These cover: fire protection management and organization; precautions against loss during construction alterations and maintenance; basic fire protection for nuclear fuel plants; storage and nuclear fuel; and basic fire protection for research and training establishments. There are numerous illustrations of facilities referred to in the text. (U.K.)

Quantum creation of fermions in a hot universe

International Nuclear Information System (INIS)

Gyunter, U.; Zhuk, A.I.

1987-01-01

The creation of spinor particles in an arbitrary external field from states described by quadratic density matrices is considered. Expressions are obtained for the spectra of the created particles. It is shown that in the case of the creation of fermions (spin 1/2) in the Friedmann universe from states described by a thermal density matrix statistical effects significantly suppress the particle creation process

Pre-operative Duplex Ultrasonography in Arteriovenous Fistula Creation: Intra- and Inter-observer Agreement.

Science.gov (United States)

Zonnebeld, Niek; Maas, Tommy M G; Huberts, Wouter; van Loon, Magda M; Delhaas, Tammo; Tordoir, Jan H M

2017-11-01

Although clinical guidelines on arteriovenous fistula (AVF) creation advocate minimum luminal arterial and venous diameters, assessed by duplex ultrasonography (DUS), the clinical value of routine DUS examination is under debate. DUS might be an insufficiently repeatable and/or reproducible imaging modality because of its operator dependency. The present study aimed to assess intra- and inter-observer agreement of DUS examination in support of AVF surgery planning. Ten end stage renal disease patients were included, to assess intra- and inter-observer agreement of pre-operative DUS measurements. All measurements were performed by two trained and experienced vascular technicians, blinded to measurement readings. From the routine DUS protocol, representative measurements (venous diameters, and arterial diameters and volume flow in the upper arm and forearm) were selected. For intra-observer agreement the measurements were performed in triplicate, with the probe released from the skin between each. Intraclass correlation coefficients were calculated for intra- and inter-observer agreement, and Bland-Altman plots used to graphically display mean measurement differences and limits of agreement. Ten patients (6 male, 59.4±19.7 years) consented to participate, and all predefined measurements were obtained. Intraclass correlation coefficients for intra-observer agreement of diameter measurements were at least 0.90 (95% CI 0.74-0.97; radial artery). Inter-observer agreement was at least 0.83 (0.46-0.96; lateral diameter upper arm cephalic vein). The Bland-Altman plots showed acceptable mean measurement differences and limits of agreement. In experienced hands, excellent intra- and inter-observer agreement can be reached for the discrete pre-operative DUS measurements advocated in clinical guidelines. DUS is therefore a reliable imaging modality to support AVF surgery planning. The content of DUS protocols, however, needs further standardisation. Copyright © 2017 European

Creative participation: collective sentiment in online co-creation communities

NARCIS (Netherlands)

Lee, H.H.M.; van Dolen, W.

2015-01-01

Co-creation communities allow companies to utilize consumers’ creative thinking in the innovation process. This paper seeks to understand the role of sentiment in user co-creation. The results suggest that management style can affect the success of co-creation communities. Specific employees’

Defect creation rates in CdTe irradiated by electrons

International Nuclear Information System (INIS)

Caillot, M.

1978-01-01

Up to now, the defect creation rates in CdTe irradiated by electrons were unknown. They have been calculated for different electron kinetic energies. As the samples studied are thick, the energy loss when the electrons penetrate the material has been taken into account. The cross-sections of Cd and Te displacements vs the depth of electron penetration were determined for different electron kinetic energies, and the defect creation rates obtained for each sublattice. These creation rates have been compared with those deduced from experiments and it was found that the experimental creation rates were lower than the calculated ones. This discrepancy can be explained in terms of creation of neutral Frenkel pairs. (Auth.)

Economic Value Creation in Metro Complexes: Case Study on Sadr Station Complex in Tehran

Directory of Open Access Journals (Sweden)

Nima Jafari

2017-04-01

Full Text Available The main objective of this research is economic value creation methods in metro station centers with the case study of Sadr Station complex in Tehran. The research implements a descriptive approach by benefiting from the data of a cross-sectional survey which was collected by the authors. The target population included all scholars of urban development and transport academics, capitalists and directors of the station complex with the total number of 1,100 people. By using a random sampling, 285 people were surveyed with a 25-item questionnaire developed by the researchers. The results suggest priority of value creation respectively in areas of collaborative, competitive, private, governmental, and personal. The test results also showed that among the components of economic value creation (corporate, individual, competitive, governmental and private, the observed correlation was significant. According to the obtained results, development of economic value creation in station centers seems necessary.

Mexican Asthma Guidelines: GUIMA 2017

Directory of Open Access Journals (Sweden)

Désirée Larenas-Linnemann

2017-04-01

Full Text Available Background: The need for a national guideline, with a broad basis among specialists and primary care physicians was felt in Mexico, to try unifying asthma management. As several high-quality asthma guidelines exist worldwide, it was decided to select the best three for transculturation. Methods: Following the internationally recommended methodology for guideline transculturation, ADAPTE, a literature search for asthma guidelines, published 1-1-2007 through 31-12-2015 was conducted. AGREE-II evaluations yielded 3/40 most suitable for transculturation. Their compound evidence was fused with local reality, patient preference, cost and safety considerations to draft the guideline document. Subsequently, this was adjusted by physicians from 12 national medical societies in several rounds of a Delphi process and 3 face-to-face meetings to reach the final version. Results: Evidence was fused from British Thoracic Society Asthma Guideline 2014, Global Initiative on Asthma 2015, and Guía Española del Manejo del Asma 2015 (2016 updates included. After 3 Delphi-rounds we developed an evidence-based document taking into account patient characteristics, including age, treatment costs and safety and best locally available medication. Conclusion: In cooperation pulmonologists, allergists, ENT physicians, paediatricians and GPs were able to develop an evidence-based document for the prevention, diagnosis and treatment of asthma and its exacerbations in Mexico.

Energy creation in electrical sparks and discharges

International Nuclear Information System (INIS)

Pappas, P.T.

1991-01-01

In this paper deficiencies of Lorentz force law, of Maxwell';s displacement current, of poynting vector, and of other explicit or implicit assumptions in E/D are analyzed. The infallible Cardinal law of E/D of Ampere is suggested as the most dominating candidate for the future E/D. Apparent difficulties of the Cardinal law are removed by resuming the ideal inertial frame concept to pragmatical cases. Energy creation is considered as not binding, but as possible, according to the Cardinal law as an alternative principle to the continuous creation hypothesis of Astronomy. Various inherent arc oscillations are presented as direct experimental evidence of energy creation. Several unexplained and exciting phenomena in E/D are readily explained by the Cardinal law. Finally, the unique constructive property of the Cardinal law is presented, suggested to be responsible for the Cosmos' creation and constructive evolution to higher forms of organization

Quantum creation of the universe in N = 8 supergravity

International Nuclear Information System (INIS)

Goncharov, Yu.P.; Bytsenko, A.A.

1988-01-01

We discuss the possibility of quantum creation of an inflationary universe filled with the fields of maximal extended N = 8 supergravity. If the created universe has spatial topology (S 1 ) 3 and after the creation Starobinskii's inflationary scenario through the topological Casimir effect in N = 8 supergravity is realized, the probability of creation of such a universe can be estimated in the semiclassical approximation. The estimate shows that the creation of a universe with a more isotropic topology is more probable

Co-creation, Prevailing Streams and a Future Design Trajectory

DEFF Research Database (Denmark)

Degnegaard, Rex

2014-01-01

of the literature on co-creation to explore what the existing literature relates to and indeed to pinpoint if any patterns or streams can be identified. The paper illustrates how the use of the concept of co-creation suggests a necessity for focusing further on specific co-creation-related issues and challenges...... of significance to business and society. The paper highlights new co-creation-related issues and challenges. Further, the paper crystallises an emerging design trajectory in theory and practice....

Money creation process in a random redistribution model

Science.gov (United States)

Chen, Siyan; Wang, Yougui; Li, Keqiang; Wu, Jinshan

2014-01-01

In this paper, the dynamical process of money creation in a random exchange model with debt is investigated. The money creation kinetics are analyzed by both the money-transfer matrix method and the diffusion method. From both approaches, we attain the same conclusion: the source of money creation in the case of random exchange is the agents with neither money nor debt. These analytical results are demonstrated by computer simulations.

Computerization of guidelines: towards a "guideline markup language".

Science.gov (United States)

Dart, T; Xu, Y; Chatellier, G; Degoulet, P

2001-01-01

Medical decision making is one of the most difficult daily tasks for physicians. Guidelines have been designed to reduce variance between physicians in daily practice, to improve patient outcomes and to control costs. In fact, few physicians use guidelines in daily practice. A way to ease the use of guidelines is to implement computerised guidelines (computer reminders). We present in this paper a method of computerising guidelines. Our objectives were: 1) to propose a generic model that can be instantiated for any specific guidelines; 2) to use eXtensible Markup Language (XML) as a guideline representation language to instantiate the generic model for a specific guideline. Our model is an object representation of a clinical algorithm, it has been validated by running two different guidelines issued by a French official Agency. In spite of some limitations, we found that this model is expressive enough to represent complex guidelines devoted to diabetes and hypertension management. We conclude that XML can be used as a description format to structure guidelines and as an interface between paper-based guidelines and computer applications.

Interactivity, Game Creation, Design, Learning, and Innovation

DEFF Research Database (Denmark)

This book constitutes the proceedings of two conferences: The 5th International Conference on ArtsIT, Interactivity and Game Creation (ArtsIT 2016) and the First International Conference on Design, Learning and Innovation (DLI 2016). ArtsIT is reflecting trends in the expanding field of digital art......, interactive art, and how game creation is considered an art form. The decision was made to augment the title of ArtsIT to be in future known as “The International Conference on Interactivity, Game Creation, Design, Learning, and Innovation”. The event was hosted in Esbjerg, Denmark in May 2016 and attracted...

All new custom path photo book creation

Science.gov (United States)

Wang, Wiley; Muzzolini, Russ

2012-03-01

In this paper, we present an all new custom path to allow consumers to have full control to their photos and the format of their books, while providing them with guidance to make their creation fast and easy. The users can choose to fully automate the initial creation, and then customize every page. The system manage many design themes along with numerous design elements, such as layouts, backgrounds, embellishments and pattern bands. The users can also utilize photos from multiple sources including their computers, Shutterfly accounts, Shutterfly Share sites and Facebook. The users can also use a photo as background, add, move and resize photos and text - putting what they want where they want instead of being confined to templates. The new path allows users to add embellishments anywhere in the book, and the high-performance platform can support up to 1,000 photos per book and up to 25 pictures per page. The path offers either Smart Autofill or Storyboard features allowing customers to populate their books with photos so they can add captions and customize the pages.

Creation / accumulation city

NARCIS (Netherlands)

Doevendans, C.H.; Schram, A.L.

2005-01-01

A distinction between basic archetypes of urban form was made by Bruno Fortier: the accumulation city as opposed to the creation city. These archetypes derive from archaeology - being based on the Roman and the Egyptian city - but are interpreted as morphological paradigms, as a set of assumptions

Polarization effects for pair creation by photon in oriented crystals at high energy

International Nuclear Information System (INIS)

Baier, V.N.; Katkov, V.M.

2006-01-01

Pair creation by a photon in an oriented crystal is considered in the frame of the quasiclassical operator method, which includes processes with polarized particles. Under some quite generic assumptions the general expression is derived for the probability of pair creation of longitudinally polarized electron (positron) by circularly polarized photon in oriented crystal. In the particular cases θ > V /m (θ is the angle of incidence, angle between the momentum of the initial photon and axis (plane) of crystal, V is the scale of a potential of axis or a plane relative to which the angle θ is defined) one has the constant field approximation and the coherent pair production theory correspondingly. Side by side with coherent process the probability of incoherent pair creation is calculated, which differs essentially from amorphous one. At high energy the pair creation in oriented crystal is strongly enhanced comparing with the amorphous medium. In the corresponding appendixes the integral polarization of positron is found in an external field and for the coherent and incoherent mechanisms

The Mayo Clinic Value Creation System.

Science.gov (United States)

Swensen, Stephen J; Dilling, James A; Harper, C Michel; Noseworthy, John H

2012-01-01

The authors present Mayo Clinic's Value Creation System, a coherent systems engineering approach to delivering a single high-value practice. There are 4 tightly linked, interdependent phases of the system: alignment, discovery, managed diffusion, and measurement. The methodology is described and examples of the results to date are presented. The Value Creation System has been demonstrated to improve the quality of patient care while reducing costs and increasing productivity.

Innovation and Entrepreneurship: The Necessary Conditions of Value Creation

Directory of Open Access Journals (Sweden)

Brian Barnard

2017-10-01

Full Text Available The necessary conditions of value creation are considered from the vantage point of innovation and entrepreneurship. Both demand side (basic needs, customer perceived value, and customer satisfaction and supply side (science, technology, and knowledge considerations of value creation are examined. The relationships between value creation and basic needs, customer perceived value, and knowledge are further examined. Although a number of factors are identified that impact value, only four are seen as primary factors of value: price, benefit, satisfaction, and experience. The innovator and entrepreneur can create value, and quantify the uniqueness of their value offerings, through these four primary factors. The study concludes that, on the demand side, basic needs may be an indirect driver of value creation, and customer perceived value as concept may be useful in the context of value creation. At the same time, it is believed that the four factors – price, benefit, satisfaction, and experience – can significantly explain value creation. On the supply side, innovation as the driver of value creation, is not necessarily confined to science and technology – business knowledge and acumen is an important avenue. In addition to existing knowledge and experience, factors like orientation (interests, passion, drive and involvement also explain opportunity recognition.

Descartes on the Creation of the Eternal Truths

Directory of Open Access Journals (Sweden)

Danielle Macbeth

2017-06-01

Full Text Available On 15 April 1630, in a letter to Mersenne, Descartes announced that on his view God creates the truths of mathematics. Descartes returned to the theme in subsequent letters and some of his Replies but nowhere is the view systematically developed and defended. It is not clear why Descartes came to espouse the creation doctrine, nor even what exactly it is. Some have argued that his motivation was theological, that God creates the eternal truths, including the truths of logic, because and insofar as God is omnipotent andthe creator of all things. I develop and defend a different reading according to which Descartes was led to espouse the creation doctrine by a fundamental shift in his understanding of the correct mode of inquiry in metaphysics and mathematics: by 1630, the God-created truths came to play the role in inquiry that until then, in the Rules for the Direction of the Mind, had been played by images.

Guidelines for District Heating Substations

Energy Technology Data Exchange (ETDEWEB)

2009-07-15

The present guidelines contain a set of recommendations focusing on planning, installation, use and maintenance of district heating (DH) substations within district heating systems throughout Europe. The recommendations were developed in order to enable readers to develop well-functioning substations and an effective heat and domestic warm water delivery. These guidelines are intended to give the most effective overall solutions for various parts of the customer installation. The guidelines are not meant to specify the different components of the substation such as meters or heat exchangers. The guidelines deal with a wide variety of issues concerning both present systems of today and district heating systems of the future. Specific handling and maintenance recommendations are mainly focused on present modern systems but are also intended to cover the future situation as much as is feasible. For this reason, certain existing systems are not dealt with in these guidelines. For instance, these guidelines do not cover steam systems, systems with temperatures exceeding 110 deg C and pressure levels above 1.6 MPa. The guidelines include a chapter on the heat meter, as the meter and especially the meter installation is always installed simultaneously with the rest of the substation. These guidelines aim to provide best-practice and easy-to-handle recommendations for: - those who are responsible for relations between district heating utilities and customers; - those who own or maintain a building connected to the district heating network; - those who manufacture, plan, purchase, test and install substations. These guidelines do not deal with investment or cost aspects, but in general, Euroheat and Power recommends looking at the lifetime cost of all components of the substation, instead of investment costs alone. An example of this is provided in Chapter 7.8. The Guidelines were developed based on the most optimal operating principles of substations and meters

What does existing research say about value co-creation?

DEFF Research Database (Denmark)

Thomsen, Merethe Stjerne; Tanev, Stoyan; Pedrosa, Alex

2010-01-01

The paper presents a literature review on co-creation, which is summarized into emerging research areas and insights as a basis for a future research agenda for value co-creation. The search methodology is based on a keywords search on ISI Web of Knowledge, leading to 82 articles with a summary...... of four emerging subject areas within marketing science, service management, new product development & innovation and general business and management. The four subject areas lead to new key driving forces of value co-creation by involving the customers in experience networks, where both creating......-customer interaction events, which are extremely personal with unique products, services and experiences. In general the paper is starting up a conceptual refinement on value co-creation by addressing the key characteristics of current literature and driving forces of co-creation....

Adiabatic pair creation in heavy-ion and laser fields

International Nuclear Information System (INIS)

Pickl, P.; Durr, D.

2008-01-01

The planned generation of lasers and heavy-ion colliders renews the hope to see electron-positron pair creation in strong classical fields. This old prediction is usually referred to as spontaneous pair creation. We observe that both heavy-ion collisions and pair creation in strong laser fields, are instances of the theory of adiabatic pair creation. We shall present the theory, thereby correcting earlier results. We give the momentum distribution of created pairs in overcritical fields. We discuss carefully the proposed experimental verifications and conclude that pure laser-based experiments are highly questionable. We propose a new experiment, joining laser fields and heavy ions, which may be feasible with present-day technology and which may indeed verify the theoretical prediction of adiabatic pair creation. Our presentation relies on recent rigorous works in mathematical physics. (authors)

How do value co-creation activities relate to the perception of firms' innovativeness

DEFF Research Database (Denmark)

Tanev, Stoyan

2011-01-01

of web search tools and online data on firms’ websites. Two of the key research findings include: i) the identification of three emerging value co-creation components including mutual learning mechanisms, customer relationships enabled through partnerships and cooperation, and resources and processes...

Guideline group composition and group processes: article 3 in Integrating and coordinating efforts in COPD guideline development. An official ATS/ERS workshop report.

Science.gov (United States)

Kunz, Regina; Fretheim, Atle; Cluzeau, Françoise; Wilt, Timothy J; Qaseem, Amir; Lelgemann, Monika; Kelson, Marcia; Guyatt, Gordon; Schünemann, Holger J

2012-12-01

Professional societies, like many other organizations around the world, have recognized the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the third of a series of 14 articles that were prepared to advise guideline developers in respiratory and other diseases on considerations for group compositions and group processes in guideline development, and how this can be effectively integrated in the context of respiratory disease guidelines on a national and international level. We updated a review of the literature addressing group composition and group process, focusing on the following questions: 1. How to compose a functioning and representative guideline group; Who should be included in a guideline panel?; How to select organizations, groups, and individuals; What expertise is needed?; Consultation with non-included groups. 2. How to assure a functioning group process; How to make the process constructive; Balancing participation and finding agreement; Administrative support; What constitutes sufficient resources? Our conclusions are based on available evidence from published literature, experience from guideline developers, and workshop discussions. Formal studies addressing optimal processes in developing guidelines are limited, and experience from guideline organizations supplement the formal studies. When resources are available, guideline development groups should aim for multidisciplinary groups, including patients. Prerequisites for a multidisciplinary group include: a strong chair experienced in group facilitation with broad acceptance in the group, training the group in guideline methodology, and professional technical support. Formal consensus developing methods have proved effective in reaching agreement on the final recommendations.

NCCN Guidelines® Insights Bladder Cancer, Version 2.2016 Featured Updates to the NCCN Guidelines

Science.gov (United States)

Clark, Peter E.; Spiess, Philippe E.; Agarwal, Neeraj; Bangs, Rick; Boorjian, Stephen A.; Buyyounouski, Mark K.; Efstathiou, Jason A.; Flaig, Thomas W.; Friedlander, Terence; Greenberg, Richard E.; Guru, Khurshid A.; Hahn, Noah; Herr, Harry W.; Hoimes, Christopher; Inman, Brant A.; Kader, A. Karim; Kibel, Adam S.; Kuzel, Timothy M.; Lele, Subodh M.; Meeks, Joshua J.; Michalski, Jeff; Montgomery, Jeffrey S.; Pagliaro, Lance C.; Pal, Sumanta K.; Patterson, Anthony; Petrylak, Daniel; Plimack, Elizabeth R.; Pohar, Kamal S.; Porter, Michael P.; Sexton, Wade J.; Siefker-Radtke, Arlene O.; Sonpavde, Guru; Tward, Jonathan; Wile, Geoffrey; Dwyer, Mary A.; Smith, Courtney

2017-01-01

These NCCN Guidelines Insights discuss the major recent updates to the NCCN Guidelines for Bladder Cancer based on the review of the evidence in conjunction with the expert opinion of the panel. Recent updates include (1) refining the recommendation of intravesical bacillus Calmette-Guérin, (2) strengthening the recommendations for perioperative systemic chemotherapy, and (3) incorporating immunotherapy into second-line therapy for locally advanced or metastatic disease. These NCCN Guidelines Insights further discuss factors that affect integration of these recommendations into clinical practice. PMID:27697976

Facilitating value co-creation in networks

DEFF Research Database (Denmark)

Rasmussen, Mette Apollo

participants in varied ways come to grasp the meaning of networking. The dissertation draws on insights from the Service-Dominant (S-D) Logic to explain how networks can be seen as spheres for value co-creation. Co-creation as a theoretical construct has evolved from varied streams of service marketing...... of networking. The concept of “imaginative value” (Beckert, 2011) is used to explain the oscillating behaviors observed in the two networks. Imaginative value can be defined as symbolic value that actors ascribe to an object, in this case the network. I argue that the group practices in the networks led......The dissertation investigates through two ethnographic case studies how value co-creation takes place in inter-organizational networks that have been facilitated by a municipality. The contribution of the study to business network research is the emphasis on development phases of networks...

Intelligent Design Creationism: The New Kid on the Block

Science.gov (United States)

Scott, Eugenie C.

2000-03-01

Traditionally, the antievolution movement has been characterized by biblical literalists who hold that the universe (including living things) was created in its present form and has not appreciably changed since that creation event, which in the most familiar version, "young earth" creationism (YEC), occurred about 10,000 years ago. The YECs primarily are associated with not-for-profit organizations such as the Institute for Creation Research and Answers in Genesis. Now there is a "new kid on the [antievolutionist] block": Intelligent Design Creationism (IDC). IDC updates William Paley's 1801 "Argument from Design" that structural complexity requires an omniscient designer, with examples from biochemistry and cell biology. Unlike YEC, IDC's most prominent practitioners are academics associated with secular universities, such as lawyer Phillip Johnson of UC- Berkeley, and biochemist Michael Behe of Lehigh University. Like YECs, IDCs stress alleged "weaknesses" in evolution more than positive evidence for their position. IDCs avoid the Big Bang, the age of the Earth, the speed of light, and most other cosmological issues, but are very concerned with "disproving" biological evolution, the inference that living things shared common ancestry. They also argue that evolution is inherently anti-religious. Perhaps most disturbingly, they propose that supernatural explanations be allowed into science. Although the most prominent IDCs are based at secular universities, they produce little IDC scholarship. Refereed scholarly articles promoting IDC have been lacking, though books and articles for the general public and newspaper opinion/editorial pieces, appear in great quantity. IDC books are being used in philosophy of science, science studies, and other non-science courses where students may be misled into thinking that evolution is scientifically a "theory in crisis."

Vehicle recovery and towing guideline

Energy Technology Data Exchange (ETDEWEB)

NONE

2010-01-15

This guideline was developed to provide light and medium duty vehicles operators in the oil and gas industry with a set of best practices for avoiding injury and damage during the recovery of stuck vehicles. The aim of the guideline was to increase awareness of safety issues and promote the safe usage of the vehicles by personnel throughout the petroleum industry and to establish minimum standards of practice for vehicle recovery. The guideline included a step-by-step guide for pulling out a vehicle with a recovery strap as well as vehicle-mounted winch procedures. Pre-job checklists for both procedures were provided. Issues related to the strength rating of vehicle tow hooks and hitch receivers were discussed, as well as some of the hazards associated with steep terrains and heavy mud. The guideline also included recommendations for a vehicle recovery kit with instructions on vehicle recovery, a recovery strap, a recovery hitch and shackle, a collapsible shovel, traffic cones and reflector flares, and a heavy blanket and gloves. 7 refs., 2 tabs., 13 figs.

Including Children Dependent on Ventilators in School.

Science.gov (United States)

Levine, Jack M.

1996-01-01

Guidelines for including ventilator-dependent children in school are offered, based on experience with six such students at a New York State school. Guidelines stress adherence to the medical management plan, the school-family partnership, roles of the social worker and psychologist, orientation, transportation, classroom issues, and steps toward…

Science, evolution, and creationism

National Research Council Canada - National Science Library

Committee on Revising Science and Creationism

... are more comfortable. In the book Science, Evolution, and Creationism, a group of experts assembled by the National Academy of Sciences and the Institute of Medicine explain the fundamental methods of science, document...

Sustainable value creation through new industrial supply chains in apparel and fashion

Science.gov (United States)

Pal, R.; Sandberg, E.

2017-10-01

This paper explores the inter-organizational value creation, in apparel supply chain context, through circularity and digitalization for sustainability, by gathering evidences from vivid research experiences. It can be highlighted that inter-organizational value creation in both circular- and digital- apparel supply chains largely builds upon a variety of collaborative initiatives, and among a range of included members. Knowledge co-evolvement and business co-development, end-to-end integration and information transfer, and open networks are crucial to such collaborations - making development of new supply chain structures a meta-capability of apparel firms in the changing industrial landscape.

Perturbative neutrino pair creation by an external source

International Nuclear Information System (INIS)

Koers, Hylke B.J.

2005-01-01

We consider the rate of fermion-antifermion pair creation by an external field. We derive a rate formula that is valid for a coupling with arbitrary vector and axial vector components to first order in perturbation theory. This is then applied to study the creation of neutrinos by nuclear matter, a problem with astrophysical relevance. We present an estimate for the creation rate per unit volume, compare this to previous results and comment on the role of the neutrino mass

ZBrush Character Creation Advanced Digital Sculpting

CERN Document Server

Spencer, Scott

2011-01-01

A stunning, content-rich update to this top-selling ZBrush guide! This second edition of ZBrush Character Creation has been fully updated for ZBrush 4, the newest version of this fascinating and popular 3D sculpting software. ZBrush enables users to create detailed organic models using a brush-based toolset and tablet. The startling results look as though they've been painted with real brushes and oils, and ZBrush is increasingly popular for use in film, game, and broadcast pipelines. Author Scott Spencer is embedded in the ZBrush community and his movie credits include Harry Potter and The Or

Is co-creation really a booster for brand equity? The role of co-creation in observer-based equity (OBBE)

NARCIS (Netherlands)

Kristal, Samuel; Baumgarth, Carsten; Behnke, Carolin; Henseler, Jörg

2016-01-01

Purpose This paper aims to analyse the general effect of co-created products on the brand equity of observers (OBBE). The influence of different implementations of the co-creation approach on the OBBE is tested. It is also discussed whether co-creation can be a strategic method for companies to

76 FR 17064 - Shared Use Path Accessibility Guidelines

Science.gov (United States)

2011-03-28

...] RIN 3014-AA41 Shared Use Path Accessibility Guidelines AGENCY: Architectural and Transportation... (ANPRM) to develop accessibility guidelines for shared use paths. Shared use paths are designed for both... users. The guidelines will include technical provisions for making newly constructed and altered shared...

Research Guidelines in the Era of Large-scale Collaborations: An Analysis of Genome-wide Association Study Consortia

Science.gov (United States)

Austin, Melissa A.; Hair, Marilyn S.; Fullerton, Stephanie M.

2012-01-01

Scientific research has shifted from studies conducted by single investigators to the creation of large consortia. Genetic epidemiologists, for example, now collaborate extensively for genome-wide association studies (GWAS). The effect has been a stream of confirmed disease-gene associations. However, effects on human subjects oversight, data-sharing, publication and authorship practices, research organization and productivity, and intellectual property remain to be examined. The aim of this analysis was to identify all research consortia that had published the results of a GWAS analysis since 2005, characterize them, determine which have publicly accessible guidelines for research practices, and summarize the policies in these guidelines. A review of the National Human Genome Research Institute’s Catalog of Published Genome-Wide Association Studies identified 55 GWAS consortia as of April 1, 2011. These consortia were comprised of individual investigators, research centers, studies, or other consortia and studied 48 different diseases or traits. Only 14 (25%) were found to have publicly accessible research guidelines on consortia websites. The available guidelines provide information on organization, governance, and research protocols; half address institutional review board approval. Details of publication, authorship, data-sharing, and intellectual property vary considerably. Wider access to consortia guidelines is needed to establish appropriate research standards with broad applicability to emerging forms of large-scale collaboration. PMID:22491085

Value Creation by Process-Oriented Project Management

NARCIS (Netherlands)

Geijtenbeek, W.; Eekelen, van A.L.M.; Kleine, A.J.; Favie, R.; Maas, G.J.; Milford, R.

2007-01-01

The start of a design process based on value creation requires a different approach and new models. The aim of this study is to provide insight into how a design process based on value creation can be initiated. The intended result of the study is the design of the of a collaboration model that can

FRW-type cosmologies with adiabatic matter creation

International Nuclear Information System (INIS)

Lima, J.A.; Germano, A.S.; Abramo, L.R.

1996-01-01

Some properties of cosmological models with matter creation are investigated in the framework of the Friedmann-Robertson-Walker line element. For adiabatic matter creation, as developed by Prigogine and co-workers, we derive a simple expression relating the particle number density n and energy density ρ which holds regardless of the matter creation rate. The conditions to generate inflation are discussed and by considering the natural phenomenological matter creation rate ψ=3βnH, where β is a pure number of the order of unity and H is the Hubble parameter, a minimally modified hot big-bang model is proposed. The dynamic properties of such models can be deduced from the standard ones simply by replacing the adiabatic index γ of the equation of state by an effective parameter γ * =γ(1-β). The thermodynamic behavior is determined and it is also shown that ages large enough to agree with observations are obtained even given the high values of H suggested by recent measurements. copyright 1996 The American Physical Society

NEW VENTURE CREATION: HOW START-UPS GROW?

Directory of Open Access Journals (Sweden)

AIDIN SALAMZADEH

Full Text Available ABSTRACT Start-ups, often seen as sources of innovation and change, are prone to failure and accordingly they are attracting considerable attention not least from policy makers and Government officials. However, the various new venture creation studies that have emerged since the early 1980s lack cohesiveness, and the domain remains controversial. This article not only exposes the limitations of the existing body of understanding on the topic but attempts to develop a more comprehensive and comprehendible framework for start up (new venture creation. To do so it uses the frameworks proposed by Whetten, and March and Smith to develop 11 propositions. The resultant model suggests that the creation of a start up involves the identification of an idea or opportunity by an entrepreneur who subsequently organizes a series of activities, mobilizes resources and creates competence using his/her networks in an environment in order to create value. It sheds light on the start-up (new venture creation process and has relevance for entrepreneurs, policy makers and researchers.

Particle creations in the pseudoparticle gravitational fields

International Nuclear Information System (INIS)

Tomimatsu, Akira.

1978-03-01

The origin of black hole radiation seems to be of a pseudoparticle nature with a non-vanishing Euler characteristic of the Schwarzshild metric. In order to develop this idea, the particle creation in another typical pseudoparticle space-time, which was derived by rewriting the Belavin-type vector potential into a metric form through the SL(2, C) gauge theory of general relativity, is analyzed. It is shown by the path-integral approach that the particle creation can indeed occur, with an incomplete thermal energy spectrum because of its non-uniform temperature and non-zero chemical potential. Some discussions on the results and the comparisons with the cases of black hole radiation and cosmological particle creation are also made. (auth.)

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

Directory of Open Access Journals (Sweden)

Lemieux-Charles Louise

2009-07-01

Full Text Available Abstract Background Practice guidelines can improve health care delivery and outcomes but several issues challenge guideline adoption, including their intrinsic attributes, and whether and how they are implemented. It appears that guideline format may influence accessibility and ease of use, which may overcome attitudinal barriers of guideline adoption, and appear to be important to all stakeholders. Guideline content may facilitate various forms of decision making about guideline adoption relevant to different stakeholders. Knowledge and attitudes about, and incentives and capacity for implementation on the part of guideline sponsors may influence whether and how they develop guidelines containing these features, and undertake implementation. Examination of these issues may yield opportunities to improve guideline adoption. Methods The attributes hypothesized to facilitate adoption will be expanded by thematic analysis, and quantitative and qualitative summary of the content of international guidelines for two primary care (diabetes, hypertension and institutional care (chronic ulcer, chronic heart failure topics. Factors that influence whether and how guidelines are implemented will be explored by qualitative analysis of interviews with individuals affiliated with guideline sponsoring agencies. Discussion Previous research examined guideline implementation by measuring rates of compliance with recommendations or associated outcomes, but this produced little insight on how the products themselves, or their implementation, could be improved. This research will establish a theoretical basis upon which to conduct experimental studies to compare the cost-effectiveness of interventions that enhance guideline development and implementation capacity. Such studies could first examine short-term outcomes predictive of guideline utilization, such as recall, attitude toward, confidence in, and adoption intention. If successful, then long-term objective

Dynamic wormholes with particle creation mechanism

Energy Technology Data Exchange (ETDEWEB)

Pan, Supriya; Chakraborty, Subenoy [Jadavpur University, Department of Mathematics, Kolkata (India)

2015-01-01

The present work deals with a spherically symmetric space-time which is asymptotically (at spatial infinity) FRW space-time and represents wormhole configuration: The matter component is divided into two parts - (a) dissipative but homogeneous and isotropic fluid, and (b) an inhomogeneous and anisotropic barotropic fluid. Evolving wormhole solutions are obtained when isotropic fluid is phantom in nature and there is a big rip singularity at the end. Here the dissipative phenomena is due to the particle creation mechanism in non-equilibrium thermodynamics. Using the process to be adiabatic, the dissipative pressure is expressed linearly to the particle creation rate. For two choices of the particle creation rate as a function of the Hubble parameter, the equation of state parameter of the isotropic fluid is constrained to be in the phantom domain, except in one choice, it is possible to have wormhole configuration with normal isotropic fluid. (orig.)

Nonmedical interventions for children with ASD: recommended guidelines and further research needs.

Science.gov (United States)

Maglione, Margaret A; Gans, Daphna; Das, Lopamudra; Timbie, Justin; Kasari, Connie

2012-11-01

To use the findings of a systematic review of scientific evidence to develop consensus guidelines on nonmedical interventions that address cognitive function and core deficits in children with autism spectrum disorders (ASDs) and to recommend priorities for future research. The guidelines were developed by a Technical Expert Panel (TEP) consisting of practitioners, researchers, and parents. A systematic overview of research findings was presented to the TEP; guideline statements were drafted, discussed, debated, edited, reassessed, and presented for formal voting. The strength of evidence of efficacy varied by intervention type from insufficient to moderate. There was some evidence that greater intensity of treatment (hours per week) and greater duration (in months) led to better outcomes. The TEP agreed that children with ASD should have access to at least 25 hours per week of comprehensive intervention to address social communication, language, play skills, and maladaptive behavior. They agreed that applied behavioral analysis, integrated behavioral/developmental programs, the Picture Exchange Communication System, and various social skills interventions have shown efficacy. Based on identified gaps, they recommend that future research focus on assessment and monitoring of outcomes, addressing the needs of pre/nonverbal children and adolescents, and identifying the most effective strategies, dose, and duration to improve specific core deficits. The creation of treatment guidelines and recommendations for future research represents an effort by leading experts to improve access to services for children with ASDs while acknowledging that the research evidence has many gaps.

Main-coolant-pump shaft-seal guidelines. Volume 1. Maintenance-manual guidelines. Final report

International Nuclear Information System (INIS)

Fair, C.E.; Greer, A.O.

1983-03-01

This report presents a set of guidelines and a listing of information and data which should be included in maintenance manuals and procedures for Main Coolant Pump Shaft Seals. The noted guidelines and data listing are developed from EPRI sponsored nuclear plant seal operating experience studies. The maintenance oriented results of the most recent such study is summarized. The shaft seal and its auxiliary supporting systems are discussed from both technical and maintenance related viewpoints

Mobile, Collaborative Situated Knowledge Creation for Urban Planning

Directory of Open Access Journals (Sweden)

Nelson Baloian

2012-05-01

Full Text Available Geo-collaboration is an emerging research area in computer sciences studying the way spatial, geographically referenced information and communication technologies can support collaborative activities. Scenarios in which information associated to its physical location are of paramount importance are often referred as Situated Knowledge Creation scenarios. To date there are few computer systems supporting knowledge creation that explicitly incorporate physical context as part of the knowledge being managed in mobile face-to-face scenarios. This work presents a collaborative software application supporting visually-geo-referenced knowledge creation in mobile working scenarios while the users are interacting face-to-face. The system allows to manage data information associated to specific physical locations for knowledge creation processes in the field, such as urban planning, identifying specific physical locations, territorial management, etc.; using Tablet-PCs and GPS in order to geo-reference data and information. It presents a model for developing mobile applications supporting situated knowledge creation in the field, introducing the requirements for such an application and the functionalities it should have in order to fulfill them. The paper also presents the results of utility and usability evaluations.

Examine the Role of Brand Experience in Value Co-creation.

OpenAIRE

Khachontantiphop, Phalida

2011-01-01

The previous experience with brand influences the consumer decision and consumer behavior. The brand is significant criteria in the evaluation of brand alternatives, especially co-creation of value. The co-creation offering is able to assess when the consumer participate and consume it. The consumer has the difficulty to make the purchasing decision. Moreover, the co-creation requires the higher involvement from the consumer to participate in the co-creation process with the company. The bran...

Life after stoma creation

DEFF Research Database (Denmark)

Danielsen, Anne Kjærgaard

2013-01-01

, as well as an alteration in the bodily design. Research in the field may provide additional information about central elements when adapting to life with a stoma. There are currently no studies that adequately focus on the relationship between health-related quality of life and stoma construction...... in a Danish context, neither for temporary or permanent construction, nor in relation to the importance of stoma handling. Purpose: The overall objective of the study was to investigate health-related quality of life related to stoma creation and patient education. Methodologically, the project......: Impact on everyday life and Educational Needs. The study included 15 participants who were interviewed in groups related to whether they were treated for cancer or non-cancer. The results showed that participants often experienced the stoma as a taboo, and emotions related to stigma were identified...

Comparison between photon annihilation-then-creation and photon creation-then-annihilation thermal states: Non-classical and non-Gaussian properties

Science.gov (United States)

Xu, Xue-Xiang; Yuan, Hong-Chun; Wang, Yan

2014-07-01

We investigate the nonclassical properties of arbitrary number photon annihilation-then-creation operation (AC) and creation-then-annihilation operation (CA) to the thermal state (TS), whose normalization factors are related to the polylogarithm function. Then we compare their quantum characters, such as photon number distribution, average photon number, Mandel Q-parameter, purity and the Wigner function. Because of the noncommutativity between the annihilation operator and the creation operator, the ACTS and the CATS have different nonclassical properties. It is found that nonclassical properties are exhibited more strongly after AC than after CA. In addition we also examine their non-Gaussianity. The result shows that the ACTS can present a slightly bigger non-Gaussianity than the CATS.

Comparison between photon annihilation-then-creation and photon creation-then-annihilation thermal states: Non-classical and non-Gaussian properties

International Nuclear Information System (INIS)

Xu Xue-Xiang; Wang Yan; Yuan Hong-Chun

2014-01-01

We investigate the nonclassical properties of arbitrary number photon annihilation-then-creation operation (AC) and creation-then-annihilation operation (CA) to the thermal state (TS), whose normalization factors are related to the polylogarithm function. Then we compare their quantum characters, such as photon number distribution, average photon number, Mandel Q-parameter, purity and the Wigner function. Because of the noncommutativity between the annihilation operator and the creation operator, the ACTS and the CATS have different nonclassical properties. It is found that nonclassical properties are exhibited more strongly after AC than after CA. In addition we also examine their non-Gaussianity. The result shows that the ACTS can present a slightly bigger non-Gaussianity than the CATS. (general)

Creation of particles by time-dependent gravitational fields

International Nuclear Information System (INIS)

Castagnino, M.; Weder, R.

1979-01-01

A method based on the formulation of a quantum equivalence principle is introduced in order to define particle annihilation and creation operators during the expansion of the universe. Our theory predicts the creation of a finite number of particles. (orig.)

Entrepreneuring as Organisation-Creation

DEFF Research Database (Denmark)

Hjorth, Daniel

2014-01-01

This chapter aims at making a contribution to the study of entrepreneurship and creativity by developing a processual conceptualisation of a form of entrepreneurial creativity called entrepreneuring or organisation-creation. Such a processual conceptualisation of entrepreneuring will answer...

Dirac equation in 2-dimensional curved spacetime, particle creation, and coupled waveguide arrays

Energy Technology Data Exchange (ETDEWEB)

Koke, Christian, E-mail: christian.koke@stud.uni-heidelberg.de [Institut für theoretische Physik, Philosophenweg 16, D-69120 Heidelberg (Germany); Noh, Changsuk, E-mail: changsuk@kias.re.kr [Korea Institute for Advanced Study, 85 Hoegiro, Seoul 130-722 (Korea, Republic of); Angelakis, Dimitris G., E-mail: dimitris.angelakis@gmail.com [Centre for Quantum Technologies, National University of Singapore, 2 Science Drive 3, 117542 (Singapore); School of Electronic and Computer Engineering, Technical University of Crete, Chania, Crete, 73100 (Greece)

2016-11-15

When quantum fields are coupled to gravitational fields, spontaneous particle creation may occur similarly to when they are coupled to external electromagnetic fields. A gravitational field can be incorporated as a background spacetime if the back-action of matter on the field can be neglected, resulting in modifications of the Dirac or Klein–Gordon equations for elementary fermions and bosons respectively. The semi-classical description predicts particle creation in many situations, including the expanding-universe scenario, near the event horizon of a black hole (the Hawking effect), and an accelerating observer in flat spacetime (the Unruh effect). In this work, we give a pedagogical introduction to the Dirac equation in a general 2D spacetime and show examples of spinor wave packet dynamics in flat and curved background spacetimes. In particular, we cover the phenomenon of particle creation in a time-dependent metric. Photonic analogs of these effects are then proposed, where classical light propagating in an array of coupled waveguides provides a visualisation of the Dirac spinor propagating in a curved 2D spacetime background. The extent to which such a single-particle description can be said to mimic particle creation is discussed.

Making Sense of Value and Value Co-Creation in Service Logic

OpenAIRE

Grönroos, Christian; Voima, Päivi

2012-01-01

In order to further develop the logic of service, value creation, value co-creation and value have to be formally and rigorously defined, so that the nature, content and locus of value and the roles of service providers and customers in value creation can be unambiguously assessed. In the present article, following the underpinning logic of value-in-use, it is demonstrated that in order to achieve this, value creation is best defined as the customer’s creation of value-in-use. The analysis sh...

Guidelines for Physical Activity during Pregnancy: Comparisons From Around the World

Science.gov (United States)

Evenson, Kelly R.; Barakat, Ruben; Brown, Wendy J.; Dargent-Molina, Patricia; Haruna, Megumi; Mikkelsen, Ellen M.; Mottola, Michelle F.; Owe, Katrine M.; Rousham, Emily K.; Yeo, SeonAe

2013-01-01

Introduction Women attain numerous benefits from physical activity during pregnancy. However, due to physical changes that occur during pregnancy, special precautions are also needed. This review summarizes current guidelines for physical activity among pregnant women worldwide. Methods We searched PubMed (MedLINE) for country-specific governmental and clinical guidelines on physical activity during pregnancy through the year 2012. We cross-referenced with articles referring to guidelines, with only the most recent included. An abstraction form was used to extract key details and summarize. Results In total, 11 guidelines were identified from nine countries (Australia, Canada, Denmark, France, Japan, Norway, Spain, United Kingdom, United States). Most guidelines supported moderate intensity physical activity during pregnancy (10/11) and indicated specific frequency (9/11) and duration/time (9/11) recommendations. Most guidelines provided advice on initiating an exercise program during pregnancy (10/11). Six guidelines included absolute and relative contraindications to exercise. All guidelines generally ruled-out sports with risks of falls, trauma, or collisions. Six guidelines included indications for stopping exercise during pregnancy. Conclusion This review contrasted pregnancy-related physical activity guidelines from around the world, and can help to inform new guidelines as they are created or updated, and facilitate the development of a worldwide guideline. PMID:25346651

Short-term Outcomes After Open and Laparoscopic Colostomy Creation.

Science.gov (United States)

Ivatury, Srinivas Joga; Bostock Rosenzweig, Ian C; Holubar, Stefan D

2016-06-01

Colostomy creation is a common procedure performed in colon and rectal surgery. Outcomes by technique have not been well studied. This study evaluated outcomes related to open versus laparoscopic colostomy creation. This was a retrospective review of patients undergoing colostomy creation using univariate and multivariate propensity score analyses. Hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program database were included. Data on patients were obtained from the American College of Surgeons National Surgical Quality Improvement Program 2005-2011 Participant Use Data Files. We measured 30-day mortality, 30-day complications, and predictors of 30-day mortality. A total of 2179 subjects were in the open group and 1132 in the laparoscopic group. The open group had increased age (open, 64 years vs laparoscopic, 60 years), admission from facility (17.0% vs 14.9%), and disseminated cancer (26.1% vs 21.4%). All were statistically significant. The open group had a significantly higher percentage of emergency operations (24.9% vs 7.9%). Operative time was statistically different (81 vs 86 minutes). Thirty-day mortality was significantly higher in the open group (8.7% vs 3.5%), as was any 30-day complication (25.4% vs 17.0%). Propensity-matching analysis on elective patients only revealed that postoperative length of stay and rate of any wound complication were statistically higher in the open group. Multivariate analysis for mortality was performed on the full, elective, and propensity-matched cohorts; age >65 years and dependent functional status were associated with an increased risk of mortality in all of the models. This study has the potential for selection bias and limited generalizability. Colostomy creation at American College of Surgeons National Surgical Quality Improvement Program hospitals is more commonly performed open rather than laparoscopically. Patient age >65 years and dependent functional status are

Positron creation in heavy ion collisions: The influence of the magnetic field

International Nuclear Information System (INIS)

Soff, G.; Reinhardt, J.

1988-03-01

We calculate the creation of positrons in heavy-ion collisions including the influence of the magnetic dipole field produced by the moving nuclei. Contrary to a recent claim we find no narrow structures in the positron energy spectrum. (orig.)

Distinctive Dynamic Capabilities for New Business Creation

DEFF Research Database (Denmark)

Rosenø, Axel; Enkel, Ellen; Mezger, Florian

2013-01-01

This study examines the distinctive dynamic capabilities for new business creation in established companies. We argue that these are very different from those for managing incremental innovation within a company's core business. We also propose that such capabilities are needed in both slow...... and fast-paced industries, and that similarities exist across industries. Hence, the study contributes to dynamic capabilities literature by: 1) identifying the distinctive dynamic capabilities for new business creation; 2) shifting focus away from dynamic capabilities in environments characterised by high...... clock-speed and uncertainty towards considering dynamic capabilities for the purpose of developing new businesses, which also implies a high degree of uncertainty. Based on interviews with 33 companies, we identify distinctive dynamic capabilities for new business creation, find that dynamic...

Guidelines for evaluation of the environmental expense

International Nuclear Information System (INIS)

Komatsu, Cintia Nagako; Aquino, Afonso Rodrigues de

2009-01-01

The main objective of this research is to establish guidelines to fit the Environment Account in the Nuclear Fuel Cycle, using as study of case the Uranium Hexafluoride Production Unit of Centro Tecnologico da Marinha in Sao Paulo. The environment accounting, branch of the accounting science, supply a source of tools capable to measure the protection efforts, the nature preservation, the environment monitoring and the recovering during all the Conversion phase (since the Uranium concentrated, the yellow cake, up to the Uranium hexafluoride production). It was performed several researches, visits to the Centre, databank creation, interviews and extensive consulting to the preliminary safety report, in order to obtain the percentage of the total expenses related to environment protection in regarding to the total amount invested in the unit. It was also evaluated the total preserved green area making possible a preliminary environment accounting balance. (author)

ASSET guidelines. Revised 1991 Edition

International Nuclear Information System (INIS)

1991-12-01

The present publication is an updated version of the IAEA Assessment of Safety Significant Events Team (ASSET) Guidelines, IAEA-TECDOC-573, published in 1990. Sections 5 and 6 include revised definitions and investigation guidelines for identification of both direct and root causes. These revisions were recommended by a Consultants Meeting held in Vienna on 3-7 December 1990. This guidance is not intended to infringe an expert's prerogative to investigate additional items. Its main purpose is to provide a basic structure and ensure consistency in the assessments. Use of the ASSET guidelines should also facilitate comparison between the observations made in different nuclear power plants and harmonize the reporting of generic ASSET results. The guidelines should always be used with a critical attitude and a view to possible improvements

The Effects of the Value Co-Creation Process on the Consumer and the Company

Directory of Open Access Journals (Sweden)

María Ángeles GARCÍA HARO

2014-12-01

Full Text Available This article analyzes the concept of value co-creation, which has arisen due to the combination of various modern influences - including economic globalization, changes in consumers’ buying habits, and the emergence of the Internet and social media - that have changed the way companies innovate. These factors also have transformed the traditional marketing paradigm, such that companies must continually innovate to create and maintain long-term relationships with their consumers and thus competitive advantages. This study analyzes practices of co-creation and seeks to establish a theoretical research framework; the authors also identify the key effects and results of co-creation activities for both companies and consumers. By integrating situational and moderating variables, the proposed theoretical model covers multiple dimensions and offers a comprehensive approach to the topic.

Small and Medium Enterprises, Job Creation, and Sustainability ...

International Development Research Centre (IDRC) Digital Library (Canada)

Small and Medium Enterprises, Job Creation, and Sustainability: Maximizing ... job creation, human capital, and green production and technologies will only materialize if ... IWRA/IDRC webinar on climate change and adaptive water management. International Water Resources Association, in close collaboration with IDRC, ...

How can we improve guideline use? A conceptual framework of implementability

Directory of Open Access Journals (Sweden)

Lemieux-Charles Louise

2011-03-01

Full Text Available Abstract Background Guidelines continue to be underutilized, and a variety of strategies to improve their use have been suboptimal. Modifying guideline features represents an alternative, but untested way to promote their use. The purpose of this study was to identify and define features that facilitate guideline use, and examine whether and how they are included in current guidelines. Methods A guideline implementability framework was developed by reviewing the implementation science literature. We then examined whether guidelines included these, or additional implementability elements. Data were extracted from publicly available high quality guidelines reflecting primary and institutional care, reviewed independently by two individuals, who through discussion resolved conflicts, then by the research team. Results The final implementability framework included 22 elements organized in the domains of adaptability, usability, validity, applicability, communicability, accommodation, implementation, and evaluation. Data were extracted from 20 guidelines on the management of diabetes, hypertension, leg ulcer, and heart failure. Most contained a large volume of graded, narrative evidence, and tables featuring complementary clinical information. Few contained additional features that could improve guideline use. These included alternate versions for different users and purposes, summaries of evidence and recommendations, information to facilitate interaction with and involvement of patients, details of resource implications, and instructions on how to locally promote and monitor guideline use. There were no consistent trends by guideline topic. Conclusions Numerous opportunities were identified by which guidelines could be modified to support various types of decision making by different users. New governance structures may be required to accommodate development of guidelines with these features. Further research is needed to validate the proposed

Higher-order nonclassical effects generated by multiple-photon annihilation-then-creation and creation-then-annihilation coherent states

International Nuclear Information System (INIS)

Yuan Hong-Chun; Xiao Jin; Xiong Chao; Zhu Xi-Fang; Xu Xue-Xiang

2016-01-01

We explore two observable nonclassical properties of quantum states generated by repeatedly operating annihilation-then-creation (AC) and creation-then-annihilation (CA) on the coherent state, respectively, such as higher-order sub-Poissonian statistics and higher-order squeezing-enhanced effect. The corresponding analytical expressions are derived in detail depending on m . By numerically comparing those quantum properties, it is found that these states above have very different nonclassical properties and nonclassicality is exhibited more strongly after AC operation than after CA operation. (paper)

Statistical effect of interactions on particle creation in expanding universe

International Nuclear Information System (INIS)

Kodama, Hideo

1982-01-01

The statistical effect of interactions which drives many-particle systems toward equilibrium is expected to change the qualitative and quantitative features of particle creation in expanding universe. To investigate this problem a simplified model called the finite-time reduction model is formulated and applied to the scalar particle creation in the radiation dominant Friedmann universe. The number density of created particles and the entropy production due to particle creation are estimated. The result for the number density is compared with that in the conventional free field theory. It is shown that the statistical effect increases the particle creation and lengthens the active creation period. As for the entropy production it is shown that it is negligible for scalar particles in the Friedmann universe. (author)

Systematic review of recent dementia practice guidelines.

Science.gov (United States)

Ngo, Jennifer; Holroyd-Leduc, Jayna M

2015-01-01

dementia is a highly prevalent acquired cognitive disorder that interferes with activities of daily living, relationships and quality of life. Recognition and effective management strategies are necessary to provide comprehensive care for these patients and their families. High-quality clinical practice guidelines can improve the quality and consistency of care in all aspects of dementia diagnosis and management by clarifying interventions supported by sound evidence and by alerting clinicians to interventions without proven benefit. we aimed to offer a synthesis of existing practice recommendations for the diagnosis and management of dementia, based upon moderate-to-high quality dementia guidelines. we performed a systematic search in EMBASE and MEDLINE as well as the grey literature for guidelines produced between 2008 and 2013. thirty-nine retrieved practice guidelines were included for quality appraisal by the Appraisal of Guidelines Research and Evaluation II (AGREE-II) tool, performed by two independent reviewers. From the 12 moderate-to-high quality guidelines included, specific practice recommendations for the diagnosis and/or management of any aspect of dementia were extracted for comparison based upon the level of evidence and strength of recommendation. there was a general agreement between guidelines for many practice recommendations. However, direct comparisons between guidelines were challenging due to variations in grading schemes. © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Numerical studies of pair creation in counterpropagating laser fields

Energy Technology Data Exchange (ETDEWEB)

Ruf, Matthias

2009-05-27

Pair creation from vacuum induced by electromagnetic fields is probably one of the most intriguing phenomena in physics. If the fields are sufficiently strong, the QED vacuum become unstable. Due to the remarkable progress in laser technology during recent years an experimental investigation of pair creation by pure laser light is coming into reach. The focus of this thesis is on pair creation in counterpropagating laser beams. The pair creation probability is calculated employing the numerically obtained solutions of the Dirac equation. This numerical ansatz has the capability of calculating the momentum distribution of the created pairs in a single propagation, for pure time dependent field configurations. Furthermore, it allows to take the magnetic component of the laser fields into account, which is usually neglected. The latter strongly affects the creation process at high laser frequency. The involved numerical calculations are rather time consuming, therefore the second project of this thesis was to develop a highly efficient code for solving relativistic quantum mechanical problems. This is accomplished by adopting the split-operator method to the Klein-Gordon equation. Here the possibility arises to use parallel computing. However the corresponding spin-statistics becomes crucial in the case of pair creation, demonstrated in several examples. (orig.)

Numerical studies of pair creation in counterpropagating laser fields

International Nuclear Information System (INIS)

Ruf, Matthias

2009-01-01

Pair creation from vacuum induced by electromagnetic fields is probably one of the most intriguing phenomena in physics. If the fields are sufficiently strong, the QED vacuum become unstable. Due to the remarkable progress in laser technology during recent years an experimental investigation of pair creation by pure laser light is coming into reach. The focus of this thesis is on pair creation in counterpropagating laser beams. The pair creation probability is calculated employing the numerically obtained solutions of the Dirac equation. This numerical ansatz has the capability of calculating the momentum distribution of the created pairs in a single propagation, for pure time dependent field configurations. Furthermore, it allows to take the magnetic component of the laser fields into account, which is usually neglected. The latter strongly affects the creation process at high laser frequency. The involved numerical calculations are rather time consuming, therefore the second project of this thesis was to develop a highly efficient code for solving relativistic quantum mechanical problems. This is accomplished by adopting the split-operator method to the Klein-Gordon equation. Here the possibility arises to use parallel computing. However the corresponding spin-statistics becomes crucial in the case of pair creation, demonstrated in several examples. (orig.)

The conundrum of hodgkin lymphoma nodes: To be or not to be included in the involved node radiation fields. The EORTC-GELA lymphoma group guidelines

International Nuclear Information System (INIS)

Girinsky, Theodore; Specht, Lena; Ghalibafian, Mithra; Edeline, Veronique; Bonniaud, Guillaume; Maazen, Richard van der; Aleman, Berthe; Paumier, Amaury; Meijnders, Paul; Lievens, Yolande; Noordijk, Evert; Poortmans, Philip

2008-01-01

Purpose: To develop easily applicable guidelines for the determination of initially involved lymph nodes to be included in the radiation fields. Patients and methods: Patients with supra-diaphragmatic Hodgkin lymphoma. All the imaging procedures were carried out with patients in the treatment position. The prechemotherapy PET/CT was coregistered with the postchemotherapy CT simulation for planning purposes. Initially involved lymph nodes were determined on fused prechemotherapy CT and FDG-PET imaging data. The initial assessment was verified with the postchemotherapy CT scan. Results: The classic guidelines for determining the involvement of lymph nodes were not easily applicable and did not seem to reflect the exact extent of Hodgkin lymphoma. Three simple steps were used to pinpoint involved lymph nodes. First, FDG-PET scans were meticulously analysed to detect lymph nodes that were overlooked on CT imaging. Second, any morphological and/or functional asymmetry was sought on CT and FDG-PET scans. Third, a decrease in size or the disappearance of initially visible lymph nodes on the prechemotherapy CT scan as compared to the postchemotherapy CT scan was considered as surrogate proof of initial involvement. Conclusions: All the radiological procedures should be performed on patients in the treatment position for proper coregistration. It is highly advisable that all CT and/or CT/PET scans be performed with IV contrast. Using the above-mentioned three simple guidelines, initially involved lymph nodes can be detected with very satisfactory accuracy. It is also emphasized that the classic guidelines (2, 3, 4) can always be used when deemed necessary

Changing public service delivery: learning in co-creation

NARCIS (Netherlands)

Voorberg, William; Bekkers, Victor; Timeus, Krista; Tonurist, Piret; Tummers, L.G.

2017-01-01

Co-creation – where citizens and public organizations work together to deal with societal issues – is increasingly considered as a fertile solution for various public service delivery problems. During co-creation, citizens are not mere consumers, but are actively engaged in building resilient

Taking stock of project value creation: A structured literature review with future directions for research and practice

DEFF Research Database (Denmark)

Laursen, Markus; Svejvig, Per

2016-01-01

This paper aims to take stock of what we know about project value creation and to present future directions for research and practice. We performed an explorative and unstructured literature review, which was subsequently paired with a structured literature review. We join several research areas...... by adopting the project value creation perspective on literature relating to benefits, value, performance, and success in projects. Our review includes 111 contributions analyzed through both an inductive and deductive approach. We find that relevant literature dates back to the early 1980s, and the still...... developing value-centric view has been the subject of many publications in recent years. We contribute to research on project value creation through four directions for future research: rejuvenating value management through combining value, benefits, and costs; supplementing value creation with value capture...

SMEs’ Wealth Creation Model of an Emerging Economy

Directory of Open Access Journals (Sweden)

Olalekan Usiobaifo ASIKHIA

2016-05-01

Full Text Available This article synthesizes the evidence on SMEs’ wealth creation in an emerging economy, paying particular attention to human resource/expertise, technology adoption, innovation and creativity, unit economies, organizational infrastructure and strategy as determinants of SMEs’ wealth creation. A survey of 581 Nigerian SMEs was conducted and the data was analysed and tested using multiple regression and structural equation modelling. The findings revealed Human resource/CEOs expertise as the highest contributory factor to wealth creation within the firm in the industrial and the commercial sectors. The relevant domains were modelled and relevant policy adjustments were suggested.

Nature and sculpture in the creation of African theatre scenery | Iwuh ...

African Journals Online (AJOL)

The meaning of space is defined by the images contained in that space. Creating scenery for the theatre as an indoor activity involves either the creation of imaginary forms or the replication of existing images around the creator's environment. These imported items include natural vegetation, architecture, sculpture and ...

VISMASHUP: streamlining the creation of custom visualization applications

Energy Technology Data Exchange (ETDEWEB)

Ahrens, James P [Los Alamos National Laboratory; Santos, Emanuele [UNIV OF UTAH; Lins, Lauro [UNIV OF UTAH; Freire, Juliana [UNIV OF UTAH; Silva, Cl' audio T [UNIV OF UTAH

2010-01-01

Visualization is essential for understanding the increasing volumes of digital data. However, the process required to create insightful visualizations is involved and time consuming. Although several visualization tools are available, including tools with sophisticated visual interfaces, they are out of reach for users who have little or no knowledge of visualization techniques and/or who do not have programming expertise. In this paper, we propose VISMASHUP, a new framework for streamlining the creation of customized visualization applications. Because these applications can be customized for very specific tasks, they can hide much of the complexity in a visualization specification and make it easier for users to explore visualizations by manipulating a small set of parameters. We describe the framework and how it supports the various tasks a designer needs to carry out to develop an application, from mining and exploring a set of visualization specifications (pipelines), to the creation of simplified views of the pipelines, and the automatic generation of the application and its interface. We also describe the implementation of the system and demonstrate its use in two real application scenarios.

25 CFR 163.81 - Assessment guidelines.

Science.gov (United States)

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Assessment guidelines. 163.81 Section 163.81 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER GENERAL FORESTRY REGULATIONS Program Assessment § 163.81 Assessment guidelines. Assessments shall be national in scope and shall include: (a) An...

Actinic Keratosis Clinical Practice Guidelines: An Appraisal of Quality

Directory of Open Access Journals (Sweden)

Joslyn S. Kirby

2015-01-01

Full Text Available Actinic keratosis (AK is a common precancerous skin lesion and many AK management guidelines exist, but there has been limited investigation into the quality of these documents. The objective of this study was to assess the strengths and weaknesses of guidelines that address AK management. A systematic search for guidelines with recommendations for AK was performed. The Appraisal of Guidelines for Research and Evaluation (AGREE II was used to appraise the quality of guidelines. Multiple raters independently reviewed each of the guidelines and applied the AGREE II tool and scores were calculated. Overall, 2,307 citations were identified and 7 fulfilled the study criteria. The Cancer Council of Australia/Australian Cancer Network guideline had the highest mean scores and was the only guideline to include a systematic review, include an evidence rating for recommendations, and report conflicts of interest and funding sources. High-quality, effective guidelines are evidence-based with recommendations that are concise and organized, so practical application is facilitated. Features such as concise tables, pictorial diagrams, and explicit links to evidence are helpful. However, the rigor and validity of some guidelines were weak. So, it is important for providers to be aware of the features that contribute to a high-quality, practical document.

Scalar particle creation in an anisotropic universe

International Nuclear Information System (INIS)

Berger, B.K.

1975-01-01

The problem of quantized scalar field creation in an anisotropic spatially homogeneous background universe is reexamined from a Schroedinger-picture point of view. For each mode a complete set of orthonormal wave functions, psi/subN/, is obtained using the method of Salusti and Zirilli. These wave functions are valid at all times even if there is an initial cosmological singularity and depend only on the solution of the classical equation of motion. The wave functions are fixed completely by requiring the classical solution to have positive-frequency WKB form when the universe reaches the stage of adiabatic expansion. These wave functions are eigenfunctions of a conserved number operator which has the usual particle interpretation in the adiabatic regime. An intitial state near the singularity is chosen as a superposition of the wave functions, psi/subN/, and the particle number in the adiabatic regime is calculated. For plane-wave initial states, which follow the classical behavior near the singularity, the final particle number depends only on the parameters of the initial wave packet. For an initial state which instantaneously diagonalizes the Hamiltonian, an (arbitrary) initial time must be chosen. If the mode in question is in the adiabatic regime at that time almost no particle creation occurs. If it is not adiabatic, creation occurs and becomes infinite if the initial time is taken to be that of the singularity. This creation is a consequence of the failure of particle number to be well defined in this regime. Comparisons with other particle-creation studies are made

Human Capital-Intensive Firms and Symbolic Value Creation

Directory of Open Access Journals (Sweden)

Cezanne Cécile

2014-06-01

Full Text Available The aim of this paper is to study the process of symbolic value creation of human capital-intensive firms. Human capital is a critical resource for firms’ activities. Nevertheless, this dimension is often obscured by industrial economists. In the light of critical resource theory, we analyze how taking into account the inalienable and inimitable nature of specific human capital entails a reconsideration of the role and boundaries of the firm. We show that the firm seeks to coordinate the specialization of its key partners within the frame of its economic boundaries to ensure the long-term optimization of its potential of value. Therefore, the value of the firm depends on all the resources that the firm coordinates. Then we focus on the way HCIF can create different values. We suggest that the firm builds its competitive advantage on different forms of values, in particular the symbolic value incorporated in human capital. Finally, on the basis of these considerations, we identify the wealth included in the critical resources of the firm and to bring to light the process of symbolic value creation associated with it. We suggest that the firm is the value creating entity and the customer both recognizes and derives the value created from whatever it is that the firm provides. We propose a definition of this value and a schema of its creation process based on management works attempts. We conclude by proposing paths of research that could fruitfully be explored to further develop this new subject.

Pair creation at large inherent angles

International Nuclear Information System (INIS)

Chen, P.; Tauchi, T.; Schroeder, D.V.

1992-01-01

In the next-generation linear colliders, the low-energy e + e - pairs created during the collision of high-energy e + e - beams would cause potential deleterious background problems to the detectors. At low collider energies, the pairs are made essentially by the incoherent process, where the pair is created by the interaction of beamstrahlung photons on the individual particles in the oncoming beam. This problem was first identified by Zolotarev, et al. At energies where the beamstrahlung parameter Υ lies approximately in the range 0.6 approx-lt Υ approx-lt 100, pair creation from the beamstrahlung photons is dominated by a coherent process, first noted by Chen. The seriousness of this pair creation problem lies in the transverse momenta that the pair particles carry when leaving the interaction point (IP) with large angles. Since the central issue is the transverse momentum for particles with large angles, the authors notice that there is another source for it. Namely, when the pair particles are created at low energies, the intrinsic angles of these pairs when produced may already be large. In this paper they reinvestigate the problem, following essentially the same equivalent photon approach, but with changes in specific details including the virtual photon spectrum. In addition, various assumptions are made more explicit. The formulas derived are then applied to the collider parameters designed by Palmer

Closed cooling water chemistry guidelines revision

International Nuclear Information System (INIS)

McElrath, Joel; Breckenridge, Richard

2014-01-01

This second revision of the Closed Cooling Water Chemistry Guideline addresses the use of chemicals and monitoring methods to mitigate corrosion, fouling, and microbiological growth in the closed cooling-water (CCW) systems of nuclear and fossil-fueled power plants. This revision has been endorsed by the utility chemistry community and represents another step in developing a more proactive chemistry program to limit or control closed cooling system degradation with increased consideration of corporate resources and plant-specific design and operating concerns. These guidelines were developed using laboratory data, operating experience, and input from organizations and utilities within and outside of the United States of America. It is the intent of the Revision Committee that these guidelines are applicable to all nuclear and fossil-fueled generating stations around the world. A committee of industry experts—including utility specialists, Institute of Nuclear Power Operations representatives, water-treatment service-company representatives, consultants, a primary contractor, and EPRI staff—collaborated in reviewing available data on closed cooling-water system corrosion and microbiological issues. Recognizing that each plant owner has a unique set of design, operating, and corporate concerns, the Guidelines Committee developed a methodology for plant-specific optimization. The guideline provides the technical basis for a reasonable but conservative set of chemical treatment and monitoring programs. The use of operating ranges for the various treatment chemicals discussed in this guideline will allow a power plant to limit corrosion, fouling, and microbiological growth in CCW systems to acceptable levels. The guideline now includes closed cooling chemistry regimes proven successful in use in the international community. The guideline provides chemistry constraints for the use of phosphates control, as well as pure water with pH control. (author)

Progress in strategies for sequence diversity library creation for ...

African Journals Online (AJOL)

As the simplest technique of protein engineering, directed evolution has been ... An experiment of directed evolution comprises mutant libraries creation and ... evolution, sequence diversity creation, novel strategy, computational design, ...

Creation of Auditing Knowledge:

DEFF Research Database (Denmark)

Liempd, Dennis van

  Even though auditing research could play a role in understanding the many challenges that are threatening the profession, and in providing possible solutions, it seems to have failed in adequately doing so. This is for a major part because of a lack of research into auditing's basic assumptions......, and a too one-sided view on the creation of auditing knowledge. The purpose of this paper is to call for more (diverse) research in this area. Earlier calls have been few and far between, and have not resulted in a lot of research. Within the last two decades though, the auditing universe has changed so...... much that high-quality auditing research never has been needed more. By reviewing available literature challenges to the auditing profession are explored, and the creation of knowledge in general and auditing knowledge in particular are discussed with respect to methodological approaches and operative...

Creationism and intelligent design.

Science.gov (United States)

Pennock, Robert T

2003-01-01

Creationism, the rejection of evolution in favor of supernatural design, comes in many varieties besides the common young-earth Genesis version. Creationist attacks on science education have been evolving in the last few years through the alliance of different varieties. Instead of calls to teach "creation science," one now finds lobbying for "intelligent design" (ID). Guided by the Discovery Institute's "Wedge strategy," the ID movement aims to overturn evolution and what it sees as a pernicious materialist worldview and to renew a theistic foundation to Western culture, in which human beings are recognized as being created in the image of God. Common ID arguments involving scientific naturalism, "irreducible complexity," "complex specified information," and "icons of evolution," have been thoroughly examined and refuted. Nevertheless, from Kansas to Ohio to the U.S. Congress, ID continues lobbying to teach the controversy, and scientists need to be ready to defend good evolution education.

Efficiency of the kidney disease outcomes quality initiative guidelines for preemptive vascular access in an academic setting.

Science.gov (United States)

Kimball, Traci A; Barz, Ken; Dimond, Kelly R; Edwards, James M; Nehler, Mark R

2011-09-01

The National Kidney Foundation-Kidney Diseases Outcomes Quality Initiative (KDOQI) for vascular access guidelines state that patients with late-stage chronic kidney disease (CKD) should undergo native arteriovenous fistula (AVF) creation at least 6 months before anticipated start of hemodialysis (HD) treatments to obviate the need for other vascular access types, such as grafts or central catheters. The objective of this study was to determine the incidence of HD, the functional patency, and associated morbidity of AVFs in patients with late-stage CKD placed according to KDOQI. Consecutive patients with late-stage CKD who underwent AVF creation using KDOQI guidelines for anatomy between January 2003 and December 2007 at two tertiary academic centers were retrospectively evaluated. Baseline demographics, AVF type, and clinical comorbidities were recorded. Patients were stratified into one of four groups (groups A-D) over the follow-up course based on two end points: patency of their AVF and whether or not they began HD. The ideal primary outcome was AVF maturation and use for HD (group A; cumulative functional patency). Other outcomes included AVF patency but no HD (group B), HD with AVF failure (group C), or no HD and AVF abandonment (ie, death, refused hemodialysis, kidney transplant, or fistula failure; group D). Secondary outcomes were time to first cannulation, complications, and secondary interventions. AVFs were created (46% forearm and 54% upper arm) in 150 patients with CKD (85% men, median age 63 years old). At a median follow-up of 10 months, 74 patients (49%) were receiving HD and of these, 48 patients (65%) were using their AVF (group A), whereas 26 patients (35%) were not due to fistula failure (group C). Thirty-four patients (23%) never initiated HD treatments, but had a viable AVF (group B), and 42 patients (28%) never initiated HD and abandoned their AVF (group D). Overall, AVF abandonment was 51%. Mean maturation time of all AVFs successfully

Taking Stock of Project Value Creation

DEFF Research Database (Denmark)

Laursen, Markus; Svejvig, Per

2014-01-01

This paper presents the outcome of a literature review through classifying and analyzing 59 publications in project value creation literature. The analysis led to five distinct categories: Benefit Realization Management (BRM) and techniques, broad value perspective, value time frame, engineering...... requirements and product development. These five categories cover a wide selection of value creation literature in project contexts. The project types reported in empirical studies are mainly IS/IT and construction and a variety of other types such as R&D and strategy implementation. The literature dates back...

Job Creation and Job Destruction, Worker Reallocation, and Wages.

OpenAIRE

Belzil, Christian

2000-01-01

Using Danish firm (workplace) data on employment reallocation merged with individual records, the effects of job creation/destruction and worker reallocation on wages are estimated using fixed effects techniques. After controlling for business cycle fluctuations, job creation is found to increase male wages. The effect of net job creation seems present at all phases of the business cycle. Entry wages as well as wages of low tenure workers appear much more sensitive to idiosyncratic job creati...

Creation, Identity and Reflection

Directory of Open Access Journals (Sweden)

Alina Beatrice Cheşcă

2015-05-01

Full Text Available The paper “Creation, Identity and Reflection” approaches the identification in the “mirror” of reality with creation, in other words seeking the authors’ identity in the reflected images. Reflection means attempting to find oneself, the mirror being the main principle of creation. Many characters become interesting only when they step into the world beyond the mirror, when their faces are doubled by the other self or when their selves are returned by other characters. The narcissistic concept of the mirror, i.e. the reflection in the mirror and the representation of the mirror itself, is a recurrent one in literature, but the reflection of the self which is not the self (as it is a reflection does not necessarily appear in a mirror or in a photograph or portrait. Sometimes, the not-self is returned to the self by another person or character. As far as Oscar Wilde’s theories are concerned, the main idea is that people are interesting for their masks, not for their inner nature. What Wilde calls “inner nature” is the characters’ un-reflected self and the mask is the reflection, the self in the mirror. Some characters’ relationships develop within a fiction that they dramatically try to preserve and protect with the risk of suffering. They refuse to take off the masks which define them in the others’ minds and hearts; the narcissistic individuals (both artists and characters seek and love their own image which they project upon facts, thus creating a fictive realm.

Dietary Guidelines for the Asia Pacific Region.

Science.gov (United States)

Binns, Colin W; Lee, Mi Kyung; Kagawa, Masaharu; Low, Wah Yun; Liqian, Qiu; Guldan, Georgia S; Hokama, Tomiko; Nanishi, Keiko; Oy, Sreymom; Tang, Li; Zerfas, Alfred

2017-03-01

Nutrition is a major determinant of health throughout all stages of life and together with smoking is the most important risk factor for morbidity and mortality in the Asia Pacific Region. The workshop participants examined Dietary Guidelines and Food Guides that are in use in our region, together with additional materials from the World Health Organization, UNICEF and the World Cancer Research Foundation. The resulting set of guidelines is meant as a reminder of the main issues to be covered in a general public health education program. It may also be of value in reminding public health practitioners, educators, administrators, and policy makers of current nutrition issues. It may additionally be useful as a checklist of the issues to be considered in public health programs and regulations. The main areas of nutrition that are included in the Guidelines are eating a variety of foods, including vegetables, fruits, whole grain cereals, and nuts. Choose fish, poultry, and meats grown in a sustainable way. Appropriate growth, including avoiding obesity, and physical activity are important. Breastfeeding is the basis of infant nutrition and nutrition of mothers is an important public health measure. Negative factors in the Asian diet include salt, refined sugar, alcohol and fats. The APACPH Dietary Guidelines will need to be kept under review and modified to meet regional differences in food supply. The Guidelines will be useful as a checklist of the issues to be considered in public health programs, addressing both acute and chronic diseases.

Aspects of governmental job-creation efforts in Western Europe and North America.

OpenAIRE

Hollister RG

1986-01-01

ILO pub-WEP pub. Working paper, comparison of employment policies for employment creation in Western Europe and the USA - covers job creation measures, target groups, financing, and the relationships between job creation and economic policy and social policies (esp. Social security); looks at problems of design implementation and evaluation of employment creation projects; discusses obstacles to employment creation in the context of economic recession in Western Europe, and in a developing co...

Japanese guidelines for childhood asthma 2017.

Science.gov (United States)

Arakawa, Hirokazu; Hamasaki, Yuhei; Kohno, Yoichi; Ebisawa, Motohiro; Kondo, Naomi; Nishima, Sankei; Nishimuta, Toshiyuki; Morikawa, Akihiro

2017-04-01

The Japanese Guideline for the Diagnosis and Treatment of Allergic Diseases 2017 (JAGL 2017) includes a minor revision of the Japanese Pediatric Guideline for the Treatment and Management of Asthma 2012 (JPGL 2012) by the Japanese Society of Pediatric Allergy and Clinical Immunology. The section on child asthma in JAGL 2017 provides information on how to diagnose asthma between infancy and adolescence (0-15 years of age). It makes recommendations for best practices in the management of childhood asthma, including management of acute exacerbations and non-pharmacological and pharmacological management. This guideline will be of interest to non-specialist physicians involved in the care of children with asthma. JAGL differs from the Global Initiative for Asthma Guideline in that JAGL emphasizes diagnosis and early intervention of children with asthma at asthma control levels, is easy to understand; thus, this guideline is suitable for the routine medical care of children with asthma. JAGL also recommends using a control test in children, so that the physician aims for complete control by avoiding exacerbating factors and appropriately using anti-inflammatory drugs (for example, inhaled corticosteroids and leukotriene receptor antagonists). Copyright © 2016 Japanese Society of Allergology. Production and hosting by Elsevier B.V. All rights reserved.

Principles elaboration and creation of information-analytical system ''RI Operation Safety with SSC RIAR Research Reactors''

International Nuclear Information System (INIS)

Ivanov, V.B.; Grachev, A.F.; Kinsky, O.M.; Makin, P.S.; Okhrimenko, A.I.; Demidov, L.I.; Karpyuk, V.I.; Afonin, V.K.; Iskanderov, R.G.

1995-01-01

In this paper an approach is described, which is accepted at elaboration and creation of computer-aided control system of technological process (CCS TP) at the installations with research reactors. The tasks and the main technological requirements to elaborated information-analytical system, are formulated, based on the accepted approach, experience of computer-aided systems and analysis of technological processes at reactor installations (RI) of SSC RIAR. The system includes the following installations: the SM-3, the VK-50, the RBT-10, the BOR-60 and the MIR. Based on the given example there is a classification and the purposes of the modern system of information personnel support of research reactors are formulated as well as approaches to its creation, including creation of determined models of the processes, which are realized in simulators and statistic methods of time series. According to the accepted approaches the results of systematic-technical synthesis and modern states with system simulation are described. (author). 17 refs, 3 figs, 4 tabs

Turning Farmers into Business Partners through Value Co-Creation Projects. Insights from the Coffee Supply Chain

Directory of Open Access Journals (Sweden)

Elena Candelo

2018-03-01

Full Text Available This study examines the empowerment of low-power, vulnerable stakeholders of global, complex supply chains as one effective strategy to increase value co-creation and to moderate the vulnerabilities that threaten supply chain resilience. Previous scholars have indicated the necessity of investigating the concept of value co-creation further by including various stakeholder perspectives and suggesting systems of evaluation. This research thus focuses on low-power smallholder farmers within the coffee supply chain by qualitatively evaluating the effectiveness of value co-creation projects. The study also analyzes the extent of development and the nature of empowerment initiatives designed conjointly by nongovernmental organizations (NGOs and coffee roasters that are addressed to farmers. The mixed qualitative methodology includes a literature review, interviews, focus groups, and content analysis of 20 value co-creation projects conducted in various developing and emerging coffee-producing countries. The research proposes a theoretical framework employed to conduct focus groups with Brazilian coffee farmers. This framework empirically demonstrates that these farmers are in the process of becoming business partners of the coffee supply chain thanks to various empowerment initiatives, common to most of the analyzed projects, that appear to moderate specific vulnerabilities of the coffee supply chain and therefore benefit supply chain resilience.

Sources of Value Creation in Born Global Companies

Directory of Open Access Journals (Sweden)

Augustyniak Dobrochna

2017-06-01

Full Text Available Research about the phenomenon of rapid internationalization of small and medium size companies has evolved over the last two decades. Nevertheless, questions about business models or value creation in born global enterprises are rarely addressed in the literature. The objective of this article is to develop a theoretical framework for analyzing the sources of value creation in the business models of international new ventures (INV global companies, starting with adapting the model by Amit and Zott [2001, 2010] to early internationalizing venture. Current literature on international entrepreneurship, business models and value creation is also used as a basis for suggesting future empirical research recommendations.

Guidelines on treatment of perinatal depression with antidepressants: An international review.

Science.gov (United States)

Molenaar, Nina M; Kamperman, Astrid M; Boyce, Philip; Bergink, Veerle

2018-04-01

Several countries have developed Clinical Practice Guidelines regarding treatment of perinatal depressive symptoms and perinatal use of antidepressant. We aimed to compare guidelines to guide clinicians in best clinical practice. An extensive search in guideline databases, MEDLINE and PsycINFO was performed. When no guidelines were (publicly) available online, we contacted psychiatric-, obstetric-, perinatal- and mood disorder societies of all first world countries and the five largest second world countries. Only Clinical Practice Guidelines adhering to quality criteria of the Appraisal of Guidelines for Research and Evaluation instrument and including a systematic review of evidence were included. Data extraction focussed on recommendations regarding continuation or withdrawal of antidepressants and preferred treatment in newly depressed patients. Our initial search resulted in 1094 articles. After first screening, 40 full-text articles were screened. Of these, 24 were excluded for not being an official Clinical Practice Guidelines. In total, 16 Clinical Practice Guidelines were included originating from 12 countries. Eight guidelines were perinatal specific and eight were general guidelines. During pregnancy, four guidelines advise to continue antidepressants, while there is a lack of evidence supporting this recommendation. Five guidelines do not specifically advise or discourage continuation. For new episodes, guidelines agree on psychotherapy (especially cognitive behavioural therapy) as initial treatment for mild to moderate depression and antidepressants for severe depression, with a preference for sertraline. Paroxetine is not preferred treatment for new episodes but switching antidepressants for ongoing treatment is discouraged (three guidelines). If mothers use antidepressants, observation of the neonate is generally recommended and breastfeeding encouraged.

Corrosion-under-insulation (CUI) guidelines

CERN Document Server

Staff, European Federation of Corrosion; Winnik, S

2014-01-01

Corrosion under insulation (CUI) refers to the external corrosion of piping and vessels that occurs underneath externally clad/jacketed insulation as a result of the penetration of water. By its very nature CUI tends to remain undetected until the insulation and cladding/jacketing is removed to allow inspection or when leaks occur. CUI is a common problem shared by the refining, petrochemical, power, industrial, onshore and offshore industries. The European Federation of Corrosion (EFC) Working Parties WP13 and WP15 have worked to provide guidelines on managing CUI together with a number of major European refining, petrochemical and offshore companies including BP, Chevron-Texaco, Conoco-Phillips, ENI, Exxon-Mobil, IFP, MOL, Scanraff, Statoil, Shell, Total and Borealis. The guidelines within this document are intended for use on all plants and installations that contain insulated vessels, piping and equipment. The guidelines cover a risk-based inspection methodology for CUI, inspection techniques (including n...

[Practice guideline 'Prostate cancer: diagnosis and treatment'

NARCIS (Netherlands)

Reijke, T.M. de; Battermann, J.J.; Moorselaar, R.J.A. van; Jong, I.J. de; Visser, A.P.; Burgers, J.S.

2008-01-01

--A national, multidisciplinary practice guideline was developed concerning diagnosis and treatment of patients with prostate cancer. Because of the lack of sufficient scientific evidence at this moment no practice guideline on screening is included. --The diagnosis of prostate cancer is made by

Guidelines for gloveboxes. Section 5.14: Electrical

International Nuclear Information System (INIS)

Tollner, R.L.

1995-07-01

This is the electric portion of the design guidelines for gloveboxes developed by the American Glovebox Society. The topics include applicable codes/industry standards, penetrations/feedthroughs, wireways, junction boxes, receptacles, derating factors, conductors, conductor insulation and grounding. References for the guidelines are provided

SOFTWARE COMPLEX FOR CREATION AND ACCUMULATION OF MODERN LEARNING MATERIALS

Directory of Open Access Journals (Sweden)

V. V. Polinovskyi

2010-08-01

Full Text Available The article analyzes weaknesses of existing tools for lecture materials creation and suggests new complex with modular architecture, which supports different types of lecture materials, templates, interactive elements, includes lecture material database with searching, sorting, and grouping capabilities and can be used for creating lectures courses for distance learning, as well as for interactive lectures for full-time courses.

Risk management guidelines for petroleum storage tank sites

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-10-01

These guidelines provide a site management process designed particularly for soil and groundwater pollution originating from existing or former petroleum storage tank (PST) facilities and provide uniform standards for the remediation of polluted PST sites in Alberta. The numerical criteria, risk management objectives and technical information described in this document were compiled from four documents including Remediation Guidelines for Petroleum Storage Tank Sites 1994, the Canada-Wide Standards for Petroleum Hydrocarbons in Soil, Alberta Soil and Water Quality Guidelines for Hydrocarbons at Upstream Oil and Gas Facilities, and Guidelines for Managing Risks at Contaminated Sites in Alberta. The changes in these updated guidelines reflect new remediation criteria and provide a process for determining alternate site-specific management objectives for more petroleum storage tank sites. The guidelines were developed using a risk-based approach that ensures the protection of human health, safety and the environment. The guidelines apply to aboveground and underground storage tank facilities that contain gasoline, diesel, heating oil, and aviation fuel. The guidelines specify requirements by Alberta Environment and the Alberta Fire Code. The chapter on risk management process included information on site investigation, determination of soil type, pollution source removal, land use assessment, selection of exposure pathways, depth of remediation, human inhalation and groundwater protection pathways, and verification of remediation. figs, 4 tabs., 2 appendices.

Revisiting corpus creation and analysis tools for translation tasks

Directory of Open Access Journals (Sweden)

Claudio Fantinuoli

2016-06-01

Full Text Available Many translation scholars have proposed the use of corpora to allow professional translators to produce high quality texts which read like originals. Yet, the diffusion of this methodology has been modest, one reason being the fact that software for corpora analyses have been developed with the linguist in mind, which means that they are generally complex and cumbersome, offering many advanced features, but lacking the level of usability and the specific features that meet translators’ needs. To overcome this shortcoming, we have developed TranslatorBank, a free corpus creation and analysis tool designed for translation tasks. TranslatorBank supports the creation of specialized monolingual corpora from the web; it includes a concordancer with a query system similar to a search engine; it uses basic statistical measures to indicate the reliability of results; it accesses the original documents directly for more contextual information; it includes a statistical and linguistic terminology extraction utility to extract the relevant terminology of the domain and the typical collocations of a given term. Designed to be easy and intuitive to use, the tool may help translation students as well as professionals to increase their translation quality by adhering to the specific linguistic variety of the target text corpus.

Revisiting corpus creation and analysis tools for translation tasks

Directory of Open Access Journals (Sweden)

Claudio Fantinuoli

2016-04-01

Many translation scholars have proposed the use of corpora to allow professional translators to produce high quality texts which read like originals. Yet, the diffusion of this methodology has been modest, one reason being the fact that software for corpora analyses have been developed with the linguist in mind, which means that they are generally complex and cumbersome, offering many advanced features, but lacking the level of usability and the specific features that meet translators’ needs. To overcome this shortcoming, we have developed TranslatorBank, a free corpus creation and analysis tool designed for translation tasks. TranslatorBank supports the creation of specialized monolingual corpora from the web; it includes a concordancer with a query system similar to a search engine; it uses basic statistical measures to indicate the reliability of results; it accesses the original documents directly for more contextual information; it includes a statistical and linguistic terminology extraction utility to extract the relevant terminology of the domain and the typical collocations of a given term. Designed to be easy and intuitive to use, the tool may help translation students as well as professionals to increase their translation quality by adhering to the specific linguistic variety of the target text corpus.

17 CFR 201.1100 - Creation of Fair Fund.

Science.gov (United States)

2010-04-01

... 17 Commodity and Securities Exchanges 2 2010-04-01 2010-04-01 false Creation of Fair Fund. 201... PRACTICE Fair Fund and Disgorgement Plans § 201.1100 Creation of Fair Fund. In any agency process initiated... requiring the payment of disgorgement by a respondent and also assessing a civil money penalty against that...

Behavioral factors to include in guidelines for lifelong oral healthiness: an observational study in Japanese adults

Directory of Open Access Journals (Sweden)

Shimozato Miho

2006-12-01

Full Text Available Abstract Background The aim of this study was to determine which behavioral factors to include in guidelines for the Japanese public to achieve an acceptable level of oral healthiness. The objective was to determine the relationship between oral health related behaviors and symptoms related to oral disease and tooth loss in a Japanese adult community. Methods Oral health status and lifestyle were investigated in 777 people aged 20 years and older (390 men and 387 women. Subjects were asked to complete a postal questionnaire concerning past diet and lifestyle. The completed questionnaires were collected when they had health examinations. The 15 questions included their preference for sweets, how many between-meal snacks they usually had per day, smoking and drinking habits, presence of oral symptoms, and attitudes towards dental visits. Participants were asked about their behaviors at different stages of their life. The oral health examinations included examination of the oral cavity and teeth performed by dentists using WHO criteria. Odds ratios were calculated for all subjects, all 10 year age groups, and for subjects 30 years or older, 40 years or older, 50 years or older, and 60 years or older. Results Frequency of tooth brushing (OR = 3.98, having your own toothbrush (OR = 2.11, smoking (OR = 2.71 and bleeding gums (OR = 2.03 were significantly associated with number of retained teeth in males. Frequency of between-meal snacks was strongly associated with number of retained teeth in females (OR = 4.67. Having some hobbies (OR = 2.97, having a family dentist (OR = 2.34 and consulting a dentist as soon as symptoms occurred (OR = 1.74 were significantly associated with number of retained teeth in females. Factors that were significantly associated with tooth loss in both males and females included alcohol consumption (OR = 11.96, males, OR = 3.83, females, swollen gums (OR = 1.93, males, OR = 3.04, females and toothache (OR = 3.39, males, OR

Strategy Guideline: Demonstration Home

Energy Technology Data Exchange (ETDEWEB)

Savage, C.; Hunt, A.

2012-12-01

This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

Strategy Guideline. Demonstration Home

Energy Technology Data Exchange (ETDEWEB)

Hunt, A.; Savage, C.

2012-12-01

This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

Creation of vector bosons by an electric field in curved spacetime

International Nuclear Information System (INIS)

Kangal, E. Ersin; Yanar, Hilmi; Havare, Ali; Sogut, Kenan

2014-01-01

We investigate the creation rate of massive spin-1 bosons in the de Sitter universe by a time-dependent electric field via the Duffin–Kemmer–Petiau (DKP) equation. Complete solutions are given by the Whittaker functions and particle creation rate is computed by using the Bogoliubov transformation technique. We analyze the influence of the electric field on the particle creation rate for the strong and vanishing electric fields. We show that the electric field amplifies the creation rate of charged, massive spin-1 particles. This effect is analyzed by considering similar calculations performed for scalar and spin-1/2 particles. -- Highlights: •Duffin–Kemmer–Petiau equation is solved exactly in the presence of an electrical field. •Solutions were made in (1+1)-dimensional curved spacetime. •Particle creation rate for the de Sitter model is calculated. •Pure gravitational or pure electrical field effect on the creation rate is analyzed

Lupus nephritis management guidelines compared.

Science.gov (United States)

Wilhelmus, Suzanne; Bajema, Ingeborg M; Bertsias, George K; Boumpas, Dimitrios T; Gordon, Caroline; Lightstone, Liz; Tesar, Vladimir; Jayne, David R

2016-06-01

In the past years, many (randomized) trials have been performed comparing the treatment strategies for lupus nephritis. In 2012, these data were incorporated in six different guidelines for treating lupus nephritis. These guidelines are European, American and internationally based, with one separate guideline for children. They offer information on different aspects of the management of lupus nephritis including induction and maintenance treatment of the different histological classes, adjunctive treatment, monitoring of the patient, definitions of response and relapse, indications for (repeat) renal biopsy, and additional challenges such as the presence of vascular complications, the pregnant SLE patient, treatment in children and adolescents and considerations about end-stage renal disease and transplantation. In this review, we summarize the guidelines, determine the common ground between them, highlight the differences and discuss recent literature. © The Author 2015. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.

Q-creation and annihilation tensors for the two parameters deformation of U(SU(2))

International Nuclear Information System (INIS)

Wehrhahn, R.F.; Vraceanu, D.

1993-03-01

The Jordan-Schwinger construction for the Hopf algebra U qp (su(2)) is realized. The creation and annihilation tensor operators together with their tensor products including the Casimir operators are calculated. (orig.)

Particle creation by peak electric field

Energy Technology Data Exchange (ETDEWEB)

Adorno, T.C. [Tomsk State University, Department of Physics, Tomsk (Russian Federation); Gavrilov, S.P. [Tomsk State University, Department of Physics, Tomsk (Russian Federation); Herzen State Pedagogical University of Russia, Department of General and Experimental Physics, St. Petersburg (Russian Federation); Gitman, D.M. [Tomsk State University, Department of Physics, Tomsk (Russian Federation); P. N. Lebedev Physical Institute, Moscow (Russian Federation); University of Sao Paulo, Institute of Physics, CP 66318, Sao Paulo, SP (Brazil)

2016-08-15

The particle creation by the so-called peak electric field is considered. The latter field is a combination of two exponential parts, one exponentially increasing and another exponentially decreasing. We find exact solutions of the Dirac equation with the field under consideration with appropriate asymptotic conditions and calculate all the characteristics of particle creation effect, in particular, differential mean numbers of created particle, total number of created particles, and the probability for a vacuum to remain a vacuum. Characteristic asymptotic regimes are discussed in detail and a comparison with the pure asymptotically decaying field is considered. (orig.)

13 CFR 120.861 - Job creation or retention.

Science.gov (United States)

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Job creation or retention. 120.861... Company Loan Program (504) Project Economic Development Goals § 120.861 Job creation or retention. A Project must create or retain one Job Opportunity per an amount of 504 loan funding that will be specified...

The Application of SECI Model as a Framework of Knowledge Creation in Virtual Learning: Case Study of IUST Virtual Classes

Science.gov (United States)

Hosseini, Seyede Mehrnoush

2011-01-01

The research aims to define SECI model of knowledge creation (socialization, externalization, combination, and internalization) as a framework of Virtual class management which can lead to better online teaching-learning mechanisms as well as knowledge creation. It has used qualitative research methodology including researcher's close observation…

A Social Vision for Value Co-creation in Design

Directory of Open Access Journals (Sweden)

George Simons

2009-11-01

Full Text Available The Cluetrain Manifesto was introduced in 1999, calling for a powerful global conversation between companies and the people they serve. Since then, the conversation has started and is finally gaining momentum. Co-creation is the buzzword of the day to describe the various types of conversations that are taking place. But the conversation has multiple perspectives. It can be applied to multiple domains ranging from sales tactics and branding contests to strategic, human-centered means of affecting social transformation. In this article we try to articulate a vision for value co-creation by focusing on its social aspects. It is our hope that such social vision will contribute to existing perspectives so that future conversations can take place in a more productive way. The suggested framework organizes the seemingly disparate applications, comparing the mindset, goals and results of three types of value co-creation: monetary, use/experience and social. Although these three types of value co-creation are all relevant, we believe that the social type of value provides a real opportunity for significant social change. However, the rules of engagement for this type of co-creation are particularly challenging. Participation must be face-to-face to allow for real-time interaction to take place. Empathy for the people who will be affected by change is key. Visualization of the collective assets is essential. And having the appropriate mindset about co-creation is the single most important component for success.

Light-induced defect creation in hydrogenated polymorphous silicon

International Nuclear Information System (INIS)

Morigaki, K.; Takeda, K.; Hikita, H.; Roca i Cabarrocas, P.

2005-01-01

Light-induced defect creation in hydrogenated polymorphous silicon (pm-Si:H) is investigated from electron spin resonance measurements and is compared with that in hydrogenated amorphous silicon (a-Si:H). Light-induced defect creation occurs at room temperature similarly for both types of films prepared at 250 deg. C. Thermal annealing of light-induced defects is also investigated as a function of temperature. Different behaviours of annealing characteristics for pm-Si:H from those for a-Si:H are observed and discussed. In particular, we observed a decrease of the light-induced defect creation efficiency with repeated light-soaking-annealing cycles and discuss it with respect to the hydrogen bonding in pm-Si:H films

The Politics of States', Local Governments' Creation and Nigeria's ...

African Journals Online (AJOL)

Nekky Umera

federal structure; the demands for the creation of additional states and localities to the ... The second part dwelt on local government creations, using the 1991 population ..... While big states can threaten the corporate existence and stability of ...

Cancer related fatigue: implementing guidelines for optimal management.

Science.gov (United States)

Pearson, Elizabeth J M; Morris, Meg E; McKinstry, Carol E

2017-07-18

Cancer-related fatigue (CRF) is a key concern for people living with cancer and can impair physical functioning and activities of daily living. Evidence-based guidelines for CRF are available, yet inconsistently implemented globally. This study aimed to identify barriers and enablers to applying a cancer fatigue guideline and to derive implementation strategies. A mixed-method study explored the feasibility of implementing the CRF guideline developed by the Canadian Association for Psychosocial Oncology (CAPO). Health professionals, managers and consumers from different practice settings participated in a modified Delphi study with two survey rounds. A reference group informed the design of the study including the surveys. The first round focused on guideline characteristics, compatibility with current practice and experience, and behaviour change. The second survey built upon and triangulated the first round. Forty-five health practitioners and managers, and 68 cancer survivors completed the surveys. More than 75% of participants endorsed the CAPO cancer related fatigue guidelines. Some respondents perceived a lack of resources for accessible and expert fatigue management services. Further barriers to guideline implementation included complexity, limited practical details for some elements, and lack of clinical tools such as assessment tools or patient education materials. Recommendations to enhance guideline applicability centred around four main themes: (1) balancing the level of detail in the CAPO guideline with ease of use, (2) defining roles of different professional disciplines in CRF management, (3) how best to integrate CRF management into policy and practice, (4) how best to ensure a consumer-focused approach to CRF management. Translating current knowledge on optimal management of CRF into clinical practice can be enhanced by the adoption of valid guidelines. This study indicates that it is feasible to adopt the CAPO guidelines. Clinical application may

Nursing perspective on the Genesis account of creation.

Science.gov (United States)

Geary, Heidi D; Cone, Pamela H

2012-01-01

Biblical accounts of creation tell the origin of the world and the beginning of God's relationship with humankind. Azusa Pacific University assigns graduate nursing students a faith integration project analyzing Creation accounts through the eyes of a nurse researcher. This report integrates eight students' investigations of Genesis 1 and 2, offering deep, rich insight into nursing practice.

Squeezed State Caused by Inverse of Photon Creation Operator

International Nuclear Information System (INIS)

Xu Xuefen

2006-01-01

Using the photon creation operator's eigenstate theory we derive the normally ordered expansion of inverse of the squeezed creation operator. It turns out that using this operator a kind of excitation on the squeezed vacuum states can be formed.

Beyond proximities : The socio-spatial dynamics of knowledge creation

NARCIS (Netherlands)

Rutten, R.P.J.H.

2017-01-01

Knowledge creation is recognized as interaction between individuals in a social context, but geography-of-knowledge-creation research inadequately connects social context to physical place. The proximities approach reduces physical place to near-far dichotomies and territorial innovation models

Methodological guidelines

Energy Technology Data Exchange (ETDEWEB)

Halsnaes, K.; Callaway, J.M.; Meyer, H.J.

1999-04-01

The guideline document establishes a general overview of the main components of climate change mitigation assessment. This includes an outline of key economic concepts, scenario structure, common assumptions, modelling tools and country study assumptions. The guidelines are supported by Handbook Reports that contain more detailed specifications of calculation standards, input assumptions and available tools. The major objectives of the project have been provided a methodology, an implementing framework and a reporting system which countries can follow in meeting their future reporting obligations under the FCCC and for GEF enabling activities. The project builds upon the methodology development and application in the UNEP National Abatement Coasting Studies (UNEP, 1994a). The various elements provide countries with a road map for conducting climate change mitigation studies and submitting national reports as required by the FCCC. (au) 121 refs.

Methodological guidelines

International Nuclear Information System (INIS)

Halsnaes, K.; Callaway, J.M.; Meyer, H.J.

1999-01-01

The guideline document establishes a general overview of the main components of climate change mitigation assessment. This includes an outline of key economic concepts, scenario structure, common assumptions, modelling tools and country study assumptions. The guidelines are supported by Handbook Reports that contain more detailed specifications of calculation standards, input assumptions and available tools. The major objectives of the project have been provided a methodology, an implementing framework and a reporting system which countries can follow in meeting their future reporting obligations under the FCCC and for GEF enabling activities. The project builds upon the methodology development and application in the UNEP National Abatement Coasting Studies (UNEP, 1994a). The various elements provide countries with a road map for conducting climate change mitigation studies and submitting national reports as required by the FCCC. (au) 121 refs

Architectural Creation of Light

DEFF Research Database (Denmark)

Bülow, Katja

2015-01-01

Bidraget "Architectural Creation of Light" indgår sammen med 108 andre bidrag i bogen "You Say Light, I Think Shadow". Bogens indhold undersøger: "Hvad er lys". I dette bidrag besvares spørgsmålet gennem iagttagelser af arkitektstuderendes undersøgelser af lyset i deres arbejdsmodeller i...

Remarks to the creation of particles in an expanding universe

International Nuclear Information System (INIS)

Kreisel, E.

1976-01-01

It is shown that one can get spontaneous particle creation in an empty Minkowski-space, if one defines particle-number operator and Hilbert space in a similar way as in publications about particle creation in an expanding universe. Accordingly spontaneous particle creation does not originate in the gravitational field, but is connected with the non-uniqueness of the notion 'particle' and the chosen time-dependent particle- number operator. (author)

Australian Football League concussion guidelines: what do community players think?

Science.gov (United States)

White, Peta E; Donaldson, Alex; Sullivan, S John; Newton, Joshua

2016-01-01

Background Preventing concussion in sport is a global challenge. To assess community-level adult male Australian Football players’ views on following the Australian Football League's (AFL) concussion guidelines. Methods 3 focus groups, each comprising 6 players from 1 regional league, were conducted until saturation of issues raised. Discussions followed a semistructured script and were audio-recorded and transcribed verbatim. Thematic analysis was conducted by 2 coders independently. Results Identified advantages of the guidelines included highlighting the seriousness of concussion; changing the culture around playing with concussion and shifting return-to-play decision responsibility from players to others. Disadvantages included players being removed from play unnecessarily; removal of players’ rights to decide if they are fit to play and players changing their behaviours to avoid being removed from play. Identified facilitators to guideline use included local league enforcement; broad information dissemination and impartial medically trained staff to assess concussion. Identified barriers to guideline use included players’ desire to play at all costs; external pressure that encouraged players to return to play prematurely; and inconvenience and cost. Conclusions Players generally understand that the AFL concussion guidelines protect their long-term welfare. However, their desire to play at all costs and help their team win is a common barrier to reporting concussion and adhering to guidelines. Leagues should take a lead role by mandating and enforcing the use of the guidelines and educating coaches, game day medical providers and players. The return-to-play component of the guidelines is complex and needs further consideration in the context of community sport. PMID:28890801

National guidelines for high-cost drugs in Brazil: achievements and constraints of an innovative national evidence-based public health policy.

Science.gov (United States)

Picon, Paulo D; Beltrame, Alberto; Banta, David

2013-04-01

The translation of best evidence into practice has become an important purpose of policy making in health care. In Brazil, a country of continental dimensions with widespread regional and social inequalities, the dissemination and use of the best-evidence in policy making is a critical issue for the healthcare system. The main purpose of this study is to describe an evidence-based public health policy with special emphasis on guidelines creation for high-cost medicines. We also describe how that strategy was diffused to the judiciary system and to other parts of the healthcare system. We present an 11-year follow-up of a national project for creating and updating guidelines for high-cost medicines in Brazil. A total of 109 national guidelines were published (new or updated versions) for 66 selected diseases, the first such effort in Brazilian history. The project influenced the Brazilian legislature, which has recently established a Federal Law requiring national guidelines for any new technology listed for payment by the Brazilian public healthcare system. We were able to involve many different stakeholders in a partnership between academia and policy makers, which made possible the widespread dissemination of the clinical practice guidelines. Problems and constraints were also encountered. This evolving public health strategy might be useful for other developing countries.

Toward Improving Quality of End-of-Life Care: Encoding Clinical Guidelines and Standing Orders Using the Omaha System.

Science.gov (United States)

Slipka, Allison F; Monsen, Karen A

2018-02-01

End-of-life care (EOLC) relieves the suffering of millions of people around the globe each year. A growing body of hospice care research has led to the creation of several evidence-based clinical guidelines for EOLC. As evidence for the effectiveness of timely EOLC swells, so does the increased need for efficient information exchange between disciplines and across the care continuum. The purpose of this study was to investigate the feasibility of using the Omaha System as a framework for encoding interoperable evidence-based EOL interventions with specified temporality for use across disciplines and settings. Four evidence-based clinical guidelines and one current set of hospice standing orders were encoded using the Omaha System Problem Classification Scheme and Intervention Scheme, as well as Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT). The resulting encoded guideline was entered on a Microsoft Excel spreadsheet and made available for public use on the Omaha System Guidelines website. The resulting EOLC guideline consisted of 153 interventions that may enable patients and their surrogates, clinicians, and ancillary providers to communicate interventions in a universally comprehensible way. Evidence-based interventions from diverse disciplines involved in EOLC are described within this guideline using the Omaha System. Because the Omaha System and clinical guidelines are maintained in the public domain, encoding interventions is achievable by anyone with access to the Internet and basic Excel skills. Using the guideline as a documentation template customized for unique patient needs, clinicians can quantify and track patient care across the care continuum to ensure timely evidence-based interventions. Clinical guidelines coded in the Omaha System can support the use of multidisciplinary evidence-based interventions to improve quality of EOLC across settings and professions. © 2017 Sigma Theta Tau International.

The Creation of Learner-Centred Dictionaries for Endangered Languages: A Rotuman Example

Science.gov (United States)

Vamarasi, M.

2014-01-01

This article examines the creation of dictionaries for endangered languages (ELs). Though each dictionary is uniquely prepared for its users, all dictionaries should be based on sound principles of vocabulary learning, including the importance of lexical chunks, as emphasised by Michael Lewis in his "Lexical Approach." Many of the…

Guidelines in lower-middle income countries.

Science.gov (United States)

Olayemi, Edeghonghon; Asare, Eugenia V; Benneh-Akwasi Kuma, Amma A

2017-06-01

Guidelines include recommendations intended to optimize patient care; used appropriately, they make healthcare consistent and efficient. In most lower-middle income countries (LMICs), there is a paucity of well-designed guidelines; as a result, healthcare workers depend on guidelines developed in Higher Income Countries (HICs). However, local guidelines are more likely to be implemented because they are applicable to the specific environment; and consider factors such as availability of resources, specialized skills and local culture. If guidelines developed in HICs are to be implemented in LMICs, developers need to incorporate local experts in their development. Involvement of local stakeholders may improve the rates of implementation by identifying and removing barriers to implementation in LMICs. Another option is to encourage local experts to adapt them for use in LMICs; these guidelines may recommend strategies different from those used in HICs, but will be aimed at achieving the best practicable standard of care. Infrastructural deficits in LMICs could be improved by learning from and building on the successful response to the human immunodeficiency virus/acquired immunodeficiency syndrome pandemic through interactions between HICs and LMICs. Similarly, collaborations between postgraduate medical colleges in both HICs and LMICs may help specialist doctors training in LMICs develop skills required for guideline development and implementation. © 2017 John Wiley & Sons Ltd.

Value co-creation in service interactions: dimensions and antecedents

NARCIS (Netherlands)

Neghina, C.; Caniels, M.; Bloemer, J.M.M.; Birgelen, M.J.H. van

2013-01-01

The purpose of this article is to further develop the conceptualization of value co-creation and discuss its dimensions and antecedents. We propose that in service interactions, value co-creation should be understood as a joint collaborative activity between service employees and customers

Creation of point defects in superconductors. A short review

International Nuclear Information System (INIS)

Quere, Yves; Rullier-Albenque, Florence.

1981-11-01

Many experiments have been published concerning the radiation damage in superconductors, but relatively few about the mechanisms of defect creation. A short review is presented of what is known on point defect creation in superconductors either by cold-work or by irradiation

[Quality indicators for National Disease Management Guidelines using the example of the National Disease Management Guideline for "Chronic Heart Failure"].

Science.gov (United States)

Nothacker, Monika Judith; Langer, Thomas; Weinbrenner, Susanne

2011-01-01

Together with an expert committee a structured approach to determining quality indicators for National Disease Management Guidelines has been developed. The key steps of this approach include: introducing guideline authors to the methodology at an early stage of the process of guideline development, pre-selecting recommendations of the guideline which are potentially measurable by means of quality indicators, assessing the potentially measurable quality indicators in written form using five criteria (including their importance for the health care system and clarity of definitions) and approving them in a formal consensus process. For lack of a database these quality indicators must be regarded as preliminary. For the National Disease Management Guideline "Chronic Heart Failure" nine rate-based indicators have been chosen. The indicators correspond to important strong recommendations (grade of recommendation: A) from the fields of diagnosis (two), general therapeutic strategy (two), specific treatment (three), clinical monitoring (one) and co-ordination of care (one). In a second step, the quality indicators have to be validated within a pilot project. The determination and assessment of the potential quality indicators have revealed room for improvement of guideline development. In particular, there is a need for more health care data and for specification of recommendations.

Japanese guidelines for allergic rhinitis 2017

Directory of Open Access Journals (Sweden)

Kimihiro Okubo

2017-04-01

To incorporate evidence based medicine (EBM introduced from abroad, the most recent collection of evidence/literature was supplemented to the Practical Guideline for the Management of Allergic Rhinitis in Japan 2016. The revised guideline includes assessment of diagnosis/treatment and prescriptions for children and pregnant women, for broad clinical applications. An evidence-based step-by-step strategy for treatment is also described. In addition, the QOL concept and cost benefit analyses are also addressed. Along with Allergic Rhinitis and its Impact of Asthma (ARIA, this guideline is widely used for various clinical purposes, such as measures for patients with sinusitis, childhood allergic rhinitis, oral allergy syndrome, and anaphylaxis and for pregnant women. A Q&A section regarding allergic rhinitis in Japan was added to the end of this guideline.

Creation of skyrmion through resonance excitation

Energy Technology Data Exchange (ETDEWEB)

Li, Zhi-xiong; Chen, Yi-fu; Zhou, Zhen-wei; Nie, Yao-zhuang; Xia, Qing-lin; Wang, Dao-wei; Guo, Guang-hua, E-mail: guogh@mail.csu.edu.cn

2017-07-01

Highlights: • Intrinsic oscillation modes of skyrmion are studied by using micromagnetic simulation. • Creation of skyrmion through resonant excitation is proposed. • The number of generated skyrmions can be effectively controlled by manipulating the driving field. • Skyrmion lattice in extended film is generated via resonant excitation. - Abstract: Controllable creation of magnetic skyrmions in nanostructures is a prerequisite for the application of skyrmions in spintronics. Here, we propose a new method for the creation of skyrmions. We show by using micromagnetic simulations that the skyrmions can be nucleated by resonantly exciting one of the skyrmion intrinsic oscillation modes. We first studied the dynamics of skyrmion in a ferromagnetic nanodisk with perpendicular anisotropy. One breathing mode and two non-degenerate gyrotropic modes are identified. Then we applied a circular-polarized microwave field to excite the uniformly magnetized nanodisk. When the frequency of the driving field is equal to the eigenfrequency of the skyrmion gyrotropic mode, stable skyrmions can be created from the initial uniform state. The number of skyrmions can be effectively controlled by appropriately choosing the duration of the driving field or tuning the field amplitude.

Pressure Ulcers in Adults: Prediction and Prevention. Clinical Practice Guideline Number 3.

Science.gov (United States)

Agency for Health Care Policy and Research (DHHS/PHS), Rockville, MD.

This package includes a clinical practice guideline, quick reference guide for clinicians, and patient's guide to predicting and preventing pressure ulcers in adults. The clinical practice guideline includes the following: overview of the incidence and prevalence of pressure ulcers; clinical practice guideline (introduction, risk assessment tools…

The Role of Customers’ Involvement in Value Co-creation Behaviour is Value Co-creation the Source of Competitive Advantage?

Directory of Open Access Journals (Sweden)

Ercsey Ida

2017-09-01

Full Text Available According to service dominant logic (SDL, customers are always active participants and collaborative partners in exchanges; therefore we should focus on the elements of consumer behaviour that are connected with the value co-creation. By involving the customers in service production, providers can capture customers’ needs and maintain their competitiveness. The cutomers’ roles may lead to a higher productivity and competitive quality for companies. Previous researches recognized two types of the customers’ co-creation behaviour. First, it is the consumers’ participation behaviour. Then, the other one is the consumers’ citizenship behaviour. The goal of our study is to examine how the level of involvement influences two kinds of behaviour mentioned. Besides, we explore if respondents’ participation behaviour or citizenship behaviour influence the perceived value of service provided. In 2015, for examination of our research questions, we carried out a quantitative research and applied quota sampling to obtain data from two target groups (X and Y generations. The activity and attitude of individuals related to performance of an extra-role in service interaction is less favourable than the required in-role behaviour. According to the results of our survey, the level of involvement influences the customers’ mandatory behaviour and volunteer behaviour when working on a co-creation value. Empirically verifiable, the service users’ activity in a value creation affects customers’ value of the service.

Toward a Broader Perspective in the Evolutionism-Creationism Debate.

Science.gov (United States)

Strahler, Arthur N.

1983-01-01

Examines creationism/evolution debate in context of philosophy using ontological models in which reality is assigned to one or both natural or transnatural (supernatural) realms. The six models (theistic-teleological dualism; deistic-mechanistic dualism; fundamentalist creationism; atheistic monism; theistic monism; mechanistic monism) deal with…

Opening the black box: knowledge creation in data teams

NARCIS (Netherlands)

Hubers, Mireille Desirée; Poortman, Cindy Louise; Schildkamp, Kim; Pieters, Julius Marie; Handelzalts, Adam

2016-01-01

Purpose – In this study, Nonaka and Takeuchi’s socialization, externalization, combination and internalization (SECI) model of knowledge creation is used to gain insight into the process of knowledge creation in data teams. These teams are composed of school leaders and teachers, who work together

Aquinas and Contemporary Cosmology: Creation and Beginnings

Science.gov (United States)

Carroll, William E.

Discussions in the Middle Ages about creation and the temporal beginning of the world involved sophisticated analyses in theology, metaphysics, and natural philosophy. Mediaeval insights on this subject, especially Thomas Aquinas' defense of the intelligibility of an eternal, created universe, can help to clarify reflections about the philosophical and theological implications of contemporary cosmological theories: from the "singularity" of the Big Bang, to "quantum tunneling from nothing," to multiverse scenarios. Thomas' insights help us to see the value of Georges Lemaître's insistence that his cosmological reflections must be kept separate from an analysis of creation. This essay will look at different senses of "beginning" and examine the claim that creation, in its fundamental meaning, tells us nothing about whether there is a temporal beginning to the universe. Multiverse models, like that recently proposed by Stephen Hawking and Leonard Mlodinow, may challenge certain views of a Grand Designer, but not of a Creator.

Organizational Values and Innovative Organizational Knowledge Creation

Directory of Open Access Journals (Sweden)

Lilian Aparecida Pasquini Miguel

2009-01-01

Full Text Available Innovation is a source of competitive advantage and is based on the continuous creation of organizational knowledge, which is supported by the individual learning. The individual learning of traditional / comportamentalist and constructivist nature can be understood, by extension, as organizational learning. The knowledge can be innovative if, along with the enabling conditions that characterize it - intention, fluctuation or chaos, autonomy, redundancy and variety of requirements – the process of learning is based on a constructivist nature, the only one capable to generate new learning solutions. The organizational values are beliefs that guide the organizations behavior and constitute motivational goals. This work had as aim to identify the relationship between organizational values and the creation of knowledge. The descriptive exploratory research used the quantitative method. The organizational values appeared in this study mainly associated to the knowledge creation aspects in the internal sphere of the organizations. The orientation towards the external environment appeared less related to the organizational values.

Manual for implementing residual radioactivity guidelines

International Nuclear Information System (INIS)

Gilbert, T.L.; Eckerman, K.F.; Hansen, W.R.; Healy, J.W.; Kennedy, W.E.; Napier, B.A.; Solday, J.K.

1986-01-01

The US Department of Energy (DOE) has recently issued guidelines for residual radioactivity at Formerly Utilized Sites Remedial Action Program (FUSRAP) and remote Surplus Facilities Management Program (SFMP) sites. A manual for implementing these guidelines has been prepared jointly by four DOE laboratories (ANL, LANL, ORNL, and PNL) and is being issued as a supplement to the guidelines. The manual presents procedures and tables for deriving site-specific guidelines for levels of residual radionuclide concentrations in soil that must not be exceeded if a site is to be released for unrestricted use. Guidance for implementing DOE ALARA policy for remedial actions is also included. The concentration factor method is used in the pathway analysis for deriving soil guidelines. The analysis has been structured in a manner that explicitly identifies all of the factors involved. Tables are provided for dose-conversion factors and pathway factors from which environmental transport factors for each radionuclide and pathway may be calculated. The scenarios used for deriving the environmental transport factors and dose conversion factors, and the manner in which the information provided in the manual is used to derive site-specific soil guidelines will be presented

Dynamics of heterogeneous liners with prolonged plasma creation

International Nuclear Information System (INIS)

Aleksandrov, V.V.; Branitskii, A.V.; Volkov, G.S.; Grabovskii, E.V.; Zurin, M.V.; Nedoseev, S.L.; Oleinik, G.M.; Samokhin, A.A.; Smirnov, V.P.; Fedulov, M.V.; Frolov, I.N.; Sasorov, P.V.

2001-01-01

Prolonged plasma creation in heterogeneous liners, in which the liner substance is separated into two phase states (a hot plasma and a cold skeleton), is investigated both experimentally and theoretically. This situation is typical of multiwire, foam, and even gas liners in high-current high-voltage facilities. The main mechanisms governing the rate at which the plasma is created are investigated, and the simplest estimates of the creation rate are presented. It is found that, during prolonged plasma creation, the electric current flows through the entire cross section of the produced plasma shell, whose thickness is comparable with the liner radius; in other words, a current skin layer does not form. During compression, such a shell is fairly stable because of its relatively high resilience. It is shown that, under certain conditions, even a thick plasma shell can be highly compressed toward the discharge axis. A simplified numerical simulation of the compression of a plasma shell in a liner with prolonged plasma creation is employed in order to determine the conditions for achieving regimes of fairly compact and relatively stable radial compression of the shell

Environment: General; Grammar & Usage; Money Management; Music History; Web Page Creation & Design.

Science.gov (United States)

Web Feet, 2001

2001-01-01

Describes Web site resources for elementary and secondary education in the topics of: environment, grammar, money management, music history, and Web page creation and design. Each entry includes an illustration of a sample page on the site and an indication of the grade levels for which it is appropriate. (AEF)

The creation of racks and nanopores creation in various allotropes of boron due to the mechanical loads

Science.gov (United States)

Sadeghzadeh, S.

2017-11-01

Two-dimensional (2D) materials have recently attracted a great attraction. This paper provides a detailed discussion on the rupture mechanisms of different allotropes of boron. As a new 2D material by using a reactive molecular dynamics model, probable types of rupture for borophene sheets were studied, among which two dominant mechanisms were observed: creation of the cracks and formation of nanopores. The results obtained are compared to those for graphene and h-BN nano sheets, although the rupture mechanism was completely different from the graphene and h-BN sheets. The simulations suggested that borophene might remain more stable against external mechanical loads than graphene and BN sheets. Cracking leads to larger strain along the loading direction, whereas the creation of local pores spends the imposed energy for breaking the internal bonds and so flowing the external energy into the various bonds increases the number of pores. For the armchair-types, cracking is a dominant mechanism while for the zigzag-type the common mechanism is the creation of nanopores. These interesting results may help to design a new class of semiconductors that remain stable even when are sustaining uncontrollable external stresses.

Methodological Quality of Consensus Guidelines in Implant Dentistry.

Science.gov (United States)

Faggion, Clovis Mariano; Apaza, Karol; Ariza-Fritas, Tania; Málaga, Lilian; Giannakopoulos, Nikolaos Nikitas; Alarcón, Marco Antonio

2017-01-01

Consensus guidelines are useful to improve clinical decision making. Therefore, the methodological evaluation of these guidelines is of paramount importance. Low quality information may guide to inadequate or harmful clinical decisions. To evaluate the methodological quality of consensus guidelines published in implant dentistry using a validated methodological instrument. The six implant dentistry journals with impact factors were scrutinised for consensus guidelines related to implant dentistry. Two assessors independently selected consensus guidelines, and four assessors independently evaluated their methodological quality using the Appraisal of Guidelines for Research & Evaluation (AGREE) II instrument. Disagreements in the selection and evaluation of guidelines were resolved by consensus. First, the consensus guidelines were analysed alone. Then, systematic reviews conducted to support the guidelines were included in the analysis. Non-parametric statistics for dependent variables (Wilcoxon signed rank test) was used to compare both groups. Of 258 initially retrieved articles, 27 consensus guidelines were selected. Median scores in four domains (applicability, rigour of development, stakeholder involvement, and editorial independence), expressed as percentages of maximum possible domain scores, were below 50% (median, 26%, 30.70%, 41.70%, and 41.70%, respectively). The consensus guidelines and consensus guidelines + systematic reviews data sets could be compared for 19 guidelines, and the results showed significant improvements in all domain scores (p dentistry journals is needed. The findings of the present study may help researchers to better develop consensus guidelines in implant dentistry, which will improve the quality and trust of information needed to make proper clinical decisions.

Guidelines for sustainable tourism planning in the township of San Francisco de Asis (Acandi Municipality, Choco, Colombia)

International Nuclear Information System (INIS)

Roldan Carvajal, Carlos Daniel

2012-01-01

This paper presents important management guidelines for conducting a tourism planning process in the township of San Francisco de Asis, which were developed from the conceptual notion of sustainable tourism and participation of local people. This case considered the participatory research method, used ethnography techniques and implemented shops with the community. As a main result proposed the consolidation of four components, socio- political, socio- cultural, social- ecological and socio- economic; that must be managed in an integrated fashion to achieve real sustainable tourism in this territory. In the first component outlines an participatory process that must take place between the various stake holders; in the second considered strengthen the social tissue and valuing cultural traditions to adequately integrate tourism activities; the third proposes an integrated environmental conservation in the whole territory and as an obligation of all stake holders, including to tourists; finally, in the fourth component, recommend the creation of more opportunities and general welfare for the entire local population in order to prevent the growth of tourism segregated. As a general conclusion will projected that the implementation of these guidelines permitted advance, from the practical, in the development of a truly sustainable tourism that help improve the living conditions of local people and conserve valuable natural and cultural resources that exist in this territory.

Renewable energy to boost job creation

International Nuclear Information System (INIS)

Anon.

2000-01-01

European Union member states are encouraging renewable energies as alternative energy sources with low environmental impacts, making the renewable energy industry one of Europe's fastest growing sectors. An energy scenario has been defined for the next 20 years and a model has been used to compute the employment impact of this new energy policy. The analysis calculates net employment values which includes direct and indirect impacts and takes into account the loss of jobs in conventional energy sectors. The simulation predicts that energy produced from renewable sources will more than double by 2020. The overall number of net additional jobs predicted to be created in the fifteen countries from 1995 to 2020 is about 900000. This figure includes 515000 jobs that are expected to be created as a consequence of investment in biomass fuel production from agricultural and forestry residues and from energy crops. The analysis foresees that around 20% of the total employment creation will occur in Germany and 15% in France. (A.C.)

Creation, Its Processes, and Significance (Samkhya Evolution and Involution

Directory of Open Access Journals (Sweden)

Pratibha Gramann

2015-11-01

Full Text Available Science, religions, and cultural traditions develop theories and creative descriptions about the origin of the universe and meaning of life. These theories have both similarities and differences regarding the cause and effect of creation, and life as human beings know it. Religions and cultural traditions primarily adhere to a personal God as creator and ruler. Science has gone in the opposite direction of denying the existence of a God. A definitive cause of creation has not been scientifically found. Science may find a comparable, suitable match in the ancient thought of Samkhya, written in the 500-800 BC time. Samkhya is probably the first complete philosophical description of the origin and evolution of creation. The three basic energetics of Samkhya are comparable to the basic energies of physics. This paper addresses the hypothesis that the evolution and origin of creation stem from the 3 energies gunas of materiality prakriti described in ancient Samkhya.

Classical-quantum correspondence in electron-positron pair creation

International Nuclear Information System (INIS)

Chott, N. I.; Su, Q.; Grobe, R.

2007-01-01

We examine the creation of electron-positron pairs in a very strong force field. Using numerical solutions to quantum field theory we calculate the spatial and momentum probability distributions for the created particles. A comparison with classical mechanical phase space calculations suggests that despite the fully relativistic and quantum mechanical nature of the matter creation process, most aspects can be reproduced accurately in terms of classical mechanics

Pair creation by an external non-Abelian field

International Nuclear Information System (INIS)

Hamil, B; Chetouani, L

2014-01-01

The problem of the creation of particle pairs of spin 0 and 1/2 from the vacuum by an external field of a non-Abelian type plane wave on the light cone is considered following the approach of Schwinger. Using simple shifts and only by an algebraic calculation, it is shown that with this form of interaction, there is no creation of particles. (paper)

Solar test of Dirac's large number hypothesis. [multiplicative creation model for solar evolution

Science.gov (United States)

Chin, C.-W.; Stothers, R.

1975-01-01

An investigation is conducted regarding the implications of Dirac's theories (1973, 1974) concerning the creation of new matter. It is found that Dirac's theory of multiplicative creation, but not his theory of additive creation, is not in contradiction with known facts about the sun. According to the theory of additive creation, matter is formed uniformly throughout space. The concept of multiplicative creation implies that existing matter multiplies itself in proportion to the amount of matter already present.

Developing the Botswana Primary Care Guideline: an integrated, symptom-based primary care guideline for the adult patient in a resource-limited setting

Directory of Open Access Journals (Sweden)

Tsima BM

2016-08-01

Full Text Available Billy M Tsima,1 Vincent Setlhare,1 Oathokwa Nkomazana2 1Department of Family Medicine and Public Health, 2Department of Surgery, Faculty of Medicine, University of Botswana, Gaborone, Botswana Background: Botswana’s health care system is based on a primary care model. Various national guidelines exist for specific diseases. However, most of the guidelines address management at a tertiary level and often appear nonapplicable for the limited resources in primary care facilities. An integrated symptom-based guideline was developed so as to translate the Botswana national guidelines to those applicable in primary care. The Botswana Primary Care Guideline (BPCG integrates the care of communicable diseases, including HIV/AIDS and noncommunicable diseases, by frontline primary health care workers.Methods: The Department of Family Medicine, Faculty of Medicine, University of Botswana, together with guideline developers from the Knowledge Translation Unit (University of Cape Town collaborated with the Ministry of Health to develop the guideline. Stakeholder groups were set up to review specific content of the guideline to ensure compliance with Botswana government policy and the essential drug list.Results: Participants included clinicians, academics, patient advocacy groups, and policymakers from different disciplines, both private and public. Drug-related issues were identified as necessary for implementing recommendations of the guideline. There was consensus by working groups for updating the essential drug list for primary care and expansion of prescribing rights of trained nurse prescribers in primary care within their scope of practice. An integrated guideline incorporating common symptoms of diseases seen in the Botswana primary care setting was developed.Conclusion: The development of the BPCG took a broad consultative approach with buy in from relevant stakeholders. It is anticipated that implementation of the BPCG will translate into better

Value Creation Logics and Internationalization of Service Firms

DEFF Research Database (Denmark)

Ørberg Jensen, Peter D.; Petersen, Bent

2014-01-01

be based on a thorough understanding of the fundamental nature of these firms. Design/methodology/approach - Theoretical study. Findings - We put forward propositions concerning the pace of internationalization and the default foreign operation modes in service firms. Research limitations...... implications - We suggest that managers in service firms should consider primarily the nature of the value creation logic(s) in their firms when deciding and designing an internationalization strategy. Originality/value - The study presents a novel theoretical approach and a set of propositions on service firm....../implications - The use of value creation logics can be a useful complement to the conventional approaches to the study of service firms’ internationalization. However, the fact that most firms encompass more than one value creation logic complicates the use of firm databases and industry statistics. Practical...

A comparative review of pharmacoeconomic guidelines.

Science.gov (United States)

Jacobs, P; Bachynsky, J; Baladi, J F

1995-09-01

We have reviewed 4 international sets of guidelines for the economic evaluation of pharmaceutical products-those of the Australian Pharmaceutical Benefits Advisory Committee, the Canadian Coordinating Office for Health Technology Assessment, the Ontario Ministry of Health, and the England and Wales Department of Health. Comparison of these guidelines reveals that there are a number of differences between them, including disparities in outcome selection, costs and perspectives. These observations were attributed to differences in study purpose, conceptual approach, measurement techniques and value judgements. Uniformity can be achieved only in conceptual approach and measurement technique. Guidelines should be flexible to accommodate differences in the study purposes and value judgements of the analysts.

KNOWLEDGE SCIENCES AND NANATSUDAKI: A NEW MODEL OF KNOWLEDGE CREATION PROCESSES

Institute of Scientific and Technical Information of China (English)

Andrzej P.WIERZBICKI; Yoshiteru NAKAMORI

2007-01-01

The paper starts from a discussion of the concepts of knowledge management versus technology management,and the emergence of knowledge sciences.This is followed be a summary of recent results in the theory of knowledge creation.Most of them concern diverse spirals of creative interplay between rational (explicit) and intuitive or emotional (tacit) aspects of knowledge.Some of them concentrate on organizational (market or purpose-oriented) knowledge creation,other describe academic (research-oriented) knowledge creation.The problem addressed in this paper is how to integrate diverse spirals of knowledge creation into a prescriptive or exemplar model that would help to overcome the differences between organizational (market-oriented) and normal academic knowledge creation.As such prescriptive approach,the JAIST Nanatsudaki Model of knowledge creation is proposed.It consists of seven spirals,known from other studies,but integrated in a sequence resulting from the experience of authors in practical management of research activities.Not all of these spirals have to be fully utilized,depending on a particular application,but all of them relate to some essential aspects of either academic or organizational knowledge creation.The paper presents Nanatsudaki Model in detail with comments on consecutive spirals.The results of a survey of opinions about creativity conditions at JAIST indicate the importance of many spirals constituting the Nanatsudaki Model.Directions of further testing the Nanatsudaki Model are indicated.

42 CFR 81.24 - Guidelines for leukemia.

Science.gov (United States)

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false Guidelines for leukemia. 81.24 Section 81.24 Public... Causation § 81.24 Guidelines for leukemia. (a) For claims involving leukemia, DOL will calculate one or more probability of causation estimates from up to three of the four alternate leukemia risk models included in...

Measuring and Managing Value Co-Creation Process: Overview of Existing Theoretical Models

Directory of Open Access Journals (Sweden)

Monika Skaržauskaitė

2013-08-01

Full Text Available Purpose — the article is to provide a holistic view on concept of value co-creation and existing models for measuring and managing it by conducting theoretical analysis of scientific literature sources targeting the integration of various approaches. Most important and relevant results of the literature study are presented with a focus on changed roles of organizations and consumers. This article aims at contributing theoretically to the research stream of measuring co-creation of value in order to gain knowledge for improvement of organizational performance and enabling new and innovative means of value creation. Design/methodology/approach. The nature of this research is exploratory – theoretical analysis and synthesis of scientific literature sources targeting the integration of various approaches was performed. This approach was chosen due to the absence of established theory on models of co-creation, possible uses in organizations and systematic overview of tools measuring/suggesting how to measure co-creation. Findings. While the principles of managing and measuring co-creation in regards of consumer motivation and involvement are widely researched, little attempt has been made to identify critical factors and create models dealing with organizational capabilities and managerial implications of value co-creation. Systematic analysis of literature revealed a gap not only in empirical research concerning organization’s role in co-creation process, but in theoretical and conceptual levels, too. Research limitations/implications. The limitations of this work as a literature review lies in its nature – the complete reliance on previously published research papers and the availability of these studies. For a deeper understanding of co-creation management and for developing models that can be used in real-life organizations, a broader theoretical, as well as empirical, research is necessary. Practical implications. Analysis of the

Entrepreneurship, Job Creation, and Wage Growth

DEFF Research Database (Denmark)

Malchow-Møller, Nikolaj; Schjerning, Bertel; Sørensen, Anders

This paper analyses the importance of entrepreneurs for job creation and wage growth. Relying on unique data that cover all establishments, firms and individuals in the Danish private sector, we are able to distil a number of different subsets from the total set of new establishments - subsets wh...... are to a large extent low-wage jobs, as they are not found to contribute to the growth in average wages.......This paper analyses the importance of entrepreneurs for job creation and wage growth. Relying on unique data that cover all establishments, firms and individuals in the Danish private sector, we are able to distil a number of different subsets from the total set of new establishments - subsets...

Entrepreneurship, job creation and wage growth

DEFF Research Database (Denmark)

Malchow-Møller, Nikolaj; Schjerning, Bertel; Sørensen, Anders

2011-01-01

  This paper analyses the importance of entrepreneurs for job creation and wage growth. Relying on unique data that cover all establishments, firms and individuals in the Danish private sector, we are able to distil a number of different subsets from the total set of new establishments - subsets ...... are to a large extent low-wage jobs, as they are not found to contribute to the growth in average wages.......  This paper analyses the importance of entrepreneurs for job creation and wage growth. Relying on unique data that cover all establishments, firms and individuals in the Danish private sector, we are able to distil a number of different subsets from the total set of new establishments - subsets...

The Spirit of Adventure and the Art of Creation

Indian Academy of Sciences (India)

Home; Journals; Resonance – Journal of Science Education; Volume 19; Issue 7. The Spirit of Adventure and the Art of Creation: Camphor to Vitamin B12. Setty Mallikarjuna Babu Subramania Ranganathan. General Article Volume 19 Issue 7 July 2014 pp 593-623 ... Keywords. Camphor; vitamin B12; art of creation.

Guideline for fluoroscopy of low gastrointestinal tract in pediatrics

International Nuclear Information System (INIS)

Chang, Yun Woo; Jeon, Tae Yeon; Kim, Ji Hye; Lee, Mi Jung; Lim, Yun Jung; Yoon, Hye Kyung; Lim, Gye Yeon; Lee, Hee Jung

2015-01-01

Although the availability of CT, MRI and endoscopy has resulted in a marked decline in fluoroscopic procedures in adult patients, fluoroscopy remains an important and frequently used procedure in pediatric patients because there is no appropriate choice of diagnostic imaging or treatment modality for certain diseases. The Korean Society of Pediatric Radiology has formulated evidence-based guidelines for fluoroscopy of the lower intestinal tract in the pediatric population (under age 18 including neonates) in order to assist physicians in clinical practice. The guidelines offer standards of examination practice including radiation doses that are as low as reasonably achievable for children under 18 years old, including neonates, for fluoroscopy of the lower intestinal tract, which has typically used relatively high doses. The recommendations of these guidelines should not be used as an absolute standard, and physicians should always refer to methods that do not adhere to the guidelines when those methods are considered more reasonable and beneficial to an individual patient's medical situation

Towards a Manifesto for Living Lab Co-creation

Science.gov (United States)

Følstad, Asbjørn; Brandtzæg, Petter Bae; Gulliksen, Jan; Börjeson, Mikael; Näkki, Pirjo

There is a growing interest in Living Labs for innovation and development in the field of information and communication technology. In particular there seem to be a tendency that current Living Labs aim to involve users for co-creative purposes. However, the current literature on Living Lab co-creation is severely limited. Therefore an Interact workshop is arranged as a first step towards a manifesto for Living Lab co-creation.

Guideline Implementation: Hand Hygiene.

Science.gov (United States)

Goldberg, Judith L

2017-02-01

Performing proper hand hygiene and surgical hand antisepsis is essential to reducing the rates of health care-associated infections, including surgical site infections. The updated AORN "Guideline for hand hygiene" provides guidance on hand hygiene and surgical hand antisepsis, the wearing of fingernail polish and artificial nails, proper skin care to prevent dermatitis, the wearing of jewelry, hand hygiene product selection, and quality assurance and performance improvement considerations. This article focuses on key points of the guideline to help perioperative personnel make informed decisions about hand hygiene and surgical hand antisepsis. The key points address the necessity of keeping fingernails and skin healthy, not wearing jewelry on the hands or wrists in the perioperative area, properly performing hand hygiene and surgical hand antisepsis, and involving patients and visitors in hand hygiene initiatives. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures. Copyright © 2017 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Comparison of Western and Asian Guidelines Concerning the Management of Colon Cancer.

Science.gov (United States)

Pellino, Gianluca; Warren, Oliver; Mills, Sarah; Rasheed, Shahnawaz; Tekkis, Paris P; Kontovounisios, Christos

2018-02-01

Guidelines are important to standardize treatments and optimize outcomes. Several societies have published authoritative guidelines for patients with colon cancer, and a certain degree of variation can be predicted. This study aims to compare Western and Asian guidelines for the management of colon cancer. A literature review was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for studies published between 2010 and 2017 by the online resources from the official Web sites of the societies/panels. Sources included guidelines by European Society of Medical Oncology, the Japanese Society for Cancer of the Colon and Rectum, and the National Comprehensive Cancer Network. Only full-text studies and the latest guidelines dealing with colon cancer were included. Studies and guidelines were separately assessed by 2 authors, who independently identified discrepancies and areas for further research. These were discussed and agreed with by all the authors. The recommendations of the guidelines of each society were compared, seeking discrepancies and potential areas for improvement. Endoscopic techniques for the management of early colon cancer are discussed in detail in the Asian guidelines. Asian guidelines advocate extended (D3) lymphadenectomy on a routine basis in T3/T4 and in selected T2 patients, whereas such an approach is still under investigation in Western countries. Only US guidelines describe neoadjuvant chemotherapy and radiotherapy. All the guidelines recommend adjuvant treatment in selected stage II patients, but agreement exists that this is performed without solid evidence, because better outcomes are hypothesized based on studies including stage III or stage II/III patients. The role of cytoreductive surgery with intra-abdominal chemotherapy is dubious, and European guidelines only recommend it in the setting of trials. Asian guidelines endorse an aggressive surgical approach to peritoneal disease. Only US

Measure Guideline. High Efficiency Natural Gas Furnaces

Energy Technology Data Exchange (ETDEWEB)

Brand, L. [Partnership for Advanced Residential Retrofit (PARR), Des Plaines, IL (United States); Rose, W. [Partnership for Advanced Residential Retrofit (PARR), Des Plaines, IL (United States)

2012-10-01

This measure guideline covers installation of high-efficiency gas furnaces, including: when to install a high-efficiency gas furnace as a retrofit measure; how to identify and address risks; and the steps to be used in the selection and installation process. The guideline is written for Building America practitioners and HVAC contractors and installers. It includes a compilation of information provided by manufacturers, researchers, and the Department of Energy as well as recent research results from the Partnership for Advanced Residential Retrofit (PARR) Building America team.

Why I teach the controversy: Using creationism to teach critical thinking

Directory of Open Access Journals (Sweden)

P. Lynne eHoney

2015-06-01

Full Text Available Creationism and intelligent design are terms used to describe supernatural explanations for the origin of life, and the diversity of species on this planet. Many scientists have argued that the science classroom is no place for discussion of creationism. When I began teaching I did not teach creationism, as I focused instead on my areas of expertise. Over time it became clear that students had questions about creationism, and did not understand the difference between a scientific approach to knowledge and non-scientific approaches. This led me to wonder whether ignoring supernatural views allowed them to remain as viable ‘alternatives’ to scientific hypotheses, in the minds of students. Also, a psychology class is an ideal place to discuss not only the scientific method but also the cognitive errors associated with non-science views. I began to explain creationism in my classes, and to model the scientific thought process that leads to a rejection of creationism. My approach is consistent with research that demonstrates that teaching content alone is insufficient for students to develop critical thinking and my admittedly anecdotal experience leads me to conclude that ‘teaching the controversy’ has benefits for science students.

Technology Transfer as a Form of Co-creation for Future Market

DEFF Research Database (Denmark)

Rai, Sudhanshu; Van Belle, Jean-Poul; Kühn Pedersen, Mogens

2010-01-01

development as an instance of capacity building, where technology transfer in particular has been considered primarily as a diffusion process. Technology in this case, is introduced because it is seen to be a benevolent lever for human development. In this paper we develop an alternative argument...... to the benevolence thesis predicating its success or failure in a local context on the nature of the co-creation process and the facilitation of a parallel market where the outcomes of the co-creation process can be elucidated. The endeavour is to develop the idea of co-creation as an alternative framework...... to technology transfer. Although we make explicit the purpose of co-creation, which is to enable the formation of future markets, we spend little effort on explicating what the objective of this exercise is. Our preoccupation at this stage is primarily trying to explain co-creation and not so much the objective...

Evidence for cosmological particle creation?

Energy Technology Data Exchange (ETDEWEB)

Pigozzo, C. [Imperial Centre for Inference and Cosmology, Imperial College, Prince Consort Road, London, SW7 2AZ (United Kingdom); Carneiro, S.; Borges, H.A. [Instituto de Física, Universidade Federal da Bahia, Rua Barão de Geremoabo, Salvador, 40210-340, BA (Brazil); Alcaniz, J.S. [Departamento de Astronomia, Observatório Nacional, Rua General José Cristino 77, Rio de Janeiro, 20921-400, RJ (Brazil); Fabris, J.C., E-mail: cpigozzo@ufba.br, E-mail: saulo.carneiro@pq.cnpq.br, E-mail: alcaniz@on.br, E-mail: humberto@ufba.br, E-mail: fabris@pq.cnpq.br [Departamento de Física, Universidade Federal do Espírito Santo, Av. Fernando Ferrari 514, Vitória, 29075-910, ES (Brazil)

2016-05-01

A joint analysis of the linear matter power spectrum, distance measurements from type Ia supernovae and the position of the first peak in the anisotropy spectrum of the cosmic microwave background indicates a cosmological, late-time dark matter creation at 95% confidence level.

A Business intelligence tool for studying value co-creation and innovation

DEFF Research Database (Denmark)

Tanev, Stoyan; Ruskov, Petko; Georgiev, Lachezar

2011-01-01

Value co-creation is an emerging marketing and innovation paradigm describing a broader opening of the firm to its customers by providing them with the opportunity to become active participants in the design and development of personalized products, services and experiences. However......, there is not yet a fully satisfactory theoretical vision about its distinctive characteristics as compared to more traditional value creation approaches. One of the challenges in studying value co-creation is the lack of business intelligence (BI) tools that can be used in the conceptualization of value co...... is the relationship between the degree of firms’ involvement in value co-creation activities and their innovativeness....

Value encounters - Modeling and analyzing co-creation of value

NARCIS (Netherlands)

Weigand, H.; Godart, C.; Gronau, N.; Sharma, S.; Canals, G.

2009-01-01

Recent marketing and management literature has introduced the concept of co-creation of value. Current value modeling approaches such as e3-value focus on the exchange of value rather than co-creation. In this paper, an extension to e3-value is proposed in the form of a “value encounter”. Value

Value encounters : Modelling and analyzing co-creation of value

NARCIS (Netherlands)

Weigand, H.; Jayasinghe Arachchig, J.

2009-01-01

Recent marketing and management literature has introduced the concept of co-creation of value. Current value modeling approaches such as e3-value focus on the exchange of value rather than co-creation. In this paper, an extension to e3-value is proposed in the form of a “value encounter”. Value

Characterization of a quadrant diamond transmission X-ray detector including a precise determination of the mean electron-hole pair creation energy.

Science.gov (United States)

Keister, Jeffrey W; Cibik, Levent; Schreiber, Swenja; Krumrey, Michael

2018-03-01

Precise monitoring of the incoming photon flux is crucial for many experiments using synchrotron radiation. For photon energies above a few keV, thin semiconductor photodiodes can be operated in transmission for this purpose. Diamond is a particularly attractive material as a result of its low absorption. The responsivity of a state-of-the art diamond quadrant transmission detector has been determined, with relative uncertainties below 1% by direct calibration against an electrical substitution radiometer. From these data and the measured transmittance, the thickness of the involved layers as well as the mean electron-hole pair creation energy were determined, the latter with an unprecedented relative uncertainty of 1%. The linearity and X-ray scattering properties of the device are also described.

2014 UK national guideline for the management of anogenital herpes.

Science.gov (United States)

Patel, Raj; Green, John; Clarke, Emily; Seneviratne, Kanchana; Abbt, Naomi; Evans, Ceri; Bickford, Jane; Nicholson, Marian; O'Farrell, Nigel; Barton, Simon; FitzGerald, Mark; Foley, Elizabeth

2015-10-01

These guidelines concern the management of anogenital herpes simplex virus infections in adults and give advice on diagnosis, management, and counselling of patients. This guideline replaces the 2007 BASHH herpes guidelines and includes new sections on herpes proctitis, key points to cover with patients regarding transmission and removal of advice on the management of HSV in pregnancy which now has a separate joint BASHH/RCOG guideline. © The Author(s) 2015.

Concurrent Product & Supply Chain Creation

DEFF Research Database (Denmark)

Gubi, Ebbe

it is a structural premise. We also know that logistics costs generally are estimated 15-20% of total product costs. Accordingly, it stands to reason that a company can reduce costs, and thereby gain an edge on its competitors, by tailoring the supply chain in question to an individual product or product family; i.......e. by creating Focused Supply Chains. At the same time, customer satisfaction can be increased. As a second means to achieving a better fit between product and supply chain, the firm can deploy Design for Logistics, the discipline of considering the supply chain during product creation. The thesis sets out...... and supply chains should be created concurrently and integrated. The concept of Concurrent Product & Supply Chain Creation is introduced, and the two main components Focused Supply Chains and Design For Logistics are explained and exemplified by use of Bang & Olufsen....

Setting the frames for transformation towards authentic leadership and co-creation

DEFF Research Database (Denmark)

Darsø, Lotte

2014-01-01

This chapter presents a new educational approach for developing authentic leadership and co-creation based on Theory U. The main arguments are that authentic leadership and co-creation develop together and cannot be taught through lecturing. Leaders must themselves experience going through the U...... appropriately to provide encouragement for co-creation. These arguments are sustained by empirical material and practical examples from an executive master education....

Urban job creation and unemployment in LDCs: Todaro vs. Harris and Todaro.

Science.gov (United States)

Blomqvist, A G

1978-03-01

Overwhelming urban migration occurred so rapidly in many developing countries that widespread unemployment and squalid living conditions are commonplace. For many of these countries, stopping urban migration has become a major policy. Two models propose 2 different theories of urban unemployment. Todaro's short-term effects model concludes that job creation actually causes unemployment. Todaro and Harris formulated a long-term effects model in which welfare subsidies create more employment and stimulate the economy. A real solution to urban job creation would include optimal allocation of investment between the rural and labor sectors. A once and for all hiring tax would reduce replacement hiring. It is impossible to design an optimal tax subsidy package for urban unemployment unless it includes knowledge of the dynamic response of migration and unemployment to the rate of net and gross hiring of labor. If subsidy taxes are levied on the agricultural sector, the net result may be a higher rate of capital formation in the (low social return) manufacturing sector and a lower one in the agricultural sector.

The Contribution of Intellectual Capital to Value Creation

Directory of Open Access Journals (Sweden)

Elena Shakina

2013-12-01

Full Text Available This paper studies the marginal contribution of intellectual capital (IC components to company value using a hedonic pricing framework. The ANOVA is used to identify group differences among different national markets and industries. Two models have been developed to reflect the time effect: one related to the immediate creation of value and another for the long term. As could be expected, the contribution of IC to companies’ value creation differs significantly between countries and industries. Both models, short- and long-term, are significant and with a normal explanatory power. We have found both positive and negative coefficients. Human capital plays a critical positive role in value creation in the short term. Structural and relational capital becomes more relevant in the long term. However, in the long term, the results obtained regarding the effect of human capital are unclear.

Assessing Perceived Knowledge Creation: The Role of Organizational Knowledge and Market Environment

Directory of Open Access Journals (Sweden)

Khalid Abdul Wahid

2016-06-01

Full Text Available The purpose of this research is to investigate the impact of organizational knowledge factors and market knowledge factors on knowledge creation among Thai innovative companies. 464 questionnaires were distributed to Thai innovative companies registered under the National Innovation Agency (NIA and 217 were returned. Structural Equation Modelling (SEM is used to determine the effect of two sets of knowledge creation sources: organizational knowledge (social interaction, organizational routines and information system and market knowledge (customer orientation, competitor orientation and supplier orientation on knowledge creation (product and service outcome, process outcome and market outcome. The results indicated that the integration of organizational knowledge and market knowledge is the main driver of knowledge creation. Furthermore, the findings suggest that social interaction and customer orientation are the most significant predictors of knowledge creation. This study provides an empirical analysis on the importance of different sources of knowledge in the knowledge creation process in SMEs and its impact on companies’ innovative knowledge outcomes.

The cost of wetland creation and restoration. Final report

Energy Technology Data Exchange (ETDEWEB)

King, D.; Bohlen, C.

1995-08-01

This report examines the economics of wetland creation, restoration, and enhancement projects, especially as they are used within the context of mitigation for unavoidable wetland losses. Complete engineering-cost-accounting profiles of over 90 wetland projects were developed in collaboration with leading wetland restoration and creation practitioners around the country to develop a primary source database. Data on the costs of over 1,000 wetland projects were gathered from published sources and other available databases to develop a secondary source database. Cases in both databases were carefully analyzed and a set of baseline cost per acre estimates were developed for wetland creation, restoration, and enhancement. Observations of costs varied widely, ranging from $5 per acre to $1.5 million per acre. Differences in cost were related to the target wetland type, and to site-specific and project-specific factors that affected the preconstruction, construction, and post-construction tasks necessary to carry out each particular project. Project-specific and site-specific factors had a much larger effect on project costs than wetland type for non-agricultural projects. Costs of wetland creation and restoration were also shown to differ by region, but not by as much as expected, and in response to the regulatory context. The costs of wetland creation, restoration, and enhancement were also analyzed in a broader economic context through examination of the market for wetland mitigation services, and through the development of a framework for estimating compensation ratios-the number of acres of created, restored, or enhanced wetland required to compensate for an acre of lost natural wetland. The combination of per acre creation, restoration, and enhancement costs and the compensation ratio determine the overall mitigation costs associated with alternative mitigation strategies.

A Framework to Simplify the Creation of Remote Laboratories

Directory of Open Access Journals (Sweden)

Isidro Calvo

2010-05-01

Full Text Available Building remote laboratories is not a trivial issue since they are complex systems in which a great number of factors (security, QoS, integration of information of different nature, etc. are involved. This complexity requires the use of diverse technologies that complicate the creation of the laboratories. Current work presents a framework to ease the creation of remote laboratories (both real and virtual from a set of reusable blocks that solve most common issues (connection, student management, experiments assessment, etc. so the designers of the experiments may concentrate on their functionality. The followed approach proposes the use of certain technologies widely used in the control engineering community such as Labview and EJS, so the creation of a new laboratory will require the creation of two applications separately that will be integrated within the framework: (1 One Labview application to acquire process information and (2 a Java applet created with EJS used as graphical interface. The proposed framework was used with a water level automatic system to show how to add new experiments to the framework.

Current challenges in adherence to clinical guidelines for antibiotic prophylaxis in surgery.

Science.gov (United States)

Khan, Sohail Ahmad; Rodrigues, Gabrial; Kumar, Pramod; Rao, Padma G M

2006-06-01

To study the impact of guidelines on surgical antibiotic prophylaxis in clinical practice, barriers involved in adherence to guidelines and how to overcome the same. Literature pertaining to prophylactic antibiotic usage was searched. Medscape, Medline, Cochrane, Surgical Infection Prevention (SIP) project databases were reviewed. Recent articles from relevant journals, texts, and standard guidelines were also studied. Local guidelines seem more likely to be accepted and followed than those developed nationally. Major barriers involved in adherence to guidelines include lack of awareness about the guidelines, general perception of guideline as a bureaucratic rather than educational tool. Some practitioners perceive guidelines as "cookbook medicine" that does not permit them to make their own medical decisions. Other barriers are complex, multi-step systems that create confusion, decrease accountability. Methods for guideline adherence include surveillance and data analysis, new systems to facilitate documentation and improving workflow, education regarding current evidence-based guidelines and promoting the development of local guidelines or protocol, development and implementation of reminders to facilitate adherence to the local guidelines. A multidisciplinary steering team of surgeons, infectious disease specialists, pharmacists, anesthesiologists, microbiologists and nurses should develop local guidelines suitable to their institution and methods for adherence to prevent the surgical site infections. The gap between evidence-based guidelines and practice must be addressed in order to achieve optimal practice in this domain.

Knowledge Creation in Constructivist Learning

Science.gov (United States)

Jaleel, Sajna; Verghis, Alie Molly

2015-01-01

In today's competitive global economy characterized by knowledge acquisition, the concept of knowledge management has become increasingly prevalent in academic and business practices. Knowledge creation is an important factor and remains a source of competitive advantage over knowledge management. Constructivism holds that learners learn actively…

Dynamics of an exclusion process with creation and annihilation

International Nuclear Information System (INIS)

Juhasz, Robert; Santen, Ludger

2004-01-01

We examine the dynamical properties of an exclusion process with creation and annihilation of particles in the framework of a phenomenological domain-wall theory, by scaling arguments and by numerical simulation. We find that the length and the time scales are finite in the maximum current phase for finite creation and annihilation rates as opposed to the algebraically decaying correlations of the totally asymmetric simple exclusion process (TASEP). Critical exponents of the transition to the TASEP are determined. The case where bulk creation and annihilation rates vanish faster than the inverse of the system size N is also analysed. We point out that shock localization is possible even for rates proportional to N -a , 1 < a < 2

Measure Guideline. Steam System Balancing and Tuning for Multifamily Residential Buildings

Energy Technology Data Exchange (ETDEWEB)

Choi, Jayne [Partnership for Advanced Residential Retrofit (PARR), Chicago, IL (United States); Ludwig, Peter [Partnership for Advanced Residential Retrofit (PARR), Chicago, IL (United States); Brand, Larry [Partnership for Advanced Residential Retrofit (PARR), Chicago, IL (United States)

2013-04-01

This guideline provides building owners, professionals involved in multifamily audits, and contractors insights for improving the balance and tuning of steam systems. It provides readers an overview of one-pipe steam heating systems, guidelines for evaluating steam systems, typical costs and savings, and guidelines for ensuring quality installations. It also directs readers to additional resources for details not included here. Measures for balancing a distribution system that are covered include replacing main line vents and upgrading radiator vents. Also included is a discussion on upgrading boiler controls and the importance of tuning the settings on new or existing boiler controls. The guideline focuses on one-pipe steam systems, though many of the assessment methods can be generalized to two-pipe steam systems.

Measure Guideline: High Efficiency Natural Gas Furnaces

Energy Technology Data Exchange (ETDEWEB)

Brand, L.; Rose, W.

2012-10-01

This Measure Guideline covers installation of high-efficiency gas furnaces. Topics covered include when to install a high-efficiency gas furnace as a retrofit measure, how to identify and address risks, and the steps to be used in the selection and installation process. The guideline is written for Building America practitioners and HVAC contractors and installers. It includes a compilation of information provided by manufacturers, researchers, and the Department of Energy as well as recent research results from the Partnership for Advanced Residential Retrofit (PARR) Building America team.

Contemporaneous International Asthma Guidelines Present Differing Recommendations: An Analysis

Directory of Open Access Journals (Sweden)

Samir Gupta

2016-01-01

Full Text Available Background. Several international groups develop asthma guidelines. Conflicting recommendations across guidelines have been described in several disease areas and may contribute to practice variability. Accordingly, we compared the latest Canadian Thoracic Society (CTS asthma guideline with contemporaneous international asthma guidelines to evaluate conflicting recommendations and their causes. Methods. We identified the latest CTS asthma guideline update (2012 and the following societies which also updated their guidelines in 2012: the British Thoracic Society and Scottish Intercollegiate Guidelines Network and the Global Initiative for Asthma. We compared these three guidelines on (1 key methodological factors and (2 adult pharmacotherapy recommendations. Results. Methods used and documentation provided for literature search strategy and dates, evidence synthesis, outcomes considered, evidence appraisal, and recommendation formulation varied between guidelines. Criteria used to define suboptimal asthma control varied widely between guidelines. Inhaled corticosteroid dosing recommendations diverged, as did recommendations surrounding use of budesonide/formoterol as a reliever and controller and recommendations in the subsequent step. Conclusions. There are important differences between recommendations provided in contemporaneous asthma guidelines. Causes include differences in methods used for interpreting evidence and formulating recommendations. Adopting a common set of valid and explicit methods across international societies could harmonize recommendations and facilitate guideline implementation.

Procurement guideline for oil recovery boats; Oeljyntorjuntaveneen hankintaohje

Energy Technology Data Exchange (ETDEWEB)

Pajala, J.

2011-12-15

These guidelines have been compiled to assist in the procurement of oil recovery boats, with the intention of ensuring that new boats meet the future needs of oil spill response operations and that procurement will be carried out in a manner that is economically sound and technologically well-founded. Furthermore, the guidelines are intended to encourage the development and adoption of new solutions for oil recovery boats. The issues covered by these guidelines include: Multiple uses of boats, classification of boats and class-specific requirements, the principle of sustainable development and the boats' lifecycle, qualification to be set for the crews, procurement timeline, regulations and guidelines, inspections and approvals. (orig.)

Inclusion of ethical issues in dementia guidelines: a thematic text analysis.

Science.gov (United States)

Knüppel, Hannes; Mertz, Marcel; Schmidhuber, Martina; Neitzke, Gerald; Strech, Daniel

2013-08-01

Clinical practice guidelines (CPGs) aim to improve professionalism in health care. However, current CPG development manuals fail to address how to include ethical issues in a systematic and transparent manner. The objective of this study was to assess the representation of ethical issues in general CPGs on dementia care. To identify national CPGs on dementia care, five databases of guidelines were searched and national psychiatric associations were contacted in August 2011 and in June 2013. A framework for the assessment of the identified CPGs' ethical content was developed on the basis of a prior systematic review of ethical issues in dementia care. Thematic text analysis and a 4-point rating score were employed to assess how ethical issues were addressed in the identified CPGs. Twelve national CPGs were included. Thirty-one ethical issues in dementia care were identified by the prior systematic review. The proportion of these 31 ethical issues that were explicitly addressed by each CPG ranged from 22% to 77%, with a median of 49.5%. National guidelines differed substantially with respect to (a) which ethical issues were represented, (b) whether ethical recommendations were included, (c) whether justifications or citations were provided to support recommendations, and (d) to what extent the ethical issues were explained. Ethical issues were inconsistently addressed in national dementia guidelines, with some guidelines including most and some including few ethical issues. Guidelines should address ethical issues and how to deal with them to help the medical profession understand how to approach care of patients with dementia, and for patients, their relatives, and the general public, all of whom might seek information and advice in national guidelines. There is a need for further research to specify how detailed ethical issues and their respective recommendations can and should be addressed in dementia guidelines. Please see later in the article for the Editors

Commentary on recent therapeutic guidelines for osteoarthritis.

Science.gov (United States)

Cutolo, Maurizio; Berenbaum, Francis; Hochberg, Marc; Punzi, Leonardo; Reginster, Jean-Yves

2015-06-01

Despite availability of international evidence-based guidelines for osteoarthritis (OA) management, agreement on the different treatment modalities is lacking. A symposium of European and US OA experts was held within the framework of the Annual European Congress of Rheumatology to discuss and compare guidelines and recommendations for the treatment of knee OA and to reach a consensus for management, particularly for areas in which there is no clear consensus: non-pharmacological therapy; efficacy and safety of analgesics and non-steroidal anti-inflammatory drugs (NSAIDs); intra-articular (i.a.) hyaluronates (HA); and the role of chondroitin sulfate (CS) and/or glucosamine sulfate (GS). All guidelines reviewed agree that knee OA is a progressive disease of the joint whose management requires non-pharmacological and pharmacological approaches. Discrepancies between guidelines are few and mostly reflect heterogeneity of expert panels involved, geographical differences in the availability of pharmacotherapies, and heterogeneity of the studies included. Panels chosen for guideline development should include experts with real clinical experience in drug use and patient management. Implementation of agreed guidelines can be thwarted by drug availability and reimbursement plans, resulting in optimal OA treatment being jeopardized, HA and symptomatic slow-acting drugs for osteoarthritis (SySADOAs) being clear examples of drugs whose availability and prescription can greatly vary geographically. In addition, primary care providers, often responsible for OA management (at least in early disease), may not adhere to clinical care guidelines, particularly for non-pharmacological OA treatment. Harmonization of the recommendations for knee OA treatment is challenging but feasible, as shown by the step-by-step therapeutic algorithm developed by the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). More easily disseminated and

Curricular Guidelines for Neuroanatomy.

Science.gov (United States)

Journal of Dental Education, 1981

1981-01-01

Presented are the curricular guidelines for Neuroanatomy developed by the Section on Anatomical Sciences of the American Association of Dental Schools for use by individual educational institutions as curriculum development aids. Included are recommendations for primary educational goals, prerequisites, scope, content, behavioral objectives,…

3 CFR - Guidelines for Human Stem Cell Research

Science.gov (United States)

2010-01-01

... 3 The President 1 2010-01-01 2010-01-01 false Guidelines for Human Stem Cell Research Presidential Documents Other Presidential Documents Memorandum of July 30, 2009 Guidelines for Human Stem Cell Research..., scientifically worthy human stem cell research, including human embryonic stem cell research, to the extent...

32 CFR 147.8 - Guideline F-Financial considerations.

Science.gov (United States)

2010-07-01

... 32 National Defense 1 2010-07-01 2010-07-01 false Guideline F-Financial considerations. 147.8... INFORMATION Adjudication § 147.8 Guideline F—Financial considerations. (a) The concern. An individual who is... raise a security concern and may be disqualifying include: (1) A history of not meeting financial...

Comparing consensus guidelines on thromboprophylaxis in orthopedic surgery.

Science.gov (United States)

Struijk-Mulder, M C; Ettema, H B; Verheyen, C C; Büller, H R

2010-04-01

Different guidelines exist regarding the prevention of venous thromboembolism (VTE) in orthopedic surgery. We aimed to compare (inter)national guidelines and analyse differences. MEDLINE, the Cochrane Library and the internet were searched for guidelines on the prevention of VTE in orthopedic surgery. From these, we constructed a table comparing the different antithrombotic regimens during different orthopedic surgical and plaster cast treatments. Eleven guidelines from nine different countries and one international guideline were included. Few guidelines advise on thrombosis prophylaxis after plaster cast immobilization, (prolonged) arthroscopic surgery and isolated lower extremity trauma. Different opinions exist on the sole use of aspirin and mechanical prophylaxis and on the use of vitamin K antagonists after major hip and knee surgery. Based on the same available literature, different guidelines recommend different thromboprophylactic regimens. Ideally, the grade of recommendation should be based on the same level of evidence world-wide. Whilst there is no agreement on the relevance of different endpoints (e.g. asymptomatic DVT), it is very difficult to reach a consensus. Thromboprophylaxis guidelines should be reviewed and updated on a regular basis, because the evidence is evolving rapidly.

Guideline implementation strategies for specialist mental healthcare.

Science.gov (United States)

Girlanda, Francesca; Fiedler, Ines; Ay, Esra; Barbui, Corrado; Koesters, Markus

2013-07-01

Clinical practice guidelines in mental healthcare are viewed as an essential asset if appropriately developed and implemented. The purpose of this article was to review the existing literature on how guidelines should be implemented to optimize their impact on provider performance and patient outcomes in specialist mental healthcare settings. Findings from recent studies suggest a trend toward an improvement in process and patient outcomes following guideline implementation. However, studies are heterogeneous in terms of design, implementation strategies and outcome measures, making it very difficult to draw firm conclusions about which implementation strategy is effective in different healthcare contexts. Current knowledge about how guidelines should be implemented is still sparse and inconclusive in mental healthcare. Future studies should attempt to employ more rigorous designs, including random allocation of patients or clusters of patients, to shed further light on this compelling issue. Research on guideline implementation strategies should additionally take into account potential barriers to knowledge translation, which can heavily influence the implementability of treatment recommendations.

Thermostimulated luminescence in KBr-In crystals after optical creation of electronic excitation

International Nuclear Information System (INIS)

Popov, A.I.

1990-01-01

Thermal stability of the radiation defects produced in KBr-In by optical creation of the electronic excitation (optical creation of the excitons or optical ionization of In + -ions under C-band illumination) is investigated by the method of thermostimulated luminescence (TSL). A method of detection of prehistory defects, when the optical ionization of In + -ions and TSL are performed, is proposed. Quadratic dependence of V 2 -center creation upon dose is shown. This dependence confirms assocative mechanism of the creation of V 2 -centers from two interstitial centers

Guidelines for the Pharmacotherapy of Schizophrenia in Adults.

Science.gov (United States)

Remington, Gary; Addington, Donald; Honer, William; Ismail, Zahinoor; Raedler, Thomas; Teehan, Michael

2017-09-01

The present guidelines address the pharmacotherapy of schizophrenia in adults across different stages, phases, and symptom domains. Guidelines were developed using the ADAPTE process, which takes advantage of existing guidelines. Six guidelines were identified for adaptation, with recommendations extracted from each. For those specific to the pharmacotherapy of schizophrenia in adults, a working group selected between guidelines and recommendations to create an adapted guideline. Recommendations can be categorized into 6 areas that include 1) first-episode schizophrenia, 2) acute exacerbation, 3) relapse prevention and maintenance treatment, 4) treatment-resistant schizophrenia, 5) clozapine-resistant schizophrenia, and 6) specific symptom domains. For each category, recommendations are made based on the available evidence, which is discussed and linked to other established guidelines. In most cases, evidence-based recommendations are made that can be used to guide current clinical treatment and decision making. Notably, however, there is a paucity of established evidence to guide treatment decision making in the case of clozapine-resistant schizophrenia, a subsample that represents a sizable proportion of those with schizophrenia.

The Creation of Experience Spaces

DEFF Research Database (Denmark)

Pedersen, Michael Thyrrestrup

2013-01-01

will be conducted in the intersection field of collaboration between the Ministry of Culture and four municipalities in East Jutland. The analysis will evolve around how cultural experience spaces are created for the citizens to enjoy. This paper will contribute with knowledge about the creation of experiences...

Creation of a national resource with linked genealogy and phenotypic data: the Veterans Genealogy Project.

Science.gov (United States)

Cannon-Albright, Lisa A; Dintelman, Sue; Maness, Tim; Backus, Steve; Thomas, Alun; Meyer, Laurence J

2013-07-01

Creation of a genealogy of the United States and its ancestral populations is under way. When complete, this US genealogy will be record linked to the National Veteran's Health Administration medical data representing more than 8 million US veterans. Genealogical data are gathered from public sources, primarily the Internet. Record linking using data from relatives is accomplished to integrate multiple data sources and then to link genealogical data to the veteran's demographic data. This resource currently includes genealogy for more than 22 million individuals representing the Intermountain West and the East Coast. The demographic data for more than 40,000 veteran patients using Veterans Hospital Administration services in Utah and Massachusetts have already been record linked. The resource is only in its second year of creation and already represents the largest such combination of genealogy and medical data in the world. The data sources, the creation of the genealogy, record-linking methods and results, proposed genetic analyses, and future directions are discussed.

Value Creation Challenges in Multichannel Retail Business Models

Directory of Open Access Journals (Sweden)

Mika Yrjölä

2014-08-01

Full Text Available Purpose: The purpose of the paper is to identify and analyze the challenges of value creation in multichannel retail business models. Design/methodology/approach: With the help of semi-structured interviews with top executives from different retailing environments, this study introduces a model of value creation challenges in the context of multichannel retailing. The challenges are analyzed in terms of three retail business model elements, i.e., format, activities, and governance. Findings: Adopting a multichannel retail business model requires critical rethinking of the basic building blocks of value creation. First of all, as customers effortlessly move between multiple channels, multichannel formats can lead to a mismatch between customer and firm value. Secondly, retailers face pressures to use their activities to form integrated total offerings to customers. Thirdly, multiple channels might lead to organizational silos with conflicting goals. A careful orchestration of value creation is needed to determine the roles and incentives of the channel parties involved. Research limitations/implications: In contrast to previous business model literature, this study did not adopt a network-centric view. By embracing the boundary-spanning nature of the business model, other challenges and elements might have been discovered (e.g., challenges in managing relationships with suppliers. Practical implications: As a practical contribution, this paper has analyzed the challenges retailers face in adopting multichannel business models. Customer tendencies for showrooming behavior highlight the need for generating efficient lock-in strategies. Customized, personal offers and information are ways to increase customer value, differentiate from competition, and achieve lock-in. Originality/value: As a theoretical contribution, this paper empirically investigates value creation challenges in a specific context, lowering the level of abstraction in the mostly

Clinical algorithms to aid osteoarthritis guideline dissemination.

Science.gov (United States)

Meneses, S R F; Goode, A P; Nelson, A E; Lin, J; Jordan, J M; Allen, K D; Bennell, K L; Lohmander, L S; Fernandes, L; Hochberg, M C; Underwood, M; Conaghan, P G; Liu, S; McAlindon, T E; Golightly, Y M; Hunter, D J

2016-09-01

Numerous scientific organisations have developed evidence-based recommendations aiming to optimise the management of osteoarthritis (OA). Uptake, however, has been suboptimal. The purpose of this exercise was to harmonize the recent recommendations and develop a user-friendly treatment algorithm to facilitate translation of evidence into practice. We updated a previous systematic review on clinical practice guidelines (CPGs) for OA management. The guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation for quality and the standards for developing trustworthy CPGs as established by the National Academy of Medicine (NAM). Four case scenarios and algorithms were developed by consensus of a multidisciplinary panel. Sixteen guidelines were included in the systematic review. Most recommendations were directed toward physicians and allied health professionals, and most had multi-disciplinary input. Analysis for trustworthiness suggests that many guidelines still present a lack of transparency. A treatment algorithm was developed for each case scenario advised by recommendations from guidelines and based on panel consensus. Strategies to facilitate the implementation of guidelines in clinical practice are necessary. The algorithms proposed are examples of how to apply recommendations in the clinical context, helping the clinician to visualise the patient flow and timing of different treatment modalities. Copyright © 2016 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

The threat from creationism to the rational teaching of biology

Directory of Open Access Journals (Sweden)

ATHEL CORNISH-BOWDEN

2007-01-01

Full Text Available Most biologists outside the USA and a few other countries, like Australia and Canada, are under the impression that the threat to the teaching of biology represented by creationism does not concern them directly. This is unfortunately no longer true: the recent growth of creationism, especially in its pseudo-scientific manifestation known as "intelligent design", has been obvious in several countries of Western Europe, especially the UK, Germany and Poland, and it is beginning to be noticeable in Brazil, and maybe elsewhere in Latin America. The problem is complicated by the fact that there are not just two possibilities, evolution and creationism, because creationism comes in various incompatible varieties. Turkey is now a major source of creationist propaganda outside the USA, and is especially significant in relation to its influence on Muslim populations in Europe. The time for biologists to address the creationist threat is now

Temperature dependence of radiation induced defect creation in a-SiO2

International Nuclear Information System (INIS)

Devine, R.A.B.; Grouillet, A.; Berlivet, J.Y.

1988-01-01

The efficiency of oxygen vacancy defect creation in samples of amorphous SiO 2 subjected to ultraviolet laser or ionizing particle radiation (energetic H + ions) has been measured as a function of sample temperature during irradiation. For the case of laser radiation (E photon ≅ 5 eV) we find that vacancy centers are only created when the irradiation temperature is above 150 K. The efficiency of peroxy radical defect creation observed after post irradiation annealing is consistent with the behaviour of the oxygen vacancy creation efficiency. In samples with energetic protons, the opposite behaviour is observed and one finds that defect creation is enhanced as the implantation temperature is lowered. Possible physical mechanisms controlling the defect creation efficiency as a function of sample temperature and radiation are discussed. (orig.)

Systematic review of guidelines on peripheral artery disease screening.

Science.gov (United States)

Ferket, Bart S; Spronk, Sandra; Colkesen, Ersen B; Hunink, M G Myriam

2012-02-01

Peripheral artery disease (PAD) screening may be performed to prevent progression of PAD or future cardiovascular disease in general. Recommendations for PAD screening have to be derived indirectly because no randomized trials comparing screening versus no screening have been performed. We performed a systematic review of guidelines to evaluate the value of PAD screening in asymptomatic adults. Guidelines in English published between January 1, 2003 and January 20, 2011 were retrieved using MEDLINE, CINAHL, the National Guideline Clearinghouse, the National Library for Health, the Canadian Medication Association Infobase, and the G-I-N International Guideline Library. Guidelines developed by national and international medical societies from Western countries, containing recommendations on PAD screening, were included. Two reviewers independently assessed rigor of guideline development using the Appraisal of Guidelines Research and Evaluation (AGREE) instrument. One reviewer performed full extraction of recommendations, which was validated by a second reviewer. Of 2779 titles identified, 8 guidelines were included. AGREE scores varied from 33% to 81%. Five guidelines advocated PAD screening, others found insufficient evidence for PAD screening or were against it. Measurement of the ankle-brachial index (ABI) was generally recommended for middle-aged populations with elevated cardiovascular risk levels. Those identified as having PAD are reclassified as high risk, warranting intensive preventive interventions to reduce their risk of a cardiovascular event. The underlying evidence mainly consisted of studies performed in patients with established PAD. A meta-analysis that evaluated ABI testing in the context of traditional cardiovascular risk assessment was interpreted differently. Recommendations on PAD screening vary across current guidelines, making the value of PAD screening uncertain. The variation seems to reflect lack of studies that show added value of

Diet quality: associations with health messages included in the Danish Dietary Guidelines 2005, personal attitudes and social factors

DEFF Research Database (Denmark)

Biltoft-Jensen, Anja Pia; Groth, Margit Velsing; Matthiessen, Jeppe

2009-01-01

Objective: To Study the association between diet quality and the new health messages in the Danish Dietary Guidelines 2005, i.e. 'Eat a varied diet', 'Engage in regular physical activity' and 'Maintain a healthy body weight'. Design/setting/subjects: The study was cross-sectional, comprising a ra...... with healthy eating. The dietary habits reported were strongly influenced by personal intentions. Thus, the biggest challenge for public health nutritionists will be to reach non-compliers who seldom have intentions to eat healthily.......Objective: To Study the association between diet quality and the new health messages in the Danish Dietary Guidelines 2005, i.e. 'Eat a varied diet', 'Engage in regular physical activity' and 'Maintain a healthy body weight'. Design/setting/subjects: The study was cross-sectional, comprising...... a random sample of 3151 Danish adults aged 18-75 years. Dietary intake was estimated using a 7 d pre-coded food diary. information on social background, leisure-time physical activity, height, body weight and intention to eat healthily was Obtained by in-person interviews. Logistic regression models Were...

CCDM model from quantum particle creation: constraints on dark matter mass

International Nuclear Information System (INIS)

Jesus, J.F.; Pereira, S.H.

2014-01-01

In this work the results from the quantum process of matter creation have been used in order to constrain the mass of the dark matter particles in an accelerated Cold Dark Matter model (Creation Cold Dark Matter, CCDM). In order to take into account a back reaction effect due to the particle creation phenomenon, it has been assumed a small deviation ε for the scale factor in the matter dominated era of the form t 2/3+ε . Based on recent H(z) data, the best fit values for the mass of dark matter created particles and the ε parameter have been found as m = 1.6× 10 3 GeV, restricted to a 68.3% c.l. interval of 1.5 < m < 6.3× 10 7 ) GeV and ε = -0.250 +0.15 -0.096 at 68.3% c.l. For these best fit values the model correctly recovers a transition from decelerated to accelerated expansion and admits a positive creation rate near the present era. Contrary to recent works in CCDM models where the creation rate was phenomenologically derived, here we have used a quantum mechanical result for the creation rate of real massive scalar particles, given a self consistent justification for the physical process. This method also indicates a possible solution to the so called ''dark degeneracy'', where one can not distinguish if it is the quantum vacuum contribution or quantum particle creation which accelerates the Universe expansion

Teacher Qualification Guidelines, Ecological Literacy and Outdoor Education

Science.gov (United States)

Martin, Peter

2008-01-01

A key signpost to a profession is clarity of disciplinary knowledge. In this paper I describe the content and outcome of a process to refine the qualification guidelines for outdoor education teachers in Victorian, Australia. The guidelines, developed for the Victorian Institute of Teaching, include both practical skills and disciplinary…

Pair creation by dynamic field configurations

International Nuclear Information System (INIS)

Aoyama, H.

1982-01-01

This thesis deals with the dynamics of the classical configuration of a quantum field unstable due to pair creation. The effective action method is developed first to treat such problems for a simple two-field model. Physical quantities such as pair creation probabilities are related to a complex function called the effective configuration, which is defined to minimize the effective action. Unitarity of the S-matrix is verified at the lowest order of the weak-field approximation. At the same order, the real valued vacuum expectation value of the quantum field, named the real configuration, is constructed in terms of the effective configuration. An integro-differential equation for the real configuration is given and is used to show that the real configuration is causal, while the effective configuration is not. Two practical applications of the effective action method are discussed. The first deals with pair creation in an anisotropic universe, and the real geometry is given in terms of the effective geometry in the samll anisotropy limit. The second deals with expanding vacuum bubbles. Corresponding to three possible situations, three kinds of field equations of each of the effective configuration and the real configuration are obtained. The behavior of the bubble is also studied by a semi-classical method, and one of the three situations is suggested to be plausible

Co-creation Communication Pengguna Instagram Dalam Foodstagram Di Surabaya

OpenAIRE

Goenawan, Giovanny

2015-01-01

Co-creation communication merupakan sebuah interaksi yang terjadi dengan pengumpulan respon-respon yang diberikan terhadap sebuah pesan yang ada yang membutuhkan adanya partisipasi audiens dimana mereka memiliki pengaruh dalam sistem tersebut. Co-creation communication biasanya dilakukan dalam sosial media, dimana sosial media yang digunakan dalam penelitian ini adalah instagram dalam mengomentari dan juga melakukan posting foto makanan (foodstagram). Untuk mengetahui keinginan berpartisipasi...

Siting guidelines and their role in repository site selection

International Nuclear Information System (INIS)

Hanlon, C.L.

1985-01-01

The first requirement of the Nuclear Waste Policy Act was for the Secretary of Energy to issue general guidelines for siting repositories. The guidelines were to specify detailed geologic considerations that would be the primary criteria for the selection of sites in various host rocks, as well as factors that would qualify or disqualify any site from development as a repository. These guidelines were clearly intended to provide not only the framework for the siting program but also the stimulus for establishing effective communication and consultation among the parties involved in the program. The Act further required that the guidelines be a factor in the development of all future decision documents of the Office of Civilian Radioactive Waste Management, including the environmental assessments that would accompany the nomination of sites for characterization, the site-characterization plans that are to be prepared before the sinking of exploratory shafts at any candidate site, and the environmental impact statement that is to support the recommendation of a site for development as a repository. More than two years after its passage, the intention of the Act for the guidelines has been realized. Concurred in by the Nuclear Regulatory Commission on June 22, 1984, and issued by the Department in November 1984, the guidelines include postclosure technical guidelines that apply to conditions governing the long-term performance of the repository system; preclosure technical guidelines that apply to conditions governing the siting, construction, operation, and closure of the repository; and system guidelines whose objective is to ensure that the regulatory requirements of the Environmental Protection Agency and the Nuclear Regulatory Commission are met

Training center of Rovenskaya NPP. The experience of creation

International Nuclear Information System (INIS)

Fedorov, O.M.; Aristov, B.N.

1991-01-01

Experience in creation of a teaching-training centre at the Rovno NPP, which uses means available at unified NPPs, at most is discussed. The centre hardware complex functions include the event filing and providing for user-friendly interface with NPP technical personnel under training. The system of personnel training at the Rovno NPP teaching-training centre gives an opportunity to analyze accidents and emergency conditions more completely and carefully. The taching analysis of failures and accidents by a NPP operators using the complex of the teaching-training centre hardware sufficiently improves knowledge of particular accidents

Creation of electromechanical device for electric vehicle traction

Directory of Open Access Journals (Sweden)

Денис Юрьевич Зубенко

2016-10-01

Full Text Available The problems of creation of electromechanical device for electric vehicle traction are considered in the article. The aim of creation this design are the replacement of the internal combustion engine on electromechanical device. For this electromechanical device are constructed model, which describe processes that occur in the electric drive of electromechanical device. Characteristics of the main modes of motion were recorded. The introduction of electromechanical device will reduce the level of emissions and reduce noise in the cities

Bohr's Creation of his Quantum Atom

Science.gov (United States)

Heilbron, John

2013-04-01

Fresh letters throw new light on the content and state of Bohr's mind before and during his creation of the quantum atom. His mental furniture then included the atomic models of the English school, the quantum puzzles of Continental theorists, and the results of his own studies of the electron theory of metals. It also included the poetry of Goethe, plays of Ibsen and Shakespeare, novels of Dickens, and rhapsodies of Kierkegaard and Carlyle. The mind that held these diverse ingredients together oscillated between enthusiasm and dejection during the year in which Bohr took up the problem of atomic structure. He spent most of that year in England, which separated him for extended periods from his close-knit family and friends. Correspondence with his fianc'ee, Margrethe Nørlund, soon to be published, reports his ups and downs as he adjusted to J.J. Thomson, Ernest Rutherford, the English language, and the uneven course of his work. In helping to smooth out his moods, Margrethe played an important and perhaps an enabling role in his creative process.

Physicians' preferences for asthma guidelines implementation.

Science.gov (United States)

Kang, Min-Koo; Kim, Byung-Keun; Kim, Tae-Wan; Kim, Sae-Hoon; Kang, Hye-Ryun; Park, Heung-Woo; Chang, Yoon-Seok; Kim, Sun-Sin; Min, Kyung-Up; Kim, You-Young; Cho, Sang-Heon

2010-10-01

Patient care based on asthma guidelines is cost-effective and leads to improved treatment outcomes. However, ineffective implementation strategies interfere with the use of these recommendations in clinical practice. This study investigated physicians' preferences for asthma guidelines, including content, supporting evidence, learning strategies, format, and placement in the clinical workplace. We obtained information through a questionnaire survey. The questionnaire was distributed to physicians attending continuing medical education courses and sent to other physicians by airmail, e-mail, and facsimile. A total of 183 physicians responded (male to female ratio, 2.3:1; mean age, 40.4±9.9 years); 89.9% of respondents were internists or pediatricians, and 51.7% were primary care physicians. Physicians preferred information that described asthma medications, classified the disease according to severity and level of control, and provided methods of evaluation/treatment/monitoring and management of acute exacerbation. The most effective strategies for encouraging the use of the guidelines were through continuing medical education and discussions with colleagues. Physicians required supporting evidence in the form of randomized controlled trials and expert consensus. They preferred that the guidelines be presented as algorithms or flow charts/flow diagrams on plastic sheets, pocket cards, or in electronic medical records. This study identified the items of the asthma guidelines preferred by physicians in Korea. Asthma guidelines with physicians' preferences would encourage their implementation in clinical practice.

Integrated Human Factors Design Guidelines for Sound Interface

International Nuclear Information System (INIS)

Lee, Jung Woon; Lee, Yong Hee; Oh, In Seok; Lee, Hyun Chul; Cha, Woo Chang

2004-05-01

Digital MMI, such as CRT, LCD etc., has been used increasingly in the design of main control room of the Korean standard nuclear power plants following the YGN units 3 and 4. The utilization of digital MMI may introduce various kind of sound interface into the control room design. In this project, for five top-level guideline items, including Sound Formats, Alarms, Sound Controls, Communications, and Environments, a total of 147 detail guidelines were developed and a database system for these guidelines was developed. The integrated human factors design guidelines for sound interface and the database system developed in this project will be useful for the design of sound interface of digital MMI in Korean NPPs

Integrated Human Factors Design Guidelines for Sound Interface

Energy Technology Data Exchange (ETDEWEB)

Lee, Jung Woon; Lee, Yong Hee; Oh, In Seok; Lee, Hyun Chul [KAERI, Daejeon (Korea, Republic of); Cha, Woo Chang [Kumoh National Univ. of Technology, Gumi (Korea, Republic of)

2004-05-15

Digital MMI, such as CRT, LCD etc., has been used increasingly in the design of main control room of the Korean standard nuclear power plants following the YGN units 3 and 4. The utilization of digital MMI may introduce various kind of sound interface into the control room design. In this project, for five top-level guideline items, including Sound Formats, Alarms, Sound Controls, Communications, and Environments, a total of 147 detail guidelines were developed and a database system for these guidelines was developed. The integrated human factors design guidelines for sound interface and the database system developed in this project will be useful for the design of sound interface of digital MMI in Korean NPPs.

Negotiating creation in imperial times (Rm 8:18−30)

African Journals Online (AJOL)

2013-02-26

Feb 26, 2013 ... (Nile, 711−713; suicide, death wish) (Vergil, Aeneid 8). 16. .... it as 'creature' in the sense of human body rather than 'creation' (e.g. Michaels. 1999:93). A full range ... God has subjected creation to decay and futility in order to ...

Pattern-based information portal for business plan co-creation

Science.gov (United States)

Bontchev, Boyan; Ruskov, Petko; Tanev, Stoyan

2011-03-01

Creation of business plans helps entrepreneurs in managing identification of business opportunities and committing necessary resources for process evolution. Applying patterns in business plan creation facilitates the identification of effective solutions that were adopted in the past and may provide a basis for adopting similar solutions in the future within given business context. The article presents the system design of an information portal for business plan co-creation based on patterns. The portal is going to provide start-up and entrepreneurs with ready-to-modify business plan patterns in order to help them in development of effective and efficient business plans. It will facilitate entrepreneurs in co-experimenting and co-learning more frequently and faster. Moreover, the paper focuses on the software architecture of the pattern based portal and explains the functionality of its modules, namely the pattern designer, pattern repository services and agent-based pattern implementers. It explains their role for business process co-creation, storing and managing patterns described formally, and selecting patterns best suited for specific business case. Thus, innovative entrepreneurs will be guided by the portal in co-writing winning business plans and staying competitive in the present day dynamic globalized environment.

Particle creation rate for dynamical black holes

Energy Technology Data Exchange (ETDEWEB)

Firouzjaee, Javad T. [School of Astronomy, Institute for Research in Fundamental Sciences (IPM), Tehran (Iran, Islamic Republic of); University of Oxford, Department of Physics (Astrophysics), Oxford (United Kingdom); Ellis, George F.R. [University of Cape Town, Mathematics and Applied Mathematics Department, Rondebosch (South Africa)

2016-11-15

We present the particle creation probability rate around a general black hole as an outcome of quantum fluctuations. Using the uncertainty principle for these fluctuation, we derive a new ultraviolet frequency cutoff for the radiation spectrum of a dynamical black hole. Using this frequency cutoff, we define the probability creation rate function for such black holes. We consider a dynamical Vaidya model and calculate the probability creation rate for this case when its horizon is in a slowly evolving phase. Our results show that one can expect the usual Hawking radiation emission process in the case of a dynamical black hole when it has a slowly evolving horizon. Moreover, calculating the probability rate for a dynamical black hole gives a measure of when Hawking radiation can be killed off by an incoming flux of matter or radiation. Our result strictly suggests that we have to revise the Hawking radiation expectation for primordial black holes that have grown substantially since they were created in the early universe. We also infer that this frequency cut off can be a parameter that shows the primordial black hole growth at the emission moment. (orig.)

K-Basins design guidelines

International Nuclear Information System (INIS)

Roe, N.R.; Mills, W.C.

1995-06-01

The purpose of the design guidelines is to enable SNF and K Basin personnel to complete fuel and sludge removal, and basin water mitigation by providing engineering guidance for equipment design for the fuel basin, facility modifications (upgrades), remote tools, and new processes. It is not intended to be a purchase order reference for vendors. The document identifies materials, methods, and components that work at K Basins; it also Provides design input and a technical review process to facilitate project interfaces with operations in K Basins. This document is intended to compliment other engineering documentation used at K Basins and throughout the Spent Nuclear Fuel Project. Significant provisions, which are incorporated, include portions of the following: General Design Criteria (DOE 1989), Standard Engineering Practices (WHC-CM-6-1), Engineering Practices Guidelines (WHC 1994b), Hanford Plant Standards (DOE-RL 1989), Safety Analysis Manual (WHC-CM-4-46), and Radiological Design Guide (WHC 1994f). Documents (requirements) essential to the engineering design projects at K Basins are referenced in the guidelines

Predictors of nonfunctional arteriovenous access at hemodialysis initiation and timing of access creation: A registry-based study.

Directory of Open Access Journals (Sweden)

Natalia Alencar de Pinho

Full Text Available Determinants of nonfunctional arteriovenous (AV access, including timing of AV access creation, have not been sufficiently described. We studied 29 945 patients who had predialysis AV access placement and were included in the French REIN registry from 2005 through 2013. AV access was considered nonfunctional when dialysis began with a catheter. We estimated crude and adjusted odds ratio (OR with 95% confidence intervals (CI of nonfunctional versus functional AV access associated with case-mix, facility characteristics, and timing of AV access creation. Analyses were stratified by dialysis start condition (planned or as an emergency and comorbidity profile. Overall, 18% patients had nonfunctional AV access at hemodialysis initiation. In the group with planned dialysis start, female gender (OR 1.43, 95% CI 1.32-1.56, diabetes (OR 1.28, 95% CI 1.15-1.44, and a higher number of cardiovascular comorbidities (OR 1.27, 95% CI 1.09-1.49, and 1.31, 1.05-1.64, for 3 and >3 cardiovascular comorbidities versus none, respectively were independent predictors of nonfunctional AV access. A higher percentage of AV access creation at the region level was associated with a lower rate of nonfunctional AV access (OR 0.98, 95% CI 0.98-0.99 per 1% increase. The odds of nonfunctional AV access decreased as time from creation to hemodialysis initiation increased up to 3 months in nondiabetic patients with fewer than 2 cardiovascular comorbidities and 6 months in patients with diabetes or 2 or more such comorbidities. In conclusion, both patient characteristics and clinical practices may play a role in successful AV access use at hemodialysis initiation. Adjusting the timing of AV access creation to patients' comorbidity profiles may improve functional AV access rates.

Time to detoxify medical literature from guideline overdose

Institute of Scientific and Technical Information of China (English)

Dinesh Vyas; Arpita K Vyas

2012-01-01

The current financial turmoil in the United States has been attributed to multiple reasons including healthcare expenditure.Health care spending has increased from 5.7 percent of the gross domestic product (GDP)in 1965 to 16 percent of the GDP in 2004.Healthcare is driven with a goal to provide best possible care available at that period of time.Guidelines are generally assumed to have the high level of certainty and security as conclusions generated by the conventional scientific method leading many clinicians to use guidelines as the final arbiters of care.To provide the standard of care,physicians follow guidelines,proposed by either groups of physicians or various medical societies or government organizations like National Comprehensive Cancer Network.This has lead to multiple tests for the patient and has not survived the test of time.This independence leads to lacunae in the standardization of guidelines,hence flooding of literature with multiple guidelines and confusion to patients and physicians and eventually overtreatment,inefficiency,and patient inconvenience.There is an urgent need to restrict articles with Guidelines and develop some strategy like have an intermediate stage of pre-guidelines and after 5-10 years of trials,a systematic launch of the Guidelines.There can be better ways than this for putting together guidelines as has been suggested by multiple authors and researchers.

Kinetic Modeling of the Lif:Mg,Ti TL System including Defect Creation: Implications to, and Development of Track Structure Theory Calculations of Heavy Charged Particle Radiation Effects

International Nuclear Information System (INIS)

Eliyahu, Ian

2015-01-01

relative OA band HCP induced efficiencies as described in the following. The high fluence region has allowed the determination of the saturation concentration of the F band and 4.77 eV band using the Beer-Lambert and Smakula formulas. The results indicate order of magnitude enhanced concentrations of vii these centers following the proton and He irradiations relative to photon irradiation. 2. Kinetic Analysis: The second focus of investigation was the development of a kinetic model to describe charge carrier transport in the LiF:Mg,Ti system including three features delineated in the following. The primary motivation for the kinetic analysis was the intention to modify track structure theory by taking into account enhanced vacancy/F center creation in the low ionization density kinetic simulations but was expanded in order to simulate the unique features of dose response in LiF:Mg,Ti. The kinetic model includes: c) Estimated electron-hole (e-h) and e-only population of the spatially correlated trapping center/luminescent center responsible for composite glow peak 5 in the glow curve of LiF:Mg,Ti. d) Combined localized and delocalized recombination of the e-h and e-only centers in the recombination stage. These features are shown to be capable of simulating both the linear/supralinear dose response and the dependence of the supralinearity on photon energy as is observed for composite peak 5. Both of these characteristics have previously eluded the predictive powers of kinetic theory based exclusively on delocalized recombination. e) Vacancy/F center creation in the irradiation stage including vacancyinterstitial recombination. The kinetic model with the latter mechanisms attempts to resolve a central question concerning the mechanisms leading to the linear/exponentially saturating dose response of the F band even though Fluorine vacancies are being continuously created during the irradiation. The electron-trapping characteristics of the created vacancies are assumed to

A Case Against Scientific Creationism: A Look at Content Issues.

Science.gov (United States)

Kenkel, Father Leonard A.

1985-01-01

Discusses: (1) the theology of creation (religion); (2) evolution (science); and (3) scientific creationism (religious doctrine and pseudoscience). Points out that contrary to its claim, the latter is a sectarian religious doctrine in the guise of science demanding to be taught in the classroom "as a science." (JN)

Advanced human-system interface design review guideline. General evaluation model, technical development, and guideline description

International Nuclear Information System (INIS)

O'Hara, J.M.

1994-07-01

Advanced control rooms will use advanced human-system interface (HSI) technologies that may have significant implications for plant safety in that they will affect the operator's overall role in the system, the method of information presentation, and the ways in which operators interact with the system. The U.S. Nuclear Regulatory Commission (NRC) reviews the HSI aspects of control rooms to ensure that they are designed to good human factors engineering principles and that operator performance and reliability are appropriately supported to protect public health and safety. The principal guidance available to the NRC, however, was developed more than ten years ago, well before these technological changes. Accordingly, the human factors guidance needs to be updated to serve as the basis for NRC review of these advanced designs. The purpose of this project was to develop a general approach to advanced HSI review and the human factors guidelines to support NRC safety reviews of advanced systems. This two-volume report provides the results of the project. Volume I describes the development of the Advanced HSI Design Review Guideline (DRG) including (1) its theoretical and technical foundation, (2) a general model for the review of advanced HSIs, (3) guideline development in both hard-copy and computer-based versions, and (4) the tests and evaluations performed to develop and validate the DRG. Volume I also includes a discussion of the gaps in available guidance and a methodology for addressing them. Volume 2 provides the guidelines to be used for advanced HSI review and the procedures for their use

Advanced human-system interface design review guideline. General evaluation model, technical development, and guideline description

Energy Technology Data Exchange (ETDEWEB)

O`Hara, J.M.

1994-07-01

Advanced control rooms will use advanced human-system interface (HSI) technologies that may have significant implications for plant safety in that they will affect the operator`s overall role in the system, the method of information presentation, and the ways in which operators interact with the system. The U.S. Nuclear Regulatory Commission (NRC) reviews the HSI aspects of control rooms to ensure that they are designed to good human factors engineering principles and that operator performance and reliability are appropriately supported to protect public health and safety. The principal guidance available to the NRC, however, was developed more than ten years ago, well before these technological changes. Accordingly, the human factors guidance needs to be updated to serve as the basis for NRC review of these advanced designs. The purpose of this project was to develop a general approach to advanced HSI review and the human factors guidelines to support NRC safety reviews of advanced systems. This two-volume report provides the results of the project. Volume I describes the development of the Advanced HSI Design Review Guideline (DRG) including (1) its theoretical and technical foundation, (2) a general model for the review of advanced HSIs, (3) guideline development in both hard-copy and computer-based versions, and (4) the tests and evaluations performed to develop and validate the DRG. Volume I also includes a discussion of the gaps in available guidance and a methodology for addressing them. Volume 2 provides the guidelines to be used for advanced HSI review and the procedures for their use.

Creation of free excitons in solid krypton investigated by time-resolved luminescence spectroscopy

International Nuclear Information System (INIS)

Kisand, Vambola; Kirm, Marco; Negodin, Evgeni; Sombrowski, Elke; Steeg, Barbara; Vielhauer, Sebastian; Zimmerer, Georg

2003-01-01

The creation and relaxation of secondary excitons in solid Kr was investigated using energy-and time-resolved luminescence spectroscopy in the vacuum ultraviolet region. The spectrally selected emission of the free exciton (FE) was used as a probe for an investigation of the different exciton creation processes. Delayed FE creation via electron-hole recombination and 'prompt' (in terms of the time-resolution of the experiment) creation of excitons were separated. The 'prompt' creation of a FE appears in the region above threshold energy E th , which is equal to the sum of the band gap energy and the free exciton energy. 'Prompt' creation of excitons above E th is ascribed to a superposition of two processes: (i) creation of the electronic polaron complex (one-step process) and (ii) inelastic scattering of photoelectrons described in the framework of the multiple-parabolic-branch band model (two-step process). In addition, the ratio spectrum of the time-integrated FE and self-trapped exciton (STE) emission was analysed. The behaviour of the ratio spectrum is a proof that electron-hole recombination leads to STE states through FE states as precursors

The current state of epilepsy guidelines: A systematic review.

Science.gov (United States)

Sauro, Khara M; Wiebe, Samuel; Dunkley, Colin; Janszky, Jozsef; Kumlien, Eva; Moshé, Solomon; Nakasato, Nobukazu; Pedley, Timothy A; Perucca, Emilio; Senties, Horacio; Thomas, Sanjeev V; Wang, Yuping; Wilmshurst, Jo; Jetté, Nathalie

2016-01-01

The International League Against Epilepsy (ILAE) Epilepsy Guidelines Task Force, composed of 14 international members, was established in 2011 to identify, using systematic review methodology, international epilepsy clinical care guidelines, assess their quality, and determine gaps in areas of need of development. A systematic review of the literature (1985-2014) was performed in six electronic databases (e.g. Medline, Embase) using a broad search strategy without initial limits to language or study design. Six gray literature databases (e.g., American Academy of Neurology [AAN], ILAE) were also searched to minimize publication bias. Two independent reviewers screened abstracts, reviewed full text articles, and performed data abstraction. Descriptive statistics and a meta-analysis were generated. The search identified 10,926 abstracts. Of the 410 articles selected for full text review, 63 met our eligibility criteria for a guideline. Of those included, 54 were in English and 9 were in other languages (French, Spanish, and Italian). Of all guidelines, 29% did not specify the target age groups, 27% were focused on adults, 22% included only children, and 6% specifically addressed issues related to women with epilepsy. Guidelines included in the review were most often aimed at guiding clinical practice for status epilepticus (n = 7), first seizure (n = 6), drug-resistant epilepsy (n = 5), and febrile seizures (n = 4), among others. Most of the guidelines were therapeutic (n = 35) or diagnostic (n = 16) in nature. The quality of the guidelines using a 1-7 point scale (7 = highest) varied and was moderate overall (mean = 4.99 ± 1.05 [SD]). We identified substantial gaps in topics (e.g., epilepsy in the elderly) and there was considerable heterogeneity in methodologic quality. The findings should offer a valuable resource for health professionals caring for people with epilepsy, since they will help guide the prioritization, development, and dissemination of future

Value Creation in the Context of Sustainable Corporate Social Responsibility

Science.gov (United States)

Šmida, Ľubomír; Sakál, Peter

2014-12-01

Under the influence of the new rules of the economy and the society, companies are achieving a notional line of a necessary change in the approach to creating new value, wealth. Implementation of changes in the system of wealth creation requires a review of existing assumptions of unlimited growth of the global economy and wealth creation in the environment accepting economic interests, society and the environment as a holistic unit. The main purpose of this paper is the clarification of a new requirements for business, presentation of the questionnaire survey Sustainable Corporate Social Responsibility and inform on value creation in the context of Sustainable Corporate Social Responsibility.

Value Creation in the Context of Sustainable Corporate Social Responsibility

Directory of Open Access Journals (Sweden)

Šmida Ľubomír

2014-12-01

Full Text Available Under the influence of the new rules of the economy and the society, companies are achieving a notional line of a necessary change in the approach to creating new value, wealth. Implementation of changes in the system of wealth creation requires a review of existing assumptions of unlimited growth of the global economy and wealth creation in the environment accepting economic interests, society and the environment as a holistic unit. The main purpose of this paper is the clarification of a new requirements for business, presentation of the questionnaire survey Sustainable Corporate Social Responsibility and inform on value creation in the context of Sustainable Corporate Social Responsibility.

Aligning guidelines and medical practice: Literature review on pediatric palliative care guidelines.

Science.gov (United States)

De Clercq, Eva; Rost, Michael; Pacurari, Nadia; Elger, Bernice S; Wangmo, Tenzin

2017-08-01

Palliative care for children is becoming an important subspecialty of healthcare. Although concurrent administration of curative and palliative care is recommended, timely referral to pediatric palliative care (PPC) services remains problematic. This literature review aims to identify barriers and recommendations for proper implementation of palliative care for children through the looking glass of PPC guidelines. To identify studies on PPC guidelines, five databases were searched systematically between 1960 and 2015: Scopus, PubMed, PsycINFO, the Web of Science, and CINAHL. No restrictions were placed on the type of methodology employed in the studies. Concerning barriers, most of the papers focused on gaps within medical practice and the lack of evidence-based research. Common recommendations therefore included: training and education of healthcare staff, formation of a multidisciplinary PPC team, research on the benefits of PPC, and raising awareness about PPC. A small number of publications reported on the absence of clear guidance in PPC documents regarding bereavement care, as well as on the difficulties and challenges involved in multidisciplinary care teams. Our results indicate that a critical assessment of both the research guidelines and medical practice is required in order to promote timely implementation of PPC for pediatric patients.

Clinical Practice Guidelines for the Antibiotic Treatment of Community-Acquired Urinary Tract Infections

Science.gov (United States)

Ha, U-Syn; Lee, Seung-Ju; Yeo, Jeong Kyun; Min, Seung Ki; Lee, Heeyoung

2018-01-01

Urinary tract infections (UTIs) are infectious diseases that commonly occur in communities. Although several international guidelines for the management of UTIs have been available, clinical characteristics, etiology and antimicrobial susceptibility patterns may differ from country to country. This work represents an update of the 2011 Korean guideline for UTIs. The current guideline was developed by the update and adaptation method. This clinical practice guideline provides recommendations for the diagnosis and management of UTIs, including asymptomatic bacteriuria, acute uncomplicated cystitis, acute uncomplicated pyelonephritis, complicated pyelonephritis related to urinary tract obstruction, and acute bacterial prostatitis. This guideline targets community-acquired UTIs occurring among adult patients. Healthcare-associated UTIs, catheter-associated UTIs, and infections in immunocompromised patients were not included in this guideline. PMID:29637759

Functional Hypothalamic Amenorrhea: An Endocrine Society Clinical Practice Guideline.

Science.gov (United States)

Gordon, Catherine M; Ackerman, Kathryn E; Berga, Sarah L; Kaplan, Jay R; Mastorakos, George; Misra, Madhusmita; Murad, M Hassan; Santoro, Nanette F; Warren, Michelle P

2017-05-01

The American Society for Reproductive Medicine, the European Society of Endocrinology, and the Pediatric Endocrine Society. This guideline was funded by the Endocrine Society. To formulate clinical practice guidelines for the diagnosis and treatment of functional hypothalamic amenorrhea (FHA). The participants include an Endocrine Society-appointed task force of eight experts, a methodologist, and a medical writer. This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation approach to describe the strength of recommendations and the quality of evidence. The task force commissioned two systematic reviews and used the best available evidence from other published systematic reviews and individual studies. One group meeting, several conference calls, and e-mail communications enabled consensus. Endocrine Society committees and members and cosponsoring organizations reviewed and commented on preliminary drafts of this guideline. FHA is a form of chronic anovulation, not due to identifiable organic causes, but often associated with stress, weight loss, excessive exercise, or a combination thereof. Investigations should include assessment of systemic and endocrinologic etiologies, as FHA is a diagnosis of exclusion. A multidisciplinary treatment approach is necessary, including medical, dietary, and mental health support. Medical complications include, among others, bone loss and infertility, and appropriate therapies are under debate and investigation. Copyright © 2017 Endocrine Society

Evaluating co-creation of knowledge: from quality criteria and indicators to methods

Science.gov (United States)

Schuck-Zöller, Susanne; Cortekar, Jörg; Jacob, Daniela

2017-11-01

Basic research in the natural sciences rests on a long tradition of evaluation. However, since the San Francisco Declaration on Research Assessment (DORA) came out in 2012, there has been intense discussion in the natural sciences, above all amongst researchers and funding agencies in the different fields of applied research and scientific service. This discussion was intensified when climate services and other fields, used to make users participate in research and development activities (co-creation), demanded new evaluation methods appropriate to this new research mode. This paper starts by describing a comprehensive and interdisciplinary literature overview of indicators to evaluate co-creation of knowledge, including the different fields of integrated knowledge production. Then the authors harmonize the different elements of evaluation from literature in an evaluation cascade that scales down from very general evaluation dimensions to tangible assessment methods. They describe evaluation indicators already being documented and include a mixture of different assessment methods for two exemplary criteria. It is shown what can be deduced from already existing methodology for climate services and envisaged how climate services can further to develop their specific evaluation method.

Potential wealth creation via nuclear energy in Malaysia

International Nuclear Information System (INIS)

Sabar Md Hashim; Dol Malek Md Sap

2009-01-01

Like any other developing nation, Malaysia aspires to be an economic force to be reckoned with. A strong opportunity may be in the form of nuclear energy as can be seen from the success stories of France and South Korea. Although nuclear is not the only common parameter that make developed nations tick, the multiplier spin-off impacts of nuclear as sources of wealth creation are deliberated. Foreseeable benefits include job creation (especially highly-skilled knowledge workers), spin-off technologies and vendor development as well as the opportunity to assume regional leadership in carefully-selected sectors. Categorically in Malaysian context, introduction of nuclear energy would yield numerous benefits, i.e. as a strong catalyst to enhance country's competitiveness by raising capacity for knowledge, cutting-edge technology, and eventually, innovation (National Mission Thrust 2) beside ensuring stable electricity generation price; as an element to move up value chain by creating high-skilled knowledge workers who could help to raise country's economic profile and plant the seed for a strong post-2020 Malaysia (National Mission Thrust 1); and as an agent to enhance sustainability and quality of life through clean energy (National Mission Thrust 4) by being environmentally benign due to its low greenhouse gas emissions with very minimal impact to global warming. Our point us that, being synergistic with national aspiration, nuclear energy is a genuine national agenda. (Author)

Development of an ergonomics guideline for the furniture manufacturing industry.

Science.gov (United States)

Mirka, Gary A

2005-03-01

Industry-specific ergonomics guidelines are an important component in the four-pronged approach to workplace ergonomics currently pursued by the United States Occupational Safety and Health Administration. The American Furniture Manufacturers Association has taken the initiative of developing such a guideline for its members. The result of this effort is the "AFMA Voluntary Ergonomics Guideline for the Furniture Manufacturing Industry", a document that includes basic information about ergonomics program components as well as a compilation of work-proven, ergonomics best practices as submitted by members of the furniture manufacturing community. This guideline was developed through an industry-research-government partnership and made strategic use of the unique attributes that each sector brought to this effort. Outlined in this paper are some of the characteristics of this partnership including, the roles played by each, the different motivations for pursuing the guideline, the challenges faced during the development of the document, the successes experienced in this process, as well as a proposed outline for measuring the effectiveness of this effort. The hope is that this summary, and some of the lessons learned contained herein, would be helpful to others considering the prospect of developing such a guideline for their industry.

Systematic Review of the Methodology Quality in Lung Cancer Screening Guidelines

Directory of Open Access Journals (Sweden)

Jiang LI

2016-10-01

Full Text Available Background and objective Lung cancer is the most common malignancy and screening can decrease the mortality. High quality screening guideline is necessary and important for effective work. Our study is to review and evaluate the basic characteristics and methodology quality of the current global lung cancer screening guidelines so as to provide useful information for domestic study in the future. Methods Electronic searches were done in English and Chinese databases including PubMed, the Cochrane Library, Web of Science, Embase, CNKI, CBM, Wanfang, and some cancer official websites. Articles were screened according to the predefined inclusion and exclusion criteria by two researchers. The quality of guidelines was assessed by AGREE II. Results At last, a total of 11 guidelines with methodology were included. The guidelines were issued mainly by USA (81%. Canada and China developed one, respectively. As for quality, the average score in the “Scale and objective” of all guidelines was 80, the average score in the “Participants” was 52, the average score in the “rigorism” was 50, the average score in the “clarity” was 76, the average score in the “application” was 43 and the average score in the “independence” was 59. The highest average score was found in 2013 and 2015. Canada guideline had higher quality in six domains. 7 guidelines were evaluated as A level. Conclusion The number of clinical guidelines showed an increasing trend. Most guidelines were issued by developed countries with heavy burden. Multi-country contribution to one guideline was another trend. Evidence-based methodology was accepted globally in the guideline development.

Value Creation in Digital Application Marketplaces: A Developers’ Perspective

DEFF Research Database (Denmark)

Ghazawneh, Ahmad; Mansour, Osama

2015-01-01

Digital application marketplaces are increasingly relevant for digital platform owners seeking to reap the benefits of distributing, brokering, and operating applications by third-party developers. Owners of such marketplaces have two vital goals: address the needs of heterogeneous end-users and ...... sources and their associated value creation and realization. In doing this, our research extends and complements existing digital platform literature and contributes new knowledge about new forms of value creation....

Some issues of creation of belarusian language computer resources

OpenAIRE

Rubashko, N.; Nevmerjitskaia, G.

2003-01-01

The main reason for creation of computer resources of natural language is the necessity to bring into accord the ways of language normalization with the form of its existence - the computer form of language usage should correspond to the computer form of language standards fixation. This paper discusses various aspects of the creation of Belarusian language computer resources. It also briefly gives an overview of the objectives of the project involved.

A Model for Sustainable Value Creation in Supply Chain

OpenAIRE

KORDİTABAR, Seyed Behzad

2015-01-01

Abstract. In order to survive, every company needs to achieve sustainable profitability, which is impossible unless there is sustainable value creation. Regarding the fact that sustainability is closely related with concepts of supply chain management, the present paper intends to propose through a conceptual theorization approach a new comprehensive model drawing on concepts of value creation and sustainability from the perspective of supply chain, specifying the dimensions contributing to s...

Creationism in the Netherlands

OpenAIRE

Blancke, Stefaan

2010-01-01

Recent events indicate that creationists are becoming increasingly active in the Netherlands. This article offers an overview of these events. First, I discuss the introduction of Intelligent Design (ID) creationism into the Dutch public sphere by a renowned physicist, Cees Dekker. Later, Dekker himself shifted towards a more evolution-friendly position, theistic evolution. Second, we will see how Dekker was followed in this shift by Andries Knevel, who is an important figure within the Dutch...

Integrated Guidelines for Management of Alloy 600 Locations

Energy Technology Data Exchange (ETDEWEB)

Na, Kyung-Hwan; Chung, Hansub; Yang, Jun-Seog; Lee, Kyoung-Soo [KHNP-Central Research Institute, Daejeon (Korea, Republic of)

2015-05-15

The locations experiencing PWSCC include steam generator tubes, pressurizer instrumental nozzles, control rod driving mechanism(CRDM) penetration nozzles, reactor outlet nozzles, and bottom mounted instrumental(BMI) nozzles. Korea Hydro and Nuclear Power Co.(KHNP) has developed integrated guidelines for management of alloy 600 locations and the guidelines are under review by the regulator. The guidelines consist of alloy 600 location database, inspection program, maintenance/preventive maintenance method, and finally water chemistry management for PWSCC mitigation. In this paper, the detailed contents are presented. The integrated guidelines collected all relevant information on the management of alloy 600 locations. This information may be useful for establishing the most effective preventive maintenance strategies by prioritization in addition to maintenance strategies. Table II summarize maintenance strategies for alloy 600 locations.

Labour management guidelines for a Tanzanian referral hospital

DEFF Research Database (Denmark)

Maaløe, Nanna; Housseine, Natasha; van Roosmalen, Jos

2017-01-01

hospital, this paper describes the development process of locally achievable, partograph-associated, and peer-reviewed labour management guidelines, and it presents an assessment of professional birth attendants’ perceptions. Methods: Part 1: Modification of evidence-based international guidelines through...... by staff and two external peer-review cycles, there were no major concerns with the guidelines internally nor externally. Thereby, international recommendations were condensed to the eight-paged ‘PartoMa guidelines ©’. This pocket booklet includes routine assessments, supportive care, and management......, locally achievable, and acceptable support for intrapartum surveillance, triage, and management. This is a crucial example of adapting evidence-based international recommendations to local reality. Trial registration: This paper describes the intervention of the PartoMa trial, which is registered...

The poetry of Sigwavhulimu: On creation and death | Mafela | South ...

African Journals Online (AJOL)

W.M.R. Sigwavhulimu is a leading poet in Tshivenḓa. His poetry is concerned with creation and appeals to supernatural beings, religious matters, death and pain. This article investigates the extent to which Christianity has influenced Sigwavhulimu in his poetry, with the focus on religious poetry dealing with creation and ...

The Creation of Man and Woman in Early Jewish Literature

NARCIS (Netherlands)

Ruiten, J.T.A.G.M. van; Luttikhuizen, G P

2000-01-01

J.T.A.G.M. van Ruiten, “The Creation of Man and Woman in Early Jewish Literature,” in The Creation of Man and Woman: Interpretations of the Biblical Narratives in Jewish and Christian Traditions (ed. Gerard P. Luttikhuizen; Themes in Biblical Narrative 3; Leiden, Boston, and Köln: Brill, 2000),

Job creation and destruction, worker reallocation and wages

DEFF Research Database (Denmark)

Belzil, Christian

1997-01-01

Using Danish firm level data on employment dynamics merged with individual records on all workers in a given firm, various measures of employment and worker reallocation used in the macroeconomics literature are incorporated in a wage equation framework. The effects of job creation/destruction an......Using Danish firm level data on employment dynamics merged with individual records on all workers in a given firm, various measures of employment and worker reallocation used in the macroeconomics literature are incorporated in a wage equation framework. The effects of job creation...

Uprising of Creation in Education

Science.gov (United States)

Hatamleh, Habes Mohamed

2015-01-01

This research (Uprising of Creation in Education) aims at defining the importance of creativity in education, and its reflection on the elements of the educational process. Creativity is regarded an important element in the nations progress, which depends on the minds of their sons. Creativity became the language of the present age, after the…

Palliative Sedation: An Analysis of International Guidelines and Position Statements.

Science.gov (United States)

Gurschick, Lauren; Mayer, Deborah K; Hanson, Laura C

2015-09-01

To describe the suggested clinical practice of palliative sedation as it is presented in the literature and discuss available guidelines for its use. CINAHL, PubMed, and Web of Science were searched for publications since 1997 for recommended guidelines and position statements on palliative sedation as well as data on its provision. Keywords included palliative sedation, terminal sedation, guidelines, United States, and end of life. Inclusion criteria were palliative sedation policies, frameworks, guidelines, or discussion of its practice, general or oncology patient population, performance of the intervention in an inpatient unit, for humans, and in English. Exclusion criteria were palliative sedation in children, acute illness, procedural, or burns, and predominantly ethical discussions. Guidelines were published by American College of Physicians-American Society of Internal Medicine (2000), Hospice and Palliative Nurses Association (2003), American Academy of Hospice and Palliative Medicine (2006), American Medical Association (2008), Royal Dutch Medical Association (2009), European Association for Palliative Care (2009), National Hospice and Palliative Care Organization (2010), and National Comprehensive Cancer Network (2012). Variances throughout guidelines include definitions of the practice, indications for its use, continuation of life-prolonging therapies, medications used, and timing/prognosis. The development and implementation of institutional-based guidelines with clear stance on the discussed variances is necessary for consistency in practice. Data on provision of palliative sedation after implementation of guidelines needs to be collected and disseminated for a better understanding of the current practice in the United States. © The Author(s) 2014.

Evidence-based clinical practice guidelines for chronic pancreatitis 2015.

Science.gov (United States)

Ito, Tetsuhide; Ishiguro, Hiroshi; Ohara, Hirotaka; Kamisawa, Terumi; Sakagami, Junichi; Sata, Naohiro; Takeyama, Yoshifumi; Hirota, Morihisa; Miyakawa, Hiroyuki; Igarashi, Hisato; Lee, Lingaku; Fujiyama, Takashi; Hijioka, Masayuki; Ueda, Keijiro; Tachibana, Yuichi; Sogame, Yoshio; Yasuda, Hiroaki; Kato, Ryusuke; Kataoka, Keisho; Shiratori, Keiko; Sugiyama, Masanori; Okazaki, Kazuichi; Kawa, Shigeyuki; Tando, Yusuke; Kinoshita, Yoshikazu; Watanabe, Mamoru; Shimosegawa, Tooru

2016-02-01

Chronic pancreatitis is considered to be an irreversible progressive chronic inflammatory disease. The etiology and pathology of chronic pancreatitis are complex; therefore, it is important to correctly understand the stage and pathology and provide appropriate treatment accordingly. The newly revised Clinical Practice Guidelines of Chronic Pancreatitis 2015 consist of four chapters, i.e., diagnosis, staging, treatment, and prognosis, and includes a total of 65 clinical questions. These guidelines have aimed at providing certain directions and clinically practical contents for the management of chronic pancreatitis, preferentially adopting clinically useful articles. These revised guidelines also refer to early chronic pancreatitis based on the Criteria for the Diagnosis of Chronic Pancreatitis 2009. They include such items as health insurance coverage of high-titer lipase preparations and extracorporeal shock wave lithotripsy, new antidiabetic drugs, and the definition of and treatment approach to pancreatic pseudocyst. The accuracy of these guidelines has been improved by examining and adopting new evidence obtained after the publication of the first edition.

Identifying target audiences: who are the guidelines for? : article 1 in Integrating and coordinating efforts in COPD guideline development. An official ATS/ERS workshop report.

Science.gov (United States)

Yawn, Barbara P; Akl, Elie A; Qaseem, Amir; Black, Peter; Campos-Outcalt, Doug

2012-12-01

Professional societies, like many other organizations around the world, have recognized the need to use rigorous processes to ensure that health care recommendations are informed by the best available research evidence. Different clinical practice guidelines addressing the management of the same disease may vary widely in the evidence used and the format of the recommendations, with the result that not all are appropriate for all audiences. This is the first of a series of 14 articles that clinicians, methodologists, and researchers from around the world prepared to advise those developing guidelines in respiratory and other diseases about the potential impact of identifying the target audiences for their clinical practice guidelines. In this review we address the following questions. (1) Which audiences are interested in a chronic obstructive pulmonary disease (COPD) guideline? (2) How many audiences can be addressed in a single COPD guideline? (3) What is the purpose of the guidelines? (4) Who should be included on the guideline panel? We collected information by searching PubMed and reviewing information from groups that are currently making and using respiratory disease guidelines, as well as from workshop discussions. Our conclusions are based on available evidence, consideration of what guideline developers are doing, and the opinions of those who attended the workshop. Clinicians desire COPD and other guidelines that are concise, use evidence from practices similar to theirs, and whose authors have expertise in providing care in similar settings and with similar patients. In the case of COPD, barriers to generalists' use of guidelines include lack of awareness of the guidelines, failure to embrace the diagnostic methods as capable of providing definitive confirmation of COPD, and, most importantly, failure of previous guidelines to address the treatment of COPD in the context of the broad range of multiple morbidities that affect most people with COPD. COPD

SALTO Peer Review Guidelines. Guidelines for Peer Review of Safety Aspects of Long Term Operation of Nuclear Power Plants

International Nuclear Information System (INIS)

2014-01-01

International peer review is a useful tool for Member States to exchange experiences, learn from each other and apply good practices in the long term operation (LTO) of nuclear power plants (NPPs). The peer review is also an important mechanism through which the IAEA supports Member States in enhancing the safety of NPPs. The IAEA has conducted various types of safety review that indirectly address aspects of LTO, including safety reviews for design, engineering, operation and external hazards. Operational Safety Review Team (OSART) services include review of ageing management programmes. In addition, several Member States have requested Ageing Management Assessment Team (AMAT) missions. Through these experiences, it was recognized that a comprehensive peer review on LTO would be very useful to Member States. The Safety Aspects of Long Term Operation (SALTO) peer review addresses strategy and key elements for the safe LTO of NPPs, which includes AMAT objectives and complements OSART reviews. The SALTO peer review is designed to assist operating organizations in adopting a proper approach to LTP including implementing appropriate activities to ensure that plant safety will be maintained during the LTO period. The SALTO peer review can be tailored to focus on ageing management programmes (AMPs) or on other activities related to LTO to support the Member State in enhancing the safety of its NPPs. The SALTO peer review can also support regulators in establishing or improving regulatory and licensing strategies for the LTO of NPPs. The guidelines in this publication are primarily intended for members of a SALTO review team and provide a basic structure and common reference for peer reviews of LTO. Additionally, the guidelines also provide useful information to the operating organizations of NPPs (or technical support organizations) for carrying out their own self-assessments or comprehensive programme reviews. The guidelines are intended to be generic, as there are

Proper management of rheumatoid arthritis in Latin America. What the guidelines say?

Science.gov (United States)

Brenol, Claiton V; Nava, Jorge Ivan Gamez; Soriano, Enrique R

2015-03-01

To analyze characteristics of clinical practice guidelines (CPGs) for the management of rheumatoid arthritis (RA) developed in Latin American (LA) countries and to describe the knowledge, use, and barriers for their implementation perceived among LA rheumatologists, a comprehensive literature search including Medline, PubMed, Cochrane Library, LILACS and Scielo was performed. The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument was applied for evaluation. A survey was sent to PANLAR members containing questions related to knowledge about guidelines, application of the recommendations, and difficulties in implementing CPGs. Eight guidelines were identified. Most guidelines were evidence based (62 %), but in only 37 % a systematic literature search was done. None of the guidelines included patients' views and preferences, and only few of them stated an updating procedure. Funding body independence and disclosure of conflicts of interest were rarely reported. The survey was answered by 214 rheumatologists from all Latin American countries. Most rheumatologist reported knowledge and use of clinical guidelines, mainly international ones. In general, rheumatologist felt that guidelines apply to only a minority of patients seen in daily clinical practice. Limited access expensive drugs, suggested by the guidelines, was the most frequent barrier to guidelines implementation that was reported. A good number of guidelines on the treatment of rheumatoid arthritis have been developed in Latin America. Most of them are lacking some of the components recognized for high-quality clinical guidelines development. In spite that most rheumatologist know and apply guidelines, access to drugs is still a very important barrier to their implementation in Latin America.

Patterns of Knowledge Sharing and Knowledge Creation in New Information Environments

DEFF Research Database (Denmark)

Nielsen, Jørgen Lerche; Meyer, Kirsten

2006-01-01

and creation processes. The aim is to obtain a deeper comprehension of which factors determine whether the use of information technology becomes a success or a failure in relation to knowledge sharing and creation. The paper is based on three previous studies investigating the use of information technology......Do the knowledge sharing and creation processes in collaborating groups benefit from the use of new information environments or are the environments rather inhibitive to the development of these processes? A number of different studies have shown quite varied results when it comes to appraising...... the importance and value of using new information technology in knowledge sharing and creation processes. In this paper we will try to unveil the patterns appearing in the use of new information environment and the users' understanding of the significance of using information technology in knowledge sharing...

The co-creation experience from the customer perspective: its measurement and determinants

OpenAIRE

Verleye, Katrien

2015-01-01

Purpose - Companies increasingly opt for co-creation by engaging customers in new product and service development processes. The purpose of this paper is to provide insight into the customer experience in co-creation situations and its determinants. Design/methodology/approach - The conceptual framework addresses the customer experience in co-creation situations, and its individual and environmental determinants. To examine the degree to which these determinants affect the customer ex...

The creation in question: a brief cartography of a theoretical course

Directory of Open Access Journals (Sweden)

Tais Rodrigues Dassoler

2011-04-01

Full Text Available This article is the result of discussions produced during a theoretical course aboutcreativity in advertising. Instead of teaching how to create, the proposal of the course was to question what characterizes creation. Departing from this question, the route of a theoretical cartography is presented, trough the deconstruction of the idea of creation, the advertising device is shown in its creative demands. Mobilizing different theoretical perspectives, the text approaches creativity’s myth when problematizes the concept of authorship and presents creation as becomings produced by the very advertising device.

Public-Private Partnership as Mechanism for Employment Creation in Nigeria

Science.gov (United States)

Adebayo, Florence Aduke; Ayegbusi, Emmanuel Taiwo

2017-01-01

Public-Private Partnership could be defined as the collaboration between two for improved services to bring about change that will influence employment creation and boost the economy of any country. In this paper, it is perceived as a twin sister that could work together for effectiveness and efficiency to promote employment creation. While on the…

Planning for Program Design and Assessment Using Value Creation Frameworks

Science.gov (United States)

Whisler, Laurel; Anderson, Rachel; Brown, Jenai

2017-01-01

This article explains a program design and planning process using the Value Creation Framework (VCF) developed by Wenger, Trayner, and de Laat (2011). The framework involves identifying types of value or benefit for those involved in the program, conditions and activities that support creation of that value, data that measure whether the value was…

Value co-creation: from an emerging paradigm to the next practices of innovation

DEFF Research Database (Denmark)

Tanev, Stoyan; Thomsen, Merethe Stjerne; Ma, Zheng

2010-01-01

-creation activities; ii) the relationship between the degree of use of particular types of value co-creation activities and the degree of innovativeness of firms’ new products processes and services. The focus is on the potential impact from the adoption of co-creation practices on firms’ capacity for innovation......This study contributes to the conceptual clarification of the value co-creation paradigm by using quantitative web content analysis to provide empirical insights on: i) the specific ways employed by firms using the Internet to actively engage their customers and end users into value co...

Value co-creation for FM Innovation: Is it possible, and, if yes, how?

DEFF Research Database (Denmark)

Nardelli, Giulia

2017-01-01

No matter the industry, co-creation of value is a hot topic. Marketing specialists swear by it; manufacturers and service providers try to integrate it in their innovation practices; researchers study it. But what is value co-creation, and how does it apply to FM?......No matter the industry, co-creation of value is a hot topic. Marketing specialists swear by it; manufacturers and service providers try to integrate it in their innovation practices; researchers study it. But what is value co-creation, and how does it apply to FM?...

Battle Brewing Over Arkansas Creationism Law.

Science.gov (United States)

Baum, Rudy

1981-01-01

Reports recent proceedings regarding a new law enacted in early 1981 in Arkansas which requires schools that teach evolution to teach what the law calls "creation-science." Opposition to the law by the American Civil Liberties Union is discussed. (CS)

Value Co-creation as Part of an Integrative Vision of Innovation Management

DEFF Research Database (Denmark)

Gerstlberger, Wolfgang; Knudsen, Mette Præst; Tanev, Stoyan

2009-01-01

Value co-creation is an emerging concept in business, marketing and innovation management. Its growing interest points to the emergence of a new semantic wave in innovation research that requires the adoption of new terminology, frameworks and fields of research exploration. There is a number...... an attempt to position the value co-creation paradigm within an integrative vision for innovation management research and practices. This positioning is a challenging task as the meaning of the terms "value co-creation" and "integrative" innovation management need to be more fully clarified. We attempt...... to identify an appropriate plane of conceptual integrity that could be used to describe the innovation management field within the context of its relation to value co-creation....

Juvenile Courts. Creation and development

Directory of Open Access Journals (Sweden)

Montserrat GONZÁLEZ FERNÁNDEZ

2013-11-01

Full Text Available This paper studies the creation of Juvenile or Children's Courts in Spain, analysing their reasons and aims, as well as the ethical and political connotations present on their way of acting. Their history and the one of the institutions that complement them is built from the legislation, writings and ideas of their promoters.

Do GCI indicators predict SME creation? A Western Balkans cross-country comparative analysis

Directory of Open Access Journals (Sweden)

Fëllënza Lushaku

2016-03-01

Full Text Available In early stages SMEs were seen as insignificant supplement to large business supply, whereas today they have a very important social and economic role, because of their contribution to job creation. These contributions are very valuable in times of crises and rising unemployment. In Kosovo and the Western Balkan countries, including countries such as Albania, Macedonia, Montenegro, Serbia and Bosnia and Herzegovina, the development of SMEs can contribute in facing many challenges, effects of inequality, high level of unemployment and demographic challenges. In addition, SME development can contribute to strengthening the competitiveness and productivity, while also promoting the growth of income per capita. Besides the positive perception the creation of small and medium enterprises has, it is also indispensable to consider their extinction rate, being the most affected category of businesses, especially in the initial stages. It is proved that the net SME creation and cross-country differences in the relationship between new businesses and extinct businesses, can serve as a recommendation for policy makers in order to create a favorable climate for small and medium enterprises. GCI indicators that measures global competitiveness are used to determine if the climate of competitiveness predicts the development of SMEs.

Concentration creation of system and applied software of reactor calculations

International Nuclear Information System (INIS)

Zizin, M.N.

1995-01-01

Basic concept provisions, including modularity, openness and machine-independent programs; accumulation of procedure knowledge in form of computer module library; creation of medium facilitating module development and accompanying; possibility of head programs automated generation and user-friendly interface are presented. Intellectual program shell ShIPR for mathematical reactor modeling, the final goal whereof consists in automated generation of machine-independent programs in the Fortran 77 language on the basis of calculation moduli and accumulated knowledge base, is developed on the basis of the above concept

Clinical imaging guidelines part 2: Risks, benefits, barriers, and solutions.

Science.gov (United States)

Malone, James; del Rosario-Perez, Maria; Van Bladel, Lodewijk; Jung, Seung Eun; Holmberg, Ola; Bettmann, Michael A

2015-02-01

A recent international meeting was convened by two United Nations bodies to focus on international collaboration on clinical appropriateness/referral guidelines for use in medical imaging. This paper, the second of 4 from this technical meeting, addresses barriers to the successful development/deployment of clinical imaging guidelines and means of overcoming them. It reflects the discussions of the attendees, and the issues identified are treated under 7 headings: ■ Practical Strategy for Development and Deployment of Guidelines; ■ Governance Arrangements and Concerns with Deployment of Guidelines; ■ Finance, Sustainability, Reimbursement, and Related Issues; ■ Identifying Benefits and Radiation Risks from Radiological Examinations; ■ Information Given to Patients and the Public, and Consent Issues; ■ Special Concerns Related to Pregnancy; and ■ The Research Agenda. Examples of topics identified include the observation that guideline development is a global task and there is no case for continuing it as the project of the few professional organizations that have been brave enough to make the long-term commitment required. Advocacy for guidelines should include the expectations that they will facilitate: (1) better health care delivery; (2) lower cost of that delivery; with (3) reduced radiation dose and associated health risks. Radiation protection issues should not be isolated; rather, they should be integrated with the overall health care picture. The type of dose/radiation risk information to be provided with guidelines should include the uncertainty involved and advice on application of the precautionary principle with patients. This principle may be taken as an extension of the well-established medical principle of "first do no harm." Copyright © 2015. Published by Elsevier Inc.

Perspectives on the Logos’ immanence in Creation

Directory of Open Access Journals (Sweden)

Nicolae Moșoiu

2016-03-01

Full Text Available „The reasons of things that God prepared in advance for ages, as He Himself knew, can be seen through understanding from the creatures. For every creature of God, contemplated by us through nature, using science and knowledge, proclaim in a hidden manner the reasons after which they were made and they reveal the purpose placed by God in every creature. From the wise contemplation of creation we can perceive the Reason which enlightens us about the Holy Trinity, i.e. the Father, the Son and the Holy Spirit” [1]. Abstract: The article deals with the theme of the Logos` immanence in the creation. The first part includes a scientific perspective while the second, a theological one. The first evidence that the universe has a beginning dates back to the 20s of last century. Most scientists believed until then that the universe was stationary and had always existed; there are references to the big bang, string theory, M theory. The second part encompasses a perspective on the theme of the rational nature of the world which constitutes a firm foundation for dialogue between Theology and science. The logoi have a particularizing or a unifing function, and the complete unity of the logoi is realized through and by the Logos, the Word of God. The essential difference between paradigms and logoi is that the latter belong to the temporal level and to the empirical world, while the former preexist synthetically into God.The uncreated divine energies are the logoi in the action of creating and supporting of the beings.

Extraction Analysis and Creation of Three-Dimensional Road Profiles Using Matlab OpenCRG Tool

Directory of Open Access Journals (Sweden)

Rakesh Hari Borse

2015-08-01

Full Text Available In vehicle systems dynamics there are wide applications of simulation of vehicles on road surfaces. These simulation applications are related to vehicle handling ride comfort and durability. For accurate prediction of results there is a need for a reliable and efficient road representations. The efficient representation of road surface profiles is to represent them in three-dimensional space. This is made possible by the CRG Curved Regular Grid approach. OpenCRG is a completely open source project including a tool suite for the creation modification and evaluation of road surfaces. Its objective is to standardized detailed road surface description and it may be used for applications like tire models vibrations or driving simulation. The Matlab tool suite of OpenCRG provides powerful modification or creation tools and allows to visualize the 3D road data representation. The current research focuses on basic concepts of OpenCRG and its Matlab environment. The extraction of longitudinal two-dimensional road profiles from three-dimensional CRG format is researched. The creation of simple virtual three-dimensional roads has been programmed. A Matlab software tool to extract create and analyze the three-dimensional road profiles is to be developed.

Canadian guidelines for acute bacterial rhinosinusitis

Science.gov (United States)

Kaplan, Alan

2014-01-01

Objective To provide a clinical summary of the Canadian clinical practice guidelines for acute bacterial rhinosinusitis (ABRS) that includes relevant considerations for family physicians. Quality of evidence Guideline authors performed a systematic literature search and drafted recommendations. Recommendations received both strength of evidence and strength of recommendation ratings. Input from external content experts was sought, as was endorsement from Canadian medical societies (Association of Medical Microbiology and Infectious Disease Canada, Canadian Society of Allergy and Clinical Immunology, Canadian Society of Otolaryngology—Head and Neck Surgery, Canadian Association of Emergency Physicians, and the Family Physicians Airways Group of Canada). Main message Diagnosis of ABRS is based on the presence of specific symptoms and their duration; imaging or culture are not needed in uncomplicated cases. Treatment is dependent on symptom severity, with intranasal corticosteroids (INCSs) recommended as monotherapy for mild and moderate cases, although the benefit might be modest. Use of INCSs plus antibiotics is reserved for patients who fail to respond to INCSs after 72 hours, and for initial treatment of patients with severe symptoms. Antibiotic selection must account for the suspected pathogen, the risk of resistance, comorbid conditions, and local antimicrobial resistance trends. Adjunct therapies such as nasal saline irrigation are recommended. Failure to respond to treatment, recurrent episodes, and signs of complications should prompt referral to an otolaryngologist. The guidelines address situations unique to the Canadian health care environment, including actions to take during prolonged wait periods for specialist referral or imaging. Conclusion The Canadian guidelines provide up-to-date recommendations for diagnosis and treatment of ABRS that reflect an evolving understanding of the disease. In addition, the guidelines offer useful tools to help

Iconicity can ground the creation of vocal symbols.

Science.gov (United States)

Perlman, Marcus; Dale, Rick; Lupyan, Gary

2015-08-01

Studies of gestural communication systems find that they originate from spontaneously created iconic gestures. Yet, we know little about how people create vocal communication systems, and many have suggested that vocalizations do not afford iconicity beyond trivial instances of onomatopoeia. It is unknown whether people can generate vocal communication systems through a process of iconic creation similar to gestural systems. Here, we examine the creation and development of a rudimentary vocal symbol system in a laboratory setting. Pairs of participants generated novel vocalizations for 18 different meanings in an iterative 'vocal' charades communication game. The communicators quickly converged on stable vocalizations, and naive listeners could correctly infer their meanings in subsequent playback experiments. People's ability to guess the meanings of these novel vocalizations was predicted by how close the vocalization was to an iconic 'meaning template' we derived from the production data. These results strongly suggest that the meaningfulness of these vocalizations derived from iconicity. Our findings illuminate a mechanism by which iconicity can ground the creation of vocal symbols, analogous to the function of iconicity in gestural communication systems.

The Genesis Account of Creation and its Relationship to Cosmogony.

African Journals Online (AJOL)

This paper concerns itself with the issue of the account of creation and its relationship to cosmogony. In this jet age when western education has broadened people's mind, there is a strong desire to know the true origin of man and the universe. It goes a step further to highlight various concepts of creation, pointing out their ...

Trust, Knowledge Creation and Mediating Effects of Knowledge Transfer Processes

Directory of Open Access Journals (Sweden)

Anna Sankowska

2016-01-01

Full Text Available This paper investigates how organizational trust contributes to knowledge transfer processes and knowledge creation both directly and indirectly. The mediation analyses were used. The findings using cross-sectional data from Polish companies suggest a new way of thinking in respect of how crucial is trust to creation of knowledge unconnected to organizational memory.

Primary care guidelines

DEFF Research Database (Denmark)

Ijäs, Jarja; Alanen, Seija; Kaila, Minna

2009-01-01

OBJECTIVE: To describe the adoption of the national Hypertension Guideline in primary care and to evaluate the consistency of the views of the health centre senior executives on the guideline's impact on clinical practices in the treatment of hypertension in their health centres. DESIGN: A cross...... Guideline. RESULTS: Data were available from 143 health centres in Finland (49%). The views of head physicians and senior nursing officers on the adoption of the Hypertension Guideline were not consistent. Head physicians more often than senior nursing officers (44% vs. 29%, p ...: Hypertension Guideline recommendations that require joint agreements between professionals are less often adopted than simple, precise recommendations. More emphasis on effective multidisciplinary collaboration is needed....

Specific GMP guidelines for radiopharmaceutical products

International Nuclear Information System (INIS)

2000-01-01

These guidelines are intended to complement those provided in ''Good manufacturing practices for pharmaceutical products'', as well as the GMP for sterile pharmaceutical products. The regulatory procedures necessary to control radiopharmaceutical products are in large part determined by the sources of products and methods of manufacture. Manufacturing procedures within the scope of these guidelines include: preparation of radiopharmaceuticals in hospital radiopharmacies, preparation of radiopharmaceuticals in centralized radiopharmacies, production of radiopharmaceuticals in nuclear centres, institutes or industrial manufacturers, preparation and production of radiopharmaceuticals in Positron Emission Tomography (PET) centres

RANET technical guidelines: Interim technical guidelines for national assistance capabilities. Emergency preparedness and response. Date effective: 1 January 2007

International Nuclear Information System (INIS)

2006-12-01

The publication is issued as an attachment to EPR-RANET (2006) and has the same status. It provides administrative and technical guidelines for National Assistance Capabilities and enters into effect on 1 January 2007. Additional technical guidelines are under development by assistance work group under international Action Plan for Strengthening the International Preparedness and Response System for Nuclear and Radiological Emergencies. As these are finalised they will be included in this document

Empirical influence of the multicultural guidelines: A brief report.

Science.gov (United States)

Fouad, Nadya A; Santana, Mercedes; Ghosh, Arpita

2017-10-01

In 2002, the American Psychological Association (APA) Council of Representatives approved the "Guidelines for Multicultural Education, Training, Research, Practice and Organizational Change for Psychologists." The Guidelines have been downloaded 64,153 times from the APA website from 2007 to 2013, and have been cited nearly 900 times. This suggests that the Guidelines have influenced education, training, research, and practice in psychology. However, it is unclear how the Guidelines have influenced these domains. We conducted a comprehensive literature review to examine how the Guidelines have influenced the field. Articles were coded for several criteria, including whether the Guidelines were cited, the type of research that was conducted, study findings, limitations, and future directions of research. The data for this study consisted of 895 empirical articles published since the 2003 publication of the Guidelines. A literature review using the keywords APA and multicultural guidelines were searched in PsycINFO and ERIC databases. Articles were then coded by the research team. Findings from the literature review suggested that although there were a total of 895 articles and books that cited the Guidelines, only 34 met our coding criteria. Our findings suggest that most of the articles that cited the Guidelines used the citation as a way to document that culture is important to consider. In some cases, other professions cited the Guidelines to argue that their discipline should also attend to culture. However, very few articles focused on framing an investigation around a specific guideline. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Advanced human-system interface design review guideline. Evaluation procedures and guidelines for human factors engineering reviews

Energy Technology Data Exchange (ETDEWEB)

O`Hara, J.M.; Brown, W.S. [Brookhaven National Lab., Upton, NY (United States); Baker, C.C.; Welch, D.L.; Granda, T.M.; Vingelis, P.J. [Carlow International Inc., Falls Church, VA (United States)

1994-07-01

Advanced control rooms will use advanced human-system interface (HSI) technologies that may have significant implications for plant safety in that they will affect the operator`s overall role in the system, the method of information presentation, and the ways in which operators interact with the system. The U.S. Nuclear Regulatory Commission (NRC) reviews the HSI aspects of control rooms to ensure that they are designed to good human factors engineering principles and that operator performance and reliability are appropriately supported to protect public health and safety. The principal guidance available to the NRC, however, was developed more than ten years ago, well before these technological changes. Accordingly, the human factors guidance needs to be updated to serve as the basis for NRC review of these advanced designs. The purpose of this project was to develop a general approach to advanced HSI review and the human factors guidelines to support. NRC safety reviews of advanced systems. This two-volume report provides the results of the project. Volume I describes the development of the Advanced HSI Design Review Guideline (DRG) including (1) its theoretical and technical foundation, (2) a general model for the review of advanced HSIs, (3) guideline development in both hard-copy and computer-based versions, and (4) the tests and evaluations performed to develop and validate the DRG. Volume I also includes a discussion of the gaps in available guidance and a methodology for addressing them. Volume 2 provides the guidelines to be used for advanced HSI review and the procedures for their use.

Advanced human-system interface design review guideline. Evaluation procedures and guidelines for human factors engineering reviews

International Nuclear Information System (INIS)

O'Hara, J.M.; Brown, W.S.; Baker, C.C.; Welch, D.L.; Granda, T.M.; Vingelis, P.J.

1994-07-01

Advanced control rooms will use advanced human-system interface (HSI) technologies that may have significant implications for plant safety in that they will affect the operator's overall role in the system, the method of information presentation, and the ways in which operators interact with the system. The U.S. Nuclear Regulatory Commission (NRC) reviews the HSI aspects of control rooms to ensure that they are designed to good human factors engineering principles and that operator performance and reliability are appropriately supported to protect public health and safety. The principal guidance available to the NRC, however, was developed more than ten years ago, well before these technological changes. Accordingly, the human factors guidance needs to be updated to serve as the basis for NRC review of these advanced designs. The purpose of this project was to develop a general approach to advanced HSI review and the human factors guidelines to support. NRC safety reviews of advanced systems. This two-volume report provides the results of the project. Volume I describes the development of the Advanced HSI Design Review Guideline (DRG) including (1) its theoretical and technical foundation, (2) a general model for the review of advanced HSIs, (3) guideline development in both hard-copy and computer-based versions, and (4) the tests and evaluations performed to develop and validate the DRG. Volume I also includes a discussion of the gaps in available guidance and a methodology for addressing them. Volume 2 provides the guidelines to be used for advanced HSI review and the procedures for their use

"Scientific Creationism"--A New Inquisition Brewing?

Science.gov (United States)

Cloud, Preston

1977-01-01

In light of the recent revival of the creationism versus evolution issue, the author briefly summarizes both positions, defends evolution on the basis of fossils and rock ages, and refutes six creationist arguments against evolution. For journal availability, see SO 505 260. (AV)

Conflict of Interest Policies and Industry Relationships of Guideline Development Group Members: A Cross-Sectional Study of Clinical Practice Guidelines for Depression.

Science.gov (United States)

Cosgrove, Lisa; Krimsky, Sheldon; Wheeler, Emily E; Peters, Shannon M; Brodt, Madeline; Shaughnessy, Allen F

2017-01-01

Because of increased attention to the issue of trustworthiness of clinical practice guidelines, it may be that both transparency and management of industry associations of guideline development groups (GDGs) have improved. The purpose of the present study was to assess a) the disclosure requirements of GDGs in a cross-section of guidelines for major depression; and, b) the extent and type of conflicts of panel members. Treatment guidelines for major depression were identified and searched for conflict of interest policies and disclosure statements. Multi-modal screens for undeclared conflicts were also conducted. Fourteen guidelines with a total of 172 panel members were included in the analysis. Eleven of the 14 guidelines (78%) had a stated conflict of interest policy or disclosure statement, although the policies varied widely. Most (57%) of the guidelines were developed by panels that had members with industry financial ties to drug companies that manufacture antidepressant medication. However, only a minority of total panel members (18%) had such conflicts of interest. Drug company speakers bureau participation was the most common type of conflict. Although some progress has been made, organizations that develop guidelines should continue to work toward greater transparency and minimization of financial conflicts of interest.

Introducing the paradigm of organizational value creation effect on customer loyalty: A case study of Tehran province food industry unites

Directory of Open Access Journals (Sweden)

Maryam Zarandi

2012-04-01

Full Text Available Today, organization cannot firmly survive without having a broad captive market. Rather, through value creation for customers and achieve their loyalty, we can maintain and increase the existing market share. Providing a specific product or service requires modern ideas and approaches to be applied in organizations. Resource limitations prevent organizations from being the best on all value creation contexts; so they must focus on some range of customer-centric values regarding the given customer groups; because customer needs will change as time goes by and it requires different kinds of values to be taken into consideration. In this research, organizational value creation effects on customer loyalty is studied by more recent and complete customer value model designed by Flint et al. (2010 [Flint et al. (2010. Customer value anticipation, customer satisfaction and loyalty: An empirical examination. Industrial Marketing Management, 40, 219-230]. In this regard, some questionnaires are distributed among a statistical population including 90 customers of Tehran Food Industries. Results show that organizational value creation affects on customer loyalty. Among effective factors, product quality has the most effects on organizational value creation following by product price, marketing and after-sales services.

Co-creation in Italian Transmedia Production

Directory of Open Access Journals (Sweden)

Domenico Morreale

2016-12-01

Full Text Available This essay analyzes the forms of co-creation which have involved the operators in broadcast communication, the new creators of non-institutional content and the users in the context of transmedia production, with a particular focus on the Italian situation. The first part of the essay analyzes and compares the definitions of transmedia in literature, aiming to identify the specific characteristics of communication strategies which identify it and to clarify the differences with the concept of cross-media, which is often used wrongly as a synonym. In the second part of the essay, the main study models of transmedia structures in literature are used in order to analyze some emblematic cases of transmedia co-creation which have experimented some collaborative solutions over the last decade in Italy, leading to the production of contents designed for a distribution on multiple platforms, used in a coordinated and complementary manner.

The updating of clinical practice guidelines: insights from an international survey

Directory of Open Access Journals (Sweden)

Solà Ivan

2011-09-01

Full Text Available Abstract Background Clinical practice guidelines (CPGs have become increasingly popular, and the methodology to develop guidelines has evolved enormously. However, little attention has been given to the updating process, in contrast to the appraisal of the available literature. We conducted an international survey to identify current practices in CPG updating and explored the need to standardize and improve the methods. Methods We developed a questionnaire (28 items based on a review of the existing literature about guideline updating and expert comments. We carried out the survey between March and July 2009, and it was sent by email to 106 institutions: 69 members of the Guidelines International Network who declared that they developed CPGs; 30 institutions included in the U.S. National Guideline Clearinghouse database that published more than 20 CPGs; and 7 institutions selected by an expert committee. Results Forty-four institutions answered the questionnaire (42% response rate. In the final analysis, 39 completed questionnaires were included. Thirty-six institutions (92% reported that they update their guidelines. Thirty-one institutions (86% have a formal procedure for updating their guidelines, and 19 (53% have a formal procedure for deciding when a guideline becomes out of date. Institutions describe the process as moderately rigorous (36% or acknowledge that it could certainly be more rigorous (36%. Twenty-two institutions (61% alert guideline users on their website when a guideline is older than three to five years or when there is a risk of being outdated. Twenty-five institutions (64% support the concept of "living guidelines," which are continuously monitored and updated. Eighteen institutions (46% have plans to design a protocol to improve their guideline-updating process, and 21 (54% are willing to share resources with other organizations. Conclusions Our study is the first to describe the process of updating CPGs among prominent

Environmental guidelines for reuse of ash in civil engineering applications - including criteria for Sb and As; Miljoeriktlinjer foer askanvaendning i anlaeggningsbyggande - inklusive haltkriterier foer Sb och As

Energy Technology Data Exchange (ETDEWEB)

Bendz, David; Wik, Ola (Swedish Geotechnical Inst., Linkoeping (Sweden)); Jones, Celia; Pettersson, Michael; Elert, Mark (Kemakta, Stockholm (Sweden))

2009-07-15

exposure scenarios including exposure pathways and points of compliance. Risk evaluation becomes an issue of comparing the estimated (-modeled) increased concentrations at specified target points with general human and environmental toxicological criteria. Guidelines have been calculated for two different types of constructions, with or without an impermeable (asphalt-) pavement that prevents rain water from infiltrating into the road. Also the possible exposure of intruding ground water has been taken into account. A set of ashes, for which data on total content and leachability was available in the ALLASKA and MALTE database, have been classified according to three categories of applications/situations. The results show that due to lack of data it could not be assessed whether naphthalene, bens(a)pyren and selen in ashes imply an insignificant risk or not. Cadmium, copper, chromium, mercury, molybdenum, nickel and zinc generally shows a large margin to the calculated guidelines for total content and leachability for most ashes. Thus, ashes in constructions constitute an acceptable risk with respect to these elements. Antimony and lead in ashes fall above the guideline values for leaching in some cases. The total content of arsenic in many ashes exceeds the guideline values when used in an unpaved construction even when taking the oral bioavailabity of arsenic in ashes in consideration. To a lesser extent this also holds for total content of lead. Accordingly, it can not be excluded that the reuse of some ashes in some applications may imply a certain risk. Spreading as dust, deposition on vegetables and the subsequent intake has reveled itself as an important exposure pathway. Little data, theory and models are available on dust generation and transport, the calculations made here are rough and conservative. Also, guidelines for the ash construction left in place in the post use phase are difficult to determine. The health risk associated with intake of vegetables and

Systematic evaluation of clinical practice guidelines for pharmacogenomics.

Science.gov (United States)

Beckett, Robert D; Kisor, David F; Smith, Thomas; Vonada, Brooke

2018-06-01

To systematically assess methodological quality of pharmacogenomics clinical practice guidelines. Guidelines published through 2017 were reviewed by at least three independent reviewers using the AGREE II instrument, which consists of 23 items grouped into 6 domains and 2 items representing an overall assessment. Items were assessed on a seven-point rating scale, and aggregate quality scores were calculated. 31 articles were included. All guidelines were published as peer-reviewed articles and 90% (n = 28) were endorsed by professional organizations. Mean AGREE II domain scores (maximum score 100%) ranged from 46.6 ± 11.5% ('applicability') to 78.9 ± 11.4% ('clarity of presentation'). Median overall quality score was 72.2% (IQR: 61.1-77.8%). Quality of pharmacogenomics guidelines was generally high, but variable, for most AGREE II domains.

Quality Guidelines

Science.gov (United States)

... this page: https://medlineplus.gov/criteria.html MedlinePlus Quality Guidelines To use the sharing features on this ... materials must also meet our existing quality guidelines. Quality, authority and accuracy of health content The organization's ...

The determinants of Bank Profitability: Does Liquidity Creation matter?

OpenAIRE

Ahmad Sahyouni; Man Wang

2018-01-01

Using a panel data set of 4995 banks across 11 developed and emerging countries during the period (2011-2015), this report analyses the amount of liquidity created by banks, how liquidity creation, bank-specific and the macroeconomic factors affecting bank profitability. The results show evidence of increased creation of liquidity over the period. By applying the panel data fixed effect technique, banks that create more liquidity, are set up to have lower profitability. As well as, Asset mana...

Korean clinical practice guidelines: otitis media in children.

Science.gov (United States)

Lee, Hyo-Jeong; Park, Su-Kyoung; Choi, Kyu Young; Park, Su Eun; Chun, Young Myung; Kim, Kyu-Sung; Park, Shi-Nae; Cho, Yang-Sun; Kim, Young-Jae; Kim, Hyung-Jong; Korean Otologic Society

2012-08-01

Acute otitis media (AOM) and otitis media with effusion (OME) are common infections in children, and their diagnosis and treatment have significant impacts on the health of children and the costs of providing national medical care. In 2009, the Korean Otologic Society organized a committee composed of experts in the field of otolaryngology, pediatrics, and family medicine to develop Korean clinical practice guidelines (CPG) for otitis media in children with the goal of meeting regional medical and social needs in Korea. For this purpose, the committee adapted existing guidelines. A comprehensive literature review was carried out primarily from 2004 to 2009 using medical search engines including data from Korea. A draft was written after a national questionnaire survey and several public audits, and it was editorially supervised by senior advisors before publication of the final report. These evidence-based guidelines for the management of otitis media in children provide recommendations to primary practitioners for the diagnosis and treatment of children younger than 15 yr old with uncomplicated AOM and OME. The guidelines include recommendations regarding diagnosis, treatment options, prevention and parent education, medical records, referral, and complementary/alternative medicine for treating pediatric otitis media.

Integral simulation of the creation and expansion of a transonic argon plasma

International Nuclear Information System (INIS)

Peerenboom, K S C; Goedheer, W J; Van Dijk, J; Van der Mullen, J J A M

2010-01-01

A transonic argon plasma is studied in an integral simulation where both the plasma creation and expansion are incorporated in the same model. This integral approach allows for simulation of expanding plasmas where the Mach number is not known a priori. Results of this integral simulation are validated with semi-analytical models. Inside the creation region the results for the electron temperature, the heavy particle temperature and the electron density are compared with a global model of the creation region. In the expansion region, the simulation results of the compressible flow field are compared with predictions for the shock position. Both the results inside the creation region as well as in the expansion region are in good agreement with the semi-analytical models.

Bethe-Heitler pair creation in a bichromatic laser field

International Nuclear Information System (INIS)

Augustin, Sven

2014-01-01

Within this thesis, the non-linear creation of electron-positron pairs in the superposition of a nuclear Coulomb field and a two-colour laser field of high intensity is studied. Primarily, two complementary scenarios are investigated: On the one hand, if the two laser frequencies are commensurable, quantum interference may occur. This interference manifests in the total pair-creation rate and the angular distribution of the created particles, which are studied in the nuclear rest frame and the laboratory frame. Furthermore, the relative phase between the two laser modes allows to tune the strength of the terms arising from interference. Therefore, this parameter may be used to optimize the pair-creation yield. On the other hand, for incommensurable frequencies, a set-up of largely differing frequencies is considered. This way, a strong laser field in the non-perturbative regime assisted by a single highly-energetic γ-photon is described. Due to the assistance of the latter, a strong enhancement of the total pair-creation rate can be found depending on the laser intensity. Additionally, the influence of the γ-photon on the angular and energetic distribution of the created particles is investigated, again in the nuclear rest frame and the laboratory frame. Furthermore, the differences arising in the two former cases are directly compared by means of a continuous variation of the laser frequency ratio. This illustrates the strong modifications due to the interference in the commensurable case. Finally, for the special case of two modes with identical frequency, the total pair-creation rate is studied as a function of the ellipticity of the combined laser field. Here, the cases of a constant total field intensity and a constant maximum field intensity are compared.

Which points deserve special attention in the new guidelines on X-ray use (testing guidelines for experts and quality assurance guidelines)?

International Nuclear Information System (INIS)

Ewen, K.; Lauber, I.

2004-01-01

Two important guidelines for the application of X-rays in medicine became effective on 1 October 2003 and 1 December 2003. These are testing guidelines for experts and quality assurance guidelines. Both guidelines are very extensive and not always easy to interpret. In the present paper the authors try to explain in detail some chapters important for radiology and to make the necessary technical background transparent. Both authors took an essential part in forming the guidelines. (orig.) [de

The Dilemma - The creation of Forms via Digital or manual models

DEFF Research Database (Denmark)

Thomsen, Bente Dahl; Chraudin, Marianna

2008-01-01

3D CAD sculpturing with subsequent printing or milling of physical models is becoming increasingly popular amongst university students and graduated designers. Thus this article raises the very pertinent question: If central parts of the process of form creation are solely based on 3D CAD...... sculpturing, what are the consequences for the result of the form creation? This question raises a new question: How do we set up a interpretation model for the registering of the characters that the digital and the manual process of form creations leave in the prototype? This question lays the ground...

Predoctoral Curriculum Guidelines for Biomaterials.

Science.gov (United States)

Journal of Dental Education, 1986

1986-01-01

The American Association of Dental Schools' predoctoral guidelines for biomaterials curricula includes notes on interrelationships between this and other fields, a curriculum overview, primary educational goals, prerequisites, a core content outline, specific behavioral objectives for each content area, and information on sequencing, faculty and…

Job creation due to nuclear power resurgence in the United States

International Nuclear Information System (INIS)

Kenley, C.R.; Klingler, R.D.; Plowman, C.M.; Soto, R.; Turk, R.J.; Baker, R.L.; Close, S.A.; McDonnell, V.L.; Paul, S.W.; Rabideau, L.R.; Rao, S.S.; Reilly, B.P.

2009-01-01

The recent revival of global interest in the next generation of nuclear power reactors is causing a re-examination of the role of nuclear power in the United States. This renewed interest has led to questions regarding the capability and capacity of current US industries to support a renewal of nuclear power plant deployment. Key among the many questions currently being asked is what potential exists for the creation of new jobs as a result of developing and operating these new plants? Idaho National Laboratory and Bechtel Power Corporation collaborated to perform a Department of Energy-sponsored study that evaluated the potential for job creation in the United States should these new next generation nuclear power plants be built. The study focused primarily on providing an initial estimate of the numbers of new manufacturing jobs that could be created, including those that could be repatriated from overseas, resulting from the construction of these new reactors. In addition to the growth in the manufacturing sector, the study attempted to estimate the potential increase in construction trades necessary to accomplish the new construction. (author)

January 2014 pulmonary journal club: interventional guidelines

Directory of Open Access Journals (Sweden)

Mathew M

2014-01-01

Full Text Available No abstract available. Article truncated after 150 words. A few years ago a colleague and I were discussing the shape of healthcare in the USA. One of the comments that was made was "that despite the high costs within our system, that at least there was some standardization in the treatment of certain diseases, for example, receiving Aspirin for an acute myocardial infarction". Guidelines exist to ensure that for certain conditions a standard of care is practiced. When guidelines start to become a measuring stick for what is now considered best practice…..then it our responsibility to ensure that guidelines are rooted on high quality evidence. This paper reviewed the validity of guidelines published and practiced by several of the interventional medical societies including the American Association for Bronchology and Interventional Pulmonology (AABIP, American Society of Diagnostic and Interventional Nephrology (ASDIN, American Society For Gastrointestinal Endoscopy (ASGE and the Society for Cardiovascular Angiography and Interventions (SCAI. A total of ...

REGIONAL VENTURE FUND OF THE URAL FEDERAL DISTRICT: CREATION AND STRATEGY OF DEVELOPMENT

Directory of Open Access Journals (Sweden)

N.A. Victorov

2007-03-01

Full Text Available The article describes both types of Russian venture funds and forms of the state participation in venture investment. Besides, the article mentions the scheme of regional venture fund creation in Ural district, principles of its participants` interaction and some management issues. Moreover, we can see here the fund's development which includes market, technological, integration and investment components.

Topology control with IPD network creation games

International Nuclear Information System (INIS)

Scholz, Jan C; Greiner, Martin O W

2007-01-01

Network creation games couple a two-players game with the evolution of network structure. A vertex player may increase its own payoff with a change of strategy or with a modification of its edge-defined neighbourhood. By referring to the iterated prisoners dilemma (IPD) game we show that this evolutionary dynamics converges to network-Nash equilibria, where no vertex is able to improve its payoff. The resulting network structure exhibits a strong dependence on the parameter of the payoff matrix. Degree distributions and cluster coefficients are also strongly affected by the specific interactions chosen for the neighbourhood exploration. This allows network creation games to be seen as a promising artificial-social-systems approach for a distributive topology control of complex networked systems

Guidelines for Making Web Content Accessible to All Users

Science.gov (United States)

Thompson, Terrill; Primlani, Saroj; Fiedor, Lisa

2009-01-01

The main goal of accessibility standards and guidelines is to design websites everyone can use. The "IT Accessibility Constituent Group" developed this set of draft guidelines to help EQ authors, reviewers, and staff and the larger EDUCAUSE community ensure that web content is accessible to all users, including those with disabilities. This…

Abstract Object Creation in Dynamic Logic

NARCIS (Netherlands)

I. Grabe (Immo); F.S. de Boer (Frank); W. Ahrendt (Wolfgang); A. Cavalcanti; D.R. Dams

2009-01-01

textabstractIn this paper we give a representation of a weakest precondition calculus for abstract object creation in dynamic logic, the logic underlying the KeY theorem prover. This representation allows to both specify and verify properties of objects at the abstraction level of the

Narrative infrastructure in product creation processes

NARCIS (Netherlands)

Deuten, Jasper; Rip, Arie

2000-01-01

In product creation processes, perhaps even more than in organization processes in general, uncertainties are addressed and complexity is reduced. In retrospect, linearized success stories are told. The history of a product innovation in a biotechnology firm is used to show how actually, over time,

Thermodynamics of gravitationally induced particle creation scenario in DGP braneworld

Energy Technology Data Exchange (ETDEWEB)

Jawad, Abdul; Rani, Shamaila; Rafique, Salman [COMSATS Institute of Information Technology, Department of Mathematics, Lahore (Pakistan)

2018-01-15

In this paper, we discuss the thermodynamical analysis for gravitationally induced particle creation scenario in the framework of DGP braneworld model. For this purpose, we consider apparent horizon as the boundary of the universe. We take three types of entropy such as Bakenstein entropy, logarithmic corrected entropy and power law corrected entropy with ordinary creation rate Γ. We analyze the first law and generalized second law of thermodynamics analytically for these entropies which hold under some constraints. The behavior of total entropy in each case is also discussed which implies the validity of generalized second law of thermodynamics. Also, we check the thermodynamical equilibrium condition for two phases of creation rate, that is constant and variable Γ and found its vitality in all cases of entropy. (orig.)

Particle creation and destruction of quantum coherence by topological change

International Nuclear Information System (INIS)

Lavrelashvili, G.V.; Rubakov, V.A.; Tinyakov, P.G.

1988-01-01

The possibility is considered that changes of spatial topology occur as tunneling events in quantum gravity. Creation of scalar and spinor particles during these tunneling transitions is studied. The relevant formalism based on the euclidean Schroedinger equation and coherent state representation is developed. This formalism is illustrated in a two-dimensional example. It is argued that the particle creation during the topological changes induces the loss of quantum coherence. The particle creation is calculated in the case of O(4)-invariant background euclidean four-dimensional metrics. This calculation is used for estimating the loss of quantum coherence. An upper limit on the rate of the topological changes, A -17 M 4 Pl , is derived from the observation of K 0 -anti K 0 oscillations. (orig.)

Thermodynamics of gravitationally induced particle creation scenario in DGP braneworld

International Nuclear Information System (INIS)

Jawad, Abdul; Rani, Shamaila; Rafique, Salman

2018-01-01

In this paper, we discuss the thermodynamical analysis for gravitationally induced particle creation scenario in the framework of DGP braneworld model. For this purpose, we consider apparent horizon as the boundary of the universe. We take three types of entropy such as Bakenstein entropy, logarithmic corrected entropy and power law corrected entropy with ordinary creation rate Γ. We analyze the first law and generalized second law of thermodynamics analytically for these entropies which hold under some constraints. The behavior of total entropy in each case is also discussed which implies the validity of generalized second law of thermodynamics. Also, we check the thermodynamical equilibrium condition for two phases of creation rate, that is constant and variable Γ and found its vitality in all cases of entropy. (orig.)

Definitions and guidelines for classification of oil and gas reserves

Energy Technology Data Exchange (ETDEWEB)

DeSorcy, G.J.; Warne, G.A.; Ashton, B.R.; Campbell, G.R.; Collyer, D.R.; Drury, J.; Lang, R.V.; Robertson, W.D.; Robinson, J.G.; Tutt, D.W

1993-05-01

The unpredictability of estimating reserves of oil and gas has made it imperative to develop a universal set of definitions and guidelines for calculating and classifying reserves. A committee of representatives from the oil and gas industry, consulting firms, industry associations, regulatory agencies, government, and financial organizations in Canada has prepared definitions of oil and gas resources and reserves, as well as a recommended classification system for those reserves. The committee believes these definitions and guidelines are suitable for use with respect to all types of oil and gas and related substances, including offshore situations and oil sands. Both deterministic and probabilistic methods are presented, as well as guidelines for specific methods including the volumetric, material balance, decline curve analysis, and reservoir simulation methods. The guidelines also consider reserves from improved recovery projects and reserves of natural gas liquids and sulfur. A glossary of terms is appended. 14 figs.

International Business Models Developed Through Brokerage Knowledge and Value Creation

DEFF Research Database (Denmark)

Petersen, Nicolaj Hannesbo; Rasmussen, Erik Stavnsager

This paper highlights theoretically and empirically international business model decisions in networks with knowledge sharing and value creation. The paper expands the conceptual in-ternational business model framework for technology-oriented companies to include the focal firm’s network role...... and strategic fit in a global embeddedness. The brokerage role in the in-ternationalization of a network is discussed from both a theoretical and empirical point of view. From a business model and social network analysis perspective, this paper will show how firms and network grow internationally through two...

The supersymmetric Casimir effect and quantum creation of the universe with nontrivial topology

International Nuclear Information System (INIS)

Goncharov, Yu.P.; Bytsenko, A.A.

1985-01-01

We estimate the probability of quantum creation of the universe, having the spatial topology (S 1 ) 3 , and filled with the fields of minimal N=1 supergravity, in the semiclassical approximation. After creation, inflation of the universe occurs due to the topological Casimir effect. Creation of the universe with an isotropic topology is found to be the most preferable. (orig.)

Relationships between Organizational Trust, Knowledge Transfer, Knowledge Creation, and Firm's Innovativeness

Science.gov (United States)

Sankowska, Anna

2013-01-01

Purpose: This study seeks to provide empirical evidence of relationships between organizational trust, knowledge transfer, creation and innovativeness at the firm level. It aims to hypothesize a mediational model implying that organizational trust is related to knowledge transfer, which will, in turn, enhance knowledge creation, thereby…

Value Co-Creation through Learning Styles Segmentation and Integrated Course Design

Science.gov (United States)

Young, Mark; Collins, Marianne K.

2014-01-01

This paper describes an innovative Principles of Marketing course design and delivery which matches learning and teaching styles, while reducing multi-section variation. Value co-creation is encouraged by instructors and students collaborating in the creation of customized learning experiences which facilitates both teaching style and learning…

[Implementation of Study Results in Guidelines and Adherence to Guidelines in Clinical Practice].

Science.gov (United States)

Waldfahrer, F

2016-04-01

Guidelines were introduced in hospital and practice-based otorhinolaryngology in the 1990s, and have been undergoing further development ever since. There are currently 20 guidelines on file at the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. The Society has cooperated in a further 34 guidelines. The quality of the guidelines has been continually improved by concrete specifications put forward by the Association of the Scientific Medical Societies in Germany [Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V.]. Since increasing digitalisation has made access to scientific publications quicker and more simple, relevant study results can be incorporated in guidelines more easily today than in the analogue world. S2e and S3 guidelines must be based on a formal literature search with subsequent evaluation of the evidence. The consensus procedure for S2k guidelines is also regulated. However, the implementation of guidelines in routine medical practice must still be considered inadequate, and there is still a considerable need for improvement in adherence to these guidelines. © Georg Thieme Verlag KG Stuttgart · New York.

IMAGE Programming Guidelines

Energy Technology Data Exchange (ETDEWEB)

Stehfest, E; De Waal, L.

2010-09-15

This document describes the requirements and guidelines for the software of the IMAGE system. The motivation for this report was a substantial restructuring of the source code for IMAGE version 2.5. The requirements and guidelines relate to design considerations as well as to aspects of maintainability and portability. The design considerations determine guidelines about subjects, such as program structure, model hierarchy, the use of data modules, and the error message system. Maintainability and portability aspects determine the guidelines on, for example, the Fortran 90 standard, naming conventions, code lay-out, and internal documentation.

On the creation of scalar particles in some anisotropic universe

International Nuclear Information System (INIS)

Nariai, Hidekazu.

1978-01-01

Because of an importance of the particle creation (especially, its possible fulfilment of the black-body law with a definite temperature) in an early universe to various other cosmological problems we study how the creation of scalar particles occurs in the Bianchi-type I anisotropic universe adopted in our previous works on the quantized scalar field. It is shown that, as in a special isotropic case dealt with in recent papers, the creation may occur at the sacrifice of the requirement that the quantization procedure should reproduce the usual theory for a free field in the limit when the anisotropic universe changes into the Minkowski space-time. It is further shown that the creation occurs in accordance with the black-body law only in a 2-dimensional hyper-surface relating to the anisotropic cosmic expansion, provided that we fix two arbitrary constants appearing in a general expression for the Feynman propagator in terms of a procedure similar to that in the isotropic case. A speculation on the isotropization of our model-universe is also made from the standpoint of seeking for how the thermal equilibrium in the whole universe is attained. (auth.)

On the creation of scalar particles in some anisotropic universe

International Nuclear Information System (INIS)

Nariai, Hidekazu

1978-01-01

Because of an importance of the particle creation (especially, its possible fulfilment of the black-body law with a definite temperature) in an early universe to various other cosmological problems, we study how the creation of scalar particles occurs in the Bianchi-type I anisotropic universe adopted in our previous works on the quantized scalar field. It is shown that, as in a special isotropic case dealt with in recent papers, the creation may occur at the sacrifice of the requirement that the quantization procedure should reproduce the usual theory for a free field in the limit when the anisotropic universe changes into the Minkowski space-time. It is further shown that the creation occurs in accordance with the black-body law only in a 2-dimensional hyper-surface relating to the anisotropic cosmic expansion, provided that we fix two arbitrary constants appearing in a general expression for the Feynman propagator in terms of a procedure similar to that in the isotropic case. A speculation on the isotropization of our model-universe is also made from the standpoint of seeking the attainment of the thermal equilibrium in the whole universe. (author)

Is emergent universe a consequence of particle creation process?

International Nuclear Information System (INIS)

Chakraborty, Subenoy

2014-01-01

A model of an emergent universe is formulated using the mechanism of particle creation. Here the universe is considered as a non-equilibrium thermodynamical system with dissipation due to particle creation mechanism. The universe is chosen as spatially flat FRW space–time and the cosmic substratum is chosen as perfect fluid with barotropic equation of state. Both first and second order deviations from equilibrium prescription are considered and it is found that the scenario of emergent universe is possible in both the cases.

On the pair creation effect in radiative bottonium transitions

International Nuclear Information System (INIS)

Lewin, K.; Motz, G.B.

1986-01-01

The contributions from internal b-quark pair creation to the radiative transition rates of the processes Y(2S) → X b 1 +γ and X b 2 → Y(1S)+γ have been estimated in a quasilocal approximation preserving the time-dependence of the antiquark propagator and found to be smaller than 10%. Although relatively small, the pair creation correction depends sensitively on quark masses and photon energies and thus cannot be ignored in quantitative investigations of radiative quarkonium transitions

Guidelines in electrodiagnostic medicine. American Association of Electrodiagnostic Medicine.

Science.gov (United States)

1992-02-01

The American Association of Electrodiagnostic Medicine (AAEM) is committed to the development of sound and clinically relevant guidelines through review of literature, expert opinion and consensus. In 1979, with the assistance of its Professional Practice Committee and association leaders, the association published its initial guidelines, Guidelines in Electrodiagnostic Medicine, covering the practice of electrodiagnostic medicine. The committee is charged with ongoing revision of the document, as needed, and the current version includes standards of practice in clinical electromyography, risks in electrodiagnostic medicine, basic equipment requirements, and the role of paramedical support. In 1988, Educational Guidelines for Electrodiagnostic Training Programs (Appendix A) was prepared by the AAEM Training Program Committee and added to aid training program directors in establishing new training programs or in reviewing the current status of the educational aspects of existing programs. In 1986, the AAEM charged its Quality Assurance Committee with the responsibility for the development of guidelines pertinent to electrodiagnostic medical consultations. The impetus for the charge was the requests received from members of the AAEM and other interested parties for educational material on indications for and conduct of electrodiagnostic medical consultations. As a result of the committee's efforts, Suggested Guidelines for Electrodiagnostic Medical Consultations (Appendix D), was published in 1989 and additional sections added subsequently. The current document includes (1) general indications for an electrodiagnostic medical consultation for patients with suspected myopathies, neuromuscular junction disorders, polyneuropathies, mononeuropathies, plexopathies, radiculopathies, neuronopathies and central nervous system disorders, (2) specific indications for patients with suspected lumbosacral or cervical radiculopathies, (3) general principles of electrodiagnostic

Guidelines for the management of contact dermatitis: an update.

LENUS (Irish Health Repository)

Bourke, J

2012-02-01

These guidelines for management of contact dermatitis have been prepared for dermatologists on behalf of the British Association of Dermatologists. They present evidence-based guidance for investigation and treatment, with identification of the strength of evidence available at the time of preparation of the guidelines, including details of relevant epidemiological aspects, diagnosis and investigation.

Guidelines for the management of contact dermatitis: an update.

LENUS (Irish Health Repository)

Bourke, J

2009-05-01

These guidelines for management of contact dermatitis have been prepared for dermatologists on behalf of the British Association of Dermatologists. They present evidence-based guidance for investigation and treatment, with identification of the strength of evidence available at the time of preparation of the guidelines, including details of relevant epidemiological aspects, diagnosis and investigation.

Strategy Guideline: Quality Management in Existing Homes - Cantilever Floor Example

Energy Technology Data Exchange (ETDEWEB)

Taggart, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Sikora, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Wiehagen, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Wood, A. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States)

2011-12-01

This guideline is designed to highlight the QA process that can be applied to any residential building retrofit activity. The cantilevered floor retrofit detailed in this guideline is included only to provide an actual retrofit example to better illustrate the QA activities being presented.

Content and quality of workplace guidelines developed to prevent mental health problems

DEFF Research Database (Denmark)

Nexø, Mette Andersen; Kristensen, Josefine Vejlby; Grønvad, Majbritt Thorhauge

2018-01-01

Objectives A wide range of guidelines have been developed to prevent work-related mental health problems (MHP), but little is known about the quality of such guidelines. We systematically reviewed the content and quality of workplace guidelines aiming to prevent, detect, and/or manage work......-related MHP. Methods We conducted systematic online and database searches (MEDLINE; Web of Science; PsychNET; occupational safety and health databases) to identify guidelines. Eligibility criteria included guidelines recommending primary, secondary, or tertiary preventive interventions to be implemented...... at the workplace by employers, employees or organizational staff. A minimum of minimum three independent reviewers assessed the quality of guidelines using the Guidelines for Research and Evaluation (AGREE II). Guidelines rated ≥65% with regards to domain I, II, and III were considered to be of good developmental...

ARTISTIC AND SCIENTIFIC CREATION PROCESS MANAGEMENT

Directory of Open Access Journals (Sweden)

Ioan Tudor

2013-12-01

Full Text Available Cultural creation is not ex nihilo, but a conversion of old “material” into a new form or a re-signifying, or a new combination of preexisting elements. Art, as well as science, has been characterized as acts of dominating and transforming nature. In art, the process is real and in science it is virtual. This process is characterized by an efficient management of the means of expression which must be subordinated to the message that the piece of art wants to transmit and the scientist exploits facts in order to make them significant as support, expression and exemplification of the laws of nature. There is also an ontogenesis of management: individual evolution which takes place by virtue of a program, thanks to devices with self-regulating capabilities. This aspect may be particularly interesting for cyberneticists. In contemporary civilization the transfer of certain aspects of the creation process to automated machines implies programming, algorithms. Man is an algorithmic being.

[Creation and management of organizational knowledge].

Science.gov (United States)

Shinyashiki, Gilberto Tadeu; Trevizan, Maria Auxiliadora; Mendes, Isabel Amélia

2003-01-01

With a view to creating and establishing a sustainable position of competitive advantage, the best organizations are increasingly investing in the application of concepts such as learning, knowledge and competency. The organization's creation or acquisition of knowledge about its actions represents an intangible resource that is capable of conferring a competitive advantage upon them. This knowledge derives from interactions developed in learning processes that occur in the organizational environment. The more specific characteristics this knowledge demonstrates in relation to the organization, the more it will become the foundation of its core competencies and, consequently, an important strategic asset. This article emphasizes nurses' role in the process of knowledge management, placing them in the intersection between horizontal and vertical information levels as well as in the creation of a sustainable competitive advantage. Authors believe that this contribution may represent an opportunity for a reflection about its implications for the scenarious of health and nursing practices.

Job Creation by Firms in Denmark

DEFF Research Database (Denmark)

Ibsen, Rikke Falkner; Westergård-Nielsen, Niels

-offs and mergers. The analysis will make it possible to differentiate between net and gross creation of jobs because we can follow each single individual in and out of jobs. We have for Denmark found that size on its own does not have a big impact, but young firms are much more likely to contribute to a positive...... growth. For the U.S. it has been found that the growth in jobs comes from small businesses. A closer analysis though shows that the main factor here is the firm age. Thus, it is found that young firms net create the most jobs, but they are also responsible for the most job destructions.......In this paper we will look at job creation and destruction in firms. We will answer the question if it is the large companies that create jobs, while the smaller companies are contributing much less. Or is it the young companies that create jobs? And who destroys the most jobs? In the crisis...

[Multidisciplinary practice guideline 'Marfan syndrome'].

Science.gov (United States)

Hilhorst-Hofstee, Yvonne

2013-01-01

Marfan syndrome is a multi-system disorder of dominant inheritance in which the cardiovasculature, in particular the aorta, the eyes and the skeleton are affected. Diagnostic assessment and treatment of patients who are suspected of or have Marfan syndrome should preferably be done by multidisciplinary teams such as those found in specialised Marfan syndrome centres. The practice guideline is intended for all care givers involved with the recognition, diagnosis, consultations and the medicinal and surgical treatment of Marfan patients; it includes referral criteria and information on the referral process. A diagnosis of Marfan syndrome is based on international criteria in which aortic root dilatation and dissection, ectopia lentis, an affected first-degree family member and a pathogenic FBN1 mutation are the cardinal features. Alternative diagnoses are also included in the practice guideline. Recommendations are given for the monitoring and treatment of Marfan patients during pregnancy and delivery. Advice on lifestyle is mainly focussed on sports activities.

Designing algorithm visualization on mobile platform: The proposed guidelines

Science.gov (United States)

Supli, A. A.; Shiratuddin, N.