Foreign Students’ Professional Training in Kazakhstan Higher Educational Institutions: Ethno-cultural Aspect

Directory of Open Access Journals (Sweden)

Nurmambek Ramashov

2013-01-01

Full Text Available The authors analyze the problem of ethno-cultural education, regulatory documents of Kazakhstan Republic in the sphere of education and define the ethno-cultural aspect of foreign students’ professional training in Kazakhstan higher educational institutions. The analysis of foreign students’ training in Kazakhstan higher educational institutions trends allowed to determine the following requirements: expansion of educational institutions chain and the types, inclusion of ethno-cultural component of youth ideological training in their programs and curricula; review and expansion of curricula and programs, providing the basis for a basic plan, state standards, enhancement and increase of humanitarian and cultural components in accordance with the training profile; introduction of ethnos history and its culture as the regional educational component and addition to the core subjects and courses. The idea of ethnic and cultural enrichment of the entire system of professional education in the country will make it humanized.

Effects of aspect ratio and specimen size on uniaxial failure stress of iron green bodies at high strain rates

Directory of Open Access Journals (Sweden)

Kuroyanagi Yuki

2015-01-01

Full Text Available Powder metallurgy is used for the production of a number of mechanical parts and is an essential production method. These are great advantages such as product cost effectiveness and product uniqueness. In general, however parts created by powder metallurgy have low strength because of low density. In order to increase strength as well as density, new techniques such as high-velocity-compaction (HVC was developed and further investigation has been conducted on improvement of techniques and optimum condition using computer simulation. In this study, the effects of aspect ratio and specimen size of iron green bodies on failure strength of uniaxial compression and failure behavior were examined using a split Hopkinson pressure Bar. The diameters of specimens were 12.5 mm and 25 mm the aspect ratios (thickness/diameter were 0.8 and 1.2.

Institutional failure: are safety management systems the answer?

Energy Technology Data Exchange (ETDEWEB)

Waddington, J.G.; Lafortune, J.F. [International Safety Research, Ottawa, Ontario (Canada); Duffey, R.B. [Atomic Energy of Canada Limited, Chalk River, Ontario (Canada)

2009-07-01

In spite of an overwhelming number of safety management programs, incidents and accidents that could seemingly, in hindsight, have been prevented, still occur. Institutional failure is seen as a major contributor in almost all cases. With the anticipated significant increase in the number of nuclear plants around the world, a drastic step in the way we manage safety is deemed essential to further reduce the currently already very low rate of accidents to levels that will not cause undue public concern and threaten the success of the nuclear 'renaissance'. To achieve this, many industries have already started implementing a Safety Management System (SMS) approach, aimed at harmonizing, rationalizing and integrating management processes, safety culture and operational risk assessment. This paper discusses the origins and the nature of SMS based in part on the experience of the aviation industry, and shows how SMS is poised to be the next generation in the way the nuclear industry manages safety. It also discusses the need for better direct measures of risk to demonstrate the success of SMS implementation. (author)

Institutional failure: are safety management systems the answer?

International Nuclear Information System (INIS)

Waddington, J.G.; Lafortune, J.F.; Duffey, R.B.

2009-01-01

In spite of an overwhelming number of safety management programs, incidents and accidents that could seemingly, in hindsight, have been prevented, still occur. Institutional failure is seen as a major contributor in almost all cases. With the anticipated significant increase in the number of nuclear plants around the world, a drastic step in the way we manage safety is deemed essential to further reduce the currently already very low rate of accidents to levels that will not cause undue public concern and threaten the success of the nuclear 'renaissance'. To achieve this, many industries have already started implementing a Safety Management System (SMS) approach, aimed at harmonizing, rationalizing and integrating management processes, safety culture and operational risk assessment. This paper discusses the origins and the nature of SMS based in part on the experience of the aviation industry, and shows how SMS is poised to be the next generation in the way the nuclear industry manages safety. It also discusses the need for better direct measures of risk to demonstrate the success of SMS implementation. (author)

Pathophysiologic aspects of the development of cognitive disorders in chronic heart failure in elderly patients

Directory of Open Access Journals (Sweden)

M A Pokachalova

2018-04-01

Full Text Available The present literature review presents current views on pathophysiologic aspects of the formation and progression of cognitive disorders in chronic heart failure in elderly patients. Advanced age itself is an important predictor of the development of cardiovascular, neurodegenerative and other diseases. Involutive changes of cardiovascular system are known to potentiate the development of chronic heart failure. Heart failure in older people usually develops gradually. Formation of the cognitive deficit in heart disease is associated with chronic cerebral ischemia as well as a cascade of neurochemical processes occurring in the brain, eventually forming a vicious circle. Often the symptoms of cerebral ischemia due to reduced stroke volume occur much earlier than congestion signs in other organs and systems. Chronic cerebral ischemia that occurs due to violation of cerebral hemodynamics, is associated with both extracerebral and intracerebral causes, which in turn contributes to the development of chronic brain hypoxia and aggravation of cognitive dysfunction. Thus, the features of the development and course of disease in people of older age groups indicate that in geriatric practice existing diagnostic schemes are not always applicable. When observing patients of elderly and senile age with chronic heart failure, during the assessment of their condition and running diagnostic tests, special attention should be payed to the earliest detection of cognitive dysfunction signs in order to correct the patient's treatment and improve quality of life.

Radiology of renal failure

International Nuclear Information System (INIS)

Griffiths, H.J.

1990-01-01

This book covers most aspects of imaging studies in patients with renal failure. The initial chapter provides basic information on contrast agents, intravenous urography, and imaging findings in the urinary tract disorders responsible for renal failure and in patients who have undergone transplantation. It illustrates common gastro-intestinal abnormalities seen on barium studies in patients with renal failure. It illustrates the cardiopulmonary complications of renal failure and offers advice for radiologic differentiation. It details different aspects of skeletal changes in renal failure, including a basic description of the pathophysiology of the changes; many excellent illustrations of classic bone changes, arthritis, avascular necrosis, and soft-tissue calcifications; and details of bone mineral analysis

Institutional determinants of power sector reform in Pakistan

International Nuclear Information System (INIS)

Ullah, Kafait; Arentsen, Maarten J.; Lovett, Jon C.

2017-01-01

The electricity supply sector in Pakistan has performed poorly in recent years. Reforms were introduced in the mid-1990s to improve the sector, but progressed slowly with no significant impacts on pre-reform performance. This study uses new institutional economics as a theoretical basis to elucidate reasons for the failure of power sector reforms in Pakistan to make improvements. Interviews with 23 experts using Q-methodology generated 215 statements that were used as a Q concourse. Of these, 51 statements were selected for the Q sample and ranked by 34 respondents depending on their importance. Analysis revealed four important discourses on the determinants of power sector reform failure in Pakistan. These included weak governance structure, country and sectoral endowments, inefficient regulator and unspecified political institutions or unfriendly political contexts. The study recommends establishment of institutions that support a market based power supply sector and improvements to the contractual arrangements between stakeholders to reduce opportunistic behaviour. - Highlights: • This study utilizes New Institutional Approach to study power sector reforms in Pakistan. • Work of Douglass North and Oliver Williamson help create analytical frame. • Q methodology helps overcome data limitations. • Results reveal institutional aspects as important for poor performance of reforms. • Study suggests policy recommendations to improve institutional environment and governance of power sector in Pakistan.

Student and Faculty Perceptions of Service Quality: The Moderating Role of the Institutional Aspects

Science.gov (United States)

Duževic, Ines; Ceh Casni, Anita

2015-01-01

The purpose of this study was to explore key attributes of service quality in the Croatian higher education system. In particular, the study aims to compare student and faculty perceptions of service quality and to identify institutional aspects that may affect the perceptions of these two customers. Principal component analysis is used to define…

Introduction to the 2015 Supplement to Cardiology in the Young: Proceedings of the 2015 International Pediatric Heart Failure Summit of Johns Hopkins All Children's Heart Institute.

Science.gov (United States)

Jacobs, Jeffrey P

2015-08-01

In the United States of America alone, ~14,000 children are hospitalised annually with acute heart failure. The science and art of caring for these patients continues to evolve. The International Pediatric Heart Failure Summit of Johns Hopkins All Children's Heart Institute was held on 4 and 5 February, 2015. The 2015 International Pediatric Heart Failure Summit of Johns Hopkins All Children's Heart Institute was funded through the Andrews/Daicoff Cardiovascular Program Endowment, a philanthropic collaboration between All Children's Hospital and the Morsani College of Medicine at the University of South Florida (USF). Sponsored by All Children's Hospital Andrews/Daicoff Cardiovascular Program, the Johns Hopkins All Children's Heart Institute International Pediatric Heart Failure Summit assembled leaders in clinical and scientific disciplines related to paediatric heart failure and created a multi-disciplinary "think-tank". Information about George R. Daicoff, MD, and Ed and Sarainne Andrews is provided in this introductory manuscript to the 2015 Supplement to Cardiology in the Young entitled: "Proceedings of the 2015 International Pediatric Heart Failure Summit of Johns Hopkins All Children's Heart Institute". Dr Daicoff founded the All Children's Hospital Pediatric Heart Surgery programme and directed this programme for over two decades. Sarainne Andrews made her generous bequest to All Children's Hospital in honour of her husband Ed and his friendship with Dr Daicoff in order to support cardiovascular surgery research efforts.

Technical, economic and institutional aspects of regional spent fuel storage facilities

International Nuclear Information System (INIS)

2005-11-01

A particular challenge facing countries with small nuclear programmes is the preparation for extended interim storage and then disposal of their spent nuclear fuel. The costs and complications of providing for away-from-reactor storage facilities and/or geological repositories for relatively small amounts of spent fuel may be prohibitively high, motivating interest in regional solutions. This publication addresses the technical, economic and institutional aspects of regional spent fuel storage facilities (RSFSF) and is based on the results of a series of meetings on this topic with participants from IAEA Member States. Topics discussed include safety criteria and standards, safeguards and physical protection, fuel acceptance criteria, long term stability of systems and stored fuel, selection of site, infrastructure aspects, storage technology, licensing, operations, transport, decommissioning, as well as research and development. Furthermore the publication comprises economic, financial and institutional considerations including organizations and legal aspects followed by political and public acceptance and ethical considerations. Approaches and processes for implementation are discussed, as well as the overall benefits and risks of implementing a regional facility. It is illustrated that implementing a RSFSF facility would involve simultaneously addressing a wide range of diverse challenges. The appendix to this report tabulates the numerous issues that have been touched upon in the study. It appears, however, from the discussions that the challenges can in principle be met; the RSFSF concept is technically feasible and potentially economically viable. The technical committees producing this report did not identify any obvious institutional deficiencies that would prevent completion of such a project. Storing spent fuel in a few safe, reliable, secure facilities could enhance safeguards, physical protection and non-proliferation benefits. The committee also

PEDAGOGICAL ASPECTS OF KINDERGARTEN TEACHERS IN PRE-SCHOOL INSTITUTIONS

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Duško Bjelica

2013-07-01

Full Text Available A poll procedure has been done at sample of 102 kindergarten teachers with Bachelor degree attending Specialist studies at Department of Pre-School Education of the Faculty of Philosophy in Niksic, and the aim of the poll was to determine the examinees’ opinions on games organizations in pre-school institutions, from all towns of Montenegro. All of the questioned teachers were employed during the poll or they had already had working experience. The poll was based on the 14 questions ques¬tionnaire, especially made for this purpose in which the questions were classified in groups in order to determine 4 aspects that are important for successful organization of games. The first group of the questions regards choice of the games to be played; the second group relates to space choice for the game, as the third group of the questions refers to the way of making groups of children during preparation. The fourth group of the questions regards making cooperation and tolerance among the children during the games’ realization. This poll is a part of the research done at the Faculty of Sports and Physical Education in Niksic with the aim to get directions for improving teaching and expert work in pre-school institutions through monitoring and insight into opinions of Specialist studies’ students.

Report of the ECCO pathogenesis workshop on anti-TNF therapy failures in inflammatory bowel diseases: definitions, frequency and pharmacological aspects

DEFF Research Database (Denmark)

Allez, Matthieu; Karmiris, Konstantinos; Louis, Edouard

2010-01-01

The first ECCO pathogenesis workshop focused on anti-TNF therapy failures in inflammatory bowel diseases (IBDs). The overall objective was to better understand and explore primary non response and loss of response to anti-TNF agents in IBD. The outcome of this workshop is presented into two parts....... This first section addresses definitions, frequency and pharmacological aspects of anti-TNF therapy failure, including pharmacokinetics of anti-TNF monoclonal antibodies and immune and non-immune mediated clearance of anti-TNF mAbs. The second section concerns the biological roles of TNF and TNF antagonists...

Translational aspects of cell therapy for heart failure

OpenAIRE

Nasseri, Boris

2015-01-01

This cumulative “habilitation” thesis focuses on myocardial regeneration by means of cell therapy and on experimental and clinical approaches. To supplement the articles published by the author the work gives an overview of the pathogenesis of heart failure and remodeling of the heart, taking into account the role of nitric oxide and statins. Further, the treatment of ischemic heart failure including organ transplantation and mechanical circulatory support is discussed. Different approaches t...

Diversification of the Economy: Institutional Aspects

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Nataliya Al. Kravchenko

2017-12-01

Full Text Available Institutional conditions are significant factors influencing motivation, behavior and performance results of different economic agents, which, in turn, determine directions and dynamics of structural shifts in the economy. There is a wide range of research on influence of various formal and informal institutions on processes of structural dynamics and diversification of economic activity through innovations in particular. We have carried out in-depth analysis of scientific publications on institutional impact at the level of the country as a whole and regions within countries, comparisons of different countries on the impact of institutional factors on production and technological diversification and their connection to economic development. As the main conceptual approaches, we emphasize evolutionary economics, theory of agglomeration economics and new economic geography. Based on the analysis we draw a conclusion, important for Russian economy, about priority directions of changing spatial and product specialization concerning resource regions of Russia. In conclusion of the article perspective directions for the future research on mutual influence of institutions and changes of production and technological structure, which are vital for Russian economy and its regions, are formulated.

Institutional aspects of radioactive waste management

International Nuclear Information System (INIS)

Strohl, P.

1996-01-01

Rules and regulations in force, the work of specialized agencies and the control exercised by regulatory authorities in the area of radioactive waste management need to emphasised in public information programmes. Radioactive waste management is a well-regulated area, with government institutions aiming for long-term safety, in particular for the final disposal of wastes, and imposing strict obligations on the nuclear industry. The issue of public perception of the problems involved with the long-term safety of radioactive waste management is sensitive. Given the complexity of this issue, and the public's legitimate doubts regarding the continued efficiency of long- or very long-term waste management policies, public information specialists must seek to reassure. The major factors that need to be made clear to the public are the following: our capacity to master long-term risks will depend upon the quality of the decisions taken today; experience has shown that the functioning of institutional mechanisms is generally efficient and permanent when their purpose is to protect society's vital interests; a well-informed public, together with other factors can contribute to the maintenance of these; the importance of the 'passive' safety of technological systems, as well as institutional instruments with respect to guaranteeing long-term safety, must be underlined; institutional instruments, although indispensable with regard to long-term safety, should only be considered as making a contribution of relative importance and of limited duration, and this must be made clear. Public information policies should therefore underline the relative contribution of institutional instruments, as well as their limited duration, in the safety of long-term radioactive waste management. (authors)

Clinical and economic aspects of the use of nebivolol in the treatment of elderly patients with heart failure

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Donatella Del Sindaco

2010-12-01

Full Text Available Donatella Del Sindaco1, Maria Denitza Tinti2, Luca Monzo2, Giovanni Pulignano2,1Heart Failure Unit, Division of Cardiology, INRCA Institute of Care and Research for Elderly, Rome, Italy; 2Heart Failure Clinic, Division of Cardiology/CCU, San Camillo Hospital, Rome, ItalyAbstract: Heart failure is a common and disabling condition with morbidity and mortality that increase dramatically with advancing age. Large observational studies, retrospective subgroup analyses and meta-analyses of clinical trials in systolic heart failure, and recently published randomized studies have provided data supporting the use of beta-blockers as a baseline therapy in heart failure in the elderly. Despite the available evidence about beta-blockers, this therapy is still less frequently used in elderly compared to younger patients. Nebivolol is a third-generation cardioselective beta-blocker with L-arginine/nitric oxide-induced vasodilatory properties, approved in Europe and several other countries for the treatment of essential hypertension, and in Europe for the treatment of stable, mild, or moderate chronic heart failure, in addition to standard therapies in elderly patients aged 70 years old or older. The effects of nebivolol on left ventricular function in elderly patients with chronic heart failure (ENECA and the study of effects of nebivolol intervention on outcomes and rehospitalization in seniors with heart failure (SENIORS have been specifically aimed to assess the efficacy of beta-blockade in elderly heart failure patients. The results of these two trials demonstrate that nebivolol is well tolerated and effective in reducing mortality and morbidity in older patients, and that the beneficial clinical effect is present also in patients with mildly reduced ejection fraction. Moreover, nebivolol appears to be significantly cost-effective when prescribed in these patients. However, further targeted studies are needed to better define the efficacy as well as

The Bone Marrow Transplantation Center of the National Cancer Institute - its resources to assist patients with bone marrow failure

International Nuclear Information System (INIS)

Tabak, Daniel

1997-01-01

This paper describes the bone marrow transplantation center of the brazilian National Cancer Institute, which is responsible for the cancer control in Brazil. The document also describes the resources available in the Institute for assisting patients presenting bone marrow failures. The Center provides for allogeneic and autologous bone marrow transplants, peripheral stem cell transplants, umbilical cord collections and transplants, and a small experience with unrelated bone marrow transplants. The Center receives patient from all over the country and provides very sophisticated medical care at no direct cost to the patients

Realization in 2007 of the complex project on creation of the thematic atlas modern and prediction aspects of consequences from Chernobyl NPP failure

International Nuclear Information System (INIS)

Poplyko, I.Ya.; Nikolaenko, E.V.

2008-01-01

The thematic atlas modern and prediction aspects of consequences from Chernobyl NPP failure in the suffered territories of Russia and Belarus will contain materials about radioactive pollution of territories, the grounds of wood fund, the agricultural grounds, and as help section, including analytical and help materials. (authors)

International Security Institutions, Domestic Politics, and Institutional Legitimacy

Science.gov (United States)

Chapman, Terrence L.

2007-01-01

Scholars have devoted considerable attention to the informational role of international institutions. However, several questions about the informational aspects of institutional behavior remain underexplored: What determines how audiences respond to institutional decisions? Through what channels does information provision affect foreign policy? To…

The promotion of mental health through cultural values, institutions, and practices: a reflection on some aspects of botswana culture.

Science.gov (United States)

Sabone, Motshedisi B

2009-12-01

Botswana has seen rapid socioeconomic development since the 1970s that has contributed to the erosion of the values, institutions, and practices that are believed to be supportive of mental health. In this paper, the author argues that the aspects of culture that are supportive of mental health have been diluted by the process of urbanization and the interactions of Batswana (the indigenous people of Botswana) with other cultural groups, particularly those from the western hemisphere. The paper further highlights some of the values, institutions, and practices native to Botswana and describes how they promote mental health. Lastly, recommendations for reviving the cultural values, institutions, and practices of Botswana are discussed.

Multi-institutional application of Failure Mode and Effects Analysis (FMEA) to CyberKnife Stereotactic Body Radiation Therapy (SBRT).

Science.gov (United States)

Veronese, Ivan; De Martin, Elena; Martinotti, Anna Stefania; Fumagalli, Maria Luisa; Vite, Cristina; Redaelli, Irene; Malatesta, Tiziana; Mancosu, Pietro; Beltramo, Giancarlo; Fariselli, Laura; Cantone, Marie Claire

2015-06-13

A multidisciplinary and multi-institutional working group applied the Failure Mode and Effects Analysis (FMEA) approach to assess the risks for patients undergoing Stereotactic Body Radiation Therapy (SBRT) treatments for lesions located in spine and liver in two CyberKnife® Centres. The various sub-processes characterizing the SBRT treatment were identified to generate the process trees of both the treatment planning and delivery phases. This analysis drove to the identification and subsequent scoring of the potential failure modes, together with their causes and effects, using the risk probability number (RPN) scoring system. Novel solutions aimed to increase patient safety were accordingly considered. The process-tree characterising the SBRT treatment planning stage was composed with a total of 48 sub-processes. Similarly, 42 sub-processes were identified in the stage of delivery to liver tumours and 30 in the stage of delivery to spine lesions. All the sub-processes were judged to be potentially prone to one or more failure modes. Nineteen failures (i.e. 5 in treatment planning stage, 5 in the delivery to liver lesions and 9 in the delivery to spine lesions) were considered of high concern in view of the high RPN and/or severity index value. The analysis of the potential failures, their causes and effects allowed to improve the safety strategies already adopted in the clinical practice with additional measures for optimizing quality management workflow and increasing patient safety.

[Genetic aspects of premature ovarian failure].

Science.gov (United States)

Warenik-Szymankiewicz, Alina; Słopień, Radosław

2005-01-01

Among the causes of premature ovarian failure (POF) two groups of factors are reported: factors which lead to decrease of follicular number and factors which stimulate follicular atresia. In the first group genetic factors are the most important whereas in the second: enzymatic autoimmunological, iatrogenic, toxins and infections are reported. In 1986 familiar POF on the background of long arm of chromosome X deletion was reported. Other chromosomes which are important for normal ovarian function are: chromosome 21 (AIRE gene), chromosome 11 (gene of beta FSH, ATM gene), chromosome 3 (gene responsible for BEPS syndrome) and chromosome 2 (genes of FSH and LH receptors). In this review the role of these genes and results of several epidemiological studies are reported.

Failure analysis of real-time systems

International Nuclear Information System (INIS)

Jalashgar, A.; Stoelen, K.

1998-01-01

This paper highlights essential aspects of real-time software systems that are strongly related to the failures and their course of propagation. The significant influence of means-oriented and goal-oriented system views in the description, understanding and analysing of those aspects is elaborated. The importance of performing failure analysis prior to reliability analysis of real-time systems is equally addressed. Problems of software reliability growth models taking the properties of such systems into account are discussed. Finally, the paper presents a preliminary study of a goal-oriented approach to model the static and dynamic characteristics of real-time systems, so that the corresponding analysis can be based on a more descriptive and informative picture of failures, their effects and the possibility of their occurrence. (author)

Safety aspects of pressurised water reactors

International Nuclear Information System (INIS)

1985-01-01

This submission to the Health and Safety Executive has been prepared by the Institution of Professional Civil Servants (IPCS) as a contribution to the debate on safety aspects associated with Pressurized Water Reactors (PWRs). Although supporting an energy policy which includes the development of nuclear power, assurances are sought on a number of safety issues if it is decided that this should be generated by a PWR-type reactor. These issues are listed. In particular the following are mentioned: the wider publication of design information, the use of elastic-plastic fracture mechanics as the basis for determining pressure vessel integrity, the failure rate of steam generating units, water coolant quality control, greater investigation of two-phase flow accident conditions, the components of the reactor cooling system and training of reactor personnel in the understanding of LOCA effects. (U.K.)

The IAASB - the International Auditing and Assurance Standards Board - the Influence of Institutional Aspects on International Harmonization Concept of Auditing Services

OpenAIRE

Ladislav Kareš; Petra Krišková

2008-01-01

The article dealt with institutional aspects of auditing profession, mostly their impact on international harmonization concept of auditing services. The authors of the article mention on importance and tasks of the institution - the IAASB - The International Auditing and Assurance Standards Board, by compiling of strategy of auditing services behavior and development, mostly in context of providing the auditing services. The authors mention on the IAASB priorities in this area set for period...

PROBLEM ASPECTS OF FORMATION OF THE LEGAL INSTITUTE OF CONSOLIDATED TAXPAYERS’ GROUPS IN RUSSIA

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Irina Glazunova

2017-01-01

Full Text Available The subject. The article is devoted to the prerequisites of the emergence and essential characteristics of the institution of consolidated taxpayers’ groups in Russia and abroad, revealing of advantages and disadvantages of the legal regulation of the creation and operation of consolidated groups of payers of corporate profits tax, analyzing results and directions of the development of tax consolidation in Russian Federation.The purpose of the article is to identify positive and negative aspects of the functioning of the institution of consolidated taxpayers’ groups in Russia with the establishment of prospects of tax consolidation and the likely directions of its development.The description of the problem field. The development of the world economic system stimulates the emergence of new forms of management, characterized by the enlargement of busi-ness, the pooling of resources of individual enterprises into a single system in order to optimize entrepreneurial activity. These trends are reflected in the development of tax systems of various countries, that is expressed in the formation of institutions of consolidated taxpayers’ groups. Tax consolidation in Russia is a relatively new phenomenon, and it seems necessary to examine this institution from the law enforcement point of view, to evaluate its effectiveness.Methods and methodology. The authors used methods of analysis, synthesis, as well as formal-legal, comparative-legal, historical methods of investigation.Results and the scope of its application. The authors note that the institution of tax consolidation today is presented in the tax systems of most modern countries.The practice of applying the institution of consolidated taxpayers’ groups testifies to the existence of a significant number of advantages and disadvantages of tax consolidation in Russia. The moratorium on the creation of consolidated taxpayers’ groups, due to the contradictory nature of their influence on the

INSTITUTIONAL REPOSITORY: EMPLOYMENT IN EDUCATION

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Vasyl P. Oleksyuk

2012-11-01

Full Text Available The article investigated the concept of «institutional repository» and determined the aspects of institutional repositories in higher education. Institutional Repositories are information systems that allow preserving, storing and disseminating scientific knowledge produced in higher education and scientific research institutions. This study presented the main aspects using institutional repositories in educational process (such as storage of scientific and educational information, means of organization activity of students, object of studying. This article produced the structure of communities and collections of the institutional. It is described the experience of implementing of DSpace in the learning process.

Failure Rates in Introductory Programming

DEFF Research Database (Denmark)

Bennedsen, Jens; Caspersen, Michael Edelgaard

2007-01-01

It is a common conception that CS1 is a very difficult course and that failure rates are high. However, until now there has only been anecdotal evidence for this claim. This article reports on a survey among institutions around the world regarding failure rates in introductory programming courses...

Institutional Churn: Institutional Change in United Kingdom Higher Education

Science.gov (United States)

Tight, Malcolm

2013-01-01

This article considers how higher education institutions change over time, using the United Kingdom system as an exemplar, and focusing on the 15-year period between 1994/95 and 2009/10. While there are many aspects of institutional change worthy of study, the focus here is on how institutions appear to others. Thus, the article examines the…

Drivers of Environmental Institutional Dynamics in Decentralized African Countries

Science.gov (United States)

Hassenforder, Emeline; Barreteau, Olivier; Daniell, Katherine Anne; Pittock, Jamie; Ferrand, Nils

2015-12-01

This paper builds on the assumption that an effective approach to support the sustainability of natural resource management initiatives is institutional "bricolage." We argue that participatory planning processes can foster institutional bricolage by encouraging stakeholders to make their own arrangements based on the hybridization of old and new institutions. This papers aims at identifying how participatory process facilitators can encourage institutional bricolage. Specifically the paper investigates the specific contextual and procedural drivers of institutional dynamics in two case studies: the Rwenzori region in Uganda and the Fogera woreda in Ethiopia. In both cases, participatory planning processes were implemented. This research has three innovative aspects. First, it establishes a clear distinction between six terms which are useful for identifying, describing, and analyzing institutional dynamics: formal and informal; institutions and organizations; and emergence and change. Secondly, it compares the contrasting institutional dynamics in the two case studies. Thirdly, process-tracing is used to identify contextual and procedural drivers to institutional dynamics. We assume that procedural drivers can be used as "levers" by facilitators to trigger institutional bricolage. We found that facilitators need to pay particular attention to the institutional context in which the participatory planning process takes place, and especially at existing institutional gaps or failures. We identified three clusters of procedural levers: the selection and engagement of participants; the legitimacy, knowledge, and ideas of facilitators; and the design of the process, including the scale at which it is developed, the participatory tools used and the management of the diversity of frames.

THE ECONOMICS OF THE UNION DRAFT: INSTITUTIONAL FAILURE AND GOVERNMENT MANIPULATION OF THE LABOR MARKET DURING THE CIVIL WAR

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Cady Alpert

1999-01-01

Full Text Available The Civil War is still the bloodiest of all wars in which the United States has fought. The number of men who died and the reduction in the labor force had profound effects on the economy for years. In this paper we examine the methods used by the Union Government to procure a fighting force. We argue that institutional failure by the Union Government to raise and put into battle a sufficient number of men in the early years of the war prolonged the inevitable. Had the North either raised the wages of soldiers or created an effective draft, which for various institutional reasons it did not do until late in the war, fewer lives would have been lost and the war would have come to an end sooner.

Institutional Justification in Frames

DEFF Research Database (Denmark)

Baden, Christian; Schultz, Friederike

consensus. It extents research on framing in mass communication by applying institutional theory and Boltanski and Thévenot’s (2006) theory on justification in order to explain how the success and failure of proposed interpretations depend on the mobilization of accepted social institutions to justify...

Fuzzy Failure Analysis: A New Approach to Service Quality Analysis in Higher Education Institutions (Case Study: Vali-e-asr University of Rafsanjan-Iran)

Science.gov (United States)

Takalo, Salim Karimi; Abadi, Ali Reza Naser Sadr; Vesal, Seyed Mahdi; Mirzaei, Amir; Nawaser, Khaled

2013-01-01

In recent years, concurrent with steep increase in the growth of higher education institutions, improving of educational service quality with an emphasis on students' satisfaction has become an important issue. The present study is going to use the Failure Mode and Effect Analysis (FMEA) in order to evaluate the quality of educational services in…

Institutional aspects of NAMA development and implementation

DEFF Research Database (Denmark)

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

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

Institutional aspects of corporate governance (publishing and printing industry

Directory of Open Access Journals (Sweden)

Malik Irina Petrovna

2014-06-01

Full Text Available An analysis of the fundamental principles of the corporate governance theory is carried out with substantiation of the use of institutional theory to ensure the effective development of the corporate sector of Ukrainian economy. The proposals on the allocation of corporate governance models on the example of publishing and printing industry are elaborated and institute of shareholder ownership was laid in the basis of construction. Institutional support at the macro-, meso-and micro-economic level is considered, that corresponds to the current state of Ukrainian economy and helps to improve the efficiency of corporate governance by domestic companies.

Linguistic Knowledge Aspects in Academic Reading: Challenges and Deployed Strategies by English-Major Undergraduates at a Jordanian Institution of Higher Education

Science.gov (United States)

Albashtawi, Abeer H.; Jaganathan, Paramaswari; Singh, Manjet

2016-01-01

This study aimed to investigate the linguistic knowledge aspect in academic reading, the challenges and the deployed strategies by English major undergraduates at a Jordanian institution of higher education. The importance of the study is attributed to the importance of the academic reading at university which is closely related to the academic…

Radioactive waste management. What are the institutional aspects

International Nuclear Information System (INIS)

Anon.

1985-01-01

The report on ''Long term management of radioactive wastes. Legal administrative and financial aspects'' published by the NEA is commented in this paper. Storage, disposal, monitoring, financing liability and national policy are evoked [fr

Exercise Hemodynamics in Chronic Heart Failure : Physiological and Clinical Aspects

NARCIS (Netherlands)

Spee, R.F.

2017-01-01

Chronic heart failure is intrinsically associated with exercise intolerance. Understanding the pathophysiological background of exercise intolerance is essential for optimizing the response to current and future therapies aiming at an improvement of exercise capacity. Each step in the oxygen

Validation of the Seattle Heart Failure Model (SHFM) in Heart Failure Population

International Nuclear Information System (INIS)

Hussain, S.; Kayani, A.M.; Munir, R.

2014-01-01

Objective: To determine the effectiveness of Seattle Heart Failure Model (SHFM) in a Pakistani systolic heart failure cohort in predicting mortality in this population. Study Design: Cohort study. Place and Duration of Study: The Armed Forces Institute of Cardiology - National Institute of Heart Diseases, Rawalpindi, from March 2011 to March 2012. Methodology: One hundred and eighteen patients with heart failure (HF) from the registry were followed for one year. Their 1-year mortality was calculated using the SHFM software on their enrollment into the registry. After 1-year predicted 1-year mortality was compared with the actual 1-year mortality of these patients. Results: The mean age was 41.6 +- 14.9 years (16 - 78 years). There were 73.7% males and 26.3% females. One hundred and fifteen patients were in NYHA class III or IV. Mean ejection fraction in these patients was 23 +- 9.3%. Mean brain natriuretic peptide levels were 1230 A+- 1214 pg/mL. Sensitivity of the model was 89.3% with 71.1% specificity, 49% positive predictive value and 95.5% negative predictive value. The accuracy of the model was 75.4%. In Roc analysis, AUC for the SHFM was 0.802 (p<0.001). conclusion: SHFM was found to be reliable in predicting one year mortality among patients with heart failure in the pakistan patients. (author)

Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary Team

Directory of Open Access Journals (Sweden)

Sabrina Furtado

2016-01-01

Full Text Available Aim. A multidisciplinary team was created in our institution to manage patients with intestinal failure (INFANT: INtestinal Failure Advanced Nutrition Team. We aimed to evaluate the impact of the implementation of the team on the outcomes of this patient population. Methods. Retrospective chart review of patients with intestinal failure over a 6-year period was performed. Outcomes of patients followed up by INFANT (2010–2012 were compared to a historical cohort (2007–2009. Results. Twenty-eight patients with intestinal failure were followed up by INFANT while the historical cohort was formed by 27 patients. There was no difference between the groups regarding remaining length of small and large bowel, presence of ICV, or number of infants who reached full enteral feeds. Patients followed up by INFANT took longer to attain full enteral feeds and had longer duration of PN, probably reflecting more complex cases. Overall mortality (14.8%/7.1% was lower than other centers, probably illustrating our population of “early” intestinal failure patients. Conclusions. Our data demonstrates that the creation and implementation of a multidisciplinary program in a tertiary center without an intestinal and liver transplant program can lead to improvement in many aspects of their care.

Dispersed Trading and the Prevention of Market Failure

DEFF Research Database (Denmark)

Porter, David C.; Tanggaard, Carsten; G. Weaver, Daniel

With augmented demands on power grids resulting in longer and larger blackouts combined with heightened concerns of terrorist attacks, trading institutions and policy makers have widened their search for systems that avoid market failure during these disturbing events. We provide insight into thi......With augmented demands on power grids resulting in longer and larger blackouts combined with heightened concerns of terrorist attacks, trading institutions and policy makers have widened their search for systems that avoid market failure during these disturbing events. We provide insight...... combined with widely dispersed trading locations may be a viable means of protection against market failure during massive power disruptions or terrorist attacks....

Mechanistic aspects of failure of mineralized tissue

Science.gov (United States)

Nalla, Ravi Kiran

Over the past few decades, there has been increased interest in the structure and properties of mineralized biological tissues like bone and dentin (a structurally simpler analogue of bone that makes up the bulk of the human tooth). In particular, there has been considerable research into the mechanical properties of such tissues and into how they fracture. An understanding of these properties is of great importance from the perspective of developing a realistic framework for life prediction, particularly in light of the effect of microstructural modifications from aging, disease, remodeling, etc. Central to these issues is the resistance to fracture of these materials, and the microstructural mechanisms that are the source of such resistance. Understanding such properties in the context of the inherent hierarchical complexity of the microstructure of these tissues is of obvious importance. However, surprisingly, such questions have largely remained unanswered and to a large extent, even uninvestigated. The present study initially seeks to focus on the fracture and fatigue behavior of dentin and to extend the observations to cortical bone. Accordingly, fracture mechanics based experiments were conducted to evaluate the fracture toughness of dentin in the context of the anisotropy with respect to the underlying microstructure, and discussed in terms of the salient toughening mechanisms active in this material. In light of the presence of such mechanisms, the fracture toughness properties were then evaluated in terms of resistance-curve (R-curve) behavior, i.e., fracture resistance increasing with crack extension. Furthermore, dentin is known to be susceptible to failure under cyclic loading. The "stress-life" and fatigue-crack propagation data obtained through a systematic investigation of the effects of prolonged cyclical loading are discussed. It is concluded that the presence of small incipient flaws in human teeth of the order of 250 mum in size will not

A study on the asymmetry of the news aspect of the stock market: Evidence from three institutional investors in the Taiwan stock market

Directory of Open Access Journals (Sweden)

Yang Tzu-Yi

2015-01-01

Full Text Available This paper uses daily data to investigate the behavior of institutional investors in Taiwan’s stock market. We adopted TGARCH and EGARCH models to test various news. We found that, for the entire sample, a significant clustering phenomenon exists in the investment behavior of three institutional investors, and the impact due to a change of news content shows significant asymmetry and leverage effects. That is, the impact of bad news from the market is stronger than that of good news. In addition, an asymmetric phenomenon can also be seen for the international news aspect as responded to by foreign institutional investors. This phenomenon is more significant than those of the dealers and institutional trust investors. Moreover, the asymmetric phenomenon as responded to by the dealers for domestic news is more significant than those of foreign investors and institutional trust investors.

Therapeutical considerations in associated atrial fibrillation and heart failure.

Science.gov (United States)

Mitu, O; Mitu, F; Constantin, S; Cojocaru, Elena; Leon, Maria-Magdalena

2014-01-01

Atrial fibrillation is a supraventricular tachyarrhythmia very common in medical practice, often associated with heart failure. Pathophysiological relationship between atrial fibrillation and heart failure is in the attention of numerous case studies, being incomplete elucidated. We made a retrospective study on patients with both diseases, hospitalized in Cardiovascular Rehabilitation Hospital, Iasi, during 01.01.2013 - 31.12.2013. The obtained data allowed the classification of patients according to gender distribution, age groups, area of origin, clinical aspects, and association with other diseases, instituted treatment and appreciation of CHADS2 score. Data interpretation was performed with appropriate statistical methods. We found a higher frequency of the disease among male patients, male: female ratio being 2:1; the most of the patients lived in urban area. The pick of diseases incidence was in patients over 65 years with a total percentage of 70.84% of cases. We noted that the most common symptoms were exertional dyspnea (in all patients), palpitations, dizziness, headache, fatigue, asthenia, dyspnea at rest and pain/chest pressure. In our study, the majority of patients received the beta-blocker--digoxin combination (46 patients, 40 patients respectively). The coexistence of the two disorders could be explained by identifying common risk factors. Beta blockers should be the first therapeutic option in patients with chronic heart failure and atrial fibrillation because they have the effect of controlling heart rate and improve survival in patients with these disorders. Meanwhile, digoxin is a drug, only certain conditions of high accuracy monitoring; whose major clinical indications are heart failure and atrial rhythm disturbances.

Observation unit management of acute decompensated heart failure.

Science.gov (United States)

Schrock, Jon W; Emerman, Charles L

2009-01-01

Acute decompensated heart failure (ADHF) is a common illness presenting to the emergency department (ED) that is amenable to observation unit (OU) treatment. As the number of baby boomers continues to grow and the incidence of heart failure increases, the financial implications of ADHF treatment will become more prominent. Obtaining institutional support and developing a good working relationship with cardiology colleagues is vital to creating workable ADHF protocols for whichever type of OU an institution decides to use.

Micromechanical Aspects of Transgranular and Intergranular Failure Competition

Czech Academy of Sciences Publication Activity Database

Dlouhý, Ivo; Tarafder, M.; Hadraba, Hynek

2011-01-01

Roč. 465, - (2011), s. 399-402 ISSN 1013-9826 R&D Projects: GA ČR(CZ) GAP107/10/0361 Institutional research plan: CEZ:AV0Z20410507 Keywords : intergranular fracture * cleavage * fracture toughness Subject RIV: JL - Materials Fatigue, Friction Mechanics

Acute liver failure and self-medication.

Science.gov (United States)

de Oliveira, André Vitorio Câmara; Rocha, Frederico Theobaldo Ramos; Abreu, Sílvio Romero de Oliveira

2014-01-01

Not responsible self-medication refers to drug use in high doses without rational indication and often associated with alcohol abuse. It can lead to liver damage and drug interactions, and may cause liver failure. To warn about how the practice of self-medication can be responsible for acute liver failure. Were used the Medline via PubMed, Cochrane Library, SciELO and Lilacs, and additional information on institutional sites of interest crossing the headings acute liver failure [tiab] AND acetaminophen [tiab]; self-medication [tiab] AND acetaminophen [tiab]; acute liver failure [tiab] AND dietary supplements [tiab]; self-medication [tiab] AND liver failure [tiab] and self-medication [tiab] AND green tea [tiab]. In Lilacs and SciELO used the descriptor self medication in Portuguese and Spanish. From total surveyed were selected 27 articles and five sites specifically related to the purpose of this review. Legislation and supervision disabled and information inaccessible to people, favors the emergence of cases of liver failure drug in many countries. In the list of released drugs that deserve more attention and care, are some herbal medicines used for the purpose of weight loss, and acetaminophen. It is recommended that institutes of health intensify supervision and better orient their populations on drug seemingly harmless, limiting the sale of products or requiring a prescription for release them.

Aspects of Myocardial Infarction-induced Remodeling relevant to the Development of Heart Failure

NARCIS (Netherlands)

E.A.J. Kalkman (Ed)

1997-01-01

textabstractHeart failure can be defined as the pathophysiological state in which the pump function of the heart is insufficient to meet the metabolic demands of the body (Guyton, 1986; Ruggie, 1986). Thus, heart failure is a pathophysiological condition (rather than a disease per se), and can occur

Corrosion-related failures in power plant condensers. Final report

International Nuclear Information System (INIS)

Beavers, J.A.; Agrawal, A.K.; Berry, W.E.

1980-08-01

A survey of the literature has been conducted for the Electric Power Research Institute on corrosion failures in surface condensers. The survey was directed toward condenser failures in pressurized water reactor (PWR) power plants but includes pertinent literature related to fossil and to other nuclear power plants. It includes literature on reported service failures and on experimental studies that impact on these failures

KfK, Institute for Reactor Development. Results of research and development activities in 1990

International Nuclear Information System (INIS)

1991-03-01

R and D activities at IRE (Institut fuer Reaktorentwicklung-Institute for Reactor Development) are dedicated to power engineering and handling processes in the framework of the point-of-main-effort projects 'nuclear fusion', 'solid-state and materials research', 'handling', 'nuclear safety' and 'miscellaneous research'. Nuclear fusion contributions deal with special vacuum system design problems, heavy-duty design and materials selection and safety aspects. Specimens from 30 different carbon-based materials were subjected to comparative tests in a plasma spraying plant. In the framework of solid-state and materials research activities a viscoplastic model for mechanical component analysis was investigated for its compatibility with elementary physical laws under complex loads. The handling project was dedicated to the specific requirements of nuclear fusion with regard to JET and NET uses, the development of system solutions for flexible industrial techniques, and to standardization. A study on the control system of a work station for NET remote handling tasks was completed. In the framework of the nuclear safety project one currently investigates the dynamics of fast reactors under failure conditions, the possible propagation of local cooling failures in the reactor core, and core monitoring problems. (orig./GL) [de

Some Aspects of the Failure Mechanisms in BaTiO3-Based Multilayer Ceramic Capacitors

Science.gov (United States)

Liu, David Donhang; Sampson, Michael J.

2012-01-01

The objective of this presentation is to gain insight into possible failure mechanisms in BaTiO3-based ceramic capacitors that may be associated with the reliability degradation that accompanies a reduction in dielectric thickness, as reported by Intel Corporation in 2010. The volumetric efficiency (microF/cm3) of a multilayer ceramic capacitor (MLCC) has been shown to not increase limitlessly due to the grain size effect on the dielectric constant of ferroelectric ceramic BaTiO3 material. The reliability of an MLCC has been discussed with respect to its structure. The MLCCs with higher numbers of dielectric layers will pose more challenges for the reliability of dielectric material, which is the case for most base-metal-electrode (BME) capacitors. A number of MLCCs manufactured using both precious-metal-electrode (PME) and BME technology, with 25 V rating and various chip sizes and capacitances, were tested at accelerated stress levels. Most of these MLCCs had a failure behavior with two mixed failure modes: the well-known rapid dielectric wearout, and so-called 'early failures." The two failure modes can be distinguished when the testing data were presented and normalized at use-level using a 2-parameter Weibull plot. The early failures had a slope parameter of Beta >1, indicating that the early failures are not infant mortalities. Early failures are triggered due to external electrical overstress and become dominant as dielectric layer thickness decreases, accompanied by a dramatic reduction in reliability. This indicates that early failures are the main cause of the reliability degradation in MLCCs as dielectric layer thickness decreases. All of the early failures are characterized by an avalanche-like breakdown leakage current. The failures have been attributed to the extrinsic minor construction defects introduced during fabrication of the capacitors. A reliability model including dielectric thickness and extrinsic defect feature size is proposed in this

[Elderly heart failure patients and the role of beta-blocker therapy

NARCIS (Netherlands)

Middeljans-Tijssen, C.W.; Jansen, R.W.M.M.

2006-01-01

In this article different aspects of chronic heart failure in old age are described. We mainly focus on the place of beta-blocker therapy in chronic heart failure. Beta-blockers are recommended for the treatment of stable chronic heart failure with left ventricular systolic dysfunction. There is

Creep-Fatigue Failure Diagnosis

Science.gov (United States)

Holdsworth, Stuart

2015-01-01

Failure diagnosis invariably involves consideration of both associated material condition and the results of a mechanical analysis of prior operating history. This Review focuses on these aspects with particular reference to creep-fatigue failure diagnosis. Creep-fatigue cracking can be due to a spectrum of loading conditions ranging from pure cyclic to mainly steady loading with infrequent off-load transients. These require a range of mechanical analysis approaches, a number of which are reviewed. The microstructural information revealing material condition can vary with alloy class. In practice, the detail of the consequent cracking mechanism(s) can be camouflaged by oxidation at high temperatures, although the presence of oxide on fracture surfaces can be used to date events leading to failure. Routine laboratory specimen post-test examination is strongly recommended to characterise the detail of deformation and damage accumulation under known and well-controlled loading conditions to improve the effectiveness and efficiency of failure diagnosis. PMID:28793676

Institutional aspects of the energy centers concept

Energy Technology Data Exchange (ETDEWEB)

Esser, George H.

1977-03-01

Information is presented concerning the socio-economic impacts of nuclear energy centers; equity considerations relating to taxation and revenue distribution; report on jurisdictional authorities of state and local government related to centralized and decentralized alternative energy systems; federal-state conflicts and cooperation in the siting of nuclear energy facilities; the energy park experience in Pennsylvania; and a socio-economic institution summary of energy centers in Washington State.

Institutional aspects of the energy centers concept

International Nuclear Information System (INIS)

1977-03-01

Information is presented concerning the socio-economic impacts of nuclear energy centers; equity considerations relating to taxation and revenue distribution; report on jurisdictional authorities of state and local government related to centralized and decentralized alternative energy systems; federal-state conflicts and cooperation in the siting of nuclear energy facilities; the energy park experience in Pennsylvania; and a socio-economic institution summary of energy centers in Washington State

Safety and environmental aspects of fusion reactors

International Nuclear Information System (INIS)

Kilic, H.; Jensen, B.

1982-01-01

This paper deals with those problems concerning safety and environmental aspects of the future fusion reactors (e.g. fuel cycle, magnetic failure, after heat disturbances, radioactive waste and magnetic field)

Institutional Aspects of Multi-Agency Transit Operations

OpenAIRE

Miller, Mark A.; Lam, Amy

2003-01-01

In this project we have investigated the institutional changes that have been undertaken recently by transit properties to work more closely - in partnership and coordination rather than in competition - with other regional public agencies (especially including other transit properties) to help address mutual transportation problems from a regional and less parochial perspective. Our investigation includes case studies both within and outside of California. From the case studies, both formal ...

Using institutional theory in enterprise systems research

DEFF Research Database (Denmark)

Svejvig, Per

2013-01-01

This paper sets out to examine the use of institutional theory as a conceptually rich lens to study social issues of enterprise systems (ES) research. More precisely, the purpose is to categorize current ES research using institutional theory to develop a conceptual model that advances ES research...... model that advocates multi-level and multi-theory approaches and applies newer institutional aspects such as institutional logics. The findings show that institutional theory in ES research is in its infancy and adopts mainly traditional institutional aspects like isomorphism, with the organization....... Key institutional features are presented such as isomorphism, rationalized myths, and bridging macro and micro structures, and institutional logics and their implications for ES research are discussed. Through a literature review of 181 articles, of which 18 papers are selected, we build a conceptual...

A Case History of Embankment Failure: Geological and Geotechnical Aspects of the Celotex Levee Failure, New Orleans, Louisiana

National Research Council Canada - National Science Library

Dunbar, Joseph

1999-01-01

.... The data examined during research on the causes of levee failure included geologic setting, historic bank migration and previous bank lines, thalweg profiles, width/depth ratios, scour pool movement, and river profiles...

Museum Institutions in Monuments - Positive and Negative Aspects of Adaptation: The New Amber Museum and Museum of Science in Gdansk, Poland

Science.gov (United States)

Piatkowska, Ksenia

2017-10-01

The issue of the creation and location of new museums is a current topic. The decision of where and how to create new museum facilities will impact successful function in the future. Museums are either located in newly designed buildings or in existing buildings. In general, existing buildings adapted for museum use are either formally under conservational protection or not. With regard to museum location in preserved monuments, the author notes that the true impact on authentic monumental building structure still needs intense research. The adaptation of the Great Mill and St. Catherine’s Church - two preserved medieval objects located in the historical city center of Gdansk - provide case studies to investigate positive and negative aspects. In both cases, the author carried out architectural projects for the functional purposes of museums: The New Amber Museum and Museum of Science. The author concludes that mutual benefits of adaptation result from: the financial means of the museum institution to invest long-term; the institutional respect of the museum towards heritage, which translates into respect for conservational protection; and the competitive advantage created by the monumental features of the building and the privileged location in a well-established, branded space. Negative aspects result from: space limitations of monuments that disable the museum from extending its exposition and thus prevent institutional development; the overly restrictive requirements of restoration that take priority over the museum mission; and the lack of technically functional space required for contemporary museum technologies, which forces unconventional engineering solutions that are more expensive than the location of the museum in a newly constructed building.

Heart Failure: From Research to Clinical Practice.

Science.gov (United States)

Islam, Md Shahidul

2018-01-01

"Heart failure: from research to clinical practice", a collection of selected reviews, which comes out also as a book, covers essentially all important aspects of heart failure, including the pathogenesis, clinical features, biomarkers, imaging techniques, medical treatment and surgical treatments, use of pacemakers and implantable cardioverter defibrillators, and palliative care. The reviews include essential background information, state of the art, critical and in-depth analysis, and directions for future researches for elucidation of the unresolved issues. Everyone interested in heart failure is expected to find this compilation helpful for a deeper understanding of some of the complex issues.

Patient's Guide to Living Confidently with Chronic Heart Failure

Science.gov (United States)

... 1. ↵ Riegel B , Dickson VV . A situation-specific theory of heart failure self-care. J Cardiovasc Nurs . ... Information for: Advertisers Subscribers Subscriber Help Institutions / Librarians Institutional Subscriptions FAQ International Users National Center 7272 Greenville ...

Internet optical infrastructure issues on monitoring and failure restoration

CERN Document Server

Tapolcai, János; Babarczi, Péter; Rónyai, Lajos

2015-01-01

This book covers the issues of monitoring, failure localization, and restoration in the Internet optical backbone, and focuses on the progress of state-of-the-art in both industry standard and academic research. The authors summarize, categorize, and analyze the developed technology in the context of Internet fault management and failure recovery under the Generalized Multi-Protocol Label Switching (GMPLS), via both aspects of network operations and theories. Examines monitoring, failure localization, and failure restoration in the Internet backbone Includes problem formulations based on combinatorial group testing and topology coding Covers state-of-the-art development for the Internet backbone fault management and failure recovery

ASSESSMENT OF BUILDING FAILURES IN NIGERIA: LAGOS AND ...

African Journals Online (AJOL)

Common failures seen on buildings were wall cracking, wall spalling, foundation settlement, column buckling, etc. Proper assurance of competent professionals and strict enforcement of ethical standards by the Nigerian Society of Engineers, the Nigerian Institute of Building, and the Nigerian Institute of Architects would ...

Experience of peritoneal dialysis in renal failure in children

International Nuclear Information System (INIS)

Faraz, A.; Farhan, M.A.; Shaikh, K.; Ali, S.

2017-01-01

Objective: To determine the course and efficacy of peritoneal dialysis in children presenting with renal failure. Study Design: Quasi experimental study. Place and Duration of Study: The study was conducted at the Nephrology department of Children's Hospital and Institute of Child Health Lahore from Feb 2007 to Feb 2008. Material and Methods: Forty children diagnosed with renal failure at the Nephrology department of Children's Hospital and Institute of Child Health, Lahore were evaluated for the efficacy of PD, duration of PD and the associated complications. Results: There were 55% cases of acute renal failure and 45% cases of chronic renal failure. The mean duration of PD was 3.8 days. About 75% of all the patients improved with PD. The mortality rate was 22.5%. Leading complications were Catheter-related (leakage/blockade) and peritonitis. Conclusion: We concluded that peritoneal dialysis is lifesaving procedure which improves the acute metabolic derangements of renal failure in children. It is associated with certain complications but the benefits outweigh the complications. (author)

Failure Waves in Shock-Compressed Glasses

International Nuclear Information System (INIS)

Kanel, G. I.

2006-01-01

The failure wave is a network of cracks that are nucleated on the surface and propagate into the elastically stressed body. It is a mode of catastrophic fracture in an elastically stressed media whose relevance is not limited to impact events. In the paper, main properties of the failure waves are summarized and discussed. It has been shown that the failure wave is really a wave process which is characterized by small increase of the longitudinal stress and corresponding increments of the particle velocity and the density. The propagation velocity of the failure wave is less than the sound speed; it is not directly related to the compressibility but is determined by the crack growth speed. The failure wave is steady if the stress state ahead of it is supported unchanging. In some sense the process is similar to a subsonic combustion wave. Computer simulations based on the phenomenological combustion-like model reproduces well all kinematical aspects of the phenomenon

GENDER VIOLENCE IN EDUCATIONAL INSTITUTIONS

Directory of Open Access Journals (Sweden)

Rosalva Ruiz-Ramírez

2016-01-01

Full Text Available School violence is multifactorial. Social and cultural, family, personal, and institutional aspects, among others, influence educational institutions, in all academic levels. Because this type of violence is increasingly common and has serious consequences, there is a need to prevent and deal with the different types of violence practiced in schools, such as bullying, mobbing, gender violence, and others. Gender violence in institutions is not produced in this scope, in the strict sense, but rather has its origin in social and cultural aspects, rooted in the patriarchal and androcentric culture. Much has been written on the different forms in which violence affects mostly women in the educational system. This essay, without being thorough, attempts to answer three basic questions on gender violence in educational institutions: Why is there gender violence in educational institutions? How is gender violence manifested in schools? And finally, what actions have been taken to mitigate aggressions against women?

The institutional aspects of radioactive waste management

International Nuclear Information System (INIS)

Hubert, E.H.

1988-01-01

Public opinion is particularly concerned by radioactive wastes due to the special scientific, technical, economic, administrative and legal characteristics of their management. The authors have therefore concentrated on describing the regulatory procedures for their storage and disposal, the distribution of tasks and associated institutional controls, as well as the problems raised by financing and third party liability. Harmonization of these different fields is of interest, in particular for installations close to borders, international installations and extraterritorial sites, but also to convince the public of the credibility of nuclear safety (NEA) [fr

Current strategies for preventing renal dysfunction in patients with heart failure: a heart failure stage approach

Science.gov (United States)

Issa, Victor Sarli; Andrade, Lúcia; Bocchi, Edimar Alcides

2013-01-01

Renal dysfunction is common during episodes of acute decompensated heart failure, and historical data indicate that the mean creatinine level at admission has risen in recent decades. Different mechanisms underlying this change over time have been proposed, such as demographic changes, hemodynamic and neurohumoral derangements and medical interventions. In this setting, various strategies have been proposed for the prevention of renal dysfunction with heterogeneous results. In the present article, we review and discuss the main aspects of renal dysfunction prevention according to the different stages of heart failure. PMID:23644863

First-Ply-Failure Performance of Composite Clamped Spherical Shells

Science.gov (United States)

Ghosh, A.; Chakravorty, D.

2018-05-01

The failure aspects of composites are available for plates, but studies of the literature on shells unveils that similar reports on them are very limited in number. The aim of this work was to investigate the first-ply-failure of industrially and aesthetically important spherical shells under uniform loadings. Apart from solving benchmark problems, numerical experiments were carried out with different variations of their parameters to obtain the first-ply-failure stresses by using the finite-element method. The load was increased in steps, and the lamina strains and stresses were put into well-established failure criteria to evaluate their first-ply-failure stress, the failed ply, the point of initiation of failure, and failure modes and tendencies. The results obtained are analyzed to extract the points of engineering significance.

Fostering Institutional Creativity at Multiple Levels: Towards Facilitated Institutional Bricolage

Directory of Open Access Journals (Sweden)

Douglas J. Merrey

2012-02-01

Full Text Available Problems occur when institutional arrangements for collective management of food and water systems fail to meet demands. Many of the problems characterising river basins and other collectively managed water resource systems can be ascribed largely to the failure of institutions to enable problems beyond the individual to be managed collectively. The nature of these demands, and the institutional responses to them, vary widely and are not amenable to simple definitions and prescriptions. We begin with a brief review of conventional approaches to analysing institutions and organisations, focused largely, but not exclusively, on river basins. We observe that attempts to reduce the institutional landscape of river basins to over-simplistic formulas introduces more problems than solutions, because the reality is that institutions evolve through complex creative processes that adopt and adapt diverse ingredients – rather like making a stew. Despite such intricacies, institutions are clearly non-random, so we continue a search for a means of describing them. We adopt the concept of bricolage, as proposed by Cleaver and others, and use it to show the value of promoting and facilitating an organic creative approach to building and strengthening river basin and other water management institutions.

The management of acute heart failure

NARCIS (Netherlands)

Milo-Cotter, O.; Bettari, L.; Kleijn, L.; Bugatti, S.; Lombardi, C.; Rund, M.; Metra, M.; Voors, A. A.; Cotter, G.; Kaluski, E.; Weatherley, B. D.

Hospitalization for acute heart failure (AHF) is one of the burdensome aspects of 21(st) century medicine, leading to significant debilitating symptoms, high morbidity and mortality and consuming significant portion of the health care budget. Management of AHF is thought-provoking given the

Corruption, Institutional Failure and Economic Development in Nigeria

African Journals Online (AJOL)

Conceptually, this paper considers corruption as the misuse of public office for private gain(s). Thus, the basic roles of institutions which include efficiency in service delivery are absolutely relegated to the background which by extension impacts negatively on economic performance in Nigeria. Unlike the widely held view ...

Acute liver failure and self-medication

OpenAIRE

OLIVEIRA, André Vitorio Câmara de; ROCHA, Frederico Theobaldo Ramos; ABREU, Sílvio Romero de Oliveira

2014-01-01

INTRODUCTION: Not responsible self-medication refers to drug use in high doses without rational indication and often associated with alcohol abuse. It can lead to liver damage and drug interactions, and may cause liver failure. AIM: To warn about how the practice of self-medication can be responsible for acute liver failure. METHOD: Were used the Medline via PubMed, Cochrane Library, SciELO and Lilacs, and additional information on institutional sites of interest crossing the headings acute l...

Human failure and industrial safety. The human factor in technology and organisation

International Nuclear Information System (INIS)

Semmer, N.

1999-01-01

Human failure is not the opposite of successful human action gut follows the same principles. The manner in which humans acquire and process information is influenced by cognitive, social and motivational aspects. Further, human failure generally means a failure of the whole system man/technology/organisation. If serious consequences are to be avoided, the logic of failures must be analyzed in the context of this system, and human staff should be trained in managing failures and not just avoiding them [de

Methodological Proposal for Identification and Evaluation of Environmental Aspects and Impacts of IPEN Nuclear Facilities: A Case Study Applied to the Nuclear Fuel Center

International Nuclear Information System (INIS)

Mattos, Luis A. Terribile de; Filho, Tufic Madi; Meldonian, Nelson Leon

2013-06-01

This work presents an application of Failure Mode Effect Analysis (FMEA) to the process of identification of environmental aspects and impacts as a part of implementation and maintenance of an Environmental Management System (EMS) in accordance with the ISO 14001 standard. Also, it can contribute, as a complement, to the evaluation and improvement of safety of the installation focused. The study was applied to the Nuclear Fuel Center (CCN) of Nuclear and Energy Research Institute (IPEN), situated at the Campus of University of Sao Paulo, Brazil. The CCN facility has the objective of promoting scientific research and of producing nuclear fuel elements for the IEA-R1 Research Reactor. To identify the environmental aspects of the facility activities, products, and services, a systematic data collection was carried out by means of personal interviews, documents, reports and operation data records consulting. Furthermore, the processes and their interactions, failure modes, besides their causes and effects to the environment, were identified. As a result of a careful evaluation of these causes it was possible to identify and to classify the major potential environmental impacts, in order to set up and put in practice an Environmental Control Plan for the installation under study. The results have demonstrated the validity of the FMEA application to nuclear facility processes, identifying environmental aspects and impacts, whose controls are critical to achieve compliance with the environmental requirements of the Integrated Management System of IPEN. It was demonstrated that the methodology used in this work is a powerful management tool for resolving issues related to the conformity with applicable regulatory and legal requirements of the Brazilian Nuclear Energy Commission (CNEN) and the Brazilian Institute of Environment (IBAMA). (authors)

Microstructural aspects of fatigue failure of two-phase titanium alloys

International Nuclear Information System (INIS)

Filip, R.; Sieniawski, J.

1995-01-01

Investigations conducted in this work were aimed at obtaining information on the influence of the microstructure of the two-phase titanium alloys on fatigue strength. A course of fatigue failure depends on both dispersion and a number of secondary α-phase particles. The lamellar structure is formed during controlled cooling from the temperature range of β-phase stability. The cooling rate influences the geometrical parameters of the microstructure and finally the fatigue strength of the alloy. (author). 20 refs, 12 figs, 2 tabs

The use of peritoneal dialysis in the management of patients with renal failure at institute of kidney diseases, Peshawar

Directory of Open Access Journals (Sweden)

Akhtar Sultan Z, Saleem Nasir, Hajira Bibi

2014-01-01

Full Text Available Peritoneal dialysis (PD using an ordinary stylet cannula was studied in 253 patients (67% male and 33% female with age ranging from 3-67 years suffering from renal failure. The study was conducted between January 2007 and December 2012. The procedure was well tolerated by the patients. The desired aims of dialysis including improvement in chemistry were achieved in all surviving (94.5% cases. Mortality during PD was 5.5% and was related to the underlying causes of renal failure. Peritonitis seen in 30% cases was the commonest complication. Other complications in order of frequency were, hypokalemia (8%, severe hyperglycemia in diabetic patients (6%, and sever hypovolemia (5%, pericatheter leak (5% and catheter blockage (2%. Perforation of the bowel, a serious complication occurring during insertion of the PD cannula was not seen in any of the cases. It is concluded from the study that PD is a simple and cost effective alternative to hemodialysis and have special advantages in the current set-up of the institute. The objective of our work was to study the results and complications of peritoneal dialysis in light of its efficacy as an alternative form of renal replacement therapy (RRT to hemodialysis.

Postpartum tubal ligation: A retrospective review of anesthetic management at a single institution and a practice survey of academic institutions.

Science.gov (United States)

McKenzie, Christine; Akdagli, Seden; Abir, Gillian; Carvalho, Brendan

2017-12-01

The primary aim was to evaluate institutional anesthetic techniques utilized for postpartum tubal ligation (PPTL). Secondarily, academic institutions were surveyed on their clinical practice for PPTL. An institutional-specific retrospective review of patients with ICD-9 procedure codes for PPTL over a 2-year period was conducted. Obstetric anesthesia fellowship directors were surveyed on anesthetic management of PPTL. Labor and delivery unit. Internet survey. 202 PPTL procedures were reviewed. 47 institutions were surveyed; 26 responses were received. Timing of PPTL, anesthetic management, postoperative pain and length of stay. There was an epidural catheter reactivation failure rate of 26% (18/69 epidural catheter reactivation attempts). Time from epidural catheter insertion to PPTL was a significant factor associated with failure: median [IQR; range] time for successful versus failed epidural catheter reactivation was 17h [10-25; 3-55] and 28h [14-33; 5-42], respectively (P=0.028). Epidural catheter reactivation failure led to significantly longer times to provide surgical anesthesia than successful epidural catheter reactivation or primary spinal technique: median [IQR] 41min [33-54] versus 15min [12-21] and 19min [15-24], respectively (P8h and >24h post-delivery, respectively. Epidural catheter reactivation failure increases with longer intervals between catheter placement and PPTL. Failed epidural catheter reactivation increases anesthetic and operating room times. Our results and the significant variability in practice from our survey suggest recommendations on the timing and anesthetic management are needed to reduce unfulfilled PPTL procedures. Copyright © 2017 Elsevier Inc. All rights reserved.

From "Failures of the Market" to "Failures of the State": Once Again to the Question of Social Justice in Economy

Directory of Open Access Journals (Sweden)

Belokrylova Olga, S.

2016-06-01

Full Text Available Principles of social justice don't belong only to area of morals, their practical embodiment in economy and the social sphere determines the content and a configuration of institutional system. Ensuring equal opportunities, investment into the human capital, elimination of disproportions in distribution in the direction of bigger compliance of private and public profits play a crucial role in neutralization of "failures of the market". In the paper it is shown that actions of market forces in modern Russia are insufficiently balanced by actions of the state institutes for control of an excess inequality, creation of the competitive environment and counteraction to rent-seeking behavior of certain players. In the country there was unfairly high level of differentiation of the population according to the income which formation is influenced by the institutional environment, there is a process of an institutionalization of poverty. The corresponding quantitative estimates and intercountry comparisons confirming this conclusion are given in the paper. It allows to talk about "failures of the state" and signs of "standard capture" in modern Russia. In the paper the conclusion is drawn that such situation when institutional and market mechanisms in common work for restriction of equal opportunities and increase in distinctions in the level of the income and wealth can't allow. Coordinated actions on change of the situation which can provide minimization of failures of the state are necessary. These actions are in a foreshortening of a question of restoration of social justice.

Processes underlying treatment success and failure in assertive community treatment.

Science.gov (United States)

Stull, Laura G; McGrew, John H; Salyers, Michelle P

2012-02-01

Processes underlying success and failure in assertive community treatment (ACT), a widely investigated treatment model for persons with severe mental illness, are poorly understood. The purpose of the current study was to examine processes in ACT by (1) understanding how consumers and staff describe the processes underlying treatment success and failure and (2) comparing processes identified by staff and consumers. Investigators conducted semi-structured interviews with 25 staff and 23 consumers from four ACT teams. Both staff and consumers identified aspects of the ACT team itself as the most critical in the process of consumer success. For failure, consumers identified consumer characteristics as most critical and staff identified lack of social relationships. Processes underlying failure were not viewed as merely the opposite of processes underlying success. In addition, there was notable disagreement between staff and consumers on important processes. Findings overlap with critical ingredients identified in previous studies, including aspects of the ACT team, social involvement and employment. In contrast to prior studies, there was little emphasis on hospitalizations and greater emphasis on not abusing substances, obtaining wants and desires, and consumer characteristics.

Marketing services of higher education: theoretical aspect

OpenAIRE

Evgenyi Polonskyi

2014-01-01

The article is devoted to theoretical aspects of the use of marketing activities in institutions of higher education. The author analyzes of education from the standpoint of the marketing mix. The main factors of the external and internal environments affecting the educational institution.

Study on TCM syndromes of liver failure and yang-supporting therapy

Directory of Open Access Journals (Sweden)

MAO Dewen

2015-01-01

Full Text Available This paper reviews traditional Chinese medicine (TCM physicians′understanding of liver failure including its TCM causes, mechanisms, positions, and syndrome differentiation in various dynasties. The results suggest that modern researchers agree with ancient physicians on these aspects of liver failure. Based on achievements of ancient TCM physicians, modern researchers have further developed and improved their understanding of TCM causes, mechanisms, positions, and syndrome differentiation of liver failure. Moreover, this paper discusses the treatment of chronic liver failure with yang-supporting therapy, which provides a novel perspective and method for treating chronic liver failure.

[Legal aspects of the health care institution liability for nosocomial infections].

Science.gov (United States)

Garus-Pakowska, Anna; Szatko, Franciszek; Pakowski, Maciej

2009-01-01

In this paper, the basic concepts concerning the liability of health care institution for nosocomial infections are presented. The principles of ex contracto and ex delicto liabilities, as well as the concept of so-called anonymous guilt are discussed. The range of duties for both the health care institution and the employed medical personnel is indicated, the duties and the consequences of their non-fulfillment are systematized, and the obligatory jurisdiction concerning the functioning of prima facie evidence is considered. The author aimed at explaining the principles governing the civil liability of health care institutions and their employees.

Arguments for the Study of Institutionalism and Institutional Reform in Romania

Directory of Open Access Journals (Sweden)

Ion Pohoata

2006-07-01

Full Text Available The study and comprehension of institutions – viewed as written and unwritten constraints (rules initiated by people to create and improve human interaction – represents the key to understand the success (and failure of contemporary economies and societies. The framework inspired by institutions to which people dedicated maximum energy and talent also explains the different levels of efficiency in modern times. The founders of institutionalism – in its old and new versions – explain, for example, that human endeavour for social improvement led to the appearance of Law, private ownership, contract and market. For Romania, such explanations are inspirational and of utmost necessity in presenting the real context and in finding the necessary measures and directions towards desired progress.

Arguments for the Study of Institutionalism and Institutional Reform in Romania

Directory of Open Access Journals (Sweden)

Ion Pohoata

2006-09-01

Full Text Available The study and comprehension of institutions – viewed as written and unwritten constraints (rules initiated by people to create and improve human interaction – represents the key to understand the success (and failure of contemporary economies and societies. The framework inspired by institutions to which people dedicated maximum energy and talent also explains the different levels of efficiency in modern times. The founders of institutionalism – in its old and new versions – explain, for example, that human endeavour for social improvement led to the appearance of Law, private ownership, contract and market. For Romania, such explanations are inspirational and of utmost necessity in presenting the real context and in finding the necessary measures and directions towards desired progress.

Summary of quantum aspects of gravitation workshop

Indian Academy of Sciences (India)

Summary of quantum aspects of gravitation workshop. GHANASHYAM DATE and JNANADEV MAHARANA. The Institute of Mathematical Sciences, CIT Campus, Taramani, Chennai 600 113, India. The Institute of Physics, Sachivalaya Marg, Bhubaneswar 751 005, India. Abstract. This is a summary of the presentations at ...

Problems experienced by informal caregivers of individuals with heart failure: An integrative review.

Science.gov (United States)

Grant, Joan S; Graven, Lucinda J

2018-04-01

The purpose of this review was to examine and synthesize recent literature regarding problems experienced by informal caregivers when providing care for individuals with heart failure in the home. Integrative literature review. A review of current empirical literature was conducted utilizing PubMed, CINAHL, Embase, Sociological Abstracts, Social Sciences Full Text, PsycARTICLES, PsycINFO, Health Source: Nursing/Academic Edition, and Cochrane computerized databases. 19 qualitative, 16 quantitative, and 2 mixed methods studies met the inclusion criteria for review. Computerized databases were searched for a combination of subject terms (i.e., MeSH) and keywords related to informal caregivers, problems, and heart failure. The title and abstract of identified articles and reference lists were reviewed. Studies were included if they were published in English between January 2000 and December 2016 and examined problems experienced by informal caregivers in providing care for individuals with heart failure in the home. Studies were excluded if not written in English or if elements of caregiving in heart failure were not present in the title, abstract, or text. Unpublished and duplicate empirical literature as well as articles related to specific end-stage heart failure populations also were excluded. Methodology described by Cooper and others for integrative reviews of quantitative and qualitative research was used. Quality appraisal of the included studies was evaluated using the Joanna Briggs Institute critical appraisal tools for cross-sectional quantitative and qualitative studies. Informal caregivers experienced four key problems when providing care for individuals with heart failure in the home, including performing multifaceted activities and roles that evolve around daily heart failure demands; maintaining caregiver physical, emotional, social, spiritual, and financial well-being; having insufficient caregiver support; and performing caregiving with uncertainty

Retrospective Analysis of Factors Leading to Pediatric Tracheostomy Decannulation Failure. A Single-Institution Experience.

Science.gov (United States)

Bandyopadhyay, Anuja; Cristea, A Ioana; Davis, Stephanie D; Ackerman, Veda L; Slaven, James E; Jalou, Hasnaa E; Givan, Deborah C; Daftary, Ameet

2017-01-01

There is a lack of evidence regarding factors associated with failure of tracheostomy decannulation. We aimed to identify characteristics of pediatric patients who fail a tracheostomy decannulation challenge Methods: A retrospective review was performed on all patients who had a decannulation challenge at a tertiary care center from June 2006 to October 2013. Tracheostomy decannulation failure was defined as reinsertion of the tracheostomy tube within 6 months of the challenge. Data on demographics, indications for tracheostomy, home mechanical ventilation, and comorbidities were collected. Data were also collected on specific airway endoscopic findings during the predecannulation bronchoscopy and airway surgical procedures before decannulation. We attempted to predict the decannulation outcome by analyzing associations. 147 of 189 (77.8%) patients were successfully decannulated on the first attempt. Tracheostomy performed due to chronic respiratory failure decreased odds for decannulation failure (odds ratio = 0.34, 95% confidence interval = 0.15-0.77). Genetic abnormalities (45%) and feeding dysfunction (93%) were increased in the population of patients failing their first attempt. The presence of one comorbidity increased the odds of failure by 68% (odds ratio = 1.68, 95% confidence interval = 1.23-2.29). Decannulation pursuit based on parental expectation of success, rather than medically determined readiness, was associated with a higher chance of failure (P = 0.01). Our study highlights the role of genetic abnormalities, feeding dysfunction, and multiple comorbidities in patients who fail decannulation. Our findings also demonstrate that the outcome of decannulation may be predicted by the indication for tracheostomy. Patients who had tracheostomy placed for chronic respiratory support had a higher likelihood of success. Absence of a surgically treatable airway obstruction abnormality on the predecannulation bronchoscopy increased the

International and institutional aspects of reprocessing and plutonium management

International Nuclear Information System (INIS)

1978-09-01

Various institutional alternatives applicable to reprocessing, plutonium management and recycle are considered, not as a definitive analysis but rather as a basis for identifying the institutional approaches and measures which the Working Group might wish to examine more thoroughly. Seven alternatives arrangements for reprocessing are presented. These range from suspending the operation of existing reprocessing plants through placing national facilities under safeguards to limiting reprocessing to a few large facilities subject to plutonium management, multinational or international control. Finally, the comprehensive alternative of an International Nuclear Fuel Authority with worldwide responsibility for reprocessing and plutonium management is considered. Plutonium management alternatives to complement the reprocessing options, are then outlined. These include national discretion on the separation and disposition of plutonium under safeguards, an agreed Code of Practice for plutonium management at national facilities and the international storage of plutonium. The advantages and disadvantages of the alternative are discussed tentatively. It is recognised that the alternatives are presented in a simplified form and that their elements can be combined or separated in many ways. Although strengthening the institutions relating to the peaceful uses of nuclear energy is imperative and can contribute to non-proliferation, such arrangements might open other proliferation risks through the spread of sensitive materials, facilities and technology. While there are risks with any fuel cycle, where plutonium in quantity is separated these risks are of a high order. Although these can be mitigated, they will have to be set against the energy and economic case for reprocessing and alternatives other than plutonium considered

Nuclear power plants and environment-Legal and institutional aspects

International Nuclear Information System (INIS)

Faria, N.M. de

1986-01-01

Some legal aspects about nuclear power plants siting in face of environment legislation and policy in the Brazilian law are discussed. The public participation in the process of site selection in face of actual constitutional precepts and the decision given by Supreme Court which determined to private competence of the Union, given by Constitutional rules and by the law number 6803 in 1980. (M.C.K.) [pt

Failure probability analysis of optical grid

Science.gov (United States)

Zhong, Yaoquan; Guo, Wei; Sun, Weiqiang; Jin, Yaohui; Hu, Weisheng

2008-11-01

Optical grid, the integrated computing environment based on optical network, is expected to be an efficient infrastructure to support advanced data-intensive grid applications. In optical grid, the faults of both computational and network resources are inevitable due to the large scale and high complexity of the system. With the optical network based distributed computing systems extensive applied in the processing of data, the requirement of the application failure probability have been an important indicator of the quality of application and an important aspect the operators consider. This paper will present a task-based analysis method of the application failure probability in optical grid. Then the failure probability of the entire application can be quantified, and the performance of reducing application failure probability in different backup strategies can be compared, so that the different requirements of different clients can be satisfied according to the application failure probability respectively. In optical grid, when the application based DAG (directed acyclic graph) is executed in different backup strategies, the application failure probability and the application complete time is different. This paper will propose new multi-objective differentiated services algorithm (MDSA). New application scheduling algorithm can guarantee the requirement of the failure probability and improve the network resource utilization, realize a compromise between the network operator and the application submission. Then differentiated services can be achieved in optical grid.

Renal failure in patients with multiple myeloma.

Science.gov (United States)

Almueilo, Samir H

2015-01-01

Renal dysfunction is encountered in 20-25% of patients with multiple myeloma (MM) at the time of diagnosis. There is often a precipitating event. Several biochemical and clinical correlations with renal failure in MM have been reported. Renal failure in MM is associated with worse outcome of the disease. We retrospectively analyzed the medical records of 64 patients with MM admitted to our institution during the period January 1992 to December 2012. Abnormal renal function was observed in 24 (37.5%) patients and 17 (26.6%) of them had renal failure; 14 of the 17 (82.4%) of patients with renal failure had Stage III MM. Urine Bence- Jones protein was positive in ten (58.8%) patients with renal failure versus ten (21.3%) patients without renal failure (P = 0.004). Potential precipitating factors of renal failure were determined in nine patients. Renal function normalized in 11 patients with simple measures, while six patients required hemodialysis; one remained dialysis dependent till time of death. Early mortality occurred in five (29.4%) patients with renal failure as compared with two (4.3%) patients in the group without renal failure (P = 0.005). In conclusion, renal failure is associated with a higher tumor burden and Bence-Jones proteinuria in patients with MM. It is reversible in the majority of patients; however, early mortality tends to be higher in patients with persistent renal failure.

Marketing of an Educational Institution

OpenAIRE

Šijan, Pavel

2009-01-01

The main subject of this thesis is the area of marketing for educational institutions. First part is focused on general theoretical aspects of marketing of services, specificity of marketing for educational institutions and marketing communication. The operative part attends to a selection of an educational institution, an execution of an analysis of internal and external environment of the school, an implementation of a marketing research recognizing image of the school and based on that des...

Methods and Case Studies for Teaching and Learning about Failure and Safety.

Science.gov (United States)

Bignell, Victor

1999-01-01

Discusses methods for analyzing case studies of failures of technological systems. Describes two distance learning courses that compare standard models of failure and success with the actuality of given scenarios. Provides teaching and learning materials and information sources for application to aspects of design, manufacture, inspection, use,…

MODERNIZATION OF MODERN RUSSIA: INSTITUTIONAL ASPECT (PRINCIPLE OF «EXCHANGE»

Directory of Open Access Journals (Sweden)

A. P. Shitov

2012-01-01

Full Text Available Basic directions of the institutional change in the process of modernization of Russia’s post-industrial society are discussed on the basis of macroand microeconomics. Institutions set a system of incentives and direct activities of the subjects to respective channel, which reduces uncertaintyand makes the socio-economic environment more predictable. «Exchange» means a balance of interests of different society groups and sectors that manifests social acceptance of the distribution of resources and social products. System achievement of this goal in Russia consists in transition of its economy from the raw material export pattern to the innovative social-oriented type of development.

Institutions, Sustainability Transitions and Aspects of Internationalisation

DEFF Research Database (Denmark)

Decker, Arnim

The shift towards economic activities that are environmentally sustain- able involves the need to overcome incumbent socio- technical regimes that are environmentally unsustainable but difficult to replace. Techno- logical and institutional co-evolution of practices and technologies with large...... scale effects and strong path dependencies create significant obsta- cles that stand in the way to adapting technologies that cause less or no damage to the environment. This phenomenon has been termed "carbon lock-in" (Unruh, 2002), it impedes the introduction of environmentally friendly practices...... and technologies or makes it an uphill struggle. Until recently, most existing studies have taken single national systems as units of analysis while issues of internationalization are just emerging on the agenda. With a high degree of uncertainty involved, becoming part of a sustainability transition is a risky...

The role of institutional investors in promoting long-term value ...

African Journals Online (AJOL)

The excessive focus of corporate decision-makers on short-term profit maximising ... sound principles and practices of corporate governance sits with institutional investors. ... What are the reasons for the failure of institutional investors to date?

The Immateriality of Material Practices in Institutional Logics

DEFF Research Database (Denmark)

Jones, Candace; Boxenbaum, Eva; Anthony, Callen

2013-01-01

as practices and structures, and rarely as physical objects. We explore some consequences of omitting physical materials as an object of study in institutional logics research and point to avenues for future research that may enhance theory development of institutional logics by explicitly attending......According to most theoretical formulations, institutional logics contain both an ideational and a material dimension. Whereas the ideational aspect, such as cognitive frames and symbols, has received significant attention in the growing literature on institutional logics, the material aspect has...... remained largely invisible and often implicit. We analyze the 16 most central theoretical and empirical works on institutional logics with the aim of exploring how the material dimension of logics has been conceptualized and researched. Our findings suggest that materiality has been interpreted primarily...

Instituția prefectului. Unele aspecte privind necesitatea ameliorării cadrului legislativ

Directory of Open Access Journals (Sweden)

Ana Elena RANTA

2005-02-01

Full Text Available The present article aims to overview some historical and functional aspects of prefect's institution in Romania. Legal and organizational aspects are considered in order to structure a reform project of this institution. Improvements in human resource management at prefect's office still need to be fulfilled. In conclusion we propose amendments to existing laws concerning prefect's institution.  

Corruption, Institutions and Regulation

OpenAIRE

Michael Breen; Robert Gillanders

2011-01-01

We analyze the effects of corruption and institutional quality on the quality of business regulation. Our key findings indicate that corruption negatively aspects the quality of regulation and that general institutional quality is insignificant once corruption is controlled for. These findings hold over a number of specifications which include additional exogenous historical and geographic controls. The findings imply that policy-makers should focus on curbing corruption to improve regulat...

Flying High: The Aeromedical Aspects of Marihuana

Science.gov (United States)

A summary of the discussions from the Civil Aeromedical Institute Symposium on aeromedical aspects of marihuana is presented. The invited panel...discussed the legal aspects of marihuana use and aviation, the experiences of military aviation, and the acute and chronic effects of the drug. For civil...aviation, the panel proposed a 12-16 hour period between marihuana use and work in aviation, no radical changes in FAA policy towards marihuana use, and additional research on aeromedical aspects of marihuana .

Institutional conditions for IWRM: the Israeli case.

Science.gov (United States)

Fischhendler, Itay

2008-01-01

Many places in the world are experiencing a water crisis. This water crisis is attributed to a governance crisis, whereas often fragmented institutional and physical water structures are used to explain a policy of overexploitation. The Israeli water system, which adopted integrated water resource management (IWRM), is often cited as a model for other countries struggling with fragmented water systems. Yet, despite the exceptional degree of integration, Israel in the past two decades has adopted an unsustainable water policy. The aim of this study is to understand this failure and thereby to postulate on the institutional conditions required for successful implementation of IWRM. The study focuses on the politics of water allocation during the drought of 1999 to 2002. It was found that the failure originates in setting administrative divisions in the decision-making process and in differential checks, with no balances implicitly instituted within the integrated water system. These two factors have resulted in a water system that is physically integrated but is not coupled by a balanced institutional structure. This case study teaches us that when reforming the water sector along IWRM lines, measures must be taken to ensure that the physical integration coincides with a balanced institutional integration-otherwise the results may be worse than if there were no integration at all.

Turning Failure into Success: Trials of the Heart Failure Clinical Research Network.

Science.gov (United States)

Joyce, Emer; Givertz, Michael M

2016-12-01

The Heart Failure Clinical Research Network (HFN) was established in 2008 on behalf of the NIH National Heart, Lung and Blood Institute, with the primary goal of improving outcomes in heart failure (HF) by designing and conducting high-quality concurrent clinical trials testing interventions across the spectrum of HF. Completed HFN trials have answered several important and relevant clinical questions concerning the safety and efficacy of different decongestive and adjunctive vasodilator therapies in hospitalized acute HF, phosphodiesterase-5 inhibition and nitrate therapies in HF with preserved ejection fraction, and the role of xanthine oxidase inhibition in hyperuricemic HF. These successes, independent of the "positive" or "negative" result of each individual trial, have helped to shape the current clinical care of HF patients and serve as a platform to inform future research directions and trial designs.

Conceptual and Institutional Aspects of EU Energy Policy (1990-2014

Directory of Open Access Journals (Sweden)

Yury V. Borovskiy

2015-01-01

Full Text Available Ideological and institutional framework of the European energy policy, which is still work in progress, is crucial to the EU as it faces new political and economic challenges related to the recent Ukrainian crisis. Even if key energy policy issues are still decided by member states as the EU only seeks to speak with one voice in energy matters externally, much progress has been made over the last two decades in terms of the EU's energy policy formulation and institutional development. The Lisbon Treaty made the energy policy a sphere of "shared competence" of EU institutions and member states. The European Commission's numerous policy documents ("White" and "Green books" 1995, 2000 and 2006 provided a basis for the development of an integrated energy market. Substantial progress has been achieved in the area of energy policy harmonization between the EU and neighboring countries (Energy Charter Treaty, European Energy Community. The Union's key energy policy areas also included supply diversification (trans-European energy networks, development of unconventional energy production, climate change and energy efficiency. Over the last decade climate changes has become a cornerstone of EU energy policy and is regarded by the EU as key to moderating energy demand and reducing import dependency.

NATO Advanced Study Institute on New Aspects of Nuclear Dynamics

CERN Document Server

Huberts, P

1989-01-01

The 1988 Summer School on New Aspects of Nuclear Dynamics took place in the style that by now has become a tradition: a series of lectures by well known scientists on modem topics of nuclear physics, where special emphasis is placed on the didactic aspects of the lectures. In the past few years, we have witnessed a rapid evolution of the field of nuclear physics towards novel directions of research. This development is accompanied by the construction of some of the largest experimental facilities ever built for nuclear research. The subjects covered by the Summer School focussed on two main issues currently under active investigation and which will be pursued with the new facilities: the transition from nucleonic to quark degrees of freedom in the decription of nuclear reactions, and the behavior of nuclear matter as one approaches extreme densities and temperatures. These topics in many respects go beyond traditional nuclear physics and the speakers therefore also included high energy physicists. From the re...

Financial Reform, Institutional Interdependency, and Supervisory Failure in the Post-Crisis Korea

OpenAIRE

Hong-Bum Kim; Chung Lee

2005-01-01

In the wake of the economic crisis of 1997-98 South Korea undertook a number of reforms in financial supervision. In spite of these reforms doubts have been raised as to whether Korea has in fact succeeded in creating a system of financial supervision capable of dealing with certain risks and responding to new challenges appropriately. This paper argues that because of institutional interdependency a successful institutional reform requires changing not only the particular institution at issu...

Contributions to institutional matters

International Nuclear Information System (INIS)

The papers included in this document deal with the institutional aspects and the legal framework of spent fuel management. The international management and storage of plutonium and spent fuel is addressed. Licensing procedures are discussed

Are Your Students Ready for Anatomy and Physiology? Developing Tools to Identify Students at Risk for Failure

Science.gov (United States)

Gultice, Amy; Witham, Ann; Kallmeyer, Robert

2015-01-01

High failure rates in introductory college science courses, including anatomy and physiology, are common at institutions across the country, and determining the specific factors that contribute to this problem is challenging. To identify students at risk for failure in introductory physiology courses at our open-enrollment institution, an online…

Social and economic aspects of radioactive waste disposal: considerations for institutional management

International Nuclear Information System (INIS)

Carter, L.J.

1985-01-01

The problem of nuclear waste disposal has always been recognized as one that is as much political as it is technical. This could explain why the National Academy of Science is just now showing interest in the social and economic aspects of nuclear waste disposal. It has just now issued a report called Social Aspects of Radioactive Waste Disposal: Considerations for Industrial Management. This article is a critical review of the content of this report

Anterior cruciate ligament reconstruction failure after tibial shaft malunion.

Science.gov (United States)

LaFrance, Russell M; Gorczyca, John T; Maloney, Michael D

2012-02-17

Anterior cruciate ligament (ACL) reconstruction is common, with >100,000 procedures performed each year in the United States. Several factors are associated with failure, including poor surgical technique, graft incorporation failure, overly aggressive rehabilitation, and trauma. Tibial shaft fracture is also common and frequently requires operative intervention. Failure to reestablish the anatomic alignment of the tibia may cause abnormal forces across adjacent joints, which can cause degenerative joint disease or attritional failure of the surrounding soft tissues. This article describes a case of ACL reconstruction failure after a tibial fracture that resulted in malunion. Excessive force across the graft from lower-extremity malalignment and improper tunnel placement likely contributed to the attritional failure of the graft. This patient required a staged procedure for corrective tibial osteotomy followed by revision ACL reconstruction. This article describes ACL reconstruction failure, tibial shaft malunions, their respective treatments, the technical details of each procedure, and the technical aspects that must be considered when these procedures are done in a staged manner by 2 surgeons. Copyright 2012, SLACK Incorporated.

International institutional law

CERN Document Server

Schermers, Henry G

1972-01-01

In several respects the present study is an enlargement of a former analysis about the specialized agencies of the United Nations to more organisations and into further detail. In particular the creation of the European Communities, adding new aspects to international institutional law, have received attention.

Improved methods for dependent failure analysis in PSA

International Nuclear Information System (INIS)

Ballard, G.M.; Games, A.M.

1988-01-01

The basic design principle used in ensuring the safe operation of nuclear power plant is defence in depth. This normally takes the form of redundant equipment and systems which provide protection even if a number of equipment failures occur. Such redundancy is particularly effective in ensuring that multiple, independent equipment failures with the potential for jeopardising reactor safety will be rare events. However the achievement of high reliability has served to highlight the potentially dominant role of multiple, dependent failures of equipment and systems. Analysis of reactor operating experience has shown that dependent failure events are the major contributors to safety system failures and reactor incidents and accidents. In parallel PSA studies have shown that the results of a safety analysis are sensitive to assumptions made about the dependent failure (CCF) probability for safety systems. Thus a Westinghouse Analysis showed that increasing system dependent failure probabilities by a factor of 5 led to a factor 4 increase in core. This paper particularly refers to the engineering concepts underlying dependent failure assessment touching briefly on aspects of data. It is specifically not the intent of our work to develop a new mathematical model of CCF but to aid the use of existing models

Rehabilitation between institutional and non-institutional forensic psychiatric care: important influences on the transition process.

Science.gov (United States)

Gustafsson, E; Holm, M; Flensner, G

2012-10-01

All patients cared for in forensic psychiatric care (FPC) have some kind of psychiatric disorder and most of them have committed one or more criminal acts. One part of the patient's rehabilitation is the transition from institutional to non-institutional FPC, but a number of patients do not succeed. The aim of this study was to elucidate different caregivers' experiences of aspects that influence the patients' ability to manage this rehabilitation. A qualitative approach was chosen. Data were collected by interviews in two focus groups, each group comprising of six caregivers representing both institutional and non-institutional FPC. The transcribed interviews were analysed using a qualitative content analysis. Important aspects influencing the patients' transition described were a well-planned care plan, together with a suitable non-institutional dwelling and a tailored occupation. Other important areas were having a well-functioning and trusting social network and a good relationship with a contact person/advocate. A major barrier to a successful transition was whether the patients managed their own finances or not. It was stated that it is important that the patients participate in the care and that different authorities create individual conditions and flexible solutions. All of these factors are important to focus on when caring for patients during their stay in the institutional FPC. © 2011 Blackwell Publishing.

Environmental Aspects of Tritium Around the Vinca Institute of Nuclear Sciences

International Nuclear Information System (INIS)

Miljevic, N.; Sipka, V.

1995-01-01

An overview of environmental distribution of tritium around the Institute of Nuclear Sciences Vinca during the period 1988-1994 is presented. Temporal and local variations of the specific tritium variations in precipitation (Usek, Zeleno Brdo), river waters (the Danube, the Sava and Mlaka Creek) as well as atmospheric water vapor are given. Estimates based on precipitation measurements have shown that 6.3 TBq of tritium activity should be released annually into the atmosphere from the Vinca Institute of Nuclear Sciences. (author)

Characterising mechanical transmission wire ropes’ typical failure modes

Directory of Open Access Journals (Sweden)

Edgar Espejo

2007-01-01

Full Text Available The National University of Colombia’s Engineering School’s AFIS research group has helped several public and private institutions during the last five years in analysing the causes of failures presented in elevation and trans- port machinery leading to expensive consequences and even the loss of life. A group of typical wire rope failure modes have been identified, along with their common causes. These are presented in this work to offer help to our industry’s engineers and technicians, allowing them to identify possible risk situations in their routine work regarding the wire ropes which they use and approaches for carrying out wire rope failure analysis.

Some probabilistic aspects of fracture

International Nuclear Information System (INIS)

Thomas, J.M.

1982-01-01

Some probabilistic aspects of fracture in structural and mechanical components are examined. The principles of fracture mechanics, material quality and inspection uncertainty are formulated into a conceptual and analytical framework for prediction of failure probability. The role of probabilistic fracture mechanics in a more global context of risk and optimization of decisions is illustrated. An example, where Monte Carlo simulation was used to implement a probabilistic fracture mechanics analysis, is discussed. (orig.)

Changing institutions of knowing

DEFF Research Database (Denmark)

Koch, Christian; Bertelsen, Niels Haldor

2014-01-01

paper is to analyze enablers and barriers for this institutional change. The vocational education system in Denmark is strongly institutionalised with unions, employerÕs associations and the schools in central roles. Drawing on institutional theory contributions on labour market -, educational......In order to reach the EU 2020 goals for the climate, Danish vocational training units are currently in a process of institutional change triggered by the need of providing energy, and new process competences for the skilled and semiskilled workforce active in construction. The aim of the present...... - and professional institutions, the paper presents a study of institutional work inside and across schools and craft disciplines working in SMEs involved in new building and renovation with an energy aspect. Collaboration between four education committees for carpenters, masons, electricians and plumbers...

Institutional Responsibility and the Flawed Genomic Biomarkers at Duke University: A Missed Opportunity for Transparency and Accountability.

Science.gov (United States)

DeMets, David L; Fleming, Thomas R; Geller, Gail; Ransohoff, David F

2017-08-01

When there have been substantial failures by institutional leadership in their oversight responsibility to protect research integrity, the public should demand that these be recognized and addressed by the institution itself, or the funding bodies. This commentary discusses a case of research failures in developing genomic predictors for cancer risk assessment and treatment at a leading university. In its review of this case, the Office of Research Integrity, an agency within the US Department of Health and Human Services, focused their report entirely on one individual faculty member and made no comment on the institution's responsibility and its failure to provide adequate oversight and investigation. These actions missed an important opportunity to emphasize the institution's critical responsibilities in oversight of research integrity and the importance of institutional transparency and accountability.

Robustness Analysis of Real Network Topologies Under Multiple Failure Scenarios

DEFF Research Database (Denmark)

Manzano, M.; Marzo, J. L.; Calle, E.

2012-01-01

on topological characteristics. Recently approaches also consider the services supported by such networks. In this paper we carry out a robustness analysis of five real backbone telecommunication networks under defined multiple failure scenarios, taking into account the consequences of the loss of established......Nowadays the ubiquity of telecommunication networks, which underpin and fulfill key aspects of modern day living, is taken for granted. Significant large-scale failures have occurred in the last years affecting telecommunication networks. Traditionally, network robustness analysis has been focused...... connections. Results show which networks are more robust in response to a specific type of failure....

On possibilities of using global monitoring in effective prevention of tailings storage facilities failures.

Science.gov (United States)

Stefaniak, Katarzyna; Wróżyńska, Magdalena

2018-02-01

Protection of common natural goods is one of the greatest challenges man faces every day. Extracting and processing natural resources such as mineral deposits contributes to the transformation of the natural environment. The number of activities designed to keep balance are undertaken in accordance with the concept of integrated order. One of them is the use of comprehensive systems of tailings storage facility monitoring. Despite the monitoring, system failures still occur. The quantitative aspect of the failures illustrates both the scale of the problem and the quantitative aspect of the consequences of tailings storage facility failures. The paper presents vast possibilities provided by the global monitoring in the effective prevention of these failures. Particular attention is drawn to the potential of using multidirectional monitoring, including technical and environmental monitoring by the example of one of the world's biggest hydrotechnical constructions-Żelazny Most Tailings Storage Facility (TSF), Poland. Analysis of monitoring data allows to take preventive action against construction failures of facility dams, which can have devastating effects on human life and the natural environment.

failure analysis of a uav flight control system using markov analysis

African Journals Online (AJOL)

Failure analysis of a flight control system proposed for Air Force Institute of Technology (AFIT) Unmanned Aerial Vehicle (UAV) was studied using Markov Analysis (MA). It was perceived that understanding of the number of failure states and the probability of being in those state are of paramount importance in order to ...

INTERNAL GOVERNANCE AND ROLE OF INTERNAL AUDIT IN FINANCIAL INSTITUTIONS. CASE STUDY: RISK BASED PLANNING

Directory of Open Access Journals (Sweden)

Andrei Florin

2015-07-01

Full Text Available The global financial crisis from 2008 was considered a trigger to reshape the financial systems and to enhance the risk management practices. Considering the developments and new guidelines that are now used it can be observed a “positive” effect of the crisis, in particular to strengthen the risk management culture and governance in all aspects. Comparing to 2008 year, the improvements that have been made to the risk management systems can be easily observed in the financial institutions. For the scope of the article, the subject of this review will be focused on the internal audit function. The main aspect is to capture the new practices that are now used in order to contribute to a performing internal governance system. A case study will be presented in order to better understand how the internal audit function is designed and acting as a “line” of defence in the internal governance system. Also, it is in the scope of the article to issue some recommendations for future developments of the audit function in order to better manage its mission and the objectives. A risk based model used in the planning activities is presented. The financial institutions improved significantly their internal governance system. The internal audit function is now better integrated in the internal structures and clear lines of communication were settled. As the conclusion of the article is illustrating, the internal governance was frequently not sufficiently developed causing a failure in the risk management systems from the systemically financial institutions. The content of the article has practical applicability, as the results and the recommendations could be used in the design of an audit function within a financial institution.

[Brain oedema and acute liver failure].

Science.gov (United States)

Spahr, L

2003-04-01

Brain oedema leading to intracranial hypertension occurs in a significant proportion of patients with acute liver failure in whom it is a leading cause of death. Although precise pathogenic mechanisms associated to this severe complication remain incompletely understood, increasing evidence points to gut-derived neurotoxins including ammonia as key mediators in cerebral osmotic and perfusion disturbances. The management of brain oedema and intracranial hypertension requires a multidisciplinar approach in a center where liver transplantation is available, as this option is the only treatment modality that provides improvement in outcome. This article reviews the most common causes of acute liver failure and the standard of supportive care management, and describes future potential therapeutic aspects of brain oedema and intracranial hypertension.

Finding upper bounds for software failure probabilities - experiments and results

International Nuclear Information System (INIS)

Kristiansen, Monica; Winther, Rune

2005-09-01

This report looks into some aspects of using Bayesian hypothesis testing to find upper bounds for software failure probabilities. In the first part, the report evaluates the Bayesian hypothesis testing approach for finding upper bounds for failure probabilities of single software components. The report shows how different choices of prior probability distributions for a software component's failure probability influence the number of tests required to obtain adequate confidence in a software component. In the evaluation, both the effect of the shape of the prior distribution as well as one's prior confidence in the software component were investigated. In addition, different choices of prior probability distributions are discussed based on their relevance in a software context. In the second part, ideas on how the Bayesian hypothesis testing approach can be extended to assess systems consisting of multiple software components are given. One of the main challenges when assessing systems consisting of multiple software components is to include dependency aspects in the software reliability models. However, different types of failure dependencies between software components must be modelled differently. Identifying different types of failure dependencies are therefore an important condition for choosing a prior probability distribution, which correctly reflects one's prior belief in the probability for software components failing dependently. In this report, software components include both general in-house software components, as well as pre-developed software components (e.g. COTS, SOUP, etc). (Author)

Institutional Variables and Perceived Environmental Concerns in Higher Education.

Science.gov (United States)

Michael, Steve O.

1995-01-01

Discusses the effects of worsening financial constraints evident in all aspects of higher education institutions. Examines differences and similarities in institutional leaders' opinions regarding environmental concerns. All Alberta, Canada, higher education institutions are experiencing similar problems. There is no deliberate shift in government…

Institute of Nuclear Engineering: report 1974-1976

International Nuclear Information System (INIS)

Amyot, L.

1976-01-01

The Institute of Nuclear Engineering is described in terms of its objectives, resources, instructional duties, and research. Basically the Institute is involved in the study of technical, economic and ecological aspects of nuclear installations, basic radioisotopic methods, and general energy problems. (E.C.B.)

A Take Stock of Turbine Blades Failure Phenomenon

Science.gov (United States)

Roy, Abhijit

2018-02-01

Turbine Blade design and engineering is one of the most complicated and important aspects of turbine technology. Experiments with blades can be simple or very complicated, depending upon parameters of analysis. Turbine blades are subjected to vigorous environments, such as high temperatures, high stresses, and a potentially high vibration environment. All these factors can lead to blade failures, which can destroy the turbine, and engine, so careful design is the prime consideration to resist those conditions. A high cycle of fatigue of compressor and turbine blades due to high dynamic stress caused by blade vibration and resonance within the operating range of machinery is common failure mode for turbine machine. Continuous study and investigation on failure of turbine blades are going on since last five decades. Some review papers published during these days aiming to present a review on recent studies and investigations done on failures of turbine blades. All the detailed literature related with the turbine blades has not been described but emphasized to provide all the methodologies of failures adopted by various researches to investigate turbine blade. This paper illustrate on various factors of failure.

Theoretical Aspects of Analysis of International Environmental Security

Directory of Open Access Journals (Sweden)

Juliya A. Rusakova

2015-01-01

Full Text Available Abstract: International environmental security is a very hot contemporary issue of world politics, which in a large part defines the future of our environment. Dealing with this issue is of outmost importance since its failure will render all other issues and challenges as negligible. The article examines the theoretical aspects of solving the problem of environmental security. In particular, it analyzes the problem of negative social externalities, and the related concept of "tragedy of the commons." These problems create a fundamental obstacle to the implementation of environmental security at the global level. Traditionally, the problem of externalities in the environmental field have been approached economically, states and their manufacturers were to pay for the externalities in the form of additional taxes. However, experience shows that the economic tools of dealing with environmental security are not effective. The author suggests alternative non-economic approaches: strengthening and developing the system of permanent institutions of international negotiations on environmental security and promotion of environmental awareness. Solving the acute environmental problems is impossible without a change of the political philosophy of the ruling elites in most states.

Legal aspects of nuclear law in Colombia and Latin America

International Nuclear Information System (INIS)

Mora M, M.; Pinzon A, J.

1984-01-01

I this thesis area studied the legal aspects of atomic energy, both nationally and internationally; furthermore its made a historical tour of the use of atomic energy in topic as medicine, industry, atomic energy generation and environmental aspects related of energy atomic, and name some institutes that can work in Colombia in this aspects

78 FR 54373 - Records of Failed Insured Depository Institutions

Science.gov (United States)

2013-09-04

... institution's business prior to its failure nor necessary to the conduct of the FDIC's receivership function....'' The definition is modeled on Section 210(a)(16)(D) of the Dodd-Frank Wall Street Reform and Consumer... to operate but that have no other connection to the institution's business need not be retained or...

78 FR 4349 - Records of Failed Insured Depository Institutions

Science.gov (United States)

2013-01-22

... with the definition of ``records'' in section 210(a)(16)(D) of the Dodd-Frank Wall Street Reform and...-day operations prior to its failure. \\4\\ 12 U.S.C. 5390(a)(16)(D), which defines ``records'' to mean... depository institution, but insured depository institutions often retain copies of reports of examination and...

Diastolic dysfunction and diastolic heart failure: diagnostic, prognostic and therapeutic aspects

Directory of Open Access Journals (Sweden)

Galderisi Maurizio

2005-04-01

Full Text Available Abstract Left ventricular (LV diastolic dysfunction (DD and diastolic heart failure (HF, that is symptomatic DD, are due to alterations of myocardial diastolic properties. These alterations involve relaxation and/or filling and/or distensibility. Arterial hypertension associated to LV concentric remodelling is the main determinant of DD but several other cardiac diseases, including myocardial ischemia, and extra-cardiac pathologies involving the heart are other possible causes. In the majority of the studies, isolated diastolic HF has been made equal to HF with preserved systolic function (= normal ejection fraction but the true definition of this condition needs a quantitative estimation of LV diastolic properties. According to the position of the European Society of Cardiology and subsequent research refinements the use of Doppler echocardiography (transmitral inflow and pulmonary venous flow and the new ultrasound tools has to be encouraged for diagnosis of DD. In relation to uncertain definitions, both prevalence and prognosis of diastolic heart failure are very variable. Despite an apparent lower death rate in comparison with LV systolic HF, long-term follow-up (more than 5 years show similar mortality between the two kinds of HF. Recent studies performed by Doppler diastolic indexes have identified the prognostic power of both transmitral E/A ratio 1.5 (restrictive patterns. The therapy of LV DD and HF is not well established but ACE-inhibitors, angiotensin inhibitors, aldosterone antagonists and β-blockers show potential beneficial effect on diastolic properties. Several trials, completed or ongoing, have been planned to treat DD and diastolic HF.

Patterns of Failure After MammoSite Brachytherapy Partial Breast Irradiation: A Detailed Analysis

International Nuclear Information System (INIS)

Chen, Sea; Dickler, Adam; Kirk, Michael; Shah, Anand; Jokich, Peter; Solmos, Gene; Strauss, Jonathan; Dowlatshahi, Kambiz; Nguyen, Cam; Griem, Katherine

2007-01-01

Purpose: To report the results of a detailed analysis of treatment failures after MammoSite breast brachytherapy for partial breast irradiation from our single-institution experience. Methods and Materials: Between October 14, 2002 and October 23, 2006, 78 patients with early-stage breast cancer were treated with breast-conserving surgery and accelerated partial breast irradiation using the MammoSite brachytherapy applicator. We identified five treatment failures in the 70 patients with >6 months' follow-up. Pathologic data, breast imaging, and radiation treatment plans were reviewed. For in-breast failures more than 2 cm away from the original surgical bed, the doses delivered to the areas of recurrence by partial breast irradiation were calculated. Results: At a median follow-up time of 26.1 months, five treatment failures were identified. There were three in-breast failures more than 2 cm away from the original surgical bed, one failure directly adjacent to the original surgical bed, and one failure in the axilla with synchronous distant metastases. The crude failure rate was 7.1% (5 of 70), and the crude local failure rate was 5.7% (4 of 70). Estimated progression-free survival at 48 months was 89.8% (standard error 4.5%). Conclusions: Our case series of 70 patients with >6 months' follow-up and a median follow-up of 26 months is the largest single-institution report to date with detailed failure analysis associated with MammoSite brachytherapy. Our failure data emphasize the importance of patient selection when offering partial breast irradiation

The structure and institutions: a regional aspect of interaction in the economic system

Directory of Open Access Journals (Sweden)

Leonid Stepanovich Tarasevich

2014-09-01

Full Text Available In the article with the help of two-sector model of the economic system, the interaction of national and regional economy is investigated. This interaction is observed from the position of development of material structure and institutions. As the key structural parameter of an economy, the proportion between sector of excess resources and sector of scarce resources is taken. The situation when sector of excess resources prevails over sector of scarce resources forms structural conditions for the creation of the market institutions. If a sector of excess resources is smaller than a sector of scarce resources, the conditions for the emergence of institutions of government regulation are formed. Two cases are analyzed: the first one concerns the situation of a simple national economy consisting of 2 provisory regions. The second is the case of the national economy consisting of many regions. The authors show that material structure of a total combination of regions defines institutions of the market or state regulation for the national economy as a whole. The institutions formed at the level of the national economy, can support or resist the development of structure of the region. The conditions are observed under which united institutions of the national economy contradict a development of structure of the individual region.

Vibrational fatigue failures in short cantilevered piping with socket-welding fittings

International Nuclear Information System (INIS)

Smith, J.K.

1996-01-01

Approximately 80% of the vibrational fatigue failures in nuclear power plants have been caused by high cycle vibrational fatigue. Many of these failures have occurred in short, small bore (2 in. nominal diameter and smaller), unbraced, cantilevered piping with socket-welding fittings. The fatigue failures initiated in the socket welds. These failures have been unexpected, and have caused costly, unscheduled outages in some cases. In order to reduce the number of vibrational fatigue failures in these short cantilevered pipes, an acceleration based vibrational fatigue screening criteria was developed under Electric Power Research Institute (EPRI) sponsorship. In this paper, the acceleration based criteria will be compared to the results obtained from detailed dynamic modeling of a short, cantilevered pipe

Institute for Computational Mechanics in Propulsion (ICOMP)

Science.gov (United States)

Keith, Theo G., Jr. (Editor); Balog, Karen (Editor); Povinelli, Louis A. (Editor)

2001-01-01

The Institute for Computational Mechanics in Propulsion (ICOMP) was formed to develop techniques to improve problem-solving capabilities in all aspects of computational mechanics related to propulsion. ICOMP is operated by the Ohio Aerospace Institute (OAI) and funded via numerous cooperative agreements by the NASA Glenn Research Center in Cleveland, Ohio. This report describes the activities at ICOMP during 1999, the Institute's fourteenth year of operation.

The penal aspect of the essence of the legal institute

Directory of Open Access Journals (Sweden)

Олег Миколайович Кревсун

2016-04-01

Full Text Available Law, like any social phenomenon, can be the object of cognition only if legal norms that is its components, will come into connection with other legal norms, not only to form separate elements of the law. Without a comprehensive study of the interaction between legal norms, their role in the regulation of social relations will be impossible to develop effective legal measures of influence on various spheres of public life. Unfortunately, proper attention to this issue in Ukraine is not given. Examined, in fact, a certain set of interconnected rules of law, but each of them, representing this population, is investigated separately, without necessary connection with other laws. However, as presented in the legal literature, the research results confirmed the existence in law of such legal norms, which are involved in the regulation of certain social relations, being in its totality as an integrated whole. Such laws called legal institutions. Legal institutions, subinstitutes and interdisciplinary subinstitutes of penal law, both from the point of view of legal terminology and from the point of view of defining the content, in domestic science remains thoroughly unexplored and only mentioned in some scientific works of foreign authors. The term “legal institution” is used by scholars more as a term authoritative sound. In this article, we first provide a definition of the legal Institute, subinstitute and cross-subinstitute of penal law, interpret the normative contents of the allocated inherent characteristics, focusing on the absence in domestic science studies on this issue.

77 FR 3075 - Resolution Plans Required for Insured Depository Institutions With $50 Billion or More in Total...

Science.gov (United States)

2012-01-23

... business day of the institution's failure (two business days if the failure occurs on a day other than... the continuing exposure of the banking industry to the risks of insolvency of large and complex insured depository institutions, an exposure that can be mitigated with proper resolution planning. The...

Lessons for successful study enrollment from the Veterans Affairs/National Institutes of Health Acute Renal Failure Trial Network Study.

Science.gov (United States)

Crowley, Susan T; Chertow, Glenn M; Vitale, Joseph; O'Connor, Theresa; Zhang, Jane; Schein, Roland M H; Choudhury, Devasmita; Finkel, Kevin; Vijayan, Anitha; Paganini, Emil; Palevsky, Paul M

2008-07-01

Design elements of clinical trials can introduce recruitment bias and reduce study efficiency. Trials involving the critically ill may be particularly prone to design-related inefficiencies. Enrollment into the Veterans Affairs/National Institutes of Health Acute Renal Failure Trial Network Study was systematically monitored. Reasons for nonenrollment into this study comparing strategies of renal replacement therapy in critically ill patients with acute kidney injury were categorized as modifiable or nonmodifiable. 4339 patients were screened; 2744 fulfilled inclusion criteria. Of these, 1034 were ineligible by exclusion criteria. Of the remaining 1710 patients, 1124 (65.7%) enrolled. Impediments to informed consent excluded 21.4% of potentially eligible patients. Delayed identification of potential patients, physician refusal, and involvement in competing trials accounted for 4.4, 2.7, and 2.3% of exclusions. Comfort measures only status, chronic illness, chronic kidney disease, and obesity excluded 11.8, 7.8, 7.6, and 5.9% of potential patients. Modification of an enrollment window reduced the loss of patients from 6.6 to 2.3%. The Acute Renal Failure Trial Network Study's enrollment efficiency compared favorably with previous intensive care unit intervention trials and supports the representativeness of its enrolled population. Impediments to informed consent highlight the need for nontraditional acquisition methods. Restrictive enrollment windows may hamper recruitment but can be effectively modified. The low rate of physician refusal acknowledges clinical equipoise in the study design. Underlying comorbidities are important design considerations for future trials that involve the critically ill with acute kidney injury.

The kinetic and mechanical aspects of hydrogen-induced failure in metals. Ph.D. Thesis, 1971

Science.gov (United States)

Nelson, H. G.

1972-01-01

Premature hydrogen-induced failure observed to occur in many metal systems involves three stages of fracture: (1) crack initiation, (2) stable slow crack growth, and (3) unstable rapid crack growth. The presence of hydrogen at some critical location on the metal surface or within the metal lattice was shown to influence one or both of the first two stages of brittle fracture but has a negligible effect on the unstable rapid crack growth stage. The relative influence of the applied parameters of time, temperature, etc., on the propensity of a metal to exhibit hydrogen induced premature failure was investigated.

Institutional aspects of siting nuclear waste disposal facilities in the United States

International Nuclear Information System (INIS)

Stewart, J.C.; Prichard, W.C.

1987-01-01

This paper has dealt with the institutional issues associated with disposal of nuclear waste in the US. The authors believe that these institutional problems must be resolved, no matter how technologically well suited a site may be for disposal, before site selection may take place. The authors have also pointed out that the geography of the US, with its large arid regions of very low population density, contributes to the institutional acceptability of nuclear waste disposal. Economic factors, especially in sparsely populated areas where the uranium mining and milling industry has caused operation, also weigh on the acceptability of nuclear waste to local communities. This acceptability will be highest where there are existing nuclear facilities and/or facilities which are closed - thus creating unemployment especially where alternative economic opportunities are few

Methodological proposal for identification and evaluation of environmental aspects and impacts of nuclear facilities of IPEN, Sao Paulo, SP, Brazil: a case study applied to the Nuclear Fuel Center

International Nuclear Information System (INIS)

Mattos, Luis Antonio Terribile de

2013-01-01

This work presents an application of Failure Mode Effect Analysis (FMEA) to the process of identification of environmental aspects and impacts as a part of implementation and maintenance of an Environmental Management System (EMS) in accordance with the NBR ISO 14001 standard. Also, it can contribute, as a complement, to the evaluation and improvement of safety of the installation focused. The study was applied to the Nuclear Fuel Center (CCN) of Nuclear and Energy Research Institute (IPEN), situated at the Campus of University of Sao Paulo, Brazil. The CCN facility has the objective of promoting scientific research and of producing nuclear fuel elements for the IEA-R1 Research Reactor. To identify the environmental aspects of the facility activities, products, and services, a systematic data collection was carried out by means of personal interviews, documents, reports and operation data records consulting. Furthermore, the processes and their interactions, failure modes, besides their causes and effects to the environment, were identified. As a result of a careful evaluation of these causes it was possible to identify and to classify the major potential environmental impacts, in order to set up and put in practice an Environmental Management System for the installation under study. The results have demonstrated the validity of the FMEA application to nuclear facility processes, identifying environmental aspects and impacts, whose controls are critical to achieve compliance with the environmental requirements of the Integrated Management System of IPEN. It was demonstrated that the methodology used in this work is a powerful management tool for resolving issues related to the conformity with applicable regulatory and legal requirements of the Brazilian Nuclear Energy Commission (CNEN) and the Brazilian Institute of Environment (IBAMA). (author)

Computational Aspects of Dam Risk Analysis: Findings and Challenges

Directory of Open Access Journals (Sweden)

Ignacio Escuder-Bueno

2016-09-01

Full Text Available In recent years, risk analysis techniques have proved to be a useful tool to inform dam safety management. This paper summarizes the outcomes of three themes related to dam risk analysis discussed in the Benchmark Workshops organized by the International Commission on Large Dams Technical Committee on “Computational Aspects of Analysis and Design of Dams.” In the 2011 Benchmark Workshop, estimation of the probability of failure of a gravity dam for the sliding failure mode was discussed. Next, in 2013, the discussion focused on the computational challenges of the estimation of consequences in dam risk analysis. Finally, in 2015, the probability of sliding and overtopping in an embankment was analyzed. These Benchmark Workshops have allowed a complete review of numerical aspects for dam risk analysis, showing that risk analysis methods are a very useful tool to analyze the risk of dam systems, including downstream consequence assessments and the uncertainty of structural models.

Institutional aspects of siting nuclear waste disposal facilities in the United States

International Nuclear Information System (INIS)

Stewart, John Cameron.; Prichard, Clark. W.

1987-01-01

This chapter deals with the institutional issues associated with the disposal of nuclear waste in the United States of America. These include socio-economic, financial, land use and especially, political factors. Institutional issues must, however, be resolved, as well as the technological problems of engineering and geology. The general issues are first examined, then the organisation and financing, land use, community acceptance, transport problems and finally, local economic impacts. (UK)

Workshop: Creating Your Institutional Research Repository

KAUST Repository

Grenz, Daryl M.

2016-11-08

In 2002, the Scholarly Publishing and Academic Resources Coalition (SPARC) proposed the concept of an institutional repository to simultaneously disrupt and enhance the state of scholarly communications in the academic world. Thirteen years later, thousands of universities and other institutions have answered this call, but many more have not due to gaps in budgets, awareness and, most of all, practical guidance on creating an institutional repository. This workshop provides you with an essential primer on what it takes to establish a fully-functioning institutional repository. Every aspect of the process will be covered, including policies, procedures, staffing guidelines, workflows and repository technologies.

Institutional issues of environmental policy; Institutionelle Probleme der Umweltpolitik

Energy Technology Data Exchange (ETDEWEB)

Gawel, E. [ed.

1996-12-31

Institutions and institutional theory are important topics in contemporary economic theory. However, their application to issues of environmental economics still is in its infancy. The book summarizes the state of the art in research on institutional aspects of environmental economics, as seen from the angle of the economic and social sciences, and outlines a variety of perceivable approaches oriented towards integrating the institutional aspects in environmental economic theory. This process eventually leading to broader consideration of implementation problems, enforcement and organisational aspects, legal aspects or market factors and functions influencing environmental policy, theory and practice of environmental policy are expected to draw near to each other and thus create the long-hoped-for chance to commence a true interdisciplinary dialogue about the entire spectrum of environmental issues. (orig.) [Deutsch] Institutionen und Institutionentheorie nehmen in der aktuellen oekonomischen Diskussion einen breiten Raum ein. Ihre Einbeziehung auch in der umweltoekonomischen Diskussion steht freilich erst noch in den Anfaengen. Der Band beleuchtet aus wirtschafts- und sozialwissenschaftlicher Sicht den gegenwaertigen Forschungsstand und vermittelt einen Ueberblick ueber unterschiedliche Ansaetze einer fuer institutionelle Probleme offenen Umweltoekonomik. Die Beruecksichtigung von Implementationsproblemen, die Einbeziehung von Vollzugs- und Organisationsfragen, von Rechtsproblemen sowie der konkreten Funktionsbedingungen von Maerkten im Umweltschutz tragen nicht nur dazu bei, dass sich die Theorie und Praxis der Umweltpolitik deutlich naeherruecken, sie bieten auch die lange vermisste Chance eines echten interdisziplinaeren Dialogs ueber Umweltprobleme. (orig.)

Political Innovation and Institution-Building: The Experience of Decentralization Experiments.

Science.gov (United States)

Yates, Douglas

The purpose of this paper is to resolve what determines the success or failure of innovations in participatory government; and, more precisely what are the dynamics of institution-building by which the ideas of participation and decentralization are implemented and enduring neighborhood institutions are established. To answer these questions, a…

Insomnia: psychological and neurobiological aspects and non-pharmacological treatments.

Science.gov (United States)

Molen, Yara Fleury; Carvalho, Luciane Bizari Coin; Prado, Lucila Bizari Fernandes do; Prado, Gilmar Fernandes do

2014-01-01

Insomnia involves difficulty in falling asleep, maintaining sleep or having refreshing sleep. This review gathers the existing informations seeking to explain insomnia, including those that focus on psychological aspects and those considered neurobiological. Insomnia has been defined in psychological (cognitive components, such as worries and rumination, and behavioral aspects, such as classic conditioning) and physiological terms (increased metabolic rate, with increased muscle tone, heart rate and temperature). From the neurobiological point of view, there are two perspectives: one which proposes that insomnia occurs in association with a failure to inhibit wakefulness and another that considers hyperarousal as having an important role in the physiology of sleep. The non-pharmacological interventions developed to face different aspects of insomnia are presented.

Spirituality and well being among elders: differences between elders with heart failure and those without heart failure

Directory of Open Access Journals (Sweden)

Mary T Quinn Griffin

2008-01-01

Full Text Available Mary T Quinn Griffin1, Yi-Hui Lee2, Ali Salman1, Yaewon Seo1, Patricia A Marin3, Randall C Starling3, Joyce J Fitzpatrick11Frances Payne Bolton School of Nursing Case Western Reserve University Cleveland, OH; 2College of Nursing and Health Wright State University Dayton, OH; 3Cleveland Clinic, Cleveland, OhioAbstract: Heart failure is a chronic debilitating disease that affects all aspects of a person’s life, including physical, mental and spiritual dimensions. The associations among these dimensions, and the relationship to overall health status, have not been clearly identified. The purpose of this quantitative, descriptive study was to explore differences between spirituality, depressive symptoms, and quality of life among elders with and without heart failure. A total of 44 elders with heart failure and 40 non-heart failure elders completed several questionnaires including: The Daily Spiritual Experiences Scale (DSES, Spirituality Index of Well-Being (SIWB, Center for Epidemiologic Studies Depression Scale (CES-D, and SF-12™ Health Survey. There were significant differences in the groups on gender and ethnicity; thus these variables were controlled in the analyses related to the dependent variables. After controlling for gender and ethnicity, there were significant differences in the physical component of quality of life and spiritual well-being. The heart failure patients had significantly lower physical quality of life but more spiritual well-being than the non-heart failure patients. There were no significant differences in daily spiritual experiences, mental component of quality of life, and depressive symptoms between the two groups.Keywords: spiritual experience, spiritual well-being, heart failure, depressive symptoms, quality of life, elders

Immune Aspects of Female Infertility

Directory of Open Access Journals (Sweden)

Andrea Brazdova

2016-05-01

Full Text Available Immune infertility, in terms of reproductive failure, has become a serious health issue involving approximately 1 out of 5 couples at reproductive age. Semen that is defined as a complex fluid containing sperm, cellular vesicles and other cells and components, could sensitize the female genital tract. The immune rejection of male semen in the female reproductive tract is explained as the failure of natural tolerance leading to local and/or systemic immune response. Present active immune mechanism may induce high levels of anti-seminal/sperm antibodies. It has already been proven that iso-immunization is associated with infertility. Comprehensive studies with regards to the identification of antibody-targets and the determination of specific antibody class contribute to the development of effective immuno-therapy and, on the other hand, potential immuno-contraception, and then of course to complex patient diagnosis. This review summarizes the aspects of female immune infertility.

Sociomateriality and Information Systems Success and Failure

DEFF Research Database (Denmark)

Kautz, Karlheinz; Cecez-Kecmanovic, Dubravka

2013-01-01

The aim of this essay is to put forward a performative, sociomaterial perspective on Information Systems (IS) success and failure in organisations by focusing intently upon the discursive-material nature of IS development and use in practice. Through the application of Actor Network Theory (ANT...... for their inadequate consideration of the materiality of IS, of its underling technologies and of the entanglement of the social and material aspects of IS development and use. From a sociomaterial perspective IS are not seen as objects that impact organisations one way or another, but instead as relational effects...... continually enacted in practice. As enactments in practice IS development and use produce realities of IS success and failure....

Iodine-125 seed brachytherapy for early stage prostate cancer: a single-institution review

International Nuclear Information System (INIS)

Zuber, Simon; Weiß, Susan; Baaske, Dieter; Schöpe, Michael; Stevens, Simon; Bodis, Stephan; Zwahlen, Daniel R

2015-01-01

We are reporting the five-year biochemical control, toxicity profile and dosimetric parameters using iodine-125 low dose rate brachytherapy (BT) as monotherapy for early stage prostate cancer at a single institution. Between April 2006 and December 2010, 169 men with early stage prostate cancer were treated with BT. Biochemical failure was defined using the Phoenix definition (nadir + 2 ng/mL). Treatment-related morbidities, including urinary, rectal and sexual function, were measured, applying the International Prostate Symptom Score (IPSS), the 7-grade Quality of Life Scale (QoL) and medical status, the International Consultation on Incontinence Modular Questionnaire (ICIQ), the International Index of Erectile Function (IIEF-5) and the Common Terminology Criteria for Adverse Events (CTCAE v4.03). Seed migration and loss, dosimetric parameters and learning effects were also analyzed. Medium follow-up time was 50 months (range, 1–85 months). The five-year biochemical failure rate was 7%. Acute proctitis rates were 19% (grade 1) and 1% (grade 2), respectively. The overall incidence of incontinence was 19% (mild), 16% (moderate) and < 1% (severe). An increase in IPSS ≥ 5 points was detected in 59% of patients, with 38% regaining their baseline. Seed dislocation was found in 24% of patients and correlated with D90 and V100. A learning curve was found for seed migration, D90 and V100. QoL correlated with the general health condition of patient, incontinence symptoms and IPSS. BT for early stage prostate cancer offers excellent five-year biochemical control with low toxicities. QoL aspects are favorable. A learning curve was detected for procedural aspects but its impact on patient relevant endpoints remains inconclusive

On the Market Failures during the Development of Low-Carbon Economy

Institute of Scientific and Technical Information of China (English)

LU Xian-xiang; KE Zan-xian; ZHANG Yi

2014-01-01

Greenhouse gas emissions and the development of low-carbon economy are the biggest market failures,which are mainly manifested in such problems as the low-carbon economy being the world's largest externality,the low-carbon economy being the global public goods,and the free-rider along the development of low-carbon economy.The major reason for the market failures during the development of low-carbon economy is lacking of secured property ownership as well as the greenhouse effect.Thus,in order to establish secured property rights through institutional innovation,it is necessary not only to reduce the exploitation of fossil fuels from the source,but also to allocate the emission rights fairly.To develop the low-carbon economy is faced with market failures,but we can not therefore deny the basic roles of the market mechanism in the development of low-carbon economy,rather to correct and adjust the market through institutional innovations,so as to facilitate the establishment and operation of the low-carbon economy.For the sake of the sustainable development of human society,we have to adjust or change the rules of the resource allocation in the market economy,embedding such factors as emission reduction,low-carbon,environmental protection,etc.into the institutional framework of the market via rules,systems and policies.

Diversification as a Circumvention Strategy to Institutional Constraints in China

DEFF Research Database (Denmark)

Xie, Peihong; Li, Xin; Wu, Sibin

While unrelated diversification (i.e., conglomeration) is deemed value-destroying in the West, many Chinese private firms have been enthusiastically pursuing such a growth strategy. Conventional institutional view of diversification sees conglomerates as responses to market imperfections...... in emerging economies and believes conglomeration is value-creating because conglomerates can effectively fill the institutional voids in the emerging markets. Our literature review shows that the conventional institutional view on conglomeration mainly focuses on the value-creating aspects while neglects...... the socially counterproductive rent-seeking aspects of conglomeration strategy in institution-weak countries (Khanna & Palepu, 2000). In this paper, we fill the gap by examining some unconventional diversifications and point out their rent-seeking nature in China. We have proposed an official...

Factors Influencing Academic Failure of University Students

Science.gov (United States)

Khan, Yousaf Ali; Ahamad, Zahoor; Kousar, Sadia

2013-01-01

There was a close link between education and development. Education played a vital role in human capital formation. Academic failure from university was a problem that had became a serious concern for higher education institutions. This study presented the result of a recent investigation at the University of Gujrat that attempted to identify the…

SOME ASPECTS OF USING GOOGLE APPS INTO HIGHER EDUCATIONAL INSTITUTION

Directory of Open Access Journals (Sweden)

V. Oleksyuk

2013-03-01

Full Text Available The article investigated the concept of information and educational space» and determined the aspects of integration of its services. The unified authentication is an important component of information and educational space. It can be based on LDAP-directory. This study presented the main advantages of using Google Apps in process of learning. We described the experience of the integration Google Apps into information and educational space of Department of Physics and Mathematics of Ternopil V. Hnatyuk National Pedagogical University.

Provisional crown failures in dental school predoctoral clinics.

Science.gov (United States)

Hyde, Jeffrey D; Bader, James A; Shugars, Daniel A

2007-11-01

Following a preliminary study indicating that at least 10 percent of single-unit crown temporary restorations failed in patients who received treatment by predoctoral students, a comprehensive examination of provisional crown failure was initiated to identify strategies to reduce the failure rate. For all provisionalized, natural tooth, single-unit crown preparations in University of North Carolina School of Dentistry predoctoral clinics for one year (N=1008), we noted tooth type, type of crown, student level, faculty coverage experience, treatment clinic, temporary material and luting agent, and retreatment (failure) of the provisional restoration. For failures, we also noted the stage of crown preparation at failure and the time since initial placement of the temporary. We analyzed these data using simple cross-tabs and logistic regression on need for retreatment (alpha =0.05). The failure rate was 18.75 percent (N=189). The median time to failure was twelve days; the 25(th) and 75(th) percentiles were six and twenty-six days. Significant risk factors, in order of odds ratio estimates, were molar tooth, second- or third-year student, and inexperienced faculty. Most provisional failures occurred during the final preparation phase of treatment. Provisional restoration failure is more frequent than was initially suspected from preliminary studies. Strategies for institutional intervention to reduce provisional restoration failure include greater attention to evaluating provisional crowns placed by inexperienced students (sophomores and juniors) and placing more emphasis on the retentiveness of provisional restorations reused following the final impression. Review of provisional evaluation procedures is also indicated for faculty who do not routinely supervise these procedures.

RECOVERY STRATEGIES FOR SERVICE FAILURES

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Budeanu Andreea

2015-07-01

Full Text Available Internationally, services represent the most important sector of the economy both in terms of economic performance and labor utilization. Becoming essential part of today society, they are considered the basis of a healthy economy, fact that has increased the importance of services and the research in the field.T hrough this work we intend to address a number of issues that require clarification and are relevant to this sector. Increased competition and customers higher demands lead to difficulties in service delivery, so managers of service organizations must work hard towards developing appropiate strategies that can lead to improved customers satisfaction and to increased efficiency. Because it is inevitably for service providers to face situations in which service failure occurs and their customers are not satisfied, understanding the nature of service failures and the ways in which an organization can recover after a failure are considered key factors for achieving customer satisfaction. Since the data suggests that over 50% of customers who are facing problems are not satisfied with the way they were resolved, we consider appropriate to approach this topic. We intend to draw attention to service providers to the importance of proper management of service failure. They can find ways to recover from these failures and even to turn them into some very pleasant situations that can contribute to customer loyalty. This paper begins by highlighting the various features specific to services which contribute to the increased chances of failure, it continues by presenting the concepts of service failure and service recovery and then it presents some links that exist between service recovery and other aspects of providing services that are demonstrated in the literature. We hope that this paper will significantly contribute to the knowledge and development of the sector under analysis and will highlight some practices that will lead to improved

Media multitasking and failures of attention in everyday life.

Science.gov (United States)

Ralph, Brandon C W; Thomson, David R; Cheyne, James Allan; Smilek, Daniel

2014-09-01

Using a series of online self-report measures, we examine media multitasking, a particularly pervasive form of multitasking, and its relations to three aspects of everyday attention: (1) failures of attention and cognitive errors (2) mind wandering, and (3) attentional control with an emphasis on attentional switching and distractibility. We observed a positive correlation between levels of media multitasking and self-reports of attentional failures, as well as with reports of both spontaneous and deliberate mind wandering. No correlation was observed between media multitasking and self-reported memory failures, lending credence to the hypothesis that media multitasking may be specifically related to problems of inattention, rather than cognitive errors in general. Furthermore, media multitasking was not related with self-reports of difficulties in attention switching or distractibility. We offer a plausible causal structural model assessing both direct and indirect effects among media multitasking, attentional failures, mind wandering, and cognitive errors, with the heuristic goal of constraining and motivating theories of the effects of media multitasking on inattention.

Literature Review of Enterprise Systems Research Using Institutional Theory: Towards a Conceptual Model

DEFF Research Database (Denmark)

Svejvig, Per

This paper sets out to examine the use of institutional theory as a conceptually rich lens to study social issues of enterprise systems (ES) research. More precisely, the purpose is to categorize current ES research using institutional theory to develop a conceptual model that advances ES research...... model which advocates for multi-level and multi-theory approaches, and applies newer institutional aspects such as institutional logics. The findings show that institutional theory in ES research is in its infancy and adopts mainly traditional institutional aspects like isomorphism....... Key institutional features are presented such as isomorphism, rationalized myths, bridging macro and micro structures, and institutional logics and their implications for ES research are discussed. Through a literature review of 180 articles, of which 18 papers are selected, we build a conceptual...

Inductive analysis of failure patterns and of their impact on thermohydraulic circuits of nuclear power plants

International Nuclear Information System (INIS)

Limnios, N.

1983-01-01

The APACHE code (Automatic Analysis of Failures of Hydraulic and Thermohydraulic Circuits more particularly of Water) situates in an important program of computer codes development in the field of studies on reliability and safety of systems in nuclear power plants. APACHE is an automatic generation code of failure pattern and of their effects. After a presentation of the theoretical basis, the methodological principles of the theory of networks are developed. Then, the model of the code is developed: model of individual behavior of each classical model component of normal behavior and model of failure pattern with specifications. The global model of hydraulic systems and the resolution systems are then developed. More particularly, some aspects of the theory of graphs, and the algorithms developed for the automatic construction of the equation systems and especially the algorithm of the research of meshes are presented. The computer aspect of the code and the programming of the code with its limits and some specifications are described. The practical aspect of utilization is finally presented [fr

Treatment of respiratory failure in COPD

Directory of Open Access Journals (Sweden)

Stephan Budweiser

2008-12-01

Full Text Available Stephan Budweiser1, Rudolf A Jörres2, Michael Pfeifer1,31Center for Pneumology, Hospital Donaustauf, Donaustauf, Germany; 2Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Ludwig-Maximilians-University, Munich, Germany; 3Department of Internal Medicine II, Division of Respirology, University of Regensburg, Regensburg, GermanyAbstract: Patients with advanced COPD and acute or chronic respiratory failure are at high risk for death. Beyond pharmacological treatment, supplemental oxygen and mechanical ventilation are major treatment options. This review describes the physiological concepts underlying respiratory failure and its therapy, as well as important treatment outcomes. The rationale for the controlled supply of oxygen in acute hypoxic respiratory failure is undisputed. There is also a clear survival benefit from long-term oxygen therapy in patients with chronic hypoxia, while in mild, nocturnal, or exercise-induced hypoxemia such long-term benefits appear questionable. Furthermore, much evidence supports the use of non-invasive positive pressure ventilation in acute hypercapnic respiratory failure. It application reduces intubation and mortality rates, and the duration of intensive care unit or hospital stays, particularly in the presence of mild to moderate respiratory acidosis. COPD with chronic hypercapnic respiratory failure became a major indication for domiciliary mechanical ventilation, based on pathophysiological reasoning and on data regarding symptoms and quality of life. Still, however, its relevance for long-term survival has to be substantiated in prospective controlled studies. Such studies might preferentially recruit patients with repeated hypercapnic decompensation or a high risk for death, while ensuring effective ventilation and the patients’ adherence to therapy.Keywords: respiratory failure, COPD, mechanical ventilation, non-invasive ventilation long-term oxygen therapy, chronic

Insomnia: psychological and neurobiological aspects and non-pharmacological treatments

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Yara Fleury Molen

2014-01-01

Full Text Available Insomnia involves difficulty in falling asleep, maintaining sleep or having refreshing sleep. This review gathers the existing informations seeking to explain insomnia, including those that focus on psychological aspects and those considered neurobiological. Insomnia has been defined in psychological (cognitive components, such as worries and rumination, and behavioral aspects, such as classic conditioning and physiological terms (increased metabolic rate, with increased muscle tone, heart rate and temperature. From the neurobiological point of view, there are two perspectives: one which proposes that insomnia occurs in association with a failure to inhibit wakefulness and another that considers hyperarousal as having an important role in the physiology of sleep. The non-pharmacological interventions developed to face different aspects of insomnia are presented.

FUNDING PUBLIC INSTITUTIONS IN ROMANIA

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Florin-Constantin, DIMA

2014-11-01

Full Text Available The development of this article started from the fact that in the field of public institutions accounting there have been many changes and it aims to capture the essential aspects of their financing. Thus the article covers a series of issues related to the credit officers, to employment, to settlement and payment of public institutions expenditure, to the budgeting and budgetary credits accounting. It also presents a brief classification of the public institutions according to several criteria, as well as their financing sources. The paper also practically presents the accounting of the budgetary credits and their sharing mechanism between the principal, secondary and tertiary budgetary credits officers.

Institutional Diversity in Collective Action: Investigating Successful Village Level Maintenance of Hand Pumps in Malawi

Science.gov (United States)

Joubert, Brian Anthony

Providing clean water to rural communities in sub-Saharan Africa remains a challenge. Unsanitary and distant water sources cause a host of health and humanitarian problems. A common means of remedying this situation has been the donation of improved water sources, fitted with low-cost hand pumps. Due donor capacity and/ or policy most hand pumps are donated under the guise of Village Level Operation and Maintenance (VLOM). This premises the notion that recipient communities will take ownership of the new pump and as such will ensure its maintenance. To assist with this many donors carry out programs of technical repair training and the structuring of in-village leadership and management groups. The reality is that a high proportion of these pumps break down after donation and cease to work thereafter. Measures to redress technical elements of these failures through increased training or adequate distribution of spares has seen some success but failure rates remains high. This has led to a call for more attention to demand side issues, focusing on the communal aspects that may influence a village to act collectively in the maintenance of its hand pump. This thesis researched five Malawian villages where the community had maintained their hand pumps for a period of 10 or more years. These hand pumps were treated as shared resources and the literature on common-pool resources and social institutions was used as a theoretical framework. Applying these theories proved to be appropriate for analyzing the norms, conventions and forms of cooperative conduct. This allowed the research to gain insights into institutional diversity and the relationship between 'formal institutions', most often exogenous in nature, and informal' or customary collective action institutions embedded within the communities. Findings showed the emergence of three predominant themes within these successful case studies: 1) the role of leadership at varying levels and how it is embodied

INSTITUTIONAL ASPECTS OF THE CAUSES AND CONSEQUENCES VIOLATION OF FINANCIAL STABILITY: HISTORICAL RETROSPECTIVE AND CURRENT UKRAINIAN REALITIES IN THE CONTEXT OF CHALLENGES OF EUROPEAN INTEGRATION

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I. Novikova

2016-06-01

Full Text Available The article analyzes the institutional aspect of the causes and consequences of violations of financial stability. Done analysis of famous historical examples of the emergence of inflationary bursts, as well as ways of establishing a financial equilibrium. In particular, states that often main cause of violations of financial stability becomes inflationary boom, which arose by wars, socio-economic and political contradictions. It was considered role of institutional instability in the context of the emergence of contemporary geopolitical challenges and socio-economic changes in Ukraine. The paper examines the impact of modern social and economic challenges on growth in inflation and on the deterioration of other macroeconomic indicators in Ukraine. At the end, was provided of the recommendations to overcome the financial problems in the national economy. Emphasized importance of the exchange rate stability of the currency.

Total hip arthroplasty at the rothman institute.

Science.gov (United States)

Austin, Matthew S; Higuera, Carlos A; Rothman, Richard H

2012-07-01

Total hip arthroplasty (THA) is one of the most successful surgical interventions devised in modern times. Attempts to change the current THA procedure with unproven innovations bring the risk of increased failure rates while trying to improve the benefit of the surgery. This manuscript examines the evolution of THA at the Rothman Institute illustrating the key elements that lead the success of this procedure at this institution. These key elements include femoral stem design, use of highly crossed-linked polyethylene and use of pain and rehabilitation protocols. We attempted to describe the long-term results regarding safety, effectiveness, and durability of specific THA implant designs used at this institution drawing on reported evidence in the literature. The authors performed a review of peer-reviewed articles related to the Rothman Institute's experience with THA. Total hip arthroplasty is an efficient, safe, and durable procedure. It is a highly successful operation to restore function and improve pain. The survivorship of THA procedures at the Rothman Institute is higher than 99% at 10 years based on mechanical failure. The use of collarless, tapered wedge femoral stem, highly crossed-linked polyethylene, and improved pain rehabilitation protocols have contributed to this success. There is a well-documented long-term survivorship after THA. Future innovation in THA should address new challenges with younger and more demanding patients, rather than change current methods that have a proven good survivorship. This innovation depends mainly upon improvements in the bearing surfaces and advances in pain control and rehabilitation.

Labour Market Institutions and Labour Market Performance in the European Union

OpenAIRE

Michal, Tvrdon

2008-01-01

The presented article deals with labour market institutions and labour market performance in the European Union. The first chapter is devoted to theoretical and methodological background of labour market performance. Theoretical literature has created a set of institutional aspects such as employment protection legislation, structure of wage bargaining, taxation of labour, active labour market policy, the system of unemployment and social benefits. All these aspects determine the institutiona...

FINANCIAL REPORTING IN PUBLIC INSTITUTIONS AND NON-FINANCIAL ENTITIES. SIMILARITIES AND DIFFERENCES

OpenAIRE

Daniela Vitan

2011-01-01

The present paperwork contains issues regarding financial reporting at the public institutions and non – financial entities. The main aspects are regarding the obligation of all entities to present the financial statements, the content of financial statements in public institutions and non-financial entities. Also, is presented the similarities and the differences aspects between financial reporting of these two patrimonial entities.

IMPROVEMENT OF QUALITY ASSURANCE SYSTEM ACTIVITIES OF HIGHER EDUCATION INSTITUTIONS

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Z. M. Sultalieva

2016-01-01

Full Text Available Abstract. The aim of the article is the improvement of quality assessment system of higher education institutions in the aspect of management. The problems of quality improvement are revealed and classified. The analysis of criteria assessment sets used to define the efficiency of higher education institutions activity is carried out. The components of quality of higher education institutions activity are specified. The structural model of quality assessment system of higher education institutions activity is offered. The analysis of macro environment of a university based on the method of strategic management is carried out, i.e. PEST analysis. As a result of the research a new model of macro criteria model of quality assessment system of higher education institutions, characterizing quality management as an approach to university efficiency is offered, moreover, this system can define the level of its competitiveness in the aspect of quality management. 

A characterization of check valve degradation and failure experience in the nuclear power industry: 1991 Failures, Volume 2

International Nuclear Information System (INIS)

McElhaney, K.L.

1995-07-01

Review and characterization of check valve failures taken from the Institute of Nuclear Power Operation's Nuclear Plant Reliability Data System was performed in accordance with part two of a three-phase project sponsored by the US Nuclear Regulatory Commission. The analysis was performed for check valve failures occurring in 1991 and is intended to update the previous analysis performed for the time period 1984--1990. To maintain consistency and for ease of the 1991 analysis presents the same parameters and cross-correlations in essentially the same format as the 1984--1990 study. Additional data was obtained for the 1991 analysis, including information related to specific check valve type. This information is presented in a separate section of the report

Has the Action for Failure to Act in the European Union Lost its Purpose?

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Daukšienė Inga

2014-12-01

Full Text Available This article analyzes the purpose of the action for failure to act under article 265 of the Treaty on the Functioning of the European Union (TFEU. The statements are derived from the analysis of scientific literature, relevant legislation, practice of the European Union Court of Justice (CJEU and the European Union General Court (EUGC. Useful information has also been obtained from the opinions of general advocates of the CJEU. The article of TFEU 265, which governs the action for failure to act, is very abstract. For this reason, a whole procedure under the article 265 TFEU was developed by the EU courts. The original purpose of the action for failure to act was to constitute whether European Union (EU institution properly fulfilled its obligations under the EU legislation. However, in the course of case-law, a mere EU institution’s express refusal to fulfill its duties became sufficient to constitute that the EU institution acted and therefore action for failure to act became devoid of purpose. This article analyzes whether the action for failure to act has lost its purpose and become an ineffective legal remedy in the system of judicial review in the EU. Additionally, the action for failure to act is compared to similar national actions.

Analysis of dependent failures in risk assessment and reliability evaluation

International Nuclear Information System (INIS)

Fleming, K.N.; Mosleh, A.; Kelley, A.P. Jr.; Gas-Cooled Reactors Associates, La Jolla, CA)

1983-01-01

The ability to estimate the risk of potential reactor accidents is largely determined by the ability to analyze statistically dependent multiple failures. The importance of dependent failures has been indicated in recent probabilistic risk assessment (PRA) studies as well as in reports of reactor operating experiences. This article highlights the importance of several different types of dependent failures from the perspective of the risk and reliability analyst and provides references to the methods and data available for their analysis. In addition to describing the current state of the art, some recent advances, pitfalls, misconceptions, and limitations of some approaches to dependent failure analysis are addressed. A summary is included of the discourse on this subject, which is presented in the Institute of Electrical and Electronics Engineers/American Nuclear Society PRA Procedures Guide

Institutional Inertia and Institutional Change in an Expanding Normal-Form Game

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Torsten Heinrich

2013-08-01

Full Text Available We investigate aspects of institutional change in an evolutionary game-theoretic framework, in principle focusing on problems of coordination in groups when new solutions to a problem become available. In an evolutionary game with an underlying dilemma structure, we let a number of new strategies become gradually available to the agents. The dilemma structure of the situation is not changed by these. Older strategies offer a lesser payoff than newly available ones. The problem that agents have to solve for realizing improved results is, therefore, to coordinate on newly available strategies. Strategies are taken to represent institutions; the coordination on a new strategy by agents, hence, represents a change in the institutional framework of a group. The simulations we run show a stable pattern regarding such institutional changes. A number of institutions are found to coexist, with the specific number depending on the relation of payoffs achievable through the coordination of different strategies. Usually, the strategies leading to the highest possible payoff are not among these. This can be taken to reflect the heterogeneity of rules in larger groups, with different subgroups showing different behavior patterns.

Multiple sequential failure model: A probabilistic approach to quantifying human error dependency

International Nuclear Information System (INIS)

Samanta

1985-01-01

This paper rpesents a probabilistic approach to quantifying human error dependency when multiple tasks are performed. Dependent human failures are dominant contributors to risks from nuclear power plants. An overview of the Multiple Sequential Failure (MSF) model developed and its use in probabilistic risk assessments (PRAs) depending on the available data are discussed. A small-scale psychological experiment was conducted on the nature of human dependency and the interpretation of the experimental data by the MSF model show remarkable accommodation of the dependent failure data. The model, which provides an unique method for quantification of dependent failures in human reliability analysis, can be used in conjunction with any of the general methods currently used for performing the human reliability aspect in PRAs

Economic Modelling in Institutional Economic Theory

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Wadim Strielkowski

2017-06-01

Full Text Available Our paper is centered around the formation of theory of institutional modelling that includes principles and ideas reflecting the laws of societal development within the framework of institutional economic theory. We scrutinize and discuss the scientific principles of this institutional modelling that are increasingly postulated by the classics of institutional theory and find their way into the basics of the institutional economics. We propose scientific ideas concerning the new innovative approaches to institutional modelling. These ideas have been devised and developed on the basis of the results of our own original design, as well as on the formalisation and measurements of economic institutions, their functioning and evolution. Moreover, we consider the applied aspects of the institutional theory of modelling and employ them in our research for formalizing our results and maximising the practical outcome of our paper. Our results and findings might be useful for the researchers and stakeholders searching for the systematic and comprehensive description of institutional level modelling, the principles involved in this process and the main provisions of the institutional theory of economic modelling.

Root cause of failure analysis and the system engineer

International Nuclear Information System (INIS)

Coppock, M.S.; Hartwig, A.W.

1990-01-01

In an industry where ever-increasing emphasis is being placed on root cause of failure determination, it is imperative that a successful nuclear utility have an effective means of identifying failures and performing the necessary analyses. The current Institute of Nuclear Power Operations (INPO) good practice, OE-907, root-cause analysis, gives references to methodology that will help determine breakdowns in procedures, programs, or design but gives very little guidance on how or when to perform component root cause of failure analyses. The system engineers of nuclear utilities are considered the focal point for their respective systems and are required by most programs to investigate component failures. The problem that the system engineer faces in determining a component root cause of failures lies in acquisition of the necessary data to identify the need to perform the analysis and in having the techniques and equipment available to perform it. The system engineers at the Palo Verde nuclear generating station routinely perform detailed component root cause of failure analyses. The Palo Verde program provides the system engineers with the information necessary to identify when a component root cause of failure is required. Palo Verde also has the necessary equipment on-site to perform the analyses

Epidemiological aspects of illicit psychoactive substance dependents the interned in psychiatric institution of Criciúma-SC

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Zunei Votri

2009-01-01

Full Text Available The research is about a descriptive study of quantitative boarding, developed in October of 2008 in the Psychiatric Hospital of the city of Criciúma-SC, with the objective to identify to the aspects epidemiologists of the illicit psychoactive substance dependents. The specific objectives of the study had been: to identify illicit psychoactive substance dependents interned through handbooks of the institution; to inquire the number of psychiatric readmissions in the studied population; to identify the types of more common illicit psychoactive substances, To identify to aspects epidemiologists of the psychoactive substance dependents from dependent 0 variable: sex, age, age group, level of instruction, race, civil state, number of children, religion, profession and origin; e changeable independent: type of used substance, time of use, number of internments and clinical patology associates. The interest for the research subject appeared from the comment in field of work for presenting great number of patients interned for abuse or dependence of psychoactive substances and its social repercussion. 193 handbooks had been inquired, being that 13 had been identified with illicit psychoactive substance diagnosis in the period of the collection of data, having the prevalence in the masculine sex (9, of the white race (11, the majority single (7, with a young age group, on average 35 years. The majority interned involuntarily (8 and the number of readmissions was equivalent 50% of patients and others 50% having its first internment. How much to the types of used illicit psychoactive substances more, the most cited they had been marijuana (20%, crack (17% and cocaine (17%. The half of the sample almost possess clinical illnesses associates, as cardiopathy, diabetes, hepatitis C, arterial hypertension and HIV (Virus of the Immunodeficiency Human being. From these results one sees it importance of clarification and organization of preventive programs in

Graves' disease presenting as right heart failure with severe pulmonary hypertension

OpenAIRE

Furqan Mohd Akram Khan; Anannya Mukherji; Shekhar T. Nabar; Ashwini G

2016-01-01

We report a patient who presented to our institution with clinical features of right sided heart failure and hyperthyroidism. Diagnosis of grave's disease induced reversible severe pulmonary hypertension leading to severe tricuspid regurgitation and right sided heart failure was made after all the common causes were ruled out using the biochemical and radiological investigations and review of literature. Graves disease is a common cause hyperthyroidism, is an immune system disorder that resul...

Failure mode and effects analysis in a dual-product microsphere brachytherapy environment.

Science.gov (United States)

Younge, Kelly Cooper; Lee, Choonik; Moran, Jean M; Feng, Mary; Novelli, Paula; Prisciandaro, Joann I

We performed a failure mode and effects analysis (FMEA) during the addition of a new microspheres product into our existing microsphere brachytherapy program to identify areas for safety improvements. A diverse group of team members from the microsphere program participated in the project to create a process map, identify and score failure modes, and discuss programmatic changes to address the highest ranking items. We developed custom severity ranking scales for staff- and institution-related failure modes to encompass possible risks that may exist outside of patient-based effects. Between both types of microsphere products, 173 failure mode/effect pairs were identified: 90 for patients, 35 for staff, and 48 for the institution. The SIR-Spheres program was ranked separately from the TheraSphere program because of significant differences in workflow during dose calculation, preparation, and delivery. High-ranking failure modes in each category were addressed with programmatic changes. The FMEA aided in identifying potential risk factors in our microsphere program and allowed a theoretically safer and more efficient design of the workflow and quality assurance for both our new SIR-Spheres program and our existing TheraSphere program. As new guidelines are made available, and our experience with the SIR-Spheres program increases, we will update the FMEA as an efficient starting point for future improvements. Copyright © 2016 American Society for Radiation Oncology. Published by Elsevier Inc. All rights reserved.

Sensor Failure Detection of FASSIP System using Principal Component Analysis

Science.gov (United States)

Sudarno; Juarsa, Mulya; Santosa, Kussigit; Deswandri; Sunaryo, Geni Rina

2018-02-01

In the nuclear reactor accident of Fukushima Daiichi in Japan, the damages of core and pressure vessel were caused by the failure of its active cooling system (diesel generator was inundated by tsunami). Thus researches on passive cooling system for Nuclear Power Plant are performed to improve the safety aspects of nuclear reactors. The FASSIP system (Passive System Simulation Facility) is an installation used to study the characteristics of passive cooling systems at nuclear power plants. The accuracy of sensor measurement of FASSIP system is essential, because as the basis for determining the characteristics of a passive cooling system. In this research, a sensor failure detection method for FASSIP system is developed, so the indication of sensor failures can be detected early. The method used is Principal Component Analysis (PCA) to reduce the dimension of the sensor, with the Squarred Prediction Error (SPE) and statistic Hotteling criteria for detecting sensor failure indication. The results shows that PCA method is capable to detect the occurrence of a failure at any sensor.

Management of failure after surgery for gastro-esophageal reflux disease.

Science.gov (United States)

Gronnier, C; Degrandi, O; Collet, D

2018-04-01

Surgical treatment of gastro-esophageal reflux disease (ST-GERD) is well-codified and offers an alternative to long-term medical treatment with a better efficacy for short and long-term outcomes. However, failure of ST-GERD is observed in 2-20% of patients; management is challenging and not standardized. The aim of this study is to analyze the causes of failure and to provide a treatment algorithm. The clinical aspects of ST-GERD failure are variable including persistent reflux, dysphagia or permanent discomfort leading to an important degradation of the quality of life. A morphological and functional pre-therapeutic evaluation is necessary to: (i) determine whether the symptoms are due to recurrence of reflux or to an error in initial indication and (ii) to understand the cause of the failure. The most frequent causes of failure of ST-GERD include errors in the initial indication, which often only need medical treatment, and surgical technical errors, for which surgical redo surgery can be difficult. Multidisciplinary management is necessary in order to offer the best-adapted treatment. Copyright © 2018. Published by Elsevier Masson SAS.

Functional and planning structures of education institutions areas

OpenAIRE

Соколова, Юлія Віталіївна; Ковальська, Гелена Леонідівна

2014-01-01

The article discusses the main aspects of functional and planning organization of the education institutions. The features of the schools stationing in the city structure and its future extension are also defined. The major functional subdivisions are considered and the role of each of it in the education institution structure is investigated. The ratio of the functional zones depending on the specialization of educational institution is determined. The advantages of the functional zone coope...

Modes of failure of Osteonics constrained tripolar implants: a retrospective analysis of forty-three failed implants.

Science.gov (United States)

Guyen, Olivier; Lewallen, David G; Cabanela, Miguel E

2008-07-01

The Osteonics constrained tripolar implant has been one of the most commonly used options to manage recurrent instability after total hip arthroplasty. Mechanical failures were expected and have been reported. The purpose of this retrospective review was to identify the observed modes of failure of this device. Forty-three failed Osteonics constrained tripolar implants were revised at our institution between September 1997 and April 2005. All revisions related to the constrained acetabular component only were considered as failures. All of the devices had been inserted for recurrent or intraoperative instability during revision procedures. Seven different methods of implantation were used. Operative reports and radiographs were reviewed to identify the modes of failure. The average time to failure of the forty-three implants was 28.4 months. A total of five modes of failure were observed: failure at the bone-implant interface (type I), which occurred in eleven hips; failure at the mechanisms holding the constrained liner to the metal shell (type II), in six hips; failure of the retaining mechanism of the bipolar component (type III), in ten hips; dislocation of the prosthetic head at the inner bearing of the bipolar component (type IV), in three hips; and infection (type V), in twelve hips. The mode of failure remained unknown in one hip that had been revised at another institution. The Osteonics constrained tripolar total hip arthroplasty implant is a complex device involving many parts. We showed that failure of this device can occur at most of its interfaces. It would therefore appear logical to limit its application to salvage situations.

Does bank failure affect client firms? Micro evidence from Estonia

Czech Academy of Sciences Publication Activity Database

Joeveer, Karin

-, č. 224 (2004), s. 1-29 ISSN 1211-3298 Institutional research plan: CEZ:AV0Z7085904 Keywords : bank failure * client firm performance * firm bank ruptcy Subject RIV: AH - Economics http://www.cerge-ei.cz/pdf/wp/Wp224.pdf

The moral aspects of teacher educators' practices

NARCIS (Netherlands)

Willemse, W.; Lunenberg, M.L.; Korthagen, F.

2008-01-01

The growing political, social and scientific attention that is being devoted to the moral aspects of teaching has implications for teacher education. This paper reports on a study of the actual moral education practices of 54 teacher educators within one institution. We encouraged these teacher

Simple bounds for counting processes with monotone rate of occurrence of failures

International Nuclear Information System (INIS)

Kaminskiy, Mark P.

2007-01-01

The article discusses some aspects of analogy between certain classes of distributions used as models for time to failure of nonrepairable objects, and the counting processes used as models for failure process for repairable objects. The notion of quantiles for the counting processes with strictly increasing cumulative intensity function is introduced. The classes of counting processes with increasing (decreasing) rate of occurrence of failures are considered. For these classes, the useful nonparametric bounds for cumulative intensity function based on one known quantile are obtained. These bounds, which can be used for repairable objects, are similar to the bounds introduced by Barlow and Marshall [Barlow, R. Marshall, A. Bounds for distributions with monotone hazard rate, I and II. Ann Math Stat 1964; 35: 1234-74] for IFRA (DFRA) time to failure distributions applicable to nonrepairable objects

Aspects of leak before break quantification in pressurized pipes

International Nuclear Information System (INIS)

Hellen, R.A.J.; Darlaston, B.J.L.; Connors, D.C.

1980-01-01

In fitness for purpose studies of pressurized structures containing defects, the concept of leak before break is often invoked. As the assumptions used in the concept are sometimes very pessimistic it is desirable to be able to quantify them more precisely. Two aspects are currently receiving attention; these are the way in which a crack profile develops during fatigue and what happens when the remaining ligament below the crack fails. These aspects are being evaluated experimentally and theoretically. Data are presented from tests on pipes subjected to cyclic pressure and subsequently failed. An analytical approach is proposed on the question of ligament failure, this being based on the development of some recent work on flat plates. The overall question of leak before break is considered. As the understanding and confidence increases, it is possible to reduce the range of interest and focus on specific aspects of the problem. This paper examines these aspects. (author)

Erving Goffman's asylums and institutional culture in the mid-twentieth-century United States.

Science.gov (United States)

Gambino, Matthew

2013-01-01

Sociologist Erving Goffman based his seminal work Asylums (1961) on a year of field research at St. Elizabeths Hospital in Washington, DC. Goffman described the mental hospital as a "total institution," in which regimentation dominated every aspect of daily life and patients were denied even the most basic means of self-expression; rather than promote recovery, such conditions produced the sorts of disordered behavior for which men and women were ostensibly admitted. A closer look at the changes transforming St. Elizabeths around the time of Goffman's research reveals a far richer portrait of institutional culture. Group therapy, psychodrama, art and dance therapy, patient newspapers, and patient self-government-each of which debuted at the hospital in the 1940s and 1950s-provided novel opportunities for men and women to make themselves heard and to take their fate into their own hands. While these initiatives did not reach all of the patients at St. Elizabeths, surviving documentation suggests that those who participated found their involvement rewarding and empowering. Goffman explicitly set out to describe "the social world of the hospital inmate." His failure to appreciate fully the capacities of his subjects, however, appears to have led him to underestimate the importance of these developments.

Institutional discourses and ascribed disability identities

Directory of Open Access Journals (Sweden)

Mukta Kulkarni

2017-09-01

Full Text Available In the present study we asked: how do institutional discourses, as represented in mass media such as newspapers, confer identities upon a traditionally marginalised collective such as those with a disability? To answer our question, we examined Indian newspaper discourse from 2001 to 2010, the time period between two census counts. We observed that disability identities—that of a welfare recipient, a collective with human rights, a collective that is vulnerable, and that engages in miscreancy—were ascribed through selective highlighting of certain aspects of the collective, thereby socially positioning the collective, and through the associated signalling of institutional subject positions. Present observations indicate that identities of a collective can be governed by institutional discourse, that those “labelled” can themselves reinforce institutionally ascribed identities, and that as institutional discourses confer identities onto the marginalised, they simultaneously also signal who the relatively more powerful institutional actors are.

SIMBOL test facility. Safety aspects. Amended version; SIMBOL experimenteerfaciliteit. Veiligheidsaspecten. Geamendeerde versie

Energy Technology Data Exchange (ETDEWEB)

Schoonewelle, H.

1995-12-01

A detailed description is given of the bubble chamber SIMBOL at the HOR reactor in Delft, Netherlands, including drawings, applied materials and dimensions. Attention is paid to the nuclear and radiological aspects of the installation and an overview is given of the procedures for the realization, the testing and the operational safety of the chamber. Also the results of a failure and accident analysis are presented. Finally, the dismantlement aspects are dealt with. 5 appendices, 12 refs.

Marketing aspects of consolidation of higher education institutions

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Walczak, Jan

2017-09-01

Full Text Available The article provides a description of good practice in connection with the completed consolidation of two higher education institutions – the Lower Silesian College of Enterprise and Technology in Polkowice and the Copper Belt Technical College in Lubin into the Jan Wyżykowski University with its seat in Polkowice and a Branch Faculty in Lubin. This process began in autumn of 2015 and was brought to completion by the decision of the Minister of Science and Higher Education. The author points to image implications and marketing challenges, discusses the rebranding process (new logo and name as well as the actions this entailed. The article also deals with the creation of a new website, actions within interconnected social media, the ongoing billboard and media advertising campaign. Several difficulties that promotion department staff of are faced with in connection with the consolidation process of two higher education establishments were identified by the author, which include building a brand from scratch and communicating with staff with respect to the planned and implemented changes.

Dispersed trading and the prevention of market failure

DEFF Research Database (Denmark)

Porter, David C.; Tanggaard, Carsten; Weaver, Daniel G.

2008-01-01

With augmented demands on power grids resulting in longer and larger blackouts combined with heightened concerns of terrorist attacks, trading institutions and policy makers have widened their search for systems that avoid market failure during these disturbing events. We provide insight...... into this issue by examining trading behaviour at the Copenhagen Stock Exchange during a major blackout. We find that although market quality declined, markets remained functional and some price discovery occurred during the blackout period suggesting that the NOREX structure of interlinked trading systems...... combined with widely dispersed trading locations may be a viable means of protection against market failure during massive power disruptions or terrorist attacks....

Reliability optimization of a redundant system with failure dependencies

Energy Technology Data Exchange (ETDEWEB)

Yu Haiyang [Institute Charles Delaunay (ICD, FRE CNRS 2848), Troyes University of Technology, Rue Marie Curie, BP 2060, 10010 Troyes (France)]. E-mail: Haiyang.YU@utt.fr; Chu Chengbin [Institute Charles Delaunay (ICD, FRE CNRS 2848), Troyes University of Technology, Rue Marie Curie, BP 2060, 10010 Troyes (France); Management School, Hefei University of Technology, 193 Tunxi Road, Hefei (China); Chatelet, Eric [Institute Charles Delaunay (ICD, FRE CNRS 2848), Troyes University of Technology, Rue Marie Curie, BP 2060, 10010 Troyes (France); Yalaoui, Farouk [Institute Charles Delaunay (ICD, FRE CNRS 2848), Troyes University of Technology, Rue Marie Curie, BP 2060, 10010 Troyes (France)

2007-12-15

In a multi-component system, the failure of one component can reduce the system reliability in two aspects: loss of the reliability contribution of this failed component, and the reconfiguration of the system, e.g., the redistribution of the system loading. The system reconfiguration can be triggered by the component failures as well as by adding redundancies. Hence, dependency is essential for the design of a multi-component system. In this paper, we study the design of a redundant system with the consideration of a specific kind of failure dependency, i.e., the redundant dependency. The dependence function is introduced to quantify the redundant dependency. With the dependence function, the redundant dependencies are further classified as independence, weak, linear, and strong dependencies. In addition, this classification is useful in that it facilitates the optimization resolution of the system design. Finally, an example is presented to illustrate the concept of redundant dependency and its application in system design. This paper thus conveys the significance of failure dependencies in the reliability optimization of systems.

Reliability optimization of a redundant system with failure dependencies

International Nuclear Information System (INIS)

Yu Haiyang; Chu Chengbin; Chatelet, Eric; Yalaoui, Farouk

2007-01-01

In a multi-component system, the failure of one component can reduce the system reliability in two aspects: loss of the reliability contribution of this failed component, and the reconfiguration of the system, e.g., the redistribution of the system loading. The system reconfiguration can be triggered by the component failures as well as by adding redundancies. Hence, dependency is essential for the design of a multi-component system. In this paper, we study the design of a redundant system with the consideration of a specific kind of failure dependency, i.e., the redundant dependency. The dependence function is introduced to quantify the redundant dependency. With the dependence function, the redundant dependencies are further classified as independence, weak, linear, and strong dependencies. In addition, this classification is useful in that it facilitates the optimization resolution of the system design. Finally, an example is presented to illustrate the concept of redundant dependency and its application in system design. This paper thus conveys the significance of failure dependencies in the reliability optimization of systems

Social and economic aspects of radioactive waste disposal: considerations for institutional management

International Nuclear Information System (INIS)

1984-01-01

Issues addressed in this book include: magnitude, characteristics, and trends of public concerns over radioactive waste; the issue of public trust and confidence in the institutions responsible for radioactive waste management; effects of the number and location of waste repositories on socioeconomic and institutional burdens associated with nuclear waste management; effects associated with interim storage facilities located at reactors or away from reactors; kinds and relative magnitudes of effects associated with the use of alternative forms of transportation (rail, truck, barge); participation by local citizens in identifying, assessing, and proposing ways to ameliorate social and economic siting effects; and potential options for resolving conflict at federal, state, and local levels over repository siting

Neurological Complications in Child with Chronic Renal Failure

Directory of Open Access Journals (Sweden)

Faruk Incecik

2003-08-01

Full Text Available Congenital uremic encephalopathy, progressive dialysis encephalopathy, Wernicke encefalopathy, headache, seizures because of dialysis, disequilibrium syndrome, cerebral hemorrhage and uremic neuropathy are the neurologic complications seen in child with chronic renal failure. Here it is aimed to discuss these complications with literature, and to emphasize the importance of evaluation of patients with these aspects. [Archives Medical Review Journal 2003; 12(4.000: 406-412

Infectious complications in chronic renal failure

OpenAIRE

Kielberger, Lukáš

2014-01-01

INFECTIOUS COMPLICATIONS IN CHRONIC RENAL FAILURE Infections represent a serious problem in chronic kidney disease (cohort and they are) associated with signifficant morbidity and mortality. The thesis originated in the nephrology division of the Department of Internal Medicine I., Charles University Teaching Hospital and Medical Faculty in Pilsen, an institution with a long standing research activity in the field. In the theoretical part of this work, a general summary of infectious complica...

Establishing and sustaining a technical program to achieve zero fuel failures

International Nuclear Information System (INIS)

Deshon, J.; Whiteside, K.; Burnham, R.

2015-01-01

In 2006, Chief Nuclear Officers (CNOs) of electric utilities operating 103 commercial reactors in the United States (U.S.) formally endorsed an initiative to achieve failure-free fuel performance by the end of 2010. This became known as the Zero-by- Ten Fuel Failure Initiative. The endorsement manifested during a meeting at the Institute of Nuclear Power Operations (INPO) while nuclear fuel performance trends were being reviewed. Declining fuel performance generated backing for the Initiative. This paper provides a brief review of some of the drivers that caused those trends, the Initiative elements designed to address them, and a review of the technical program that helped achieve, and thus far sustain, improved fuel performance. (author) Key Words: Nuclear Fuel, Fuel, Fuel Failures, Fuel Failure Initiative, Zero by Ten Initiative

Myocardial Energetics and Heart Failure: a Review of Recent Therapeutic Trials.

Science.gov (United States)

Bhatt, Kunal N; Butler, Javed

2018-06-01

Several novel therapeutics being tested in patients with heart failure are based on myocardial energetics. This review will provide a summary of the recent trials in this area, including therapeutic options targeting various aspects of cellular and mitochondrial metabolism. Agents that improve the energetic balance in myocardial cells have the potential to improve clinical heart failure status. The most promising therapies currently under investigation in this arena include (1) elamipretide, a cardiolipin stabilizer; (2) repletion of iron deficiency with intravenous ferrous carboxymaltose; (3) coenzyme Q10; and (4) the partial adenosine receptor antagonists capadenoson and neladenosone. Myocardial energetics-based therapeutics are groundbreaking in that they utilize novel mechanisms of action to improve heart failure symptoms, without causing the adverse neurohormonal side effects associated with current guideline-based therapies. The drugs appear likely to be added to the heart failure therapy armamentarium as adjuncts to current regimens in the near future.

Qt interval prolongation and ventricular arrhythmias in patients with chronic heart failure

International Nuclear Information System (INIS)

Sarwar, M.; Majeed, S.M.I.; Khan, M.A.; Majeed, S.M.

2014-01-01

To determine the association of QTc interval prolongation with ventricular arrhythmias in patients with chronic heart failure. Study Design: Descriptive study. Place and Duration of Study: This study was conducted at Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi, Pakistan from April 2013 to August 2013. Patients and Methods: Fifty three heart failure patients were monitored for 48 hours using ambulatory holter electrocardiography recorders. Digital ECG data was analyzed for QTc interval along with frequency and severity of arrhythmias. Association of prolonged QTc interval with ventricular arrhythmias and severity of arrhythmias was analyzed. Results: Cardiac arrhythmias were observed in 79.2% patients. QT analysis revealed that 69.8% patients had prolonged QTc interval, 86.4% patients with prolonged QTc had ventricular arrhythmias. Of these 66% patients were found to have severe ventricular arrhythmias. Comparison of mean QTc interval of our study population with a reference value showed significantly higher QTc interval of our study group than the test value. Conclusion: Arrhythmia frequency and severity significantly increases with an increase in QTc interval in heart failure demonstrating association of prolonged QTc interval with high risk of severe ventricular arrhythmias and sudden cardiac death in chronic heart failure. (author)

Chronic valvular disease: correlation between clinical, electrocardiographic, radiographic and echocardiographic aspects in dogs

International Nuclear Information System (INIS)

Soares, E.C.; Larsson, M.H.M.A.; Yamato, R.J.

2005-01-01

Echocardiographic aspects of chronic mitral valvular disease were studied and compared to physical, radiographic and electrocardiographic aspects. Seventy dogs were used, and clinical examination, thoracic radiography, electrocardiogram and echocardiogram were performed. Correlations between regurgitation severity with cardiac failure functional class and murmur intensity were observed. The electrocardiogram showed a low sensibility in detecting cardiac chamber enlargement, caused by mitral regurgitation. All the dogs with severe mitral regurgitation showed cardiomegaly according to thoracic radiographies

Fibronectin and Kupffer cell function in fulminant hepatic failure

International Nuclear Information System (INIS)

Imawari, M.; Hughes, R.D.; Gove, C.D.; Williams, R.

1985-01-01

The relationship between plasma fibronectin, in vitro plasma opsonic activity, which measures the biological activity of fibronectin, and in vivo Kupffer cell function, as assessed by the systemic clearance of microaggregated [ 125 I]albumin, were determined simultaneously in 15 patients with fulminant hepatic failure and 12 normal subjects. Both the plasma fibronectin and plasma opsonic activity were significantly reduced in patients with fulminant hepatic failure, while the systemic clearance of microaggregated albumin was decreased. There was a significant correlation between plasma fibronectin and the plasma opsonic activity on admission, but no correlation could be detected between either parameter and the clearance of microaggregated albumin. A gelatin-derived plasma expander was shown to block the plasma opsonic activity both in vitro and in vivo. The low plasma fibronectin and decreased clearance of microaggregated albumin in fulminant hepatic failure reflect different aspects of the overall impairment of Kupffer cell function

Institutional Aspects of European Commission Guidance in the Area of Antitrust Law

OpenAIRE

Ben Smulders

2009-01-01

From an institutional law perspective, the question arises how to qualify the more than thirty existing communications, notices and guidelines which the Commission has issued in the area of antitrust law.

The construction and legitimation of workplace bullying in the public sector: insight into power dynamics and organisational failures in health and social care.

Science.gov (United States)

Hutchinson, Marie; Jackson, Debra

2015-03-01

Health-care and public sector institutions are high-risk settings for workplace bullying. Despite growing acknowledgement of the scale and consequence of this pervasive problem, there has been little critical examination of the institutional power dynamics that enable bullying. In the aftermath of large-scale failures in care standards in public sector healthcare institutions, which were characterised by managerial bullying, attention to the nexus between bullying, power and institutional failures is warranted. In this study, employing Foucault's framework of power, we illuminate bullying as a feature of structures of power and knowledge in public sector institutions. Our analysis draws upon the experiences of a large sample (n = 3345) of workers in Australian public sector agencies - the type with which most nurses in the public setting will be familiar. In foregrounding these power dynamics, we provide further insight into how cultures that are antithetical to institutional missions can arise and seek to broaden the debate on the dynamics of care failures within public sector institutions. Understanding the practices of power in public sector institutions, particularly in the context of ongoing reform, has important implications for nursing. © 2014 John Wiley & Sons Ltd.

Management of growth failure in the treatment of malignant disease

International Nuclear Information System (INIS)

Leiper, A.D.

1990-01-01

Growth failure due to endocrine dysfunction as a result of treatment for malignant disease is becoming increasingly common. It may occur after cranial or craniospinal irradiation given in the treatment of acute lymphoblastic leukemia and brain tumors, and is often coupled with early or precocious puberty. It also occurs after neck and gonadal radiation and is particularly severe after total body irradiation where multiple endocrine deficiencies frequently occur. Failure to appreciate its occurrence or failure to institute therapy early enough may lead to short stature in adult life. Accurate and regular monitoring of standing and sitting height, bone age, and endocrine data should be undertaken by the oncologist in close collaboration with an endocrinologist, to ensure appropriate management of the patient. 17 references

Institute for Computational Mechanics in Propulsion (ICOMP). 10

Science.gov (United States)

Keith, Theo G., Jr. (Editor); Balog, Karen (Editor); Povinelli, Louis A. (Editor)

1996-01-01

The Institute for Computational Mechanics in Propulsion (ICOMP) is operated by the Ohio Aerospace Institute (OAI) and funded under a cooperative agreement by the NASA Lewis Research Center in Cleveland, Ohio. The purpose of ICOMP is to develop techniques to improve problem-solving capabilities in all aspects of computational mechanics related to propulsion. This report describes the activities at ICOUP during 1995.

Innovative aspects of enhancement of management processes in the higher educational institution on the basis of application of modern information and communication technologies

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I. E. Zhukovskya

2016-01-01

Full Text Available This article is devoted to innovative aspects of enhancement of management processes in a higher educational institution on the basis of application of modern information and communication technologies. Research purpose is development of theoretical provisions and practical recommendations about enhancement of management processes in higher education institution on the basis of application of information and communication technologies. This purpose has determined statement and the solution of the following tasks: to research theoretical essence and concept of corporate management of higher education institution; to determine the directions and forms of corporate management in higher education institution; to reveal feature of corporate management processes in higher education institutions; to determine the factors constraining implementation of the corporate principles of management of higher education institution; to develop technology of use of corporate mail of higher education institution on the basis of application of the program MS Outlook complex and a security system of Kerio Control. In the course of research methods of the economic, historical and logical analysis, system approach, a method of analogies, methods of generalization, method of expert evaluations, SWOT analysis, etc. were applied. Applied researches on this problem, and also practical experience of the Tashkent state economic university are used. During writing of article the results containing elements of scientifi c novelty are received: author’s defi nition «corporate management in higher education institution» on macro and microlevels is given. At the macrolevel – this state regulation, support and assistance of processes of implementation, transformation and adaptation of methods, models and the best practices (practice of corporate management to the sphere of the higher education, increase of degree of autonomy of higher education institutions

Failure assessment diagrams for circular hollow section X- and K-joints

International Nuclear Information System (INIS)

Qian, Xudong

2013-01-01

This paper reports the failure assessment curves for semi-elliptical surface cracks located at hot-spot positions in the circular hollow section X- and K-joints. The failure assessment curves derive from the square root of the ratio between the linear–elastic and the elastic–plastic energy release rates, computed from the domain-integral approach. This study examines both the material and geometric dependence of the failure assessment curves. The area reduction factor, used in defining the strength of the cracked joints, imposes a significant effect on the computed failure assessment curve. The failure assessment curves indicate negligible variations with respect to the crack-front locations and the material yield strength. The crack depth ratio exerts a stronger effect on the computed failure assessment curve than does the crack aspect ratio. This study proposes a parametric expression for the failure assessment curves based on the geometric parameters for surface cracks in circular hollow section X- and K-joints. -- Highlights: ► This study proposes geometric dependent expressions of FADs for tubular joints. ► We examine the geometric and material dependence of the FADs for X- and K-joints. ► The proposed FAD is independent of yield strength and is a lower-bound for typical hardening

The failure of introducing market institution in a rent sector into an economy in transition

International Nuclear Information System (INIS)

Locatelli, C.; Finon, D.

2003-07-01

Privatisation is at the heart of the structural reforms for economies in transition. In theory, the main aim of privatisation is to change the structures of corporate governance in order to improve the efficiency of the enterprises and to assure their long-term future in a competitive environment. The adoption of formal market institutions would be sufficient to secure the new property rights, in particular because the new holders of the rights to control assets would have a great incentive to encourage the definition of new judicial rules that would guarantee their rights of ownership. In Russia that did not happen. The paper discusses the narrowed vision of institutional change, without consideration of the previous environment of formal and informal institutions, and the need to put together the institutional infrastructure that is needed for the market institutions to function. It offers explanations of the 'unexpected' results of the reforms in a capital-intensive natural resource industry, namely the hydrocarbons industry characterized by the opportunity of rent extraction by the exportation. It demonstrates right holders' interest for the weakness of the 'rule of law'. It demonstrates that the incompatibility of these institutions with the initial informal and formal institutions has led to adaptations that are strongly path-dependent, under the need to preserve a minimum of inter-industrial coherence. (authors)

The failure of introducing market institution in a rent sector into an economy in transition

Energy Technology Data Exchange (ETDEWEB)

Locatelli, C.; Finon, D

2003-07-01

Privatisation is at the heart of the structural reforms for economies in transition. In theory, the main aim of privatisation is to change the structures of corporate governance in order to improve the efficiency of the enterprises and to assure their long-term future in a competitive environment. The adoption of formal market institutions would be sufficient to secure the new property rights, in particular because the new holders of the rights to control assets would have a great incentive to encourage the definition of new judicial rules that would guarantee their rights of ownership. In Russia that did not happen. The paper discusses the narrowed vision of institutional change, without consideration of the previous environment of formal and informal institutions, and the need to put together the institutional infrastructure that is needed for the market institutions to function. It offers explanations of the 'unexpected' results of the reforms in a capital-intensive natural resource industry, namely the hydrocarbons industry characterized by the opportunity of rent extraction by the exportation. It demonstrates right holders' interest for the weakness of the 'rule of law'. It demonstrates that the incompatibility of these institutions with the initial informal and formal institutions has led to adaptations that are strongly path-dependent, under the need to preserve a minimum of inter-industrial coherence. (authors)

Institute of confidential cooperation in the USA: organizational and juridical aspect

Directory of Open Access Journals (Sweden)

Іван Іванович Мусієнко

2016-01-01

Full Text Available One of the most efficient measures of crime counteraction is timely reporting law enforcement agencies during which a special role is dedicated to persons (informants. They provide assistance to authorized subjects in the sphere of corruption counteraction by giving operative significant information. Thus the article is aimed at the analysis of law enforcement bodies and special services of the USA experience concerning work with confidential sources. The latest tendencies of the US police activities are concentrated on the attraction of citizens to cooperation with police. Such cooperation is efficient in prevention of most hard crimes due to informants' assistance, i.e. people who display desire to cooperate with police. Scientists D. Sunshine and T. Tyler consider that the nature of relations between police and publicity has a great influence on the efficiency of crime counteraction, local citizens' welfare. The authors draw attention to the importance of establishing benevolent relations between police and local population. The given article also reveals the USA law enforcement agencies experience of institute of confidential cooperation using. Using of operative sources of information remains the most efficient tools for detection, suspension, disclosure and investigation of crimes in the whole world. With the aim of achievement of accuracy in terminology it is conducted the identification of different kinds of informants depending on their role and law enforcement institution they collaborate with. Conclusions. Actions in favor of society are a important element of informationship as social institute. The results of conducted analysis testify that the modern understanding of institute of confidential cooperation in the USA is grounded on the following principles: -        the object of message is information about any abuses, violations, immoral behavior that may cause significant violations of rights and duties of citizens

Marketing aspects of development of medical waste management in health care institutions in Ukraine

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Inesa Gurinа

2015-02-01

Full Text Available The concept of marketing approach to medical waste management in health care is suggested.The goal of research was to study the state of marketing activities of health care institutions on medical waste management and development trends of   resolution of outstanding issues.Methods. The methods, which were used in the research, are the methods of mathematical statistics, social studies and scientific knowledge.Results. Environmental marketing institutions of healthcare means perfectly safe for the environment provision of health services. The main directions of environmental marketing concept in health care institutions is the acceptance generally binding legal standards of Use Resources, strict control the formation and licensing of medical waste; economic incentives for workers, aimed at minimizing their interest in the volumes of medical waste; financing of R & D relative to the development of new waste and sound technologies; develop a system of taxes and penalties for polluting the environment and so on.Conclusions. As a result of the implementation of marketing strategies for managing medical waste of healthcare institutions are obtained strategic, social, environmental and economic benefits.

Evidence of institutionalizing elements in the Balanced Scorecard in the book Strategy in action: a view based on institutional theory

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Paschoal Tadeu Russo

2012-04-01

Full Text Available The Balanced Scorecard (BSC is a methodology that allows managers to define and implement a set of financial or nonfinancial indicators in a balanced way to assess an organization's performance from four viewpoints. Many companies are unsuccessful in their implementation of the BSC. This lack of success may be attributed to different factors, such as strategic problems, planning failures, and poorly defined targets and goals. However, the failed implementation may be attributed in part to the failure to institutionalize habits and routines. In this regard, this objective of this paper is to use institutional theory to determine whether the book Strategy in Action: Balanced Scorecard contains evidence that the BSC model proposed by the authors (Kaplan & Norton includes elements that favor the model's institutionalization. For this purpose, a qualitative bibliographic survey was prepared. The survey revealed 404 clues that were rated according to Tolbert and Zucker's description of the processes inherent to institutionalization and to Scott's proposed framework of legitimation/legitimizing. These findings suggest that the book primarily legitimizes the BSC by examining organizations and describes it as an acknowledged management instrument. The aspects supporting the semi-institutional stage (26% of the findings and the total institutionalization stage (10% of findings suggest that the authors intended to propose a tool without focusing on the institutionalization process, which may partly explain the great difficulty faced by companies attempting to implement this methodology.

Patterns and predictors of patient and caregiver engagement in heart failure care: a multi-level dyadic study.

Science.gov (United States)

Lee, Christopher S; Vellone, Ercole; Lyons, Karen S; Cocchieri, Antonello; Bidwell, Julie T; D'Agostino, Fabio; Hiatt, Shirin O; Alvaro, Rosaria; Buck, Harleah G; Riegel, Barbara

2015-02-01

Heart failure is a burdensome clinical syndrome, and patients and their caregivers are responsible for the vast majority of heart failure care. This study aimed to characterize naturally occurring archetypes of patient-caregiver dyads with respect to patient and caregiver contributions to heart failure self-care, and to identify patient-, caregiver- and dyadic-level determinants thereof. Dyadic analysis of cross-sectional data on patients and their caregivers. Outpatient heart failure clinics in 28 Italian provinces. 509 Italian heart failure patients and their primary caregivers. Multilevel and mixture modeling were used to generate dyadic averages and incongruence in patient and caregiver contributions to heart failure self-care and identify common dyadic archetypes, respectively. Three distinct archetypes were observed. 22.4% of dyads were labeled as novice and complementary because patients and caregivers contributed to different aspects of heart failure self-care that was generally poor; these dyads were predominantly older adults with less severe heart failure and their adult child caregivers. 56.4% of dyads were labeled as inconsistent and compensatory because caregivers reported greater contributions to the areas of self-care most insufficient on the part of the patients; patients in these dyads had the highest prevalence of hospitalizations for heart failure in the past year and the fewest limitations to performing activities of daily living independently. Finally, 21.2% of dyads were labeled as expert and collaborative because of high contributions to all aspects of heart failure self-care, the best relationship quality and lowest caregiver strain compared with the other archetypes; patients in this archetype were likely the sickest because they also had the worst heart failure-related quality of life. Three distinct archetypes of dyadic contributions to heart failure care were observed that represent a gradient in the level of contributions to self

Failure mode effects and criticality analysis: innovative risk assessment to identify critical areas for improvement in emergency department sepsis resuscitation.

Science.gov (United States)

Powell, Emilie S; O'Connor, Lanty M; Nannicelli, Anna P; Barker, Lisa T; Khare, Rahul K; Seivert, Nicholas P; Holl, Jane L; Vozenilek, John A

2014-06-01

Sepsis is an increasing problem in the practice of emergency medicine as the prevalence is increasing and optimal care to reduce mortality requires significant resources and time. Evidence-based septic shock resuscitation strategies exist, and rely on appropriate recognition and diagnosis, but variation in adherence to the recommendations and therefore outcomes remains. Our objective was to perform a multi-institutional prospective risk-assessment, using failure mode effects and criticality analysis (FMECA), to identify high-risk failures in ED sepsis resuscitation. We conducted a FMECA, which prospectively identifies critical areas for improvement in systems and processes of care, across three diverse hospitals. A multidisciplinary group of participants described the process of emergency department (ED) sepsis resuscitation to then create a comprehensive map and table listing all process steps and identified process failures. High-risk failures in sepsis resuscitation from each of the institutions were compiled to identify common high-risk failures. Common high-risk failures included limited availability of equipment to place the central venous catheter and conduct invasive monitoring, and cognitive overload leading to errors in decision-making. Additionally, we identified great variability in care processes across institutions. Several common high-risk failures in sepsis care exist: a disparity in resources available across hospitals, a lack of adherence to the invasive components of care, and cognitive barriers that affect expert clinicians' decision-making capabilities. Future work may concentrate on dissemination of non-invasive alternatives and overcoming cognitive barriers in diagnosis and knowledge translation.

Practical steps toward integrating economic, social and institutional elements in fisheries policy and management

DEFF Research Database (Denmark)

Stephenson, Robert L.; Benson, Ashleen J.; Brooks, Kate

2017-01-01

While international agreements and legislation call for incorporation of four pillars of sustainability, the social (including cultural), economic and institutional aspects (the ‘human dimension’) have been relatively neglected to date. Three key impediments have been identified: a relative lack...... of explicit social, economic and institutional objectives; a general lack of process (frameworks, governance) for routine integration of all four pillars of sustainability; and a bias towards biological considerations. Practical integration requires a ‘systems’ approach with explicit consideration...... in fisheries to immediately take five practical steps toward integrating ecological, economic, social and institutional aspects: (1) Adopt the perspective of the fishery as a ‘system’ with interacting natural, human and management elements; (2) Be aware of both strategic and operational aspects of fisheries...

Failure Modes Taxonomy for Reliability Assessment of Digital Instrumentation and Control Systems for Probabilistic Risk Analysis - Failure modes taxonomy for reliability assessment of digital I and C systems for PRA

International Nuclear Information System (INIS)

Amri, A.; Blundell, N.; ); Authen, S.; Betancourt, L.; Coyne, K.; Halverson, D.; Li, M.; Taylor, G.; Bjoerkman, K.; Brinkman, H.; Postma, W.; Bruneliere, H.; Chirila, M.; Gheorge, R.; Chu, L.; Yue, M.; Delache, J.; Georgescu, G.; Deleuze, G.; Quatrain, R.; Thuy, N.; Holmberg, J.-E.; Kim, M.C.; Kondo, K.; Mancini, F.; Piljugin, E.; Stiller, J.; Sedlak, J.; Smidts, C.; Sopira, V.

2015-01-01

reactor protection system), 2. division level, 3. I and C unit level, 4. I and C unit modules level, 5. basic components level. This structure corresponds to a typical reactor protection system architecture, which is the scope of the DIGREL work. The taxonomy that was developed provides a framework to classify digital system failure modes. Failure propagation, which is essential for analysing failure modes and their effects, is described using a failure model. Four important elements of the failure model on which the taxonomy focuses stand out: 1. fault location, 2. failure mode, 3. uncovering situation, 4. failure effect and the end effect. These concepts are applied in particular at the I and C unit and module levels of abstraction. I and C unit level failure modes are associated with the end effects at the I and C unit module level, depending on the fault location and uncovering situation. The purpose of the taxonomy is to support PRAs and therefore focus is placed on high level functional aspects rather than low level structural aspects. This focus allows handling of the variability of failure modes and mechanisms of I and C components. It reduces the difficulties associated with the complex structural aspects of software in redundant distributed systems. At the level of system, division and I and C units, no significant distinction is made between hardware or software aspects. At the module and basic component levels, the taxonomy differentiates between hardware and software related failure modes. This report can be seen as a step towards more harmonised approach to analyse and model digital I and C in PRA. There is a number of areas where further studies are needed, and many of the recommendations given in the previous digital I and C expert report NEA/CSNI/R(2009)18 are still valid. For instance, the following actions could be considered: - Testing of the applicability of the taxonomy in modelling, including test with different I and C designs and modelling

Flipping the Mindset: Reframing Fear and Failure to Catalyze Development

Science.gov (United States)

Boyd, Diane E.; Baudier, Josie; Stromie, Traci

2015-01-01

Despite the attempts to target success and predisposition to taking risks to promote innovation, sometimes educational developers encounter moments where they fail to meet expectations set forth--by their institutions, colleagues, or themselves. Attempts to avoid potential failures can stymie the creative process, preventing them from meeting…

Annual report 2012. Institute of Resource Ecology

International Nuclear Information System (INIS)

Brendler, Vinzenz

2013-01-01

The Institute of Resource Ecology (IRE) is one of the currently eight institutes of the Helmholtz-Zentrum Dresden-Rossendorf (HZDR). The research activities are fully integrated into the program ''Nuclear Safety Research'' of the Helmholtz Association and focused on the topics ''Safety of Nuclear Waste Disposal'' and ''Safety Research for Nuclear Reactors''. With the integration of the division of ''Reactor Safety'' from the former ''Institute of Safety Research'' nuclear research at HZDR is now mainly concentrated within this institute. In addition, various activities have been started investigating chemical and environmental aspects of processing and recycling of strategic metals, namely rare earth elements. Here, a knowledge transfer from the nuclear to the non-nuclear community, branching thermodynamics and spectroscopy, has been established. This also strengthens links to the recently established ''Helmholtz-Institute Freiberg for Resource Technology''.

Annual report 2012. Institute of Resource Ecology

Energy Technology Data Exchange (ETDEWEB)

Brendler, Vinzenz [ed.

2013-09-01

The Institute of Resource Ecology (IRE) is one of the currently eight institutes of the Helmholtz-Zentrum Dresden-Rossendorf (HZDR). The research activities are fully integrated into the program ''Nuclear Safety Research'' of the Helmholtz Association and focused on the topics ''Safety of Nuclear Waste Disposal'' and ''Safety Research for Nuclear Reactors''. With the integration of the division of ''Reactor Safety'' from the former ''Institute of Safety Research'' nuclear research at HZDR is now mainly concentrated within this institute. In addition, various activities have been started investigating chemical and environmental aspects of processing and recycling of strategic metals, namely rare earth elements. Here, a knowledge transfer from the nuclear to the non-nuclear community, branching thermodynamics and spectroscopy, has been established. This also strengthens links to the recently established ''Helmholtz-Institute Freiberg for Resource Technology''.

Technological aspects of the radiation chemistry

International Nuclear Information System (INIS)

Chmielewski, A.G.

2006-01-01

Main technological aspects of the radiation chemistry are reviewed: network formation in polymers and caoutchouc, production of the sterile hydrogels, sterilisation of the expendable medical equipment and the environmental protection technologies (e.g. purification of the combustion gases from the sulfur oxides). Achievements of the are reviewed Institute of Nuclear Chemistry and Technology, Warsaw (Poland) in these fields are presented

Review and analysis of check valve failure data

International Nuclear Information System (INIS)

Todd, M.D.; Casada, D.A.

1992-01-01

Check valve operating problems in recent years have resulted in significant operating transients, increased cost and decreased system availability. There has been, in response, additional attention given to check valves by utilities, as well as the US Nuclear Regulatory Commission and the American Society of Mechanical Engineers Operation and Maintenance Committee. All these organizations have the fundamental goal of ensuring reliable operation of check valves. A key ingredient to an engineering-oriented reliability improvement effort is a thorough understanding of relevant historical experience. Oak Ridge National Laboratory is currently conducting a detailed review of historical failure data available through the Institute of Nuclear Power Operation's Nuclear Plant Reliability Data System. The focus of the review is on check valve failures that have involved significant degradation of the valve internal parts. A variety of parameters are being considered during the review, including size, age, system of service, method of failure discovery, the affected valve parts, attributed causes, and corrective actions

FUNCTIONING OF THE SYSTEM OF LOCAL AGRICULTURAL MARKETS: INSTITUTIONAL ASPECTS

Directory of Open Access Journals (Sweden)

Yurij Prudnikov

2016-11-01

Full Text Available The purpose of this article is the generalization and systematisation of features of modern institutional support for functioning and development of a system of local agricultural markets. The methodology of research is formed on the basis of systematic approach to the studying socio-economic phenomena and processes that are taking place in a process of functioning and development of the system of local agricultural markets. Research results – based on the system analysis there are substantiated features of functioning and development of the system of local agricultural markets from the point of view of its institutional support. The stated is done with the purpose of determination of practicability, goal orientation, volumes, purpose and tasks of government intervention into the process of functioning and development of the system of local agricultural markets. Applying a general scheme of system analysis to the system of management of local agricultural markets and taking into account that the management system consists of two subsystems – management and controlled, in the context of this research there is made characteristics of the system in the form of answers to a specified list of questions. The essence of developed theoretical and methodological approach lies in the development of legitimate answers to four key questions peculiar and relevantly placed for each stage of research: 1 determination of elements of internal and external environments, which are included to the system of local agricultural markets; 2 characteristics of relations and connections among revealed system elements; 3 a process of functioning of the system of local agricultural markets as itself; 4 features of development of the system of local agricultural markets. Developed measures of regulatory nature aimed at overcoming identified disadvantages and development of the system of local agricultural markets are directed to the satisfaction of needs of target

When and why? A critical survey on coordination failure in the laboratory

Czech Academy of Sciences Publication Activity Database

Devetag, G.; Ortmann, Andreas

-, č. 302 (2006), s. 1-39 ISSN 1211-3298 Institutional research plan: CEZ:AV0Z70850503 Keywords : coordination games * coordination failure Subject RIV: AH - Economics http://www.cerge-ei.cz/pdf/wp/Wp302.pdf

NHLBI's program for VAD therapy for moderately advanced heart failure: the REVIVE-IT pilot trial.

Science.gov (United States)

Baldwin, J Timothy; Mann, Douglas L

2010-11-01

Ventricular assist devices (VADs) are used to bridge heart failure patients to transplantation, to allow their own hearts to recover, or as permanent ("destination") therapy. To date, the use of VADs has been limited to late-stage heart failure patients because of the associated device risks. In 2008, a National Heart, Lung, and Blood Institute (NHLBI) working group met to evaluate the treatment of heart failure using VADs and to advise the institute on how therapy for heart failure may be best advanced by clinical trials involving the devices. Recognizing the improvements in VAD technology and in patient care and selection over the past decade, the working group recommended that a trial be performed to assess the use of chronic VAD therapy in patients who are less ill than those currently eligible for destination therapy. The hypothesis proposed for the trial is that VAD therapy may improve both survival and quality of life in moderately advanced heart failure patients who are neither inotrope-dependent nor exercise-intolerant and have not yet developed serious consequences such as malnourishment, end-organ damage, and immobility. Based on the group's recommendations, NHLBI issued an RFP in 2009 for the REVIVE-IT Pilot Trail, which will serve to test the hypothesis and inform the pivotal trial. Published by Elsevier Inc.

Analysis of grouped data from field-failure reporting systems

International Nuclear Information System (INIS)

Coit, David W.; Dey, Kieron A.

1999-01-01

Observed reliability data from fielded systems is highly desirable because they implicitly account for all actual usage and environmental stresses. Many companies and large organizations have instituted automated field-failure reporting systems to organize and disseminate these data. Despite these advantages, field data must be used with caution because they often lack sufficient detail. Specifically, the precise times-to-failure are often not recorded and only cumulative failure quantities and operating times are available. When only data of this type are available, it is difficult to determine whether component or system hazard function varies with time or is constant (i.e., exponential distribution). Analysts often use the exponential distribution to model time-to-failure because the distribution parameter can be estimated with just the merged data. However, this can be dangerous if the exponential distribution is not appropriate. An approach is presented in this paper for Type II censored data, with and without replacement, to evaluate this assumption even when individual times-to-failure are not available. A hypothesis test is presented to test the suitability of the exponential distribution for a particular data set composed of multiple merged data records. Two examples are presented to demonstrate the approach. The hypothesis test readily rejects an exponential distribution assumption when the data originate from a Weibull distribution. This is a very important result because it has generally been assumed that time-to-failure data were always required to evaluate the suitability of specific time-to-failure distributions

Prediction of hospital failure: a post-PPS analysis.

Science.gov (United States)

Gardiner, L R; Oswald, S L; Jahera, J S

1996-01-01

This study investigates the ability of discriminant analysis to provide accurate predictions of hospital failure. Using data from the period following the introduction of the Prospective Payment System, we developed discriminant functions for each of two hospital ownership categories: not-for-profit and proprietary. The resulting discriminant models contain six and seven variables, respectively. For each ownership category, the variables represent four major aspects of financial health (liquidity, leverage, profitability, and efficiency) plus county marketshare and length of stay. The proportion of closed hospitals misclassified as open one year before closure does not exceed 0.05 for either ownership type. Our results show that discriminant functions based on a small set of financial and nonfinancial variables provide the capability to predict hospital failure reliably for both not-for-profit and proprietary hospitals.

Measuring systemic importance of financial institutions: An extreme value theory approach

OpenAIRE

Gravelle, Toni; Li, Fuchun

2011-01-01

In this paper, we define a financial institution's contribution to financial systemic risk as the increase in financial systemic risk conditional on the crash of the financial institution. The higher the contribution is, the more systemically important is the institution for the system. Based on relevant but different measurements of systemic risk, we propose a set of market-based measures on the systemic importance of financial institutions, each designed to capture certain aspects of system...

Institutional degeneration and evolution of violent secret cults in ...

African Journals Online (AJOL)

In this paper, we argue that though a plethora of other factors outside the University system have been advanced to explain the upsurge of violent cults on Nigerian campuses, endogenous forces including policy failure, administrative naivety, and deterioration of structures, equipment and facilities, that is, institutional ...

Narrative and Institutional Economics

Directory of Open Access Journals (Sweden)

Vyacheslav V. Volchik

2017-12-01

Full Text Available This article addresses a range of questions associated with the occurrence of a new field of study – narrative economics, which is considered in the context of modern institutionalism. Pioneering works of R. Shiller, G. Akerlof and D. Snower spotlighted the importance of analyzing narratives and narrative influence when studying economic processes. In this paper, a qualitative study of narratives is seen through the prism of an answer to the question: «How do prescribed narratives influence institutions and change them? ». Narratives have much in common with institutions since very often, explicitly or implicitly, they contain value judgements about social interactions or normative aspects shaping behavioral patterns. The identification of dominating narratives enables us to understand better how institutions influence economic (social action. Repeated interactions among social actors are structured through understanding and learning the rules. Understanding of social rules comes from the language – we articulate and perceive the rules drawing on common narratives. Narratives and institutions are helpful when actors gain knowledge about various forms of social communication. Digital technologies, mass media and social networking sites facilitate the spread of narratives, values and beliefs; this process is characterized by increasing returns. Studying narratives and institutions is crucial for modern economic theory because it helps to improve qualitative and quantitative methods of analyzing empirical evidence and enables researchers to understand complex economic processes.

A teenager presents with fulminant hepatic failure and acute hemolytic anemia.

Science.gov (United States)

Bose, Somnath; Sonny, Abraham; Rahman, Nadeem

2015-03-01

A teenager was admitted to an outside hospital ED following an episode of melena. He had been complaining of intermittent abdominal pain, nausea, malaise, and easy fatigability for 2 months, with significant worsening of symptoms 2 weeks prior to this episode. He had no significant medical, surgical, or family history. On presentation at the outside ED, he was found to be profoundly icteric and encephalopathic. Initial laboratories suggested anemia, acute kidney injury, and acute liver failure, leading to a presumptive diagnosis of acute fulminant liver failure necessitating transfer to our institution.

The Failure of Lehman Brothers and Merril Lynch: A Lesson for the ...

African Journals Online (AJOL)

DR Nneka

the United State America treasury securities market. Ahimie (2008) ... Thus, the above school of thought considered a bank failure as not when it ceases .... Lynch had further confirmed the historical fact that, no bank or financial institution is.

Trend analysis of cables failure events at nuclear power plants

International Nuclear Information System (INIS)

Fushimi, Yasuyuki

2007-01-01

In this study, 152 failure events related with cables at overseas nuclear power plants are selected from Nuclear Information Database, which is owned by The Institute of Nuclear Safety System, and these events are analyzed in view of occurrence, causal factor, and so on. And 15 failure events related with cables at domestic nuclear power plants are selected from Nuclear Information Archives, which is owned by JANTI, and these events are analyzed by the same manner. As a result of comparing both trends, it is revealed following; 1) A cable insulator failure rate is lower at domestic nuclear power plants than at foreign ones. It is thought that a deterioration diagnosis is performed broadly in Japan. 2) Many buried cables failure events have been occupied a significant portion of cables failure events during work activity at overseas plants, however none has been occurred at domestic plants. It is thought that sufficient survey is conducted before excavating activity in Japan. 3) A domestic age related cables failure rate in service is lower than the overseas one and domestic improper maintenance rate is higher than the overseas one. Maintenance worker' a skill improvement is expected in order to reduce improper maintenance. (author)

Left atrial leiomyosarcoma as cause of heart failure

International Nuclear Information System (INIS)

Valdes Martin, Alexander

2012-01-01

The case of a 26 year-old patient with diagnosis of heart failure and presence of a mobile echogenic mass without calcification attached to the posterolateral area of the left atrium was reported. She underwent surgery and tissue examination evidenced a high-grade heart leiomyosarcoma. Postoperative course was satisfactory and her clinical state was rigorously monitored by oncology and heart specialists in the institution

Image and Substance Failures in Regional Organisations: Causes, Consequences, Learning and Change?

Directory of Open Access Journals (Sweden)

Meng Hsuan Chou

2016-08-01

Full Text Available States often pool their sovereignty, capacity and resources to provide regionally specific public goods, such as security or trade rules, and regional organisations play important roles in international relations as institutions that attempt to secure peace and contribute to achieving other similar global policy goals. We observe failures occurring in these arrangements and activities in two areas: substance and image. To analytically account for this, we distinguish four modes of substance and image change and link these to specific types of failure and (lack of learning. To empirically ground and test our assumptions, we examine instances of image failure in ASEAN (political/security policy and substantive policy failure in EU labour migration policy. In so doing, this article contributes to several different fields of study and concepts that have hitherto rarely engaged with one another: analyses of policy failure from public policy, and regional integration concerns from area studies and international relations. We conclude with suggestions for ways forward to further analyse and understand failures at the international and supranational levels.

Serviceability Assessment for Cascading Failures in Water Distribution Network under Seismic Scenario

Directory of Open Access Journals (Sweden)

Qing Shuang

2016-01-01

Full Text Available The stability of water service is a hot point in industrial production, public safety, and academic research. The paper establishes a service evaluation model for the water distribution network (WDN. The serviceability is measured in three aspects: (1 the functionality of structural components under disaster environment; (2 the recognition of cascading failure process; and (3 the calculation of system reliability. The node and edge failures in WDN are interrelated under seismic excitations. The cascading failure process is provided with the balance of water supply and demand. The matrix-based system reliability (MSR method is used to represent the system events and calculate the nonfailure probability. An example is used to illustrate the proposed method. The cascading failure processes with different node failures are simulated. The serviceability is analyzed. The critical node can be identified. The result shows that the aged network has a greater influence on the system service under seismic scenario. The maintenance could improve the antidisaster ability of WDN. Priority should be given to controlling the time between the initial failure and the first secondary failure, for taking postdisaster emergency measures within this time period can largely cut down the spread of cascade effect in the whole WDN.

Frequency of anaemia an d renal insufficiency in patients with heart failure

International Nuclear Information System (INIS)

Khan, M.; Jehangir, W.; Daood, M.S.; Khan, A.; Mallick, N.H.

2010-01-01

Background: Heart Failure (HF) is a common disease with a high mortality rate. Anaemia and renal failure (RF) are often present in patients with HF and associated with worse prognosis. Objective of study was to evaluate the prevalence of anaemia and RF in patients with HF. Methods: Patients admitted in Punjab institute of cardiology Lahore with diagnosis of heart failure were enrolled from February, 2008 to December, 2008. Anaemia was defined as haemoglobin levels <13 mg/dl for men and 12 mg/dl for women. Renal function was assessed by the glomerular filtration rate (GFR), calculated by the simplified formula of the MDRD (Modification of Diet in Renal Disease) study. Results : Of the 276 patients included in this study, 42.03% (116) had anaemia and 38.40% (106) had moderate to severe renal failure (GFR <60 ml/min). Conclusion: The prevalence of anaemia and renal failure was high in this population and was associated with the severity of the HF (functional classes III and IV). (author)

Evaluation Aspects of Building Structures Reconstructed After a Failure or Catastrophe

Science.gov (United States)

Krentowski, Janusz R.; Knyziak, Piotr

2017-10-01

The article presents the characteristics of several steel structures, among others modernized industrial dye house, school sports hall, truck repair workshop, that have been rebuilt after a disaster or a catastrophe. The structures were analyzed in detail, and the evaluation and reconstruction processes were described. The emergencies that occurred during exploitation of the buildings were the result of multiple mistakes: incorrectly defined intervals between inspections, errors during periodic inspections, incorrect repair work recommendations. The concepts of reinforcement work implemented by the authors, enabling the long-term future failure-free operation of the objects, were presented. Recommendations for monitoring of the facilities, applied after reinforcement or reconstruction, have been formulated. The methodology for the implementation of specialized investigations, such as geodetic, optical, geological, chemical strength tests, both destructive and non-destructive, has been defined. The need to determine the limit values of deformations, deflections, damage or other faults of structural elements and the entire rebuilt facilities, as well as defining conditions for objects’ withdrawal from operation in subsequent exceptional situations was indicated.

Hemorrhagic syndrome and Acute renal failure in a pregnant woman after contact with Lonomia caterpillars: a case report

Directory of Open Access Journals (Sweden)

FAN Hui Wen

1998-01-01

Full Text Available A case of a 37-week pregnant woman who developed a hemorrhagic syndrome and acute renal failure after contact with Lonomia caterpillars is reported. The accident also initiated labour and the patient gave birth to an alive child. Some pathophysiological aspects of the genital bleeding and of the acute renal failure are discussed.

General aspects of design and vessel nozzle analysis of nuclear power plants

International Nuclear Information System (INIS)

Back, N.

1980-01-01

Aspects of design and a procedure for nozzle tensile analysis under loads in project, normal and abnormal, emergency, failure and test conditions. For each condition, considerations about the tensile calculation methods, the tensile classification in corresponding categories and the comparison with admissible limits according to the norms. (M.C.K.) [pt

Assessment of ALWR passive safety system reliability. Phase 1: Methodology development and component failure quantification

International Nuclear Information System (INIS)

Hake, T.M.; Heger, A.S.

1995-04-01

Many advanced light water reactor (ALWR) concepts proposed for the next generation of nuclear power plants rely on passive systems to perform safety functions, rather than active systems as in current reactor designs. These passive systems depend to a great extent on physical processes such as natural circulation for their driving force, and not on active components, such as pumps. An NRC-sponsored study was begun at Sandia National Laboratories to develop and implement a methodology for evaluating ALWR passive system reliability in the context of probabilistic risk assessment (PRA). This report documents the first of three phases of this study, including methodology development, system-level qualitative analysis, and sequence-level component failure quantification. The methodology developed addresses both the component (e.g. valve) failure aspect of passive system failure, and uncertainties in system success criteria arising from uncertainties in the system's underlying physical processes. Traditional PRA methods, such as fault and event tree modeling, are applied to the component failure aspect. Thermal-hydraulic calculations are incorporated into a formal expert judgment process to address uncertainties in selected natural processes and success criteria. The first phase of the program has emphasized the component failure element of passive system reliability, rather than the natural process uncertainties. Although cursory evaluation of the natural processes has been performed as part of Phase 1, detailed assessment of these processes will take place during Phases 2 and 3 of the program

Locoregional failures following thoracic irradiation in patients with limited-stage small cell lung carcinoma

International Nuclear Information System (INIS)

Giuliani, Meredith E.; Lindsay, Patricia E.; Sun, Alexander; Bezjak, Andrea; Le, Lisa W.; Brade, Anthony; Cho, John; Leighl, Natasha B.; Shepherd, Frances A.; Hope, Andrew J.

2012-01-01

Purpose: To determine the patterns of loco-regional (LR) and distant failure in patients with limited-stage small cell lung carcinoma (LS-SCLC) treated with curative intent. Methods: From 1997 to 2008, 253 LS-SCLC patients were treated with curative intent chemo-radiation at our institution. A retrospective review identified sites of failure. The cumulative LR failure (LRF) rate was calculated. Distant failure-free survival (FFS) and overall survival (OS) were calculated using the Kaplan–Meier method. Volumetric images of LR failures were delineated and registered with the original radiation treatment plans if available. Dosimetric parameters for the delineated failure volumes were calculated from the original treatment information. Results: The median follow-up was 19 months. The site of first failure was LR in 34, distant in 80 and simultaneous LR and distant in 31 patients. The cumulative LRF rate was 29% and 38% at 2 and 5 years. OS was 44% at 2 years. Seventy patients had electronically archived treatment plans of which there were 16 LR failures (7 local and 39 regional failure volumes). Of the local and regional failure volumes 29% and 31% were in-field, respectively. Conclusions: The predominant pattern of LR failure was marginal or out-of-field. LR failures may be preventable with improved radiotherapy target definition.

Political Economy: Success or Failure?

Directory of Open Access Journals (Sweden)

Bruno S. Frey

2012-09-01

Full Text Available The Political Economy and Public Choice approaches have promoted the study of interactions between the economy and the polity for over 60 years now. The present paper endeavours to provide a critical discussion of this literature and its achievements. In particular, it begins with the different approaches based on empirically tested or politometric models and it then proceeds to discuss different studies of the effects that particular rules of the game have on politico-economic outcomes. The third section of the paper will address studies that take institutions to be endogenous and aims to explain why particular institutions emerge. Finally, the question of whether Political Economy has been a success or a failure will be tackled. While the success in terms of the position it has gained in economic research and teaching is undeniable, a look at one of the most thriving recent areas of economics, happiness research, will reveal that some of its fundamental lessons are all too often disregarded.

Mechanisms of educational space organizationing higher educational institutions of Ukraine

OpenAIRE

Hmyrova A.

2017-01-01

In the article the problems of public administration of the educational process in higher educational institutions of Ukraine, its social, legal, and managerial aspects have been analysed. The systematization and organization of the educational process in higher educational institutions of Ukraine have been considered, the main problems of the determined process have been outlined.

Technical evaluation report on the seven main transformer failures at the North Anna Power Station, Units 1 and 2 (Docket Nos. 50-338, 50-339)

International Nuclear Information System (INIS)

Dalton, K.J.; Kresser, J.V.; Savage, J.W.; Selan, J.C.

1984-01-01

This report documents technical evaluations on various aspects pertaining to the seven main transformer failures at the North Anna Power Station, Units 1 and 2. These reports cover the subjects of Probability Risk Assessment (PRA), Failure Modes and Effects Analysis (FMEA), Root Causes, Protection Systems, Modifications, Failure Statistics, and Generic Aspects. The PRA determined that the contribution from a main transformer failure affecting plant safety systems so as to increase the risk to the public health and safety is negligible. The FMEA determined that a main transformer failure can have primary and secondary effects on plant safety system operation. The evaluation of the Root Causes found that no single common cause contributed to the seven failures. Each failure was found to have specific circumstances for initiating the failure. Both the generator and transformer primary protection systems were found to perform correctly and were designed within industry standards and practices. The proposed modifications resulting from the analyses of the failures will improve system reliability and integrity, and will reduce potentially damaging effects. The failure statistic survey found very limited data bases from which a meaningful correlation could be ascertained. The statistical comparison found no appreciable anomalies with the NAPS failures. The evaluation of all the available information and the results of the separate reports on the main transformer failures found that several generic concerns exist

A ‘LANGUAGE’ OF MODERNIZATION: CULTURE AND ART EDUCATION IN THE VILLAGE INSTITUTES

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Gökhan AK

2017-04-01

Full Text Available The Village Institutes were originally-designed in-place-training institutions of the Turkish education history. They had been a very significant and unique educational-product of Turkey which were gifted to all secular [modern] world education systems. Because these Institutes were explored in line with thoroughly native considerations and foresights. Thus the Institutes punched their latterday principles and values not only in the Turkish, but also in many contemporary world education systems. Although the Institutes were shut down by some reactionary political approaches, their impacts, educational power and pedagogic wealth had reached until today. The main reason for that could be defined with various aspects. First of all, these institutions had adopted an unique educational model which was directly based on the universal science, culture and fine arts. This approach ensured authentic innovative styles for tudents of the Institutes, not only in the village field, but also in every educational level. Thus it should be emphasized that one of the most important aspects with this innovative education method was that the Village Institutes were conceived with a ‘revolutionary’ and ‘enlightenment’ understanding. This noteworthy aspect was what made them unique at first. Thus the aim of this research will firstly become to analyze educational model and system of the Village Institutes stemming from their unique, native, humanist and secular educational methods; and secondly explore how much innovative the Village Institutes were in the fields of science, culture and art. This study is based on the hypothesis-deduction method. Thus findings method for the study will follow a from-general-to-specific case approach. In this study, literature review and content analysis research methods will mainly be used.

Making sense of enterprise systems in institutions

DEFF Research Database (Denmark)

Svejvig, Per; Jensen, Tina Blegind

2013-01-01

Whereas previous research provides a number of accounts of failure prone enterprise system (ES) implementations, empirical evidence of the re-implementation of an accounting system in a Scandinavian high-tech company shows how the system became highly integrated, accepted by its users, and well......-aligned to the work processes. To learn from this case study, we investigate the interactive and dynamic relationships among the enterprise system, people and institutional properties. We investigate the institutional structures and the sensemaking processes at play to identify how the idea of an efficient accounting...... system travelled from a national to a local level, how the system moved from being highly customized to becoming a standard package and how the users’ enactment of the system reinforced existing institutional practices. Based on the findings, we frame our contributions into five lessons learned: (1...

Constructive and Destructive Aspects of Refusal from Communication

Directory of Open Access Journals (Sweden)

Marianna A. Gulyaeva

2016-12-01

Full Text Available The article investigates the phenomenon of refusal from communication in terms of its positive and negative impact, both on the communicative process, and interpersonal relationships in general. It has been analyzed several aspects of the failure to communicate with positive communication position. The identification of constructive or destructive potential was carried out on the basis of three parameters such as productivity/ unproductive conflict resolution with the help of avoiding communication, the choice of an optimum way of non-communication and its role in the communication process on the basis of the functions performed by them. Failure to communicate is often perceived negatively and is considered an inefficient form of communication, so it does not allow to solve interpersonal conflicts. This article discusses the circumstances where refusal from communication advocates an effective way to avoid conflict. In situations where the termination of communication is inevitable, a fundamental factor for the positive, harmonious form of communication acts interrupting the communication process. Functioning in the communicative space, failure to communicate can either destroy an interaction and relationship between the partners, and regulate the communication process by guiding in the right direction, coordinating the behavior of communication.

78 FR 64598 - Bank Enterprise Award (BEA) Program; Programmatic and Administrative Aspects; Public Comment Request

Science.gov (United States)

2013-10-29

... DEPARTMENT OF THE TREASURY Community Development Financial Institutions Fund Bank Enterprise Award (BEA) Program; Programmatic and Administrative Aspects; Public Comment Request AGENCY: Community Development Financial Institutions Fund, Department of the Treasury. ACTION: Request for public comment...

Central Institute of Nuclear Research Rossendorf 25 years old

International Nuclear Information System (INIS)

Hohmuth, K.; Kaun, K.H.; Schmidt, A.; Hennig, K.; Brinckmann, H.F.; Lehmann, E.; Rossbander, W.; Bitterlich, H.; Weibrecht, R.; Fuelle, R.; Nebel, D.; Reetz, T.; Beyer, G.J.; Muenze, R.

1981-12-01

A colloquium dedicated the 25th anniversary of the foundation of the Central Institute for Nuclear Research of the GDR Academy of Sciences was held on January, 21st, '81. 13 papers were given which dealt with aspects of the institute's history as well as with modern trends in nuclear and solid state physics, nuclear energy and chemistry, radioisotope production, radiation protection and nuclear information. (author)

The failure of earthquake failure models

Science.gov (United States)

Gomberg, J.

2001-01-01

In this study I show that simple heuristic models and numerical calculations suggest that an entire class of commonly invoked models of earthquake failure processes cannot explain triggering of seismicity by transient or "dynamic" stress changes, such as stress changes associated with passing seismic waves. The models of this class have the common feature that the physical property characterizing failure increases at an accelerating rate when a fault is loaded (stressed) at a constant rate. Examples include models that invoke rate state friction or subcritical crack growth, in which the properties characterizing failure are slip or crack length, respectively. Failure occurs when the rate at which these grow accelerates to values exceeding some critical threshold. These accelerating failure models do not predict the finite durations of dynamically triggered earthquake sequences (e.g., at aftershock or remote distances). Some of the failure models belonging to this class have been used to explain static stress triggering of aftershocks. This may imply that the physical processes underlying dynamic triggering differs or that currently applied models of static triggering require modification. If the former is the case, we might appeal to physical mechanisms relying on oscillatory deformations such as compaction of saturated fault gouge leading to pore pressure increase, or cyclic fatigue. However, if dynamic and static triggering mechanisms differ, one still needs to ask why static triggering models that neglect these dynamic mechanisms appear to explain many observations. If the static and dynamic triggering mechanisms are the same, perhaps assumptions about accelerating failure and/or that triggering advances the failure times of a population of inevitable earthquakes are incorrect.

Seeing failure in your life: Imagery perspective determines whether self-esteem shapes reactions to recalled and imagined failure.

Science.gov (United States)

Libby, Lisa K; Valenti, Greta; Pfent, Alison; Eibach, Richard P

2011-12-01

The present research reveals that when it comes to recalling and imagining failure in one's life, changing how one looks at the event can change its impact on well-being; however, the nature of the effect depends on an aspect of one's self-concept, namely, self-esteem. Five studies measured or manipulated the visual perspective (internal first-person vs. external third-person) individuals used to mentally image recalled or imagined personal failures. It has been proposed that imagery perspective determines whether people's reactions to an event are shaped bottom-up by concrete features of the event (first-person) or top-down by their self-concept (third-person; L. K. Libby & R. P. Eibach, 2011b). Evidence suggests that differences in the self-concepts of individuals with low and high self-esteem (LSEs and HSEs) are responsible for self-esteem differences in reaction to failure, leading LSEs to have more negative thoughts and feelings about themselves (e.g., M. H. Kernis, J. Brockner, & B. S. Frankel, 1989). Thus, the authors predicted, and found, that low self-esteem was associated with greater overgeneralization--operationalized as negativity in accessible self-knowledge and feelings of shame--only when participants had pictured failure from the third-person perspective and not from the first-person. Further, picturing failure from the third-person, rather than first-person, perspective, increased shame and the negativity of accessible knowledge among LSEs, whereas it decreased shame among HSEs. Results help to distinguish between different theoretical accounts of how imagery perspective functions and have implications for the study of top-down and bottom-up influences on self-judgment and emotion, as well as for the role of perspective and abstraction in coping.

Microfinance institutions' failure to address poverty: A narrative critical literature review

OpenAIRE

Guðjónsson, Sigurður

2017-01-01

This critical literature review begins by giving a short introduction to the microfinance industry. Microfinance institutions (MFIs) are explained and an account is given of their dual performance goals of financial performance (‘financial sustainability’) and social performance (‘outreach’). While MFIs’ social performance is directly aimed at poverty reduction, it is noteworthy that often they fail to address poverty (i.e., they fail to deliver outreach). The aim of the paper is to answer th...

Regulation of Telecommunications: The Choice Between Market and Regulatory Failures

Directory of Open Access Journals (Sweden)

Dmitrii Trubnikov

2017-04-01

Full Text Available Purpose – The paper examines the main regulatory frameworks of the telecommunications industry through the concept of market failure and analyses how and why the policy often leads to undesirable outcomes that might be considered as regulatory failure. Methodology/approach/design – The research uses the EU regulatory framework for electronic communications as a base for the analysis of the main policy objectives through the prism of the market failure theory with an eye to the interests of the main market players in the telecommunications markets. Findings – About any aspect of regulation allows to find ways to create opportunities for some groups of the industry and stifle activity of others. Despite the theory of market failure provides reasonable justifications for regulation of telecommunications markets, it is possible to argue that many of these problems are mainly the consequence of the policy and could be better solved by market mechanisms. Originality/value – The results of the research allow to look at the problems of telecommunications development and issues of the high level of concentration of the telecommunications markets as regulatory formed problems rather than consequences of the inherited industry’s characteristics.

Impact failure and fragmentation properties of metals

Energy Technology Data Exchange (ETDEWEB)

Grady, D.E. [Applied Research Associates, Albuquerque, NM (United States); Kipp, M.E. [Sandia National Labs., Albuquerque, NM (United States)

1998-03-01

In the present study we describe the development of an experimental fracture material property test method specific to dynamic fragmentation. Spherical test samples of the metals of interest are subjected to controlled impulsive stress loads by acceleration to high velocities with a light-gas launcher facility and subsequent normal impact on thin plates. Motion, deformation and fragmentation of the test samples are diagnosed with multiple flash radiography methods. The impact plate materials are selected to be transparent to the x-ray method so that only test metal material is imaged. Through a systematic series of such tests both strain-to-failure and fragmentation resistance properties are determined through this experimental method. Fragmentation property data for several steels, copper, aluminum, tantalum and titanium have been obtained to date. Aspects of the dynamic data have been analyzed with computational methods to achieve a better understanding of the processes leading to failure and fragmentation, and to test an existing computational fragmentation model.

Combination stem cell therapy for heart failure

Directory of Open Access Journals (Sweden)

Ichim Thomas E

2010-04-01

Full Text Available Abstract Patients with congestive heart failure (CHF that are not eligible for transplantation have limited therapeutic options. Stem cell therapy such as autologous bone marrow, mobilized peripheral blood, or purified cells thereof has been used clinically since 2001. To date over 1000 patients have received cellular therapy as part of randomized trials, with the general consensus being that a moderate but statistically significant benefit occurs. Therefore, one of the important next steps in the field is optimization. In this paper we discuss three ways to approach this issue: a increasing stem cell migration to the heart; b augmenting stem cell activity; and c combining existing stem cell therapies to recapitulate a "therapeutic niche". We conclude by describing a case report of a heart failure patient treated with a combination stem cell protocol in an attempt to augment beneficial aspects of cord blood CD34 cells and mesenchymal-like stem cells.

New aspects of high energy density plasma

International Nuclear Information System (INIS)

Hotta, Eiki

2005-10-01

The papers presented at the symposium on 'New aspects of high energy density plasma' held at National Institute for Fusion Science are collected in this proceedings. The papers reflect the present status and recent progress in the experiments and theoretical works on high energy density plasma produced by pulsed power technology. The 13 of the presented papers are indexed individually. (J.P.N.)

The essential aspect in sewerage regulation in Indonesia

Science.gov (United States)

Siami, L.

2018-01-01

Several cities in Indonesia have the sewerage local regulation such as Banjarmasin, Bantul, Surakarta and Denpasar. Meanwhile, The National Government have guideline in composing domestic sewerage regulation. Each city have their own characteristic and issues that need to be carried out by the local regulation. By using SWOT analysis, this study tries to figure out several aspect that need to be included in the local regulation. International references from developed and developing countries like Japan, Phillipines, Malaysia and Thailand were also used as benchmark without neglecting the local conditions of cities in Indonesia. Several crucial aspect of local regulation are institutional authority, composition on-site and off-site system, tariff, evaluation and monitoring, as well as punishment and rewards. Both tariff and evaluation aspects need to be narrowed down into specific regulations.

Cardiorenal Syndrome in Acute Heart Failure: Revisiting Paradigms.

Science.gov (United States)

Núñez, Julio; Miñana, Gema; Santas, Enrique; Bertomeu-González, Vicente

2015-05-01

Cardiorenal syndrome has been defined as the simultaneous dysfunction of both the heart and the kidney. Worsening renal function that occurs in patients with acute heart failure has been classified as cardiorenal syndrome type 1. In this setting, worsening renal function is a common finding and is due to complex, multifactorial, and not fully understood processes involving hemodynamic (renal arterial hypoperfusion and renal venous congestion) and nonhemodynamic factors. Traditionally, worsening renal function has been associated with worse outcomes, but recent findings have revealed mixed and heterogeneous results, perhaps suggesting that the same phenotype represents a diversity of pathophysiological and clinical situations. Interpreting the magnitude and chronology of renal changes together with baseline renal function, fluid overload status, and clinical response to therapy might help clinicians to unravel the clinical meaning of renal function changes that occur during an episode of heart failure decompensation. In this article, we critically review the contemporary evidence on the pathophysiology and clinical aspects of worsening renal function in acute heart failure. Copyright © 2014 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

Constructing Failure: Leonard Hayflick, Biomedicine, and the Problems with Tissue Culture.

Science.gov (United States)

Park, Hyung Wook

2016-07-01

By examining the use of tissue culture in post-war American biomedicine, this paper investigates how scientists experience and manage failure. I study how Leonard Hayflick forged his new definition of failure and ways of managing it by refuting Alexis Carrel's definition of failure alongside his theory of the immortality of cultured cells. Unlike Carrel, Hayflick claimed that every vertebrate somatic cell should eventually die, unless it transformed into a tumour cell. This claim defined cell death, which had been a problem leading to a laboratory failure, as a normal phenomenon. On the other hand, permanent life, which had been considered a normal cellular characteristic, became a major factor causing scientific failure, since it implied malignant transformation that scientists hoped to control. Hayflick then asserted that his cell strains and method would partly enable scientists to manage this factor-especially that occurred through viral infection-alongside other causes of failure in routine tasks, including bacterial contamination. I argue that the growing biomedical enterprise fostered this work of Hayflick's, which had repercussions in both his career and the uses of cells in diverse investigations. His redefinition of failure in the age of biomedicine resulted in the broad dissemination of his cells, medium, and method as well as his long struggle with the National Institutes of Health (NIH), which caused his temporarily failed career.

Salvage Radiation Therapy Dose Response for Biochemical Failure of Prostate Cancer After Prostatectomy—A Multi-Institutional Observational Study

Energy Technology Data Exchange (ETDEWEB)

Pisansky, Thomas M., E-mail: pisansky.thomas@mayo.edu [Department of Radiation Oncology, Mayo Clinic, Rochester, Minnesota (United States); Agrawal, Shree [Case Western Reserve University School of Medicine, Cleveland, Ohio (United States); Hamstra, Daniel A. [Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan (United States); Koontz, Bridget F. [Department of Radiation Oncology, Duke Cancer Institute, Durham, North Carolina (United States); Liauw, Stanley L. [Department of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois (United States); Efstathiou, Jason A. [Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts (United States); Michalski, Jeff M. [Department of Radiation Oncology, Washington University, St. Louis, Missouri (United States); Feng, Felix Y. [Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan (United States); Abramowitz, Matthew C.; Pollack, Alan [Department of Radiation Oncology, University of Miami, Miami, Florida (United States); Anscher, Mitchell S. [Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia (United States); Moghanaki, Drew [Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia (United States); Hunter Holmes McGuire Veterans Administration Medical Center, Richmond, Virginia (United States); Den, Robert B. [Department of Radiation Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Stephans, Kevin L. [Department of Radiation Oncology, Cleveland Clinic, Cleveland, Ohio (United States); Zietman, Anthony L. [Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts (United States); Lee, W. Robert [Department of Radiation Oncology, Duke Cancer Institute, Durham, North Carolina (United States); Kattan, Michael W. [Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, Ohio (United States); and others

2016-12-01

Purpose: To determine whether a dose-response relationship exists for salvage radiation therapy (RT) of biochemical failure after prostatectomy for prostate cancer. Methods and Materials: Individual data from 1108 patients who underwent salvage RT at 10 academic centers were pooled. The cohort was enriched for selection criteria more likely associated with tumor recurrence in the prostate bed (margin positive and pre-RT prostate-specific antigen [PSA] level of ≤2.0 ng/mL) and without the confounding of planned androgen suppression. The cumulative incidence of biochemical failure and distant metastasis over time was computed, and competing risks hazard regression models were used to investigate the association between potential predictors and these outcomes. The association of radiation dose with outcomes was the primary focus. Results: With a 65.2-month follow-up duration, the 5- and 10-year estimates of freedom from post-RT biochemical failure (PSA level >0.2 ng/mL and rising) was 63.5% and 49.8%, respectively, and the cumulative incidence of distant metastasis was 12.4% by 10 years. A Gleason score of ≥7, higher pre-RT PSA level, extraprostatic tumor extension, and seminal vesicle invasion were associated with worse biochemical failure and distant metastasis outcomes. A salvage radiation dose of ≥66.0 Gy was associated with a reduced cumulative incidence of biochemical failure, but not of distant metastasis. Conclusions: The use of salvage radiation doses of ≥66.0 Gy are supported by evidence presented in the present multicenter pooled analysis of individual patient data. The observational reporting method, limited sample size, few distant metastasis events, modest follow-up duration, and elective use of salvage therapy might have diminished the opportunity to identify an association between the radiation dose and this endpoint.

Salvage Radiation Therapy Dose Response for Biochemical Failure of Prostate Cancer After Prostatectomy—A Multi-Institutional Observational Study

International Nuclear Information System (INIS)

Pisansky, Thomas M.; Agrawal, Shree; Hamstra, Daniel A.; Koontz, Bridget F.; Liauw, Stanley L.; Efstathiou, Jason A.; Michalski, Jeff M.; Feng, Felix Y.; Abramowitz, Matthew C.; Pollack, Alan; Anscher, Mitchell S.; Moghanaki, Drew; Den, Robert B.; Stephans, Kevin L.; Zietman, Anthony L.; Lee, W. Robert; Kattan, Michael W.

2016-01-01

Purpose: To determine whether a dose-response relationship exists for salvage radiation therapy (RT) of biochemical failure after prostatectomy for prostate cancer. Methods and Materials: Individual data from 1108 patients who underwent salvage RT at 10 academic centers were pooled. The cohort was enriched for selection criteria more likely associated with tumor recurrence in the prostate bed (margin positive and pre-RT prostate-specific antigen [PSA] level of ≤2.0 ng/mL) and without the confounding of planned androgen suppression. The cumulative incidence of biochemical failure and distant metastasis over time was computed, and competing risks hazard regression models were used to investigate the association between potential predictors and these outcomes. The association of radiation dose with outcomes was the primary focus. Results: With a 65.2-month follow-up duration, the 5- and 10-year estimates of freedom from post-RT biochemical failure (PSA level >0.2 ng/mL and rising) was 63.5% and 49.8%, respectively, and the cumulative incidence of distant metastasis was 12.4% by 10 years. A Gleason score of ≥7, higher pre-RT PSA level, extraprostatic tumor extension, and seminal vesicle invasion were associated with worse biochemical failure and distant metastasis outcomes. A salvage radiation dose of ≥66.0 Gy was associated with a reduced cumulative incidence of biochemical failure, but not of distant metastasis. Conclusions: The use of salvage radiation doses of ≥66.0 Gy are supported by evidence presented in the present multicenter pooled analysis of individual patient data. The observational reporting method, limited sample size, few distant metastasis events, modest follow-up duration, and elective use of salvage therapy might have diminished the opportunity to identify an association between the radiation dose and this endpoint.

Bowett's law of international institutions

CERN Document Server

Sands, Philippe

2009-01-01

Bowett's Law of International Institutions is the leading introduction to this complex, important and growing area of international law, with increasing significance for developments at the national level. Covering all the major global, regional and judicial institutions and all international organisations that regulate aspects of development and providing an introductory overview of the law of international organisations, including international courts and tribunals as a whole. The book offers a basic framework, insights into some of the more essential issues, and indications of where to find more detail. Bowett's is essential reading for students of international law and international relations and will also be of considerable interest to lawyers practising in the area.

An exploratory study on awareness towards institutional social responsibility in Indian higher education institutions

Directory of Open Access Journals (Sweden)

Richa Mishra

2016-06-01

Full Text Available Institutional Social responsibility (ISR in context to a Higher Educational Institution has been defined as the ethical practice in transference of knowledge, and the active participation in betterment of quality of life in the society. It is an offshoot of the concept of Corporate Social responsibility (CSR, but unlike CSR, it is neither mandatory nor actively monitored or researched in Indian context. However, awareness towards aspects of ISR has been increasing, especially in Indian Universities. Indian Universities adopt practices related to Adoption of Villages, Awareness Drives, Environmental Care and rural Education initiatives. Critics often see ISR as an unnecessary burden; review of literature from around the world suggests that ISR practices contribute to increased accountability towards exploitation of resources by Educational Institutes as well as better reputation of Educational Institutes in the society. The purpose of this paper is to examine the perception towards the concept of ISR in Educational Institutes in India. The paper opted for a questionnaire-based exploratory survey of 50 faculty members, across Private Universities in Rajasthan. The findings suggest lacking awareness but a significant acceptance of need of ISR practices. The paper includes implications for the Universities to include ISR practices in their strategy to address its obligations to the society and simultaneously gain a competitive advantage.

Stochastic failure modelling of unidirectional composite ply failure

International Nuclear Information System (INIS)

Whiteside, M.B.; Pinho, S.T.; Robinson, P.

2012-01-01

Stochastic failure envelopes are generated through parallelised Monte Carlo Simulation of a physically based failure criteria for unidirectional carbon fibre/epoxy matrix composite plies. Two examples are presented to demonstrate the consequence on failure prediction of both statistical interaction of failure modes and uncertainty in global misalignment. Global variance-based Sobol sensitivity indices are computed to decompose the observed variance within the stochastic failure envelopes into contributions from physical input parameters. The paper highlights a selection of the potential advantages stochastic methodologies offer over the traditional deterministic approach.

INCLUSIVE CULTURE IN PRE-SCHOOL INSTITUTIONS

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Irena NOVACHEVSKA

2011-04-01

Full Text Available Inclusive education is a rational concept that refers to the overall and long-term transformation of institutional systems in society, especially in education. Along with the transformation, a number of important and unresolved issues still appear in both theory and practice, as the duty of pre-school institutions and schools is to educate every student in the mainstream education system. One of the most important aspects of inclusion is the inclusive culture. Regardless of the good inclusive policy and practice, one cannot talk about successful inclusion without a properly developed inclusive institutional culture.This paper is a contribution to the research considering the development of inclusive culture in three preschool institutions. It is based on the thinking and attitudes of the pre­school staff toward the necessity of developing and nurturing an inclusive culture. Successful inclusion of pupils with special needs in the mainstream school system cannot be conceived without an inclusive culture.

Entrepreneurship in a Finnish public institution

Directory of Open Access Journals (Sweden)

Marin Burcea

2012-12-01

Full Text Available During the last decades the idea of entrepreneurship in public institutions has been the subject of intense debates, activities and academic research. The scopes of our article are to briefly underline the importance of developing an entrepreneurial spirit by presenting a case study from a Finnish local public administration and making aware the proactive aspect in the process of managing public institutions in Romania. Our hypotheses have been mainly of an interrogative nature. Hypothesis testing was achieved through the analysis of statistical data and conducting a set of sociological interviews with key people from Finnish institutions which were used in the survey. The results of the research emphasize that where there is an entrepreneurial behaviour with the local administration management, the community undergoes a process of conservation and development. The way in which they relate to community partners (such as entrepreneurs, non-profit organizations, citizens is essential to the entrepreneurial spirit within the local public institution.

ASSESSMENT OF SOCIO-ORIENTED POLICY IN BANKING INSTITUTIONS OF UKRAINE

Directory of Open Access Journals (Sweden)

Lunkina Tatyana

2018-01-01

Full Text Available Introduction. In today’s globalized conditions, the question of socially responsible business and the formation of an appropriate concept and policies for managing it are more relevant. Scientists are investigating this issue in two aspects, namely, from a theoretical and practical point of view. The first aspect is the study of the essence of CSR, the conduct of entrepreneurial activity, the functioning mechanism of the market principles in this concept, the definition of the place of social orientation in modern conditions. The second aspect is the study of practical positions, the separation of this concept from the standpoint of warning and risk management, assessment of the level of social responsibility and summing up the rating, summarizing all the results, as well as the establishment of a standard that will regulate such relationships. But, in our opinion, the implementation of such socially-oriented moments is not possible without identifying a certain number of indicators, reflecting the real situation and the impact of social factors on the banking institutions. This explains the relevance of studying the assessment of socially-oriented policies of banking institutions. Purpose. The purpose of this article is to determine the approaches to the assessment of socially-oriented policies of banking institutions, as well as to determine the place of rating assessment in the current conditions of the functioning of institutions and organizations. Results. The article describes approaches of socially-oriented banking policy in Ukraine. A quantitative approach is drawn, which directly includes the assessment of the level of social investment through the conduct of socially responsible activities by banking institutions. The qualitative approach according to which social reports and social ratings are compiled is investigated. The social indicators that influence the formation of a socially oriented political management system by business

Exploring partners' perspectives on participation in heart failure home care: a mixed-method design.

Science.gov (United States)

Näsström, Lena; Luttik, Marie Louise; Idvall, Ewa; Strömberg, Anna

2017-05-01

To describe the partners' perspectives on participation in the care for patients with heart failure receiving home care. Partners are often involved in care of patients with heart failure and have an important role in improving patients' well-being and self-care. Partners have described both negative and positive experiences of involvement, but knowledge of how partners of patients with heart failure view participation in care when the patient receives home care is lacking. A convergent parallel mixed-method design was used, including data from interviews and questionnaires. A purposeful sample of 15 partners was used. Data collection lasted between February 2010 - December 2011. Interviews were analysed with content analysis and data from questionnaires (participation, caregiving, health-related quality of life, depressive symptoms) were analysed statistically. Finally, results were merged, interpreted and labelled as comparable and convergent or as being inconsistent. Partners were satisfied with most aspects of participation, information and contact. Qualitative findings revealed four different aspects of participation: adapting to the caring needs and illness trajectory, coping with caregiving demands, interacting with healthcare providers and need for knowledge to comprehend the health situation. Results showed confirmatory results that were convergent and expanded knowledge that gave a broader understanding of partner participation in this context. The results revealed different levels of partner participation. Heart failure home care included good opportunities for both participation and contact during home visits, necessary to meet partners' ongoing need for information to comprehend the situation. © 2016 John Wiley & Sons Ltd.

Annual report 2012. Institute of Resource Ecology

Energy Technology Data Exchange (ETDEWEB)

Brendler, Vinzenz (ed.)

2013-09-01

The Institute of Resource Ecology (IRE) is one of the currently eight institutes of the Helmholtz-Zentrum Dresden-Rossendorf (HZDR). The research activities are fully integrated into the program ''Nuclear Safety Research'' of the Helmholtz Association and focused on the topics ''Safety of Nuclear Waste Disposal'' and ''Safety Research for Nuclear Reactors''. With the integration of the division of ''Reactor Safety'' from the former ''Institute of Safety Research'' nuclear research at HZDR is now mainly concentrated within this institute. In addition, various activities have been started investigating chemical and environmental aspects of processing and recycling of strategic metals, namely rare earth elements. Here, a knowledge transfer from the nuclear to the non-nuclear community, branching thermodynamics and spectroscopy, has been established. This also strengthens links to the recently established ''Helmholtz-Institute Freiberg for Resource Technology''.

An introduction to the HighARCS Integrated Action Plans, with an institutions, policies and conflicts perspective

DEFF Research Database (Denmark)

Lund, Søren

This report is an introduction focused on institutions, policies and conflicts aspects, for the Integrated Action Plans (IAPs) produced by the HighARCS project for the 5 sites in China, India and Vietnam......This report is an introduction focused on institutions, policies and conflicts aspects, for the Integrated Action Plans (IAPs) produced by the HighARCS project for the 5 sites in China, India and Vietnam...

Acute tubulo-interstitial nephritis leading to acute renal failure following multiple hornet stings

Directory of Open Access Journals (Sweden)

Bambery Pradeep

2006-11-01

Full Text Available Abstract Background Hornet stings are generally associated with local and occasionally anaphylactic reactions. Rarely systemic complications like acute renal failure can occur following multiple stings. Renal failure is usually due to development of acute tubular necrosis as a result of intravascular haemolysis, rhabdomyolysis or shock. Rarely it can be following development of acute tubulo-interstitial nephritis. Case presentation We describe a young male, who was stung on face, head, shoulders and upper limbs by multiple hornets (Vespa orientalis. He developed acute renal failure as a result of acute tubulo-interstitial nephritis and responded to steroids. Conclusion Rare causes of acute renal failure like tubulo-interstitial nephritis should be considered in a patient with persistent oliguria and azotemia following multiple hornet stings. Renal biopsy should be undertaken early, as institution of steroid therapy may help in recovery of renal function

IEEE gathers nuclear part failure data via Delphi poll

International Nuclear Information System (INIS)

Anon.

1976-01-01

A description is given of a nuclear power plant component failure rate manual being prepared by the Institute of Electrical and Electronics Engineers. The manual will contain separate chapters on the following equipment categories: annunciator modules; batteries and chargers; blowers, circuit-breakers, interrupters, and relays; motors and generators; heaters; transformers; valve operators and actuators; instruments, controls, and sensors; and cables, raceways, joints, and terminations

Uncertainties and quantification of common cause failure rates and probabilities for system analyses

International Nuclear Information System (INIS)

Vaurio, Jussi K.

2005-01-01

Simultaneous failures of multiple components due to common causes at random times are modelled by constant multiple-failure rates. A procedure is described for quantification of common cause failure (CCF) basic event probabilities for system models using plant-specific and multiple-plant failure-event data. Methodology is presented for estimating CCF-rates from event data contaminated with assessment uncertainties. Generalised impact vectors determine the moments for the rates of individual systems or plants. These moments determine the effective numbers of events and observation times to be input to a Bayesian formalism to obtain plant-specific posterior CCF-rates. The rates are used to determine plant-specific common cause event probabilities for the basic events of explicit fault tree models depending on test intervals, test schedules and repair policies. Three methods are presented to determine these probabilities such that the correct time-average system unavailability can be obtained with single fault tree quantification. Recommended numerical values are given and examples illustrate different aspects of the methodology

COMMUNITARIAN INSTITUTIONS FOR HIGHER EDUCATION: CURRENT ISSUES

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Helio Radke Bittencourt

2014-11-01

Full Text Available Since 2010, the Brazilian communitarian institutions for higher education are not included officially under this designation in the INEP’s microdata, with the extinction of the category “communitarian, religious and philanthropic”. Since then, the Brazilian private’s higher education institutions are classified according to their legal nature: for-profit or non-profit. Nevertheless, the new law 12.881 of 2013, enacted in November 2013, has changed this reality after the approval by the National Congress, establishing the definition and purpose of the Community institutions, and confirming, in particular, their characteristics of non-profit institutions belonging to civil society, and their organization into associations or foundations (BRAZIL, 2013. The recent expansion of the federal and for-profit higher education institutions has directly affected the so far called communitarian institutions, which present differentiated characteristics compared to forprofit private higher education institutions as well as public education. In this article, data and contemporary aspects related to the new scenario of Brazilian higher education are analyzed, with special focus on higher education institutions members of the Association of Community Universities (ABRUC, and were found better performance of these ones in comparison to the private for-profit higher education institutions. The obtained results, combined with the regional impact of the communitarian higher education institutions, justify the importance of these institutions to improve the consolidation of higher education in Brazil.

THE NEED OF BANK RESOLUTION TOOLS FOR THE SAVING THE CREDIT INSTITUTIONS

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Irina-Elena CHIRTOC

2017-12-01

Full Text Available Prudential supervision of credit institutions by the national authority leads to better their financial stability, especially in times of financial crisis. Governance and bank resolution of credit institutions posing systemic importance are two distinct functions that are monitored by the central bank as the national supervisory authority of the banking system.. Identify risks and vulnerabilities of the banking system's financial components are an important task of the national supervisory authority. Banking Resolution as extreme activity may be a consequence of ineffective corporate governance of credit institutions. The emergence and development of failures in corporate governance of financial institutions and inadequate allocation of funds to support their activities may affect the financial stability of credit institutions and hence the banking system.

Safety aspects of the cleaning and conditioning of radioactive sludge from spent fuel storage pool on 'RA' Research reactor in the Vinca Institute

International Nuclear Information System (INIS)

Pavlovic, R; Pavlovic, S.; Plecas, I.

1999-01-01

Spent fuel elements from nuclear reactors in the Vinca Institute have been temporary stored in water filled storage pool. Due to the fact that the water in the spent fuel elements storage pool have not been purified for a long time, all metallic components submerged in the water have been hardly corroded and significant amount of the sludge has been settled on the bottom of the pool. As a first step in improving spent fuel elements storage conditions and slowing down corrosion in the storage spent fuel elements pool we have decided to remove the sludge from the bottom of the pool. Although not high, but slightly radioactive, this sludge had to be treated as radioactive waste material. Some safety aspects and radiation protection measures in the process of the spent fuel storage pool cleaning are presented in this paper

ASPECT CubeSat mission to a binary asteroid

Czech Academy of Sciences Publication Activity Database

Kohout, Tomáš; Näsilä, A.; Tikka, T.; Muinonen, K.; Penttilä, A.; Kestilä, A.; Kallio, E.

2016-01-01

Roč. 88, Special volume (2016), s. 283-283 ISSN 0367-5211. [ Nordic Geological Winter Meeting /32./. 13.01.2016-15.01.2016, Helsinki] Institutional support: RVO:67985831 Keywords : CubeSat * asteroid * AIDA * reflectance spectra ASPECT Subject RIV: DB - Geology ; Mineralogy http://www.geologinenseura.fi/bulletin/Special_Volume_1_2016/BGSF-NGWM2016_Abstract_Volume.pdf

Making Failure Pay: For-Profit Tutoring, High-Stakes Testing, and Public Schools

Science.gov (United States)

Koyama, Jill P.

2010-01-01

A little-discussed aspect of the No Child Left Behind Act (NCLB) is a mandate that requires failing schools to hire after-school tutoring companies--the largest of which are private, for-profit corporations--and to pay them with federal funds. "Making Failure Pay" takes a hard look at the implications of this new blurring of the…

Failure problems in superheater spacers of steam generators; Problematica de fallas en espaciadores de sobrecalentadores de generadores de vapor

Energy Technology Data Exchange (ETDEWEB)

Chacon Nava, Jose G; Martinez Villafane, Alberto [Instituto de Investigaciones Electricas, Cuernavaca (Mexico); Fuentes Samaniego, Raul [Universidad Autonoma de Nuevo Leon (Mexico); Mojica Calderon, Cecilio [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

1988-12-31

In this article the general aspects of the steam generator superheater fixed spacers failures are analyzed, emphasis is made on the influence several aspects such as the operation of the unit have, the appropriate execution of welds and the selection of binding materials. Likewise several recommendations are made to bring the failures to a minimum. [Espanol] En este articulo se analizan aspectos generales de fallas en espaciadores fijos de sobrecalentadores de generadores de vapor, y se hace hincapie en la influencia que tienen diversos aspectos tales como la operacion de la unidad, la adecuada ejecucion de soldaduras y la seleccion del material de aporte. Asimismo, se proponen algunas recomendaciones para reducir al minimo las fallas.

The coordination aspect of institutions in the context of an evolutionary approach to economic dynamics

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Zoran Stefanovic

2015-08-01

Full Text Available The paper provides an insight into the dominant trends of contemporary evolutionary economics and outlines the important issues related to the articulation of this approach in thinking about the economy. The paper also affirms a proposition on institutions as carrier structures of socio-economic evolution, whose numerous effects at the societal level are decoded through the coordination function. In addition to the market, the process of coordination also employs other non-market institutional structures, whose profile and operational principles are the product of the trajectories of cultural and historical evolution, different among social orders. Projects aimed at the transformation of the economic system are to be sensitized to an objectively conditioned diversity of the institutional structures of the world economy, and in this sense, should be very careful in the installation of „universal” reform solutions.

STUDY OF PHARMACO THERAPEUTIC CONSIDERATIONS IN THE MANAGEMENT OF HEART FAILURE

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Souris Kondaveti

2015-02-01

Full Text Available BACKGROUND AND OBJECTIVES: Congestive heart failure (CHF continues to be a major clinical and public health problem. Conflicting data exists about its rate of occurrence in general population, relative frequencies of predisposing heart diseases and the prognosis of the patient. In the present study, gender aspects, age wise distribution, drug distribution pattern were assessed in these patients. MATERIALS AND METHODS: A total number of 100 patients from the medical outpatient department of medicine, M.G.M. Hospital Warangal were en rolled into the study. All male and female patients between 30 to 85 years of age, diagnosed with heart failure falling into the category of functional New York Heart Association (NYHA class II or III with left ventricular ejection fraction (LVEF ≤35% we re included in the study. RESULTS: Of the 100 subjects studied 55 (40 - 75 yr were male and 45 (35 - 73 yr were female. 94 patients presented with ischemic heart failure compared to only 6 patients with non - ischemic heart failure. Out of total subjects enrol led, 61 were put on Digoxin, 71 on Diuretics, 47 on ACEI, 20 on Beta Blocker (Carvedilol, 30 on Nitrates, 64 on Anticoagulants, 19 on Statins. CONCLUSION: The incidence of heart failure was more in advanced age groups and slightly more common in males. Is chemic heart disease accounted for heart failure in majority of patients in our study we found that Digoxin, Diuretics, ACEI and Anticoagulants followed by Nitrates, Beta blockers and Statins were the most prescribed medications in the management of heart failure

The Configuration of Social Subjectivity in an Innovative Educational Institution in Brazil

Science.gov (United States)

de Oliveira Campolina, Luciana; Martínez, Albertina Mitjáns

2016-01-01

The aim of this article is to present a case study of an innovative school and illustrate how social aspects, in their subjective dimension, participate in educational innovation. According to the theoretical propositions from González Rey's cultural-historical theory of subjectivity, social aspects in the life of groups, institutions,…

Judicial and institutional aspects of the nuclear energy peaceful used in Morocco

International Nuclear Information System (INIS)

Boudahrain, A.

1996-01-01

This document deals with the feasibility of the achievement of an electronuclear program in Morocco. In fact, it claims that all the dimensions (social and human) have not been taken into account. Moreover, the moroccan program will never be self-governing since international constraints are imposed, and financial and technical assistance mean domination by USA and France. Finally, problems of judicial and institutional system set-up are discussed. (TEC)

Failure mode analysis of a PCRV. Influence of some hypothesis

International Nuclear Information System (INIS)

Zimmermann, T.; Saugy, B.; Rebora, B.

1975-01-01

This paper is concerned with the most recent developments and results obtained using a mathematical model for the non-linear analysis of massive reinforced and prestressed concrete strucures developed by the IPEN at the Swiss Federal Institute of Technology, in Lausanne. The method is based on three-dimensional isoparametric finite elements. A linear solution is adapted step by step to the idealized behavior laws of the materials up to the failure of the structure. The laws proposed here for the non-linear behavior of concrete and steel have been described elsewhere but a simple extension to the time-dependent behavior is presented. A numerical algorithm for the superposition of creep deformations is also proposed, the basic creep law being supposed to satisfy a power expression. Time-dependent failure is discussed. The calculus of a PCRV of a helium cooled fast reactor is then performed and the influence of the liner on the failure mode is analyzed. The failure analysis under increasing internal pressure is run at the present time and the influence of an eventual pressure in the cracks is being investigated. The paper aims mainly to demonstrate the accuracy of a failure analysis by three-dimensional finite-elements and to compare it with a model test, in particular when complete deformation and failure tests of the materials are available. The proposed model has already been extensively tested on simple structures and has proved to be useful for the analysis of different simplifying hypotheses

Institutions and Modernity

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Witold Morawski

2013-09-01

Full Text Available Purpose: Modernity consists of many confl icting aspects: It brings many empty promises, yet has resulted in new institutions that create bridges between the values and interests of millions of people who seek freedom, prosperity, quality of life, strengthened democracy and social justice. In this paper I attempt to a gain and loss account against modernity, because institutional rules are not only conducive to cooperative interactions, but to hostile interactions as well. People are not always guided by moral commitment, but rather more often driven by cold calculation or coercion.Methodology: Modernity has at least three defi nitions. The fi rst defi nition is based on ideas that took over the imagination of the era. The second defi nition is based on an analysis of the behavior of people who respond to reason as well as emotion and believe that they act more rationally than their ancestors or the traditional “others”. The third defi nition is the one closest to my heart, consisting of the use of institutional categories. Institutions offer practical ways of connecting ideas and people. The challenge for them is the result of deepening local and national interdependencies, but increasingly often also regional (e.g. European and global. Interdependencies are the result of the scientifi c and technological revolution, global markets, global governance mechanisms, the emergence of new social forces and cultural confl icts (against the background of reconciling identity and differences.Conclusions: The most important task is to identify the mechanisms of complex systems so that people know how to act under conditions of uncertainty, risk and crisis. Hence, the expectations toward institutions often exceed their abilities. Even though new institutions are being created and old ones are being fixed, we are witnessing and participating in, institutional paralysis and the decay (e.g. corruption. In this situation, it is imperative not only to

The self-adaptation to dynamic failures for efficient virtual organization formations in grid computing context

International Nuclear Information System (INIS)

Han Liangxiu

2009-01-01

Grid computing aims to enable 'resource sharing and coordinated problem solving in dynamic, multi-institutional virtual organizations (VOs)'. However, due to the nature of heterogeneous and dynamic resources, dynamic failures in the distributed grid environment usually occur more than in traditional computation platforms, which cause failed VO formations. In this paper, we develop a novel self-adaptive mechanism to dynamic failures during VO formations. Such a self-adaptive scheme allows an individual and member of VOs to automatically find other available or replaceable one once a failure happens and therefore makes systems automatically recover from dynamic failures. We define dynamic failure situations of a system by using two standard indicators: mean time between failures (MTBF) and mean time to recover (MTTR). We model both MTBF and MTTR as Poisson distributions. We investigate and analyze the efficiency of the proposed self-adaptation mechanism to dynamic failures by comparing the success probability of VO formations before and after adopting it in three different cases: (1) different failure situations; (2) different organizational structures and scales; (3) different task complexities. The experimental results show that the proposed scheme can automatically adapt to dynamic failures and effectively improve the dynamic VO formation performance in the event of node failures, which provide a valuable addition to the field.

INSTITUTIONAL ENVIRONMENT OF THE AGRICULTURAL MARKET FORMATION PROCESS

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S. Revenko

2013-11-01

Full Text Available This article considers institutional aspects of the organized agricultural market formation process. Theoretical base to distinguish institute and institutes is given. In order to find out main influential institutes of the “organization” phenomenon author analyses Ukrainian institutional environment that is under construction process. Author considers main processes which are running during the organized market formation. Author researches theoretical approaches to the institutional staff. In order to structure the most common approaches and theoretical knowledge of this problem author proposes few schemes. Author’s points of view for many questions of the organized market formation process are proposed. Researcher analyzes effectiveness of the institutes and governmental regulation of the agricultural market. Readers can find strategically new approach to the agricultural market formation policy from the governmental point of view. Essence of the socioeconomic formation of agricultural market is considered. Main factors of agriculture market formation are outlined. Agricultural market structural parts consideration systematic approach is proposed. Ineffectiveness of the agriculture market relations without regulation process is proved. The most unfavorable reasons of the agricultural market formation are determined.

Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure.

Science.gov (United States)

LaDonna, Kori A; Ginsburg, Shiphra; Watling, Christopher

2018-05-22

Medical practice is uncertain and complex. Consequently, even outstanding performers will inevitably experience moments of underperformance and failure. Coping relies on insight and resilience. However, how physicians develop and use these skills to navigate struggle remains underexplored. A better understanding may reveal strategies to support both struggling learners and stressed practitioners. In 2015, 28 academic physicians were interviewed about their experiences with underperformance or failure. Constructivist grounded theory informed data collection and analysis. Participants' experiences with struggle ranged from patient errors and academic failures to frequent, smaller moments of interpersonal conflict and work-life imbalance. To buffer impact, participants sometimes shifted their focus to an aspect of their identity where they felt successful. Additionally, while participants perceived that insight develops by acknowledging and reflecting on error, they sometimes deflected blame for performance gaps. More often, participants seemed to accept personal responsibility while simultaneously sharing accountability for underperformance or failure with external forces. Paradoxically, participants perceived learners who used these strategies as lacking in insight. Participants demonstrated the protective and functional value of distributing responsibility for underperformance and failure. Shifting and sharing may be an element of reflection and resilience; recognizing external factors may provide a way to gain perspective and to preserve the self. However, this strategy challenges educators' assumptions that learners who deflect are avoiding personal responsibility. The authors' findings raise questions about what it means to be resilient, and how assumptions about learners' responses to failure may affect strategies to support underperforming learners.

Contraceptive failure

DEFF Research Database (Denmark)

Rasch, Vibeke

2002-01-01

Most studies focusing on contraceptive failure in relation to pregnancy have focused on contraceptive failure among women having induced abortions, thereby neglecting those women who, despite contraceptive failure, accept the pregnancy and intend to carry the fetus to term. To get a more complete...... picture of the problem of contraceptive failure, this study focuses on contraceptive failure among women with diverse pregnancy outcomes. In all, 3520 pregnant women attending Odense University Hospital were included: 373 had induced abortions, 435 had spontaneous abortions, 97 had ectopic pregnancies......, and 2614 received antenatal care. The variables studied comprise age, partner relationship, number of births, occupational and economical situation, and contraceptive use.Contraceptive failure, defined as contraceptive use (condom, diaphragm, IUD, oral contraception, or another modern method...

Acute renal failure after rifampicin

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Adriana Weinberg

1984-12-01

Full Text Available A patient with miliary tuberculosis and a chronic urogenital focus is described, who had a borderline renal function at diagnosis and developed overt renal failure upon daily treatment with rifampin (RMP, isoniazid (INH and ethambutol (EMB. This is the first Brazilian report of BMP induced renal damage. A renal biopsy taken on the third day of oliguria showed recent tubular necrosis with acute interstitial inflammation and granuloma formation. The aspect of the granulomatous lesion hightly suggested drug etiology because of the lack of palisading, high incidence of neutrophils and absence of facid-fast bacilli. This is the first presentation of an acute granulomatous interstitial nephritis probably due to RMP. Furthermore the pathogenesis of the renal damage caused by tuberculosis and RMP are discussed.

Ethical aspects on rare diseases.

Science.gov (United States)

Barrera, Luis A; Galindo, Gilberto Cely

2010-01-01

In this chapter we discuss several of the most relevant subjects related to ethics on Rare Diseases. Some general aspects are discussed such as the socio-psychological problems that confront the patients and their families that finally lead to marginalization and exclusion of patients affected by these diseases from the health programs, even in wealthy countries. Then we address problems related to diagnosis and some ethical aspects of newborn screening, prenatal, pre-implantation diagnosis and reference centers, as well as some conditions that should be met by the persons and institutions performing such tasks. Alternatives of solutions for the most critical situations are proposed. Subsequently the orphan drugs subject is discussed not only from the availability point of view, prizes, industrial practices, and purchasing power in developed and developing societies. The research related to rare disease in children and other especially vulnerable conditions, the need for informed consent, review boards or ethics comities, confidentiality of the information, biobanks and pharmacogenetics are discussed.

Quality of Health Care Activity in Educational Institutions: Conceptual Aspect

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N. V. Tretyakova

2013-01-01

Full Text Available The paper deals with one of the priority tasks of Russian educational system – developing the health responsibility. The recent health deterioration trend among children and adolescents calls for the complex health care measures, equally affecting the learning outcomes. The authors argue that there is a need for proper definition and specification of the key term of health care quality. However, the analysis of the available scientific and documentary recourses demonstrates the absence of such unified definition. The authors describe the existing approaches to defining the health care quality, and examine structural components of the health care activity, their interrelations and interdependence. In authors’ opinion, the synthesis of the available research materials provides the basis for further studies in the theory and practice of quality management activities regarding the health protection of children, adolescents and young adults in educational institutions. 

Water Scarcity in England and Wales as a Failure of (metaGovernance

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Gareth Walker

2014-06-01

Full Text Available The water crisis is often said to be a crisis of governance failure rather than of availability per se; yet the sources of this failure are poorly understood. This paper examines contemporary water scarcity in England and Wales as a failure of ecological modernity, in which technical and institutional innovation is promoted as a means of increasing economic efficiency in the allocation and use of water resources. The role of the state in fostering this innovation is explored through exploring a shift from 'government' to 'governance'. The paper employs Jessopʼs theory of meta-governance to examine governance failure. Meta-governance represents the capacity of the state to flank or support the emergence of specific forms of governance through mobilising material or symbolic resources. Three sources of governance failure are explored: (1 the nature of capitalist exchange and its resulting production of nature, (2 the political dimensions implicit in meta-governance, and (3 the nature of governance as a task of self-organisation. The model is then applied to the rise of water scarcity in England and Wales from the 1970s to the present day. The utility of the model in analysing governance failure is discussed.

The 1988 progress report of the Nuclear Safety and Protection Institut

International Nuclear Information System (INIS)

Anon.

1988-01-01

The 1988 progress report of the Nuclear Safety and Protection Institut (CEA, France). The Institute's fields of action involve: The activities and technical safety of the nuclear power plants, the environmental and human radiation protection which includes technical, health and medical aspects, the nuclear materials compatibility and control and the accident intervention actions. The 1988 Institute activities are characterized by the continuity of the previous technical safety directives, by the improvement of the nuclear risk communication and of the international cooperation [fr

Polish Accession to the European Union: Participating Institutions

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Tomaszewski Waldemar

2015-06-01

Full Text Available In May 2014 it was aready ten years since Poland’s accession to the European Union. The accession was preceded by a long period of political action and negotiations between the Polish and the EU institutions. The process of integration was extremely complex. It covered almost all areas of economic, legal and civil aspects of the aspiring country’s economy, in which all necessary requirements had to be met. The aim of the article was to present the institutional framework created for efficient implementation of the process of accession. The considerations involved especially an institutional method. The research resulted in poining out both the actually efficient and less efficient bodies participating in the process of integration.

Failures and suggestions in Earthquake forecasting and prediction

Science.gov (United States)

Sacks, S. I.

2013-12-01

Seismologists have had poor success in earthquake prediction. However, wide ranging observations from earlier great earthquakes show that precursory data can exist. In particular, two aspects seem promising. In agreement with simple physical modeling, b-values decrease in highly loaded fault zones for years before failure. Potentially more usefully, in high stress regions, breakdown of dilatant patches leading to failure can yield expelled water-related observations. The volume increase (dilatancy) caused by high shear stresses decreases the pore pressure. Eventually, water flows back in restoring the pore pressure, promoting failure and expelling the extra water. Of course, in a generally stressed region there may be many small patches that fail, such as observed before the 1975 Haicheng earthquake. Only a few days before the major event will most of the dilatancy breakdown occur in the fault zone itself such as for the Tangshan, 1976 destructive event. Observations of 'water release' effects have been observed before the 1923 great Kanto earthquake, the 1984 Yamasaki event, the 1975 Haicheng and the 1976 Tangshan earthquakes and also the 1995 Kobe earthquake. While there are obvious difficulties in water release observations, not least because there is currently no observational network anywhere, historical data does suggest some promise if we broaden our approach to this difficult subject.

Challenges facing the marketing of scientific and research institutes

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Bogdan Sojkin

2015-12-01

Full Text Available This article presents the challenges that scientific research institutions face in terms of their marketing, which have been divided into two groups of those associated with internal marketing and those linked to external marketing. The most significant and important determinants that constitute challenges to both internal and external marketing were described. The key aspects of each of the identified challenges were indicated, as was their impact on the implementation of the marketing policy at institutions.

Strategy for Strengthening Farmer Groups by Institutional Strengthening

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Purbayu Budi Santoso

2015-08-01

Full Text Available Agriculture sector becomes a spotlight because this sector will be full of potential but the welfare of farmers who become the leading actor is not guaranteed and has a poor tendency. The purpose of this study is to formulate strategies to strengthen farmers' groups in order to create the marketing of the agricultural sector that benefit farmers. The method used to achieve this goal is to use a qualitative approach and Analytical Network Process. In addition to the secondary data obtained from several agencies, this study also uses primary data obtained by in-depth interviews and observations. This research results a priority of aspects of the institutional strengthening of farmer groups as well as priority issues and priorities of the solution of each aspect. In addition, the priority of alternative strategies resulted based on the problems and solutions that have been analyzed in order to solve the problems in the institutional strengthening of farmer groups in Demak.

Red Cell Distribution Width and Serum BNP Level Correlation in Diabetic Patients with Cardiac Failure: A Cross - Sectional Study.

Science.gov (United States)

A R, Subhashree

2014-06-01

Red cell distribution width (RDW) is a red cell measurement given by fully automated hematology analyzers. It is a measure of heterogeneity in the size of circulating erythrocytes. Studies have shown that it is a prognostic marker in non - anemic diabetic patients with symptomatic cardiovascular disease but its correlation with cardiac failure in diabetics has not been studied so far. Moreover, studies have also shown that a higher RDW may reflect an underlying inflammatory state. Since Diabetes is a pro inflammatory state there is a possibility that it might have an influence on the RDW values even when there is no cardiac failure, but research data on this aspect is lacking. B-type natriuretic peptide (BNP) is a proven marker for cardiac failure whose values are comparable with echo cardio graphic findings in assessing the left ventricular dysfunction. This study aimed to find out the correlation between RDW% and serum BNP levels in Diabetics with heart failure (cases) when compared to those without failure (controls). Further, we compared the RDW % values of the cases with controls. Settings and Design : The study was approved by institutional ethical and research committee. A cross-sectional study was conducted with patients attending the Diabetes clinic of a tertiary care hospital in Chennai, India, during the period of October to December 2013. Hundred known cases of type II Diabetes mellitus attending Diabetes centre of the Hospital, with clinical and Echo cardio graphic features of cardiac failure were included as cases. Hundred age and gender matched diabetics with negative history of cardiovascular disease and with normal Echo cardio graphic features were included as controls. Informed consent was obtained from all the cases and controls. Demographic data and clinical history were gathered from all the cases and controls by using a standardized self - administered questionnaire. Biochemical and hematological parameters which included Fasting and

45th IGE (Institute of Gas Engineers) Autumn Meeting

Energy Technology Data Exchange (ETDEWEB)

Riley, T; De Winton, C

1980-01-01

Topics discussed at the 45th Institute of Gas Engineers Autumn Meeting (London, 1979) are outlined, including safety standards and recommendations for gas transmission and distribution systems, gas characteristics and utilization, heat transfer research, gas receiver stresses, the potential of hydrogen as an energy fuel, gas appliances and controls, pipe failure, refactories in gasifiers, synthetic natural gas, coal conversion techniques, and technological innovations.

The Rural Institutions in Colombia: Reflections for Analysis and Strengthening

OpenAIRE

Sandro Ropero Beltran

2016-01-01

The rural question is one of the great challenges for institutions in Colombia. The discussion regarding institutional efficiency and effectiveness for the rural sector should be brought forward based on circumstantial aspects that in turn mediate social the social, political, cultural, environmental, economic and productive in the Colombian agriculture, including trade agreements and post-conflict eventually included. The new rurality as an approach to rural development poses a different vie...

Availability of nuclear fuels: one aspect of the reliability of supply. [German Federal Republic

Energy Technology Data Exchange (ETDEWEB)

Dolinski, U; Ziesing, H J [Deutsches Inst. fuer Wirtschaftsforschung, Berlin (F.R. Germany)

1976-09-01

In connection with the future supply of nuclear fuels to the Federal Republic of Germany the authors discuss the problems which arise. They describe the future development of the demand for natural uranium and the work involved in separation and deal with the possibilities of meeting the demand. They pay particular attention to the changed market situation and to the policies of the countries which produce uranium. The article is a detailed examination of the report by the German Institute for Economic Research (DIW) on aspects of the reliability of supply to the electricity supply industry in the Federal Republic of Germany, which was prepared under the aegis of the Bavarian Ministry for Economic and Transport. This investigation will be published, omitting the regional aspects, towards the middle of 1976, by the German Institute for Economic Research under the title 'Reliability, price and environmental protection aspects of energy supply'.

Loss of calcium from axial and appendicular skeleton in patients with chronic renal failure

International Nuclear Information System (INIS)

Cohn, S.H.; Ellis, K.J.; Caselnova, R.C.; Asad, S.N.; Letteri, J.M.

1974-01-01

The widespread prevalence of bone disease in chronic renal failure both prior to and during hemodialysis is an important aspect of uremia. Loss of bone mineral of the skeleton in renal disease can be measured directly by total-body neutron activation analysis (TBNAA). The absorptiometric technique, using monochromatic photons from 125 I, applied to the appendicular skeleton (radius) also reflects the loss of bone mineral content (BMC) in renal disease. The results of these two techniques were compared in 25 patients with renal insufficiency, 53 with end stage renal failure on dialysis, and 24 normal control subjects. (U.S.)

Ethnic and institutional aspects of natural resources of the North

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Vladimir Grigoryevich Loginov

2013-03-01

Full Text Available In this paper questions of social and economic development of the indigenous small-numbered peoples of the North in their traditional places of living and traditional business activities are considered. Influence of the process of commercial development on a natural complex and indigenous people owing to negative consequences of policy of use of raw material resources is shown. Problems of interaction of representatives of indigenous ethnicities and subsoil users while developing mineral deposits and implementation of infrastructure projects in northern areas in an existing institutional framework are revealed. The issue in the definition of damage to territories of traditional environmental management because of the absence of approved at the Federal Level and the regulations adapted in regions is noted. The directions on the preservation of the environment and conditions for a habitation of indigenous people and development of branches of traditional environmental management in the conditions of proceeding process of exploitation of natural resources in areas of their accommodation are offered.

The New Institutionalism and the Representationalist Concept of Politics

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Guillermo Pereyra

2009-01-01

Full Text Available The main objective of this paper is to offer a critique of the representationalist assumptions of some of the neoinstitutionalist studies. Two fundamental theses are upheld: 1 the institutionalist model of democracy's critique of the notion of popular sovereignty does not take into consideration that the people is a political category which shows the constituitive failure of any representation; 2 the New Institutionalism theory, and in particular from its historical–sociological perspective, is based on the representationalist assumption that there is something previous to politics in society, and culture that must be faithfully represented by the institutions to avoid disorder.

Some aspects of improvement of chemical water conditions for thermal power plants

International Nuclear Information System (INIS)

Martynova, O.I.; Gladyshev, B.P.; Zhivilova, L.M.; Yurchevskij, E.B.

1989-01-01

Some general aspects of preventing corrosion of thermal power plant equipment are considered. Application of oxidation water chemistry regime, high purity feedwater, automatic control of water quality indices (conductivity, content of chlorides, sulfides, sodium, oxygen, hydrogen) is recommended. Necessity in statistics and creation of methods for quantitative evalution of economic losses during power equipment failures due to violation of water chemistry regime standards is indicated

Beneficial aspects of real time flow measurements for the management of acute right ventricular heart failure following continuous flow ventricular assist device implantation

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Spiliopoulos Sotirios

2012-11-01

Full Text Available Abstract Background Optimal management of acute right heart failure following the implantation of a left ventricular assist device requires a reliable estimation of left ventricular preload and contractility. This is possible by real-time pump blood flow measurements. Clinical case We performed implantation of a continuous flow left ventricular assist device in a 66 years old female patient with an end-stage heart failure on the grounds of a dilated cardiomyopathy. Real-time pump blood flow was directly measured by an ultrasonic flow probe placed around the outflow graft. Diagnosis The progressive decline of real time flow and the loss of pulsatility were associated with an increase of central venous pressure, inotropic therapy and progressive renal failure suggesting the presence of an acute right heart failure. Diagnosis was validated by echocardiography and thermodilution measurements. Treatment Temporary mechanical circulatory support of the right ventricle was successfully performed. Real time flow measurement proved to be a useful tool for the diagnosis and ultimately for the management of right heart failure including the weaning from extracorporeal membrane oxygenation.

Incidence and predictors of 6 months mortality after an acute heart failure event in rural Uganda: The Mbarara Heart Failure Registry (MAHFER).

Science.gov (United States)

Abeya, Fardous Charles; Lumori, Boniface Amanee Elias; Akello, Suzan Joan; Annex, Brian H; Buda, Andrew J; Okello, Samson

2018-03-29

We sought to estimate the incidence and predictors of all-cause mortality 6 months after heart failure hospitalization in Uganda. Mbarara Heart Failure Registry is a cohort of patients hospitalized with a clinical diagnosis of heart failure at Mbarara Regional Referral Hospital, Uganda. We measured serum electrolytes, cardiac markers, and echocardiograms. All participants were followed until death or end of 6 months. We used Fine and Gray models to estimate the incidence and predictors all-cause mortality. A total of 215 participants were enrolled, 141 (66%) were women, and mean age 53 (standard deviation 22) years. Nineteen (9%) had diabetes, 40 (19%) had HIV, and 119 (55%) had hypertension. The overall incidence of all-cause mortality was 3.58 (95% CI 2.92, 4.38) per 1000 person-days. Men had higher incidence of death compared to women (4.02 vs 3.37 per 1000 person-days). The incidence of all-cause mortality during hospitalization was almost twice that of in the community (27.5 vs 14.77 per 1000 person-days). In adjusted analysis, increasing age, NYHA class IV, decreasing renal function, smoking, each unit increase in serum levels of Potassium, BNP, and Creatine kinase-MB predicted increased incidence of 6 months all-cause death whereas taking beta-blockers and having an index admission on a weekend compared to a week day predicted survival. There is a high incidence of all-cause mortality occurring in-hospital among patients hospitalized with heart failure in rural Uganda. Heart failure directed therapies should be instituted to curb heart failure-related mortality. Copyright © 2017 Elsevier B.V. All rights reserved.

Failure Patterns After Hemithoracic Pleural Intensity Modulated Radiation Therapy for Malignant Pleural Mesothelioma

Energy Technology Data Exchange (ETDEWEB)

Rimner, Andreas, E-mail: rimnera@mskcc.org [Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Spratt, Daniel E. [Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Zauderer, Marjorie G. [Department of Medicine, Thoracic Oncology Service, Memorial Sloan-Kettering Cancer Center, Weill Cornell Medical College, New York, New York (United States); Rosenzweig, Kenneth E. [Department of Radiation Oncology, Mount Sinai Medical Center, New York, New York (United States); Wu, Abraham J.; Foster, Amanda [Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Yorke, Ellen D. [Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Adusumilli, Prasad; Rusch, Valerie W. [Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Krug, Lee M. [Department of Medicine, Thoracic Oncology Service, Memorial Sloan-Kettering Cancer Center, Weill Cornell Medical College, New York, New York (United States)

2014-10-01

Purpose: We previously reported our technique for delivering intensity modulated radiation therapy (IMRT) to the entire pleura while attempting to spare the lung in patients with malignant pleural mesothelioma (MPM). Herein, we report a detailed pattern-of-failure analysis in patients with MPM who were unresectable or underwent pleurectomy/decortication (P/D), uniformly treated with hemithoracic pleural IMRT. Methods and Materials: Sixty-seven patients with MPM were treated with definitive or adjuvant hemithoracic pleural IMRT between November 2004 and May 2013. Pretreatment imaging, treatment plans, and posttreatment imaging were retrospectively reviewed to determine failure location(s). Failures were categorized as in-field (within the 90% isodose line), marginal (<90% and ≥50% isodose lines), out-of-field (outside the 50% isodose line), or distant. Results: The median follow-up was 24 months from diagnosis and the median time to in-field local failure from the end of RT was 10 months. Forty-three in-field local failures (64%) were found with a 1- and 2-year actuarial failure rate of 56% and 74%, respectively. For patients who underwent P/D versus those who received a partial pleurectomy or were deemed unresectable, the median time to in-field local failure was 14 months versus 6 months, respectively, with 1- and 2-year actuarial in-field local failure rates of 43% and 60% versus 66% and 83%, respectively (P=.03). There were 13 marginal failures (19%). Five of the marginal failures (38%) were located within the costomediastinal recess. Marginal failures decreased with increasing institutional experience (P=.04). Twenty-five patients (37%) had out-of-field failures. Distant failures occurred in 32 patients (48%). Conclusions: After hemithoracic pleural IMRT, local failure remains the dominant form of failure pattern. Patients treated with adjuvant hemithoracic pleural IMRT after P/D experience a significantly longer time to local and distant failure than

Institutional economy applied to the Natural Resources

International Nuclear Information System (INIS)

Aguilera klink, Federico

1999-01-01

The author intend to show how the perspective of institutional economy, worried about natural resources and the environment, insists in the necessity of a conceptual reconstruction of the concept of economy. This proposal is presented by considering three main aspects essentials for that reconstruction: a) The displacement of the philosophical assumptions of XVIII and XIX countries, b) Reformulation a widening of the meaning of the basic concepts and c) How to complement the marked price analysis with the consideration of social values. After analyzing these aspects it is show how they are applied to the study of natural resources and environmental problems through the notion of social costs

Pleasure seeking and the aspect of longing for an object in perversion. A neuropsychoanalytical perspective.

Science.gov (United States)

Berner, Wolfgang; Briken, Peer

2012-01-01

In modern psychiatric classifications the term paraphilia has replaced the term perversion by changing the scope of the definitions from avoided procreation to failures of relationship-aspects of sexuality. Contemporary psychoanalysts also seem less interested in pleasure seeking aspects, which were so important within original Freudian thought, and instead concentrate interpretation on hostility and the history of the representation of objects. This paper discusses the connection between distinct object representations in perversions and attachment theory and neurobiological representations. It will discuss the observation that the neglect of pleasure seeking in perversion often results in a failure to recognise the addiction-like aspects of perversion, which seem to be particularly relevant to modern psychiatric and psychological thinking. The SEEKING-system (Panksepp, 1998) is used to conceptualise a neurobiological basis for pleasure seeking. This SEEKING-system may be "hijacked" by rewards in different forms of addiction as well as in sexual obsessions. The polarity between "drive representation" and "object representation," as created by Freud (1933, 1940a), may correspond to the polarity identified in contemporary thinking between the addictive or compulsive characteristics of sexual gratification (drive representation) and the influence of early object representation on the later ability to integrate instinctual wishes into relationships (object representation).

Rayleigh-Taylor instability and resulting failure modes of ablatively imploded inertial fusion targets

International Nuclear Information System (INIS)

Montierth, L.; Morse, R.

1984-01-01

This chapter discusses small amplitude growth of the outside surface instability and modes of failure resulting from nonlinear development of the inside surface instability. It is demonstrated that pellets with initial pellet aspect ratio, A /SUB p/ >5 may have difficulty with Rayleigh-Taylor instability and that shells with A /SUB p/ greater than or equal to10 will probably demand stringent smoothness specification in order not to experience failure in the final implosion. The linear amplification of the outside surface instability can easily exceed 10 3 for A /SUB p/ and resulting A values in the range of programmatic interest. Amplifications of this order, starting from attainable surface finishes, can then penetrate to the inside shell surface, producing perturbations there which approach the nonlinear development amplitude and at the start of the final deceleration. It is shown that such inside surface perturbations can be amplified to large amplitude by the inside instability and cause failure through reduction of the maximum fuel temperature achieved. Insight into the scaling of failure mechanisms is offered

Study on Geotechnique and Geohydrology in Failure Areas, P2PLR-BATAN, Serpong

International Nuclear Information System (INIS)

Heri-Syaeful; Suharji; Sartapa; Suparjo-AS

2004-01-01

Failures in reverse side of 50 and 52 building, first en occurred in early 2002, temporary treatment on slope failure which conducted in the middle of the year 2002 has not solved the problem, because it did not consider the aspect of geo technique and geohydrology that causing the failure. Geo technique and geohydrology study in failure area covered field work, laboratory work and geo technic/geohydrology analysis. Field works includes topographic mapping, core drilling, hand auger, groundwater level monitoring, standard penetration test and undisturbed sampling. Laboratory work includes index properties and engineering properties test. Studio works covered geotechnical analysis for the calculation of safety factor, while geohydrology analysis to understand the groundwater system. Slope stability analysis resulting the small number of safety factor, between 0,305-1,637 on normal condition, 0,293-1,597 on saturated condition and 0,205-1,075 on earthquake condition. From the geohydrology analysis, concluded that water clogging still occurs in several areas of slope, causing the excess of pore water pressure and decreasing the value of soil shear strength. (author)

Transitional Forces in a Resource Based Economy: Phases of Economic and Institutional Development in Hawaii

DEFF Research Database (Denmark)

Kaiser, Brooks; Roumasset, James

2014-01-01

We illuminate several important aspects of the nature and causes of growth and institutional change. To do this, we focus on the role resource pressures have played in the historic development of Hawaii’s institutions. We discuss the Hawaiian story in the context of the natural co-evolution of pr......We illuminate several important aspects of the nature and causes of growth and institutional change. To do this, we focus on the role resource pressures have played in the historic development of Hawaii’s institutions. We discuss the Hawaiian story in the context of the natural co...... that funds management and governance through a non-productive elite class. We use both archeological and historical evidence from natural resource use during the settlement and modernization of the Hawaiian economy. Hawaii’s resources are first controlled by hierarchy, which intensifies over time...

A review of historical check valve failure data

International Nuclear Information System (INIS)

Casada, D.A.; Todd, M.D.

1992-01-01

Check valve operating problems in recent years have resulted in significant operating transients, increased cost, and decreased system availability. In response, additional attention has been given to check valves by utilities, as well as the US Nuclear Regulatory Commission (NRC) and the American Society of Mechanical Engineers Operation and Maintenance Committee. All these organizations have the fundamental goal of ensuring reliable operation of check valves. A key ingredient of an engineering-oriented reliability improvement effort is a thorough understanding of relevant historical experience. Oak Ridge National Laboratory is currently conducting a detailed review of historical failure data available through the Institute of Nuclear Power Operation's Nuclear Plant Reliability Data System. The focus of the review is on check valve failures that have involved significant degradation of the valve internal parts. A variety of parameters are being considered during the review, including size, age, system of service, method of failure discovery, the affected valve parts, attributed causes, and corrective actions. This work is being carried out under the auspices of the NRC's Nuclear Plant Aging Research program. At this time, the study is approximately 50% complete. All failure records have been reviewed and categorized, and preliminary tabulation and correlation of data is underway. The bulk of the tabulation and correlation portion of the work is expected to be completed by the end of June 1992. A report draft is expected in the fall of 1992

'Hearts and minds': association, causation and implication of cognitive impairment in heart failure.

Science.gov (United States)

Cannon, Jane A; McMurray, John Jv; Quinn, Terry J

2015-01-01

The clinical syndrome of heart failure is one of the leading causes of hospitalisation and mortality in older adults. An association between cognitive impairment and heart failure is well described but our understanding of the relationship between the two conditions remains limited. In this review we provide a synthesis of available evidence, focussing on epidemiology, the potential pathogenesis, and treatment implications of cognitive decline in heart failure. Most evidence available relates to heart failure with reduced ejection fraction and the syndromes of chronic cognitive decline or dementia. These conditions are only part of a complex heart failure-cognition paradigm. Associations between cognition and heart failure with preserved ejection fraction and between acute delirium and heart failure also seem evident and where data are available we will discuss these syndromes. Many questions remain unanswered regarding heart failure and cognition. Much of the observational evidence on the association is confounded by study design, comorbidity and insensitive cognitive assessment tools. If a causal link exists, there are several potential pathophysiological explanations. Plausible underlying mechanisms relating to cerebral hypoperfusion or occult cerebrovascular disease have been described and it seems likely that these may coexist and exert synergistic effects. Despite the prevalence of the two conditions, when cognitive impairment coexists with heart failure there is no specific guidance on treatment. Institution of evidence-based heart failure therapies that reduce mortality and hospitalisations seems intuitive and there is no signal that these interventions have an adverse effect on cognition. However, cognitive impairment will present a further barrier to the often complex medication self-management that is required in contemporary heart failure treatment.

SOCIAL POLICY AS FACTOR OF STATE INSTITUTIONAL STATUS

Directory of Open Access Journals (Sweden)

Larysa Zhukova

2016-11-01

Full Text Available The purpose of the article is the research of theoretical and methodological aspects of social policy as the factor of institutional state statuses. Methodology. The researching in institutional providing of state social policy which may be considered as the base for performance of correspond reforms which are directed to the life level increasing, is enough popular task in scientific, theoretical and practical aspects. The scientific search of social policy as the factor of institutional status of state is carried out at the base of classical, neoclassical and institutional methodology. At the base of classical methodology it were defined the general approaches with help of dialectical analysis tools and synthesis of social relations array as historical action. With the help of system, structurally-functional analysis of social policy tasks, it’s opened its internal nature and ways of institutional providing. Institutional and neoclassical approaches allowed the specials analysing tools in modelling of dynamics and institute of social policy institute results in the conditions of market transformations. Also in the research process it were used the economic articles about the question of analysis in state social policy and given the statistic data about the analytical report to the annual President’s of Ukraine message to Verkhovna Rada of Ukraine „About internal and external condition of Ukraine in year 2015”. Research results showed what in the conditions of socially-economic and political instability, the social sphere Ukraine became the hostage of common crisis in economic, catastrophic decreasing of life level, increasing of social confrontation and rough system mistakes in the process of social institution formation. All of this neutralizes the methods efficiency about improvement of socially-economic condition of population and prevents to the implementation of necessary reforms. Practical value lays in the clear definition of

Nurses' strategies to address self-care aspects related to medication adherence and symptom recognition in heart failure patients: an in-depth look.

Science.gov (United States)

Jaarsma, Tiny; Nikolova-Simons, Mariana; van der Wal, Martje H L

2012-01-01

Despite an increasing body of knowledge on self-care in heart failure patients, the need for effective interventions remains. We sought to deepen the understanding of interventions that heart failure nurses use in clinical practice to improve patient adherence to medication and symptom monitoring. A qualitative study with a directed content analysis was performed, using data from a selected sample of Dutch-speaking heart failure nurses who completed booklets with two vignettes involving medication adherence and symptom recognition. Nurses regularly assess and reassess patients before they decide on an intervention. They evaluate basic/factual information and barriers in a patient's behavior, and try to find room for improvement in a patient's behavior. Interventions that heart failure nurses use to improve adherence to medication and symptom monitoring were grouped into the themes of increasing knowledge, increasing motivation, and providing patients with practical tools. Nurses also described using technology-based tools, increased social support, alternative communication, partnership approaches, and coordination of care to improve adherence to medications and symptom monitoring. Despite a strong focus on educational strategies, nurses also reported other strategies to increase patient adherence. Nurses use several strategies to improve patient adherence that are not incorporated into guidelines. These interventions need to be evaluated for further applications in improving heart failure management. Copyright © 2012 Elsevier Inc. All rights reserved.

Intermolecular failure of L-type Ca2+ channel and ryanodine receptor signaling in hypertrophy.

Directory of Open Access Journals (Sweden)

Ming Xu

2007-02-01

Full Text Available Pressure overload-induced hypertrophy is a key step leading to heart failure. The Ca(2+-induced Ca(2+ release (CICR process that governs cardiac contractility is defective in hypertrophy/heart failure, but the molecular mechanisms remain elusive. To examine the intermolecular aspects of CICR during hypertrophy, we utilized loose-patch confocal imaging to visualize the signaling between a single L-type Ca(2+ channel (LCC and ryanodine receptors (RyRs in aortic stenosis rat models of compensated (CHT and decompensated (DHT hypertrophy. We found that the LCC-RyR intermolecular coupling showed a 49% prolongation in coupling latency, a 47% decrease in chance of hit, and a 72% increase in chance of miss in DHT, demonstrating a state of "intermolecular failure." Unexpectedly, these modifications also occurred robustly in CHT due at least partially to decreased expression of junctophilin, indicating that intermolecular failure occurs prior to cellular manifestations. As a result, cell-wide Ca(2+ release, visualized as "Ca(2+ spikes," became desynchronized, which contrasted sharply with unaltered spike integrals and whole-cell Ca(2+ transients in CHT. These data suggested that, within a certain limit, termed the "stability margin," mild intermolecular failure does not damage the cellular integrity of excitation-contraction coupling. Only when the modification steps beyond the stability margin does global failure occur. The discovery of "hidden" intermolecular failure in CHT has important clinical implications.

Heart Failure

Science.gov (United States)

Heart failure is a condition in which the heart can't pump enough blood to meet the body's needs. Heart failure does not mean that your heart has stopped ... and shortness of breath Common causes of heart failure are coronary artery disease, high blood pressure and ...

CULTURAL VALUES, MARKET INSTITUTIONS, AND ENTREPRENEURSHIP POTENTIAL: A COMPARATIVE STUDY OF THE UNITED STATES, TAIWAN, AND VIETNAM

OpenAIRE

THANG V. NGUYEN; SCOTT E. BRYANT; JERMAN ROSE; CHIUNG-HUI TSENG; SUPARA KAPASUWAN

2009-01-01

This study examines the impact of national cultural values and the development of market institutions on three aspects of entrepreneurship (desire, intention, and confidence in creating new ventures). We ask: What different kinds of effects do cultural and institutional factors have on different aspects of entrepreneurship? Our samples come from Vietnam, Taiwan, and the United States (US). The use of three countries allows us to distinguish the separate influences of culture and market instit...

Radiation processing project at the Institute of Nuclear Energy Research

International Nuclear Information System (INIS)

Tsai, C.M.; Fu, Y.K.; Yang, Y.H.; Chen, Y.T.; Wei, Y.H.; Lee, K.P.; Wang, Y.K.

1981-01-01

The utilization of scientific approach to preserve and sterilize the agricultural products has long been studied since 1954 and was adopted by several countries gradually since 1958. Starting from July 1977 this Institute began to study the preservation of potatoes and onions with reference to sprout inhibition which is discussed and its economical aspect is evaluated. The design concept of a megacurie 60 Co irradiator at this Institute is illustrated. The progress of construction work for the irradiator and the safety device in particular are reported. Current research project on the preservation of agricultural products in this Institute is presented. (author)

Institutional development: from legal pluralism to institutional bricolage in West African pastoralism.

Science.gov (United States)

Fokou, G; Bonfoh, B

2016-11-01

Pastoralists in Africa are increasingly vulnerable to the effects of globalisation, climate change and changes in land use. They are confronted with problems related to access to scarce natural resources and their regulation, the management of mobility, and too little investment in health systems, livestock production and social service delivery. However, this paper focuses on positive trends and vital innovations in pastoral societies. These rely on robust institutions and policy frameworks that contribute to economically secure, politically stable, and environmentally sustainable livelihoods for African pastoral societies. The authors analyse ways in which internal and external efforts can improve the economic viability and social aspects of pastoralism. The institutions that manage natural resources and their effects on livelihoods and access to social services must be critically reviewed. The authors suggest that a new model for the economic and social development of African pastoralism should be positioned between donor- or governmentdriven development (in other words, 'seeing like a state') and the autonomous development goals of pastoralists ('seeing like a pastoralist'). Pastoralists are resourceful, entrepreneurial and innovative people, fully able to support new institutional systems and services which recognise their way of life and production systems. It seems evident that African pastoralism will maintain its vitality and creativity through a process of 'bricolage', with institutional and policy innovations based on a constant renegotiation of norms, the reinvention or transformation of tradition, the importance of legitimate authority and the role of the people themselves in shaping such arrangements.

Patterns of Failure Following Multimodal Treatment for Medulloblastoma: Long-Term Follow-up Results at a Single Institution.

Science.gov (United States)

Lee, Dong Soo; Cho, Jaeho; Kim, Se Hoon; Kim, Dong-Seok; Shim, Kyu Won; Lyu, Chuhl Joo; Han, Jung Woo; Suh, Chang-Ok

2015-10-01

The purpose of this study is to investigate the long-term results and appropriateness of radiation therapy (RT) for medulloblastoma (MB) at a single institution. We analyzed the clinical outcomes of 106 patients with MB who received RT between January 1992 and October 2009. The median age was 7 years (range, 0 to 50 years), and the proportion of M0, M1, M2, and M3 stages was 60.4%, 8.5%, 4.7%, and 22.6%, respectively. The median total craniospinal irradiation (CSI) and posterior fossa tumor bed dose in 102 patients (96.2%) treated with CSI was 36 Gy and 54 Gy, respectively. The median follow-up period in survivors was 132 months (range, 31 to 248 months). A gradual improvement in survival outcomes was observed, with 5-year overall survival rates of 61.5% in 1990s increasing to 73.6% in 2000s. A total of 29 recurrences (27.4%) developed at the following sites: five (17.2%) in the tumor bed; five (17.2%) in the posterior fossa other than the tumor bed; nine (31%) in the supratentorium; and six (20.7%) in the spinal subarachnoid space only. The four remaining patients showed multiple site recurrences. Among 12 supratentorial recurrences, five cases recurred in the subfrontal areas. Although the frequency of posterior fossa/tumor bed recurrences was significantly high among patients treated with subtotal resection, other site (other intracranial/spinal) recurrences were more common among patients treated with gross tumor removal (p=0.016). There was no case of spinal subarachnoid space relapse from desmoplastic/extensive nodular histological subtypes. Long-term follow-up results and patterns of failure confirmed the importance of optimal RT dose and field arrangement. More tailored multimodal strategies and proper CSI technique may be the cornerstones for improving treatment outcomes in MB patients.

A cost effectiveness study establishing the impact and accuracy of implementing the NICE guidelines lowering plasma NTproBNP threshold in patients with clinically suspected heart failure at our institution.

Science.gov (United States)

Webb, Jessica; Draper, Jane; Rua, Tiago; Yiu, Yee; Piper, Susan; Teall, Thomas; Fovargue, Lauren; Bolca, Elena; Jackson, Tom; Claridge, Simon; Sieniewicz, Ben; Porter, Bradley; McDiarmid, Adam; Rajani, Ronak; Kapetanakis, Stamatis; Rinaldi, Christopher A; Razavi, Reza; McDonagh, Theresa A; Carr-White, Gerald

2018-04-15

The 2014 National Institute of Clinical Excellence (NICE) guidelines on the management of acute heart failure recommended using a plasma NT-proBNP threshold of 300pg/ml to assist in ruling out the diagnosis of heart failure (HF), updating previous guidelines recommending using a threshold of 400pg/ml. NICE based their recommendations on 6 studies performed in other countries. This study sought to determine the diagnostic and economic implications of using these thresholds in a large unselected UK population. Patient and clinical demographics were recorded for all consecutive suspected HF patients over 12months, as well as clinical outcomes including time to HF hospitalisation and time to death (follow up 15.8months). Of 1995 unselected patients admitted with clinically suspected HF, 1683 (84%) had a NTproBNP over the current NICE recommended threshold, of which 35% received a final diagnosis of HF. Lowering the threshold from 400 to 300pg/ml would have involved screening an additional 61 patients and only would have identified one new patient with HF (sensitivity 0.985, NPV 0.976, area under the curve (AUC) at 300pg/ml 0.67; sensitivity 0.983, NPV 0.977, AUC 0.65 at 400pg/ml). The economic implications of lowering the threshold would have involved additional costs of £42,842.04 (£702.33 per patient screened, or £ 42,824.04 per new HF patient). Applying the recent updated NICE guidelines to an unselected real world population increases the AUC but would have a significant economic impact and only identified one new patient with heart failure. Copyright © 2017 Elsevier B.V. All rights reserved.

Health and primary education and institutions, implications in the development of the competitiviness since 2007-2011

Directory of Open Access Journals (Sweden)

Luis Wong Valdiviezo

2013-07-01

Full Text Available The article presents the theme of the competitiveness of Peru and the factors that determine it. These factors are called the pillars of competitiveness since they determine competitiveness. We have selected those that we considered most relevant given the particular situation of the country. Below is presented the four aspects that support this article The first aspect is devoted to an explanation of the framework with a brief description of the background of competitiveness. The second aspect outlines competitiveness in Peru within the current context. The important variables of competitiveness for the country and selected for essay are : health and primary education, and institutions. The third aspect focuses on a more detailed explanation of the fourth pillar of competitiveness: health and primary education. The fourth aspect is devoted to institutions, the first pillar of competitiveness. Finally, the conclusions and recommendations are intended to strengthen the before mentioned competitiveness factors and thus move toward a perspective of economic and social growth sustainable.

Participatory processes and institutional debate activities as key complementary aspects for embedding sustainability in higher education

OpenAIRE

Esteban, F.; Ferrer Balas, Dídac; Barceló García, Miquel

2008-01-01

Introducing sustainable development into educational programs of universities tend to be approached under two complementary strategies: “top-down” and “bottom-up”. Top-down strategies promote the adaptation of the institutional framework to the new challenges that sustainable development generates into technical expertise areas. Bottom-up strategies focus on institutional activities oriented to convincing or supporting lecturers in integrating sustainable development in their d...

Seismic microzonation in Latin America and the Caribbean: social, cultural, economic and political aspects

Science.gov (United States)

Murria, J.

2009-04-01

The lack of success, not to say failure, of seismic microzonation projects in the Latin America and Caribbean nations-and for that matter elsewhere in the world-should not be attributed to the lack of technical and scientific expertise of our engineers and scientists as there exists in our continent sufficient knowledge and information about the techniques and procedures that have been successfully used elsewhere in the world in the implementation of seismic microzonation projects. The main constrains to the implementation of seismic microzonation projects in Latin America and the Caribbean are of an economic, social, political, and cultural aspects rather than the purely scientific and engineering aspects. Another very important factor contributing to this lack of success has been the apparent failure of the scientific and technical community to convince decision makers (both official and private) that the sound implementation of seismic microzonation projects are a valid instrument to mitigate the negative effects that earthquakes have on the population, on the physical infrastructure and on the environment. An attempt will be made in this paper to analyze these "non technical" aspects and try to arrive at some conclusions as well as to some possible lines of action for the successful implementation of seismic microzonation projects in the seismic risk prone Latin American and Caribbean nations.

Advanced Heart Failure

Science.gov (United States)

... Artery Disease Venous Thromboembolism Aortic Aneurysm More Advanced Heart Failure Updated:May 9,2017 When heart failure (HF) ... Making This content was last reviewed May 2017. Heart Failure • Home • About Heart Failure • Causes and Risks for ...

An Integrated Model to Predict Corporate Failure of Listed Companies in Sri Lanka

Directory of Open Access Journals (Sweden)

Nisansala Wijekoon

2015-07-01

Full Text Available The primary objective of this study is to develop an integrated model to predict corporate failure of listed companies in Sri Lanka. The logistic regression analysis was employed to a data set of 70 matched-pairs of failed and non-failed companies listed in the Colombo Stock Exchange (CSE in Sri Lanka over the period 2002 to 2010. A total of fifteen financial ratios and eight corporate governance variables were used as predictor variables of corporate failure. Analysis of the statistical testing results indicated that model consists with both corporate governance variables and financial ratios improved the prediction accuracy to reach 88.57 per cent one year prior to failure. Furthermore, predictive accuracy of this model in all three years prior to failure is above 80 per cent. Hence model is robust in obtaining accurate results for up to three years prior to failure. It was further found that two financial ratios, working capital to total assets and cash flow from operating activities to total assets, and two corporate governance variables, outside director ratio and company audit committee are having more explanatory power to predict corporate failure. Therefore, model developed in this study can assist investors, managers, shareholders, financial institutions, auditors and regulatory agents in Sri Lanka to forecast corporate failure of listed companies.

Understanding HMIS Implementation in a Developing Country Ministry of Health Context - an Institutional Logics Perspective.

Science.gov (United States)

Asangansi, Ime

2012-01-01

Globally, health management information systems (HMIS) have been hailed as important tools for health reform (1). However, their implementation has become a major challenge for researchers and practitioners because of the significant proportion of failure of implementation efforts (2; 3). Researchers have attributed this significant failure of HMIS implementation, in part, to the complexity of meeting with and satisfying multiple (poorly understood) logics in the implementation process. This paper focuses on exploring the multiple logics, including how they may conflict and affect the HMIS implementation process. Particularly, I draw on an institutional logics perspective to analyze empirical findings from an action research project, which involved HMIS implementation in a state government Ministry of Health in (Northern) Nigeria. The analysis highlights the important HMIS institutional logics, where they conflict and how they are resolved. I argue for an expanded understanding of HMIS implementation that recognizes various institutional logics that participants bring to the implementation process, and how these are inscribed in the decision making process in ways that may be conflicting, and increasing the risk of failure. Furthermore, I propose that the resolution of conflicting logics can be conceptualized as involving deinstitutionalization, changeover resolution or dialectical resolution mechanisms. I conclude by suggesting that HMIS implementation can be improved by implementation strategies that are made based on an understanding of these conflicting logics.

Institutional directors and board compensation: Spanish evidence

Directory of Open Access Journals (Sweden)

Felix López-Iturriaga

2015-07-01

Full Text Available We address the influence of directors who represent institutional investors in three aspects of board compensation policies: level of compensation, composition, and performance sensitivity. We differentiate pressure-sensitive directors (i.e., with business links and pressure-resistant directors (i.e., without business links. Our results show that pressure-resistant directors decrease total board compensation and its fixed proportion, whereas they increase the variable proportion of total remuneration and the pay-for-performance sensitivity. By contrast, pressure-sensitive directors offer the opposite results. These findings are consistent with the view that institutional investors are not a homogeneous group and that pressure-resistant directors fulfill a more thorough monitoring role.

Application of failure mode and effect analysis in an assisted reproduction technology laboratory.

Science.gov (United States)

Intra, Giulia; Alteri, Alessandra; Corti, Laura; Rabellotti, Elisa; Papaleo, Enrico; Restelli, Liliana; Biondo, Stefania; Garancini, Maria Paola; Candiani, Massimo; Viganò, Paola

2016-08-01

Assisted reproduction technology laboratories have a very high degree of complexity. Mismatches of gametes or embryos can occur, with catastrophic consequences for patients. To minimize the risk of error, a multi-institutional working group applied failure mode and effects analysis (FMEA) to each critical activity/step as a method of risk assessment. This analysis led to the identification of the potential failure modes, together with their causes and effects, using the risk priority number (RPN) scoring system. In total, 11 individual steps and 68 different potential failure modes were identified. The highest ranked failure modes, with an RPN score of 25, encompassed 17 failures and pertained to "patient mismatch" and "biological sample mismatch". The maximum reduction in risk, with RPN reduced from 25 to 5, was mostly related to the introduction of witnessing. The critical failure modes in sample processing were improved by 50% in the RPN by focusing on staff training. Three indicators of FMEA success, based on technical skill, competence and traceability, have been evaluated after FMEA implementation. Witnessing by a second human operator should be introduced in the laboratory to avoid sample mix-ups. These findings confirm that FMEA can effectively reduce errors in assisted reproduction technology laboratories. Copyright © 2016 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

Safety aspects of nuclear power stations

International Nuclear Information System (INIS)

Binner, W.

1980-01-01

Psychological aspects of the fear of nuclear power are discussed, cancer deaths due to a nuclear accident are predicted and the need for nuclear accident prevention is stressed. A simplified analysis of the safety precautions in a generalised nuclear power station is offered, with reference to loss-of-coolant incidents, and developments in reactor design for fail-safe modes are explained. The importance of learning from the Three Mile Island incident is noted and failure statistics are presented. Tasks to be undertaken at the Austrian Zwentendorf nuclear power station are listed, including improved quality control and acoustic detectors. Precautions against earthquakes are also discussed and it is stated that safe operation of the Zwentendorf station will be achieved. (G.M.E.)

Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment

Directory of Open Access Journals (Sweden)

Gustavo José Luvizutto

2015-05-01

Full Text Available Objective To investigate the correlation between the Alberta Program Early CT Score (ASPECTS and the Scandinavian Stroke Scale (SSS for the evaluation of neurological impairment in patients with acute stroke. Method 59 patients with a first acute ischemic stroke were evaluated. The ASPECTS were evaluated by 2 neurologists at admission and by another neurologist after 48 hours. The NIHSS and SSS was applied to determinate stroke severity. Correlations and agreements were analysed statistically by Spearman and Kappa tests. Results ASPECTS was correlated with National Institute of Health Stroke Scale (NIHSS at admission (r = -0.52; p < 0.001 and SSS (r = 0.50; p < 0.001. The ASPECTS and SSS items were most correlated with arm (r = 0.52; p < 0.001 and hand (r = 0.49; p < 0.001 motor power, and speech (r = 0.51; p < 0.001. The SSS of 25.5 shows sensitivity (68% and specificity (72% when associated with ASPECTS ≤ 7. Conclusion The SSS can predict worst neurological impairment when associated with lower values of ASPECTS.

Manual for investigation and correction of feedwater heater failures

International Nuclear Information System (INIS)

Bell, R.J.; Diaz-Tous, I.A.; Bartz, J.A.

1993-01-01

The Electric Power Research Institute (EPRI) has sponsored the development of a recently published manual which is designed to assist utility personnel in identifying and correcting closed feedwater heater problems. The main portion of the manual describes common failure modes, probable means of identifying root causes and appropriate corrective actions. These include materials selection, fabrication practices, design, normal/abnormal operation and maintenance. The manual appendices include various data, intended to aid those involved in monitoring and condition assessment of feedwater heaters. This paper contains a detailed overview of the manual content and suggested means for its efficient use by utility engineers and operations and maintenance personnel who are charged with the responsibilities of performing investigations to identify the root cause(s) of closed feedwater problems/failures and to provide appropriate corrective actions. 4 refs., 3 figs., 2 tabs

The analysis of failure data in the presence of critical and degraded failures

International Nuclear Information System (INIS)

Haugen, Knut; Hokstad, Per; Sandtorv, Helge

1997-01-01

Reported failures are often classified into severityclasses, e.g., as critical or degraded. The critical failures correspond to loss of function(s) and are those of main concern. The rate of critical failures is usually estimated by the number of observed critical failures divided by the exposure time, thus ignoring the observed degraded failures. In the present paper failure data are analyzed, applying an alternative estimate for the critical failure rate, also taking the number of observed degraded failures into account. The model includes two alternative failure mechanisms, one being of the shock type, immediately leading to a critical failure, another resulting in a gradual deterioration, leading to a degraded failure before the critical failure occurs. Failure data on safety valves from the OREDA (Offshore REliability DAta) data base are analyzed using this model. The estimate for the critical failure rate is obtained and compared with the standard estimate

A probabilistic analysis of the implications of instrument failures on ESA's Swarm mission for its individual satellite orbit deployments

Science.gov (United States)

Jackson, Andrew

2015-07-01

On launch, one of Swarm's absolute scalar magnetometers (ASMs) failed to function, leaving an asymmetrical arrangement of redundant spares on different spacecrafts. A decision was required concerning the deployment of individual satellites into the low-orbit pair or the higher "lonely" orbit. I analyse the probabilities for successful operation of two of the science components of the Swarm mission in terms of a classical probabilistic failure analysis, with a view to concluding a favourable assignment for the satellite with the single working ASM. I concentrate on the following two science aspects: the east-west gradiometer aspect of the lower pair of satellites and the constellation aspect, which requires a working ASM in each of the two orbital planes. I use the so-called "expert solicitation" probabilities for instrument failure solicited from Mission Advisory Group (MAG) members. My conclusion from the analysis is that it is better to have redundancy of ASMs in the lonely satellite orbit. Although the opposite scenario, having redundancy (and thus four ASMs) in the lower orbit, increases the chance of a working gradiometer late in the mission; it does so at the expense of a likely constellation. Although the results are presented based on actual MAG members' probabilities, the results are rather generic, excepting the case when the probability of individual ASM failure is very small; in this case, any arrangement will ensure a successful mission since there is essentially no failure expected at all. Since the very design of the lower pair is to enable common mode rejection of external signals, it is likely that its work can be successfully achieved during the first 5 years of the mission.

For the improvement of Heart Failure treatment in Portugal - Consensus statement.

Science.gov (United States)

Fonseca, Cândida; Brito, Dulce; Cernadas, Rui; Ferreira, Jorge; Franco, Fátima; Rodrigues, Teresa; Morais, João; Silva Cardoso, José

2017-01-01

Heart failure is a syndrome with high prevalence, morbidity and mortality, but awareness of the disease is poor among the general public and policy makers. This document, which was prepared by a group of experts consisting of cardiologists, internists and general practitioners, aims to set out in detail the problem of heart failure in Portugal at several levels: burden of the disease, diagnosis, treatment and monitoring. To this aim, different aspects of the management of the various stages of the disease are identified and discussed in detail, covering both outpatients and hospitalized patients. In order to optimize the medical care provided to these patients, various short-, medium- and long-term solutions and strategies are put forward that have the potential to improve the integration and use of available resources. The intention is to highlight strategies that are not based on a single model but can be adapted to different regional circumstances, in order to increase awareness and improve management of heart failure in Portugal. Copyright © 2016 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

Failure analysis at a 2 kW helium liquefaction facility; Fehleranalyse bei einer 2kW- Heliumverfluessigungsanlage

Energy Technology Data Exchange (ETDEWEB)

Klenk, Rafael; Bobien, Steffen; Neumann, Holger [KIT Campus Nord, Eggenstein-Leopoldshafen (Germany). Bereich Kryotechnik

2016-07-01

At the Institute for Technical Physics of the KIT Campus Nord helium is cooled respectively liquefied by means of the Claude process. This process is beside the Brayton and Joule-Thomson process meanwhile a standard process for the liquefaction of helium. As example here a 2 kW low-temperature helium facility shall be evaluated by means of different, superordinated failure sources. This consists of condensers, heat exchangers, expansion turbines and a Joule-Thomson valve. The facility respectively component failures are divided in failures of the condenser, turbine units and failures by external factors. For this entries of the last twelve years are token. This listing shall give information about repeating events, so that here directed facility improvements can be token up.

Acute Liver Failure Due to Regorafenib May Be Caused by Impaired Liver Blood Flow: A Case Report.

Science.gov (United States)

Akamine, Takaki; Ando, Koji; Oki, Eiji; Saeki, Hiroshi; Nakashima, Yuichiro; Imamura, Y U; Ohgaki, Kippei; Maehara, Yoshihiko

2015-07-01

Regorafenib has been approved for treatment of patients with unresectable or recurrent gastrointestinal stromal tumors resistant to imatinib or sunitinib. However, regorafenib has severe side-effects, including acute liver failure. We describe the case of a patient with multiple liver metastases of a small intestinal stromal tumor who experienced acute liver failure while being treated with regorafenib. A 50-year-old patient with an unresectable small intestinal stromal tumor resistant to prior treatment with imatinib and sunitinib was started on regorafenib, but experienced acute liver failure 10 days later. Plasma exchange and steroid pulse treatment improved her liver function. During liver failure, abdominal ultrasonography showed to-and-fro flow in the portal vein. Lactate dehydrogenase concentration was markedly elevated to 1633 U/l. These findings indicate that liver failure in this patient was due to impaired liver blood flow. Regorafenib may impair liver blood flow, inducing acute liver failure. Copyright© 2015 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.

Developing Multi-Level Institutions from Top-Down Ancestors

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Martha Dowsley

2007-11-01

Full Text Available The academic literature contains numerous examples of the failures of both top-down and bottom-up common pool resource management frameworks. Many authors agree that management regimes instead need to utilize a multi-level governance approach to meet diverse objectives in management. However, many currently operating systems do not have that history. This paper explores the conversion of ancestral top-down regimes to complex systems involving multiple scales, levels and objectives through the management of the polar bear (Ursus maritimus in its five range countries. The less successful polar bear management systems continue to struggle with the challenges of developing institutions with the capacity to learn and change, addressing multiple objectives while recognizing the conservation backbone to management, and matching the institutional scale with biophysical, economic and social scales. The comparatively successful institutions incorporate these features, but reveal on-going problems with vertical links that are partially dealt with through the creation of links to other groups.

The Failure of Mandated Disclosures

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Omri Ben-Shahar

2017-06-01

Full Text Available Objective to elaborate the conceptual theoreticallegal provisions and scientific recommendations for the substantiating the inefficiency of mandated disclosure. Methods general dialectic method of cognition as well as the general scientific and specific legal methods of research based on it. Results the article explores the spectacular prevalence and failure of the single most common technique for protecting personal autonomy in modern society mandated disclosure. The article has four parts 1 a comprehensive summary of the recurring use of mandated disclosures in many forms and circumstances in the areas of consumer and borrower protection patient informed consent contract formation and constitutional rights 2 a survey of the empirical literature documenting the failure of the mandated disclosure regime in informing people and in improving their decisions 3 an account of the multitude of reasons mandated disclosures fail focusing on the political dynamics underlying the enactments of these mandates the incentives of disclosers to carry them out and most importantly on the ability of disclosees to use them and 4 an argument that mandated disclosure not only fails to achieve its stated goal but also leads to unintended consequences that often harm the very people it intends to serve. Scientific novelty the article elaborates and introduces into academic sphere the substantiation of the efficiency of mandated disclosure proves the failure of the mandated disclosure regime in informing people and in improving their decisions and reveals the unintended consequences that often harm the very people it intends to serve. Practical significance the provisions ad conclusions of the article can be used in scientific lawmaking and lawenforcement activities and in the educational process of institutions of higher education.

The Failure of Mandated Disclosure

Directory of Open Access Journals (Sweden)

Omri Ben-Shahar

2017-12-01

Full Text Available Objective to elaborate the conceptual theoreticallegal provisions and scientific recommendations for the substantiating the inefficiency of mandated disclosure. Methods general dialectic method of cognition as well as the general scientific and specific legal methods of research based on it. Results the article explores the spectacular prevalence and failure of the single most common technique for protecting personal autonomy in modern society mandated disclosure. The article has four parts 1 a comprehensive summary of the recurring use of mandated disclosures in many forms and circumstances in the areas of consumer and borrower protection patient informed consent contract formation and constitutional rights 2 a survey of the empirical literature documenting the failure of the mandated disclosure regime in informing people and in improving their decisions 3 an account of the multitude of reasons mandated disclosures fail focusing on the political dynamics underlying the enactments of these mandates the incentives of disclosers to carry them out and most importantly on the ability of disclosees to use them and 4 an argument that mandated disclosure not only fails to achieve its stated goal but also leads to unintended consequences that often harm the very people it intends to serve. Scientific novelty the article elaborates and introduces into academic sphere the substantiation of the efficiency of mandated disclosure proves the failure of the mandated disclosure regime in informing people and in improving their decisions and reveals the unintended consequences that often harm the very people it intends to serve. Practical significance the provisions ad conclusions of the article can be used in scientific lawmaking and lawenforcement activities and in the educational process of institutions of higher education.

Practical Aspects of the Use of Healthcare Failure Mode and Effects Analysis Tool in The Risk Management of Pediatric Emergency Department: The Scrutiny in Iran

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Yasamin Molavi-Taleghani

2018-03-01

Full Text Available Aim: The Emergency Department is one of the most challenging wards of the hospital for studying patient safety and the prevention of treatment errors is the basic rule in the quality of health care. The present study was conducted to evaluate the selected risk processes of Pediatric Emergency of Qaem Educational Hospital in Mashhad by the Healthcare Failure Mode and Effects Analysis (HFMEA methodology. Materials and Methods: A mixed method was used to analyze failure modes and their effects with HFMEA. Five high-risk processes of the Pediatric Emergency were identified and analyzed. To classify failure modes, nursing errors in clinical management model; for classifying factors affecting error, the approved model by the United Kingdom National Health System; and for determining solutions for improvement, Theory of Inventive Problem Solving was used. Results: In 5 selected processes, 28 steps, 80 sub-processes and 254 potential failure modes were identified with HFMEA. Thirty-seven (14.5% failure modes as high-risk errors were detected and transferred to the decision tree. The most and the least failure modes were placed in the categories of care errors as 62.3%, and knowledge and skill as 8.1% respectively. Also, 23.6% of preventive measures were in the category of human resource management strategy. Conclusion: Using the proactive method of HFMEA for identifying the possible failure of treatment procedures, determining the effective cause on each failure mode and proposing the improvement strategies, has high efficiency and effectiveness.

FUNDAMENTAL ASPECTS OF COMMUNICATION MANAGEMENT, IN THE CASE OF PUBLIC ADMINISTRATION

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Dorian Pocovnicu

2014-07-01

Full Text Available Efficient communication is one the most important instruments used for the purpose of generating change inside and outside an organization. It can contribute to adjusting attitudes and the manner of approaching the present and future challenges and to changing behavioral patterns. The mission and the objectives of organizational communication are highly interrelated with organizational change and environment characteristics, in which the organization functions. The communication performed by the public administration institution outside is an institutional communication, extra-organizational, which presents the following purposes: strengthening its image, stimulating an environment of trust and affinity from the citizens (Kotler & Lee, 2007. We are of opinion that the management of communication performed by a public administration institution features three fundamental aspects, relevant for institutional communicators when designing and managing the institutional communication: communication efficiency, communication process and the implications of the new information and communication technologies (ICT for this process.

Sacubitril/Valsartan for Heart Failure: Exciting Times but Are Doctors Informed and Ready?

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Prithwish Banerjee

2017-01-01

Full Text Available Sacubitril/Valsartan in now being prescribed by heart failure/cardiology teams across the United Kingdom following the publication of the NICE technology appraisal guidance, but is everyone ready for it? This article discusses the practical aspects of what to do and what not to do in relation to the drug, based on real world experience from our centre.

[Ethical foundations of institutional psychotherapy].

Science.gov (United States)

Cano, N

2006-01-01

The idea behind this work is to have an ethical examination of the institutional psychotherapy movement which has long influenced French public psychiatry and which has progressively, since the 80s, been subject to growing doubts. In the first part, institutional psychotherapy is presented. It is a model for theoretical development and practice in psychiatric care. It came into being just following the end of the Second World War at the same time as modern medical ethics. Its principles come on the one hand, from recognition of asylums' pathogenic effects--which led to the crushing of the patient's being--and on the other, through recognition of the uniqueness of each person and the subjectivity of mental suffering. These elements gave rise to creativity within the world of medicine and, in the sector, generated the science of psychiatry which advocated for continuity in care (both inpatient and outpatient) and preventive work directed at the population. This movement called for the use of the institution in its dynamic aspect which promotes exchanges and allows patients to situate or resituate themselves in historic and symbolic dimensions. It privileges a high level of transversality, maximum communication, favouring speaking out loud and responsibility. It requires a permanent analysis of the institutional counter transference (emotional reactions of the caregivers involved, their interrelations and the social and material organization of the institution) which determines the therapeutic action itself. THEORICAL BASIS: In a second part, its theoretical foundations and its practice shall be investigated in light of the guiding concepts of medical ethics (justice, autonomy, beneficence, non-malfeasance). Institutional psychotherapy responds to the need for justice by considering the patient as a whole and by conceiving each patient as being like oneself despite the differences (associated with the mode of hospitalization, the social or diagnostic category). The

Advances on the Failure Analysis of the Dam—Foundation Interface of Concrete Dams

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Luis Altarejos-García

2015-12-01

Full Text Available Failure analysis of the dam-foundation interface in concrete dams is characterized by complexity, uncertainties on models and parameters, and a strong non-linear softening behavior. In practice, these uncertainties are dealt with a well-structured mixture of experience, best practices and prudent, conservative design approaches based on the safety factor concept. Yet, a sound, deep knowledge of some aspects of this failure mode remain unveiled, as they have been offset in practical applications by the use of this conservative approach. In this paper we show a strategy to analyse this failure mode under a reliability-based approach. The proposed methodology of analysis integrates epistemic uncertainty on spatial variability of strength parameters and data from dam monitoring. The purpose is to produce meaningful and useful information regarding the probability of occurrence of this failure mode that can be incorporated in risk-informed dam safety reviews. In addition, relationships between probability of failure and factors of safety are obtained. This research is supported by a more than a decade of intensive professional practice on real world cases and its final purpose is to bring some clarity, guidance and to contribute to the improvement of current knowledge and best practices on such an important dam safety concern.

Failure mode and effects analysis of witnessing protocols for ensuring traceability during IVF.

Science.gov (United States)

Rienzi, Laura; Bariani, Fiorenza; Dalla Zorza, Michela; Romano, Stefania; Scarica, Catello; Maggiulli, Roberta; Nanni Costa, Alessandro; Ubaldi, Filippo Maria

2015-10-01

Traceability of cells during IVF is a fundamental aspect of treatment, and involves witnessing protocols. Failure mode and effects analysis (FMEA) is a method of identifying real or potential breakdowns in processes, and allows strategies to mitigate risks to be developed. To examine the risks associated with witnessing protocols, an FMEA was carried out in a busy IVF centre, before and after implementation of an electronic witnessing system (EWS). A multidisciplinary team was formed and moderated by human factors specialists. Possible causes of failures, and their potential effects, were identified and risk priority number (RPN) for each failure calculated. A second FMEA analysis was carried out after implementation of an EWS. The IVF team identified seven main process phases, 19 associated process steps and 32 possible failure modes. The highest RPN was 30, confirming the relatively low risk that mismatches may occur in IVF when a manual witnessing system is used. The introduction of the EWS allowed a reduction in the moderate-risk failure mode by two-thirds (highest RPN = 10). In our experience, FMEA is effective in supporting multidisciplinary IVF groups to understand the witnessing process, identifying critical steps and planning changes in practice to enable safety to be enhanced. Copyright © 2015 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

Advances in the treatment of acute liver failure

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LUO Ling

2018-02-01

Full Text Available Acute liver failure (ALF is a rare life-threatening disease with rapid progression and a low survival rate and affects the function of multiple organ systems. Early identification of cause and protection of vital organs are critical for patients' survival. With the development in artificial liver, stem cell transplantation, and liver transplantation in recent years, the outcome of ALF has been greatly improved. This article elaborates on the treatment of ALF from the aspects of the etiology of ALF and major organ systems involved and introduces the latest advances in artificial liver and stem cell transplantation.

Chronic heart failure

OpenAIRE

Hopper, Ingrid; Easton, Kellie

2017-01-01

1. The common symptoms and signs of chronic heart failure are dyspnoea, ankle swelling, raised jugular venous pressure and basal crepitations. Other conditions may be confused with chronic heart failure, including dependent oedema or oedema due to renal or hepatic disease. Shortness of breath may be due to respiratory disease or severe anaemia. Heart failure secondary to lung disease (cor pulmonale) should be distinguished from congestive cardiac failure. Heart failure may also present with l...

Methodological proposal for identification and evaluation of environmental aspects and impacts of nuclear facilities of IPEN, Sao Paulo, SP, Brazil: a case study applied to the Nuclear Fuel Center; Proposta metodologica para a identificacao e avaliacao de aspectos e impactos ambientais em instalacoes nucleares do IPEN: estudo de caso aplicado ao Centro do Combustivel Nuclear

Energy Technology Data Exchange (ETDEWEB)

Mattos, Luis Antonio Terribile de

2013-07-01

This work presents an application of Failure Mode Effect Analysis (FMEA) to the process of identification of environmental aspects and impacts as a part of implementation and maintenance of an Environmental Management System (EMS) in accordance with the NBR ISO 14001 standard. Also, it can contribute, as a complement, to the evaluation and improvement of safety of the installation focused. The study was applied to the Nuclear Fuel Center (CCN) of Nuclear and Energy Research Institute (IPEN), situated at the Campus of University of Sao Paulo, Brazil. The CCN facility has the objective of promoting scientific research and of producing nuclear fuel elements for the IEA-R1 Research Reactor. To identify the environmental aspects of the facility activities, products, and services, a systematic data collection was carried out by means of personal interviews, documents, reports and operation data records consulting. Furthermore, the processes and their interactions, failure modes, besides their causes and effects to the environment, were identified. As a result of a careful evaluation of these causes it was possible to identify and to classify the major potential environmental impacts, in order to set up and put in practice an Environmental Management System for the installation under study. The results have demonstrated the validity of the FMEA application to nuclear facility processes, identifying environmental aspects and impacts, whose controls are critical to achieve compliance with the environmental requirements of the Integrated Management System of IPEN. It was demonstrated that the methodology used in this work is a powerful management tool for resolving issues related to the conformity with applicable regulatory and legal requirements of the Brazilian Nuclear Energy Commission (CNEN) and the Brazilian Institute of Environment (IBAMA). (author)

Predictors of fatal outcome in fulminant hepatic failure

International Nuclear Information System (INIS)

Sarwar, S.; Khan, A.A.; Alam, A.; Butt, A.K.; Ahmad, I.; Niazi, A.K.; Dilshad, A.

2006-01-01

Objective: To determine prognostic indicators for morbidity and mortality in patients with fulminant hepatic failure. Design: Observational study. Place and Duration of Study: Department of Gastroenterology and Hepatology, Shaikh Zayed Postgraduate Medical Institute, Lahore, from April 2003 to June 2005. Patients and Methods: Forty-five patients with confirmed diagnosis of fulminant hepatic failure were included in this study. They were investigated for acute viral serology, complete blood count, liver function tests, renal function tests, serum electrolytes, arterial blood gases, initially daily and then on alternate days. Patients were followed in high dependency/ICU at the Shaikh Zayed Postgraduate Medical Institute. Data were analyzed by logistic regression analysis to identify predictors of mortality and morbidity. Results: Of the 45 subjects, 31 were males and 14 females. Twenty-four patients were positive for acute hepatitis E. Twenty patients recovered fully, whereas 25 died with mortality rate of 55.6 %. Variables i.e. presence of non-A non-B viral hepatitis, serum creatinine > 2.0 mg/dl, serum phosphate> 3.5 mg/dl and sepsis were found to have significant association with mortality on linear correlation. Only serum creatinine more than 2.0 mg/dl, serum phosphate > 3.5 mg/dl and development of sepsis were found to predict the outcome after multivariate analysis. Conclusion: Patients with serum creatinine > 2.0 mg/dl, serum phosphate > 3.5 mg/dl and sepsis showed adverse prognosis for survival. (author)

Natural disasters in the Shikoku district. 2. ; Slope failures and rockfalls. Shikoku ni okeru shizen saigai. 2. ; Dosha saigai

Energy Technology Data Exchange (ETDEWEB)

Yamagami, T [Tokushima Univ., Tokushima (Japan). Faculty of Engineering

1991-09-25

Although landslide, slope failure, debris flow, rock fall, etc. are included in disasters caused by earth and sand, this report focuses only on slope failures. It is very difficult to discuss various soil engineering problems concerning earth and sand disasters in the Shikoku district from dynamic aspect. Therefore, this report is made focusing on perfunctory classification. As regards slope failures, there are natural and embankment (artificial) slope failures, but only natural slope failures are discussed in this report. The numbers of annually investigated areas in 4 prefectures in the Shikoku district and frequencies of failures for each geological group are tabulated for explanation. Transverse shape figure, longitudinal section, slope of ground level, land form where surface water and ground water tend to concentrate, etc. can be considered as factors for the occurrence of landslides. The relationship between those topographical factors and the frequency of failure occurrence is investigated. Failure of cut slope and the relation between rainfall and slope failure are outlined. Examples of rock fall disasters are introduced to point out the difficulty in predicting the occurrence of rock falls. 12 refs., 2 figs., 7 tabs.

Heart failure in sub-Saharan Africa: A literature review with emphasis on individuals with diabetes

Directory of Open Access Journals (Sweden)

Andre Pascal Kengne

2008-02-01

Full Text Available Andre Pascal Kengne1, Anastase Dzudie2, Eugene Sobngwi31The George Institute for International Health, University of Sydney, Australia; 2Heart failure and transplantation Unit, Louis Pradel’s Cardiovascular Hospital, Lyon, France; 3National Obesity Centre, Yaounde Central Hospital, CameroonPurpose: Heart failure is the ultimate complication of cardiac involvements in diabetes. The purpose of this review was to summarize current literature on heart failure among people with diabetes mellitus in sub-Saharan Africa (SSA.Method: Bibliographic search of published data on heart failure and diabetes in sub-Saharan Africa over the past 26 years.Results: Heart failure remains largely unexplored in general population and among people with diabetes in Africa. Heart failure accounts for over 30% of hospital admission in specialized cardiovascular units and 3%–7% in general internal medicine. Over 11% of adults with heart failure have diabetes. Risk factors for heart failure among those with diabetes include classical cardiovascular risk factors, without evidence of diabetes distinctiveness for other predictors common in Africa. Prevention, management, and outcomes of heart failure are less well known; recent data suggest improvement in the management of risk factors in clinical settings.Conclusions: Diabetes mellitus is growing in SSA. Related cardiovascular diseases are emerging as potential health problem. Heart failure as cardiovascular complication remains largely unexplored. Efforts are needed through research to improve our knowledge of heart failure at large in Africa. Multilevel preventive measures, building on evidences from other parts of the world must go along side.Keywords: diabetes mellitus, cardiovascular diseases, heart failure, sub-Saharan Africa

Model institutional infrastructures for recycling of photovoltaic modules

Energy Technology Data Exchange (ETDEWEB)

Reaven, S.J.; Moskowitz, P.D.; Fthenakis, V.

1996-01-01

How will photovoltaic modules (PVMS) be recycled at the end of their service lives? This question has technological and institutional components (Reaven, 1994a). The technological aspect concerns the physical means of recycling: what advantages and disadvantages of the several existing and emerging mechanical, thermal, and chemical recycling processes and facilities merit consideration? The institutional dimension refers to the arrangements for recycling: what are the operational and financial roles of the parties with an interest in PVM recycling? These parties include PVM manufacturers, trade organizations; distributors, and retailers; residential, commercial, and utility PVM users; waste collectors, transporters, reclaimers, and reclaimers; and governments.

Failure analysis of electrolyte-supported solid oxide fuel cells

Science.gov (United States)

Fleischhauer, Felix; Tiefenauer, Andreas; Graule, Thomas; Danzer, Robert; Mai, Andreas; Kuebler, Jakob

2014-07-01

For solid oxide fuel cells (SOFCs) one key aspect is the structural integrity of the cell and hence its thermo mechanical long term behaviour. The present study investigates the failure mechanisms and the actual causes for fracture of electrolyte supported SOFCs which were run using the current μ-CHP system of Hexis AG, Winterthur - Switzerland under lab conditions or at customer sites for up to 40,000 h. In a first step several operated stacks were demounted for post-mortem inspection, followed by a fractographic evaluation of the failed cells. The respective findings are then set into a larger picture including an analysis of the present stresses acting on the cell like thermal and residual stresses and the measurements regarding the temperature dependent electrolyte strength. For all investigated stacks, the mechanical failure of individual cells can be attributed to locally acting bending loads, which rise due to an inhomogeneous and uneven contact between the metallic interconnect and the cell.

Contribution to the physical study of sheath failure detections

International Nuclear Information System (INIS)

Mangin, Jean-Paul

1968-11-01

As the study of an installation aimed at the detection of sheath failure requires the knowledge of a great number of data related to all the fields of nuclear technology (fission mechanisms, sheath failure mechanisms, recoil of fission products, distribution of the heat transfer fluid in the reactor, techniques of measurement of beta and gamma neutrons, nuclear safety, and so on), this report aims at highlighting some specific issues, more particularly those related to sensors based on delayed neutrons. After having recalled the principles of sheath failure detection, the author presents the various aspects of the study of the formation of fission products and of their passage into the heat transfer fluid: detection by using delayed neutrons, detection by electrostatic collection, passage of fuel fission products into the coolant (recoil, corrosion, gaseous diffusion in the fuel), formation of fission products in the fuel (fission product efficiency). He reports the study of the transport of fission products by the coolant from their place of birth to the place of measurement. He presents the system of measurement by detection of delayed neutrons and by electrostatic collection, reports a sensitivity calculation, a background noise assessment, the determination of detection threshold, and the application of sensitivity and detection thresholds calculations [fr

Adaptation to climate change in agriculture in Bangladesh: The role of formal institutions.

Science.gov (United States)

Islam, Md Torikul; Nursey-Bray, Melissa

2017-09-15

Bangladesh is very vulnerable to the impacts of climate change, and adaptation is emerging as a key policy response. Place based programs that build adaptive capacity are needed. This paper explores the effectiveness of formal institutions in climate change adaptation for agriculture from the perspectives of farmers and institutional communities of practice within two drought-prone areas in Bangladesh. Our findings show that formal institutions via their communities of practice play an important role in building place based capacity for mitigation and adaptation strategies in agriculture. Over-emphasis on technology, lack of acknowledgement of cultural factors and a failure of institutional communities of practice to mediate and create linkages with informal institutional communities of practice remain barriers. We argue that in order for formal institutions to play an ongoing and crucial role in building adaptive agriculture in Bangladesh, they must incorporate cultural mechanisms and build partnerships with more community based informal institutions. Copyright © 2017 Elsevier Ltd. All rights reserved.

Acoustics aspects of technological process in the rock disintegration

Directory of Open Access Journals (Sweden)

Jozef Futó

2007-04-01

Full Text Available The paper describes some results of monitoring and aspects of the acoustic signal in the rock disintegration on the drillig stand of the Institute of Geotechnics, SAS in Košice. The registration and processing of the acoustic signal is solved as a part of the research grant task within the basic research of the rock disintegration by drilling.

Synthetic Sling Failure - Evaluations and Recommendations

Energy Technology Data Exchange (ETDEWEB)

Henderson, C. S. [Washington River Protection Solutions, Richland, WA (United States); Mackey, Thomas C. [Washington River Protection Solutions, Richland, WA (United States)

2009-10-26

The information and evaluations provided in this report were compiled to address the recurring problem of synthetic sling failure. As safety is the number one priority in all work aspects, a solution must be devised to prevent accidents from occurring. A total of thirteen cases regarding synthetic sling failure were evaluated in order to determine their causes, effects, and preventative measures. From the collected data, it was found that all cases in which the synthetic sling contacted the edge of its load resulted in sling failure. It is required that adequate synthetic sling protection devices be used to protect slings in any lift where the sling comes in direct contact with the edge or corner of its load. However, there are no consensus codes or standards stating the type, material, or purpose of the type of protective device used to protect the sling from being cut. Numerous industry standards and codes provide vague descriptions on how to protect synthetic slings. Without a clear, concise statement of how to protect synthetic slings, it is common for inadequate materials and sling protection devices to be used in an attempt to meet the intent of these requirements. The use of an inadequate sling protection device is the main cause of synthetic sling failure in all researched cases. Commercial sling protection devices come in many shapes and sizes, and have a variety of names, as well as advertised uses. 'Abrasion pads' and 'wear protectors' are two different names for products with the same intended purpose. There is no distinguishable way to determine the extent of sling protection which these devices will provide, or what specific scenarios they are made for. This creates room for error in a field where error is unacceptable. This report provides a recommended action for hoisting and rigging activities which require synthetic slings to contact a load, as well as recommended changes to industry standards which will benefit overall

Investigating student difficulties on integral calculus based on critical thinking aspects

Directory of Open Access Journals (Sweden)

Farida Nursyahidah

2017-11-01

Full Text Available Students of Mathematics education often struggle with integration problem, but yet the root of the problem related to critical thinking is rarely investigated. This article reports research where the first-year students of Mathematics Education of PGRI University Semarang were given an integral problem, then individually they were interviewed related to the answer they have made. The findings of students' difficulties in working on integration problem were confirmed through several questions in the interview which aimed to uncover their critical thinking process related to concepts, procedures, and problem solving. This study shows that student difficulties in Integration by disc method such as failure in identifying radius of a rotary object, specify partition, and integration bounds are closely related to their failure to think critically related to concept, skills, and problem solving aspects of critical thinking.

Biofuels are (Not the Future! Legitimation Strategies of Sustainable Ventures in Complex Institutional Environments

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Neil A. Thompson

2018-04-01

Full Text Available Sustainable ventures often lack legitimacy (perceived to be desirable and appropriate because various stakeholder groups use contradictory institutions (rules and norms to make their judgements, which leads to there being fewer resources available and higher failure rates. Using an institutional theory framework and a multi-case research design with 15 biofuel ventures operating in the Netherlands, this study asks how sustainable entrepreneurs attempt to gain legitimacy in these circumstances. Analysis reveals that the entrepreneurs use a combination of rhetorical, reconciliatory and institutional change strategies to obtain legitimacy from different stakeholder groups. These findings further our understanding of sustainable entrepreneurial behavior by revealing how and why different legitimation strategies are used in complex institutional environments.

Institutional aspects of integrating irrigation into urban wastewater management: the case of Hanoi, Vietnam

NARCIS (Netherlands)

Evers, J.G.; Huibers, F.P.; Vliet, van B.J.M.

2010-01-01

Wastewater flows of metropolitan cities and their downstream use for irrigation are often associated with technical systems. However, an engineering approach on its own will leave questions unanswered at the socio-technical and institutional level. Research was carried out in Hanoi, Vietnam, on the

Institutional aspects of integrating irrigation into urban wastewater management: the case of Hanoi, Vietnam

NARCIS (Netherlands)

Evers, J.G.; Huibers, Frans P.; van Vliet, Bas J.M.

2008-01-01

Wastewater flows of metropolitan cities and their downstream use for irrigation are often associated with technical systems. However, an engineering approach on its own will leave questions unanswered at the socio-technical and institutional level. Research was carried out in Hanoi, Vietnam, on the

An Institute on Literacy in the Language of Film.

Science.gov (United States)

Lakas, Robert R.; Kavanaugh, John F.

An institute was offered at Rockhurst College to give high school and college educators an intense and extensive contact with cinema in all of its aspects--filmmaking, thematic analysis, use in curriculum, Hollywood production, direction, independent filmmakers, library usage, script-writing, booking, programming, and the actual viewing of short…

Institute of Bioinorganic and Radiopharmaceutical Chemistry. Annual report 1992

International Nuclear Information System (INIS)

Johannsen, B.

1993-04-01

The Institute of Bioinorganic and Radiopharmaceutical Chemistry of the Rossendorf Research Center (FZR) presents its 1992 anual report in order to in form on research activities in the first year of its existence. This volume contains 27 individual reports devoted to various aspects of radiotracers for nuclear medicine. (BBR)

Porting Initiation and Failure into Linked CHEETAH

Science.gov (United States)

Souers, Clark; Vitello, Peter

2007-06-01

Linked CHEETAH is a thermo-chemical code coupled to a 2-D hydrocode. Initially, a quadratic-pressure dependent kinetic rate was used, which worked well in modeling prompt detonation of explosives of large size, but does not work on other aspects of explosive behavior. The variable-pressure Tarantula reactive flow rate model was developed with JWL++ in order to also describe failure and initiation, and we have moved this model into Linked CHEETAH. The model works by turning on only above a pressure threshold, where a slow turn-on creates initiation. At a higher pressure, the rate suddenly leaps to a large value over a small pressure range. A slowly failing cylinder will see a rapidly declining rate, which pushes it quickly into failure. At a high pressure, the detonation rate is constant. A sequential validation procedure is used, which includes metal-confined cylinders, rate-sticks, corner-turning, initiation and threshold, gap tests and air gaps. The size (diameter) effect is central to the calibration. This work was performed under the auspices of the U.S. Department of Energy by the University of California Lawrence Livermore National Laboratory under contract No. W-7405-Eng-48.

Heart Failure: Diagnosis, Severity Estimation and Prediction of Adverse Events Through Machine Learning Techniques

Directory of Open Access Journals (Sweden)

Evanthia E. Tripoliti

Full Text Available Heart failure is a serious condition with high prevalence (about 2% in the adult population in developed countries, and more than 8% in patients older than 75 years. About 3–5% of hospital admissions are linked with heart failure incidents. Heart failure is the first cause of admission by healthcare professionals in their clinical practice. The costs are very high, reaching up to 2% of the total health costs in the developed countries. Building an effective disease management strategy requires analysis of large amount of data, early detection of the disease, assessment of the severity and early prediction of adverse events. This will inhibit the progression of the disease, will improve the quality of life of the patients and will reduce the associated medical costs. Toward this direction machine learning techniques have been employed. The aim of this paper is to present the state-of-the-art of the machine learning methodologies applied for the assessment of heart failure. More specifically, models predicting the presence, estimating the subtype, assessing the severity of heart failure and predicting the presence of adverse events, such as destabilizations, re-hospitalizations, and mortality are presented. According to the authors' knowledge, it is the first time that such a comprehensive review, focusing on all aspects of the management of heart failure, is presented. Keywords: Heart failure, Diagnosis, Prediction, Severity estimation, Classification, Data mining

Chronic institutional failure and enhanced vulnerability to flash-floods in the Cuenca Altadel Río Lerma, Mexico.

Science.gov (United States)

Güiza, Frida; Simmons, Peter; Burgess, Jacquie; McCall, Michael K

2016-01-01

The dominant paradigm in disaster risk reduction (DRR) policies has been seriously contested because of its reliance on interventions based on technocratic expertise. In the Mexican context, the influence of informal practices such as clientelism and cartelisation of the political system produces environmental degradation and vulnerability to disasters within the communities in the study site. This paper contributes to understanding of failed institutional processes and parallel practices that intensify vulnerability to disasters by contrasting the discourses of agents within a peri-urban community in central Mexico. Employing the Situational Analysis Approach as a methodological framework, the study identifies divergent views and practices within the community, leading to different responses to disasters and to different perceptions regarding institutional performance. In addition, it finds that institutional decision-making, based only on scientific and technical expertise, has resulted in unintended consequences that influence ongoing vulnerability to floods in the site under review. © 2016 The Author(s). Disasters © Overseas Development Institute, 2016.

Problematic of the Environmental Education in Educational Institutions

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Liliana Hayde Gutierrez Sabogal

2016-01-01

Full Text Available The following article sketches the understanding of the actual situation of environmental education in Colombian educational institutions, taking in to account the aspects that seem to have an impact on this problematic and the possible interrelationships between them like the first stage of the doctoral research lead by Doctor Francisco González.

Research document no. 19. The transposition conditions of the market institutions in transition economies (Russia). The energy case

International Nuclear Information System (INIS)

Locatelli, C.

2000-07-01

The majority of the institutions of the market economy exist today in Russia but they do not take on with the russian economic framework. One assists in fact with particular appropriation modes of these institutions, defining behaviors directed by logics of survival. To analyze the situation, the author presents the standard approaches of the economic transition in the case of the energy in russia and the institutional and organization models failure. (A.L.B.)

Heart failure - tests

Science.gov (United States)

CHF - tests; Congestive heart failure - tests; Cardiomyopathy - tests; HF - tests ... the best test to: Identify which type of heart failure (systolic, diastolic, valvular) Monitor your heart failure and ...

Types of Heart Failure

Science.gov (United States)

... Introduction Types of Heart Failure Classes of Heart Failure Heart Failure in Children Advanced Heart Failure • Causes and ... and procedures related to heart disease and stroke. Heart Failure Questions to Ask Your Doctor Use these questions ...

Cardiac retransplantation is an efficacious therapy for primary cardiac allograft failure

Directory of Open Access Journals (Sweden)

Acker Michael A

2008-05-01

Full Text Available Abstract Background Although orthotopic heart transplantation has been an effective treatment for end-stage heart failure, the incidence of allograft failure has increased, necessitating treatment options. Cardiac retransplantation remains the only viable long-term solution for end-stage cardiac allograft failure. Given the limited number of available donor hearts, the long term results of this treatment option need to be evaluated. Methods 709 heart transplants were performed over a 20 year period at our institution. Repeat cardiac transplantation was performed in 15 patients (2.1%. A retrospective analysis was performed to determine the efficacy of cardiac retransplantation. Variables investigated included: 1 yr and 5 yr survival, length of hospitalization, post-operative complications, allograft failure, recipient and donor demographics, renal function, allograft ischemic time, UNOS listing status, blood group, allograft rejection, and hemodynamic function. Results Etiology of primary graft failure included transplant arteriopathy (n = 10, acute rejection (n = 3, hyperacute rejection (n = 1, and a post-transplant diagnosis of metastatic melanoma in the donor (n = 1. Mean age at retransplantation was 45.5 ± 9.7 years. 1 and 5 year survival for retransplantation were 86.6% and 71.4% respectively, as compared to 90.9% and 79.1% for primary transplantation. Mean ejection fraction was 67.3 ± 12.2% at a mean follow-up of 32.6 ± 18.5 mos post-retransplant; follow-up biopsy demonstrated either ISHLT grade 1A or 0 rejection (77.5 ± 95.7 mos post-transplant. Conclusion Cardiac retransplantation is an efficacious treatment strategy for cardiac allograft failure.

ASPECT spectral imaging satellite proposal to AIDA/AIM CubeSat payload

Czech Academy of Sciences Publication Activity Database

Kohout, Tomáš; Näsilä, A.; Tikka, T.; Penttilä, A.; Muinonen, K.; Kestilä, A.; Granvik, M.; Kallio, E.

2016-01-01

Roč. 18 (2016) ISSN 1607-7962. [European Geosciences Union General Assembly 2016. 17.04.2016-22.04.2016, Vienna] Institutional support: RVO:67985831 Keywords : CubeSat * asteroid * AIDA * reflectance spectra ASPECT Subject RIV: BN - Astronomy, Celestial Mechanics, Astrophysics http://meetingorganizer.copernicus.org/EGU2016/EGU2016-8434.pdf

Cytogenetic abnormalities in Tunisian women with premature ovarian failure.

Science.gov (United States)

Ayed, Wiem; Amouri, Ahlem; Hammami, Wajih; Kilani, Olfa; Turki, Zinet; Harzallah, Fatma; Bouayed-Abdelmoula, Nouha; Chemkhi, Imen; Zhioua, Fethi; Slama, Claude Ben

2014-12-01

To identify the distribution of chromosome abnormalities among Tunisian women with premature ovarian failure (POF) referred to the department of Cytogenetic at the Pasteur Institute of Tunis (Tunisia), standard cytogenetic analysis was carried out in a total of 100 women younger than 40 affected with premature ovarian failure. We identified 18 chromosomal abnormalities, including seven X-numerical anomalies in mosaic and non-mosaic state (45,X; 47,XXX), four sex reversal, three X-structural abnormalities (terminal deletion and isochromosomes), one autosomal translocation and one supernumerary marker. The overall prevalence of chromosomal abnormalities was 18% in our cohort. X chromosome aneuploidy was the most frequent aberration. This finding confirms the essential role of X chromosome in ovarian function and underlies the importance of cytogenetic investigations in the routine management of POF. Copyright © 2014 Académie des sciences. Published by Elsevier SAS. All rights reserved.

Classes of Heart Failure

Science.gov (United States)

... Introduction Types of Heart Failure Classes of Heart Failure Heart Failure in Children Advanced Heart Failure • Causes and ... and Advanced HF • Tools and Resources • Personal Stories Heart Failure Questions to Ask Your Doctor Use these questions ...

A Comparison of Success and Failure Rates between Computer-Assisted and Traditional College Algebra Sections

Science.gov (United States)

Herron, Sherry; Gandy, Rex; Ye, Ningjun; Syed, Nasser

2012-01-01

A unique aspect of the implementation of a computer algebra system (CAS) at a comprehensive university in the U.S. allowed us to compare the student success and failure rates to the traditional method of teaching college algebra. Due to space limitations, the university offered sections of both CAS and traditional simultaneously and, upon…

Personal and social factors regarding medical non-compliance in cardiac failure patients

International Nuclear Information System (INIS)

Mujtaba, S.F.; Masood, T.; Khalid, D.

2011-01-01

Objective: To determine the frequency and association of various personal and social factors with medical non-compliance in cardiac failure patients. Study Design: Cross-sectional, observational study. Place and Duration of Study: National Institute of Cardiovascular Diseases (NICVD), Karachi from January to August 2010. Methodology: Patients admitted in the medical wards of NICVD, who were being treated for cardiac failure, were included. Information regarding basic demographics, education level, self engagement in therapy and status of compliance was obtained by questionnaire. Statistical analysis was carried out by using Fisher's exact test and chi-square. Level of significance was < 0.05. Data was analyzed using SPSS V-15. Out of 267 patients, 73 (27.3%) were compliant while 194 (72.7%) were non-compliant. Educated, self caring patient, and those who knew names of their medications were more compliant than the rest. Conclusion: Medical non-compliance is very common in heart failure patients. Illiteracy and no self engagement in therapy are associated with non-compliance. (author)

Determinants of Diuretic Responsiveness and Associated Outcomes During Acute Heart Failure Hospitalization: An Analysis From the NHLBI Heart Failure Network Clinical Trials.

Science.gov (United States)

Kiernan, Michael S; Stevens, Susanna R; Tang, W H Wilson; Butler, Javed; Anstrom, Kevin J; Birati, Edo Y; Grodin, Justin L; Gupta, Divya; Margulies, Kenneth B; LaRue, Shane; Dávila-Román, Victor G; Hernandez, Adrian F; de Las Fuentes, Lisa

2018-03-01

Poor response to loop diuretic therapy is a marker of risk during heart failure hospitalization. We sought to describe baseline determinants of diuretic response and to further explore the relationship between this response and clinical outcomes. Patient data from the National Heart, Lung, and Blood Institute Heart Failure Network ROSE-AHF and CARRESS-HF clinical trials were analyzed to determine baseline determinants of diuretic response. Diuretic efficiency (DE) was defined as total 72-hour fluid output per total equivalent loop diuretic dose. Data from DOSE-AHF was then used to determine if these predictors of DE correlated with response to a high- versus low-dose diuretic strategy. At 72 hours, the high-DE group had median fluid output of 9071 ml (interquartile range: 7240-11775) with median furosemide dose of 320 mg (220-480) compared with 8030 ml (6300-9915) and 840 mg (600-1215) respectively for the low DE group. Cystatin C was independently associated with DE (odds ratio 0.36 per 1mg/L increase; 95% confidence interval: 0.24-0.56; P failure hospitalization. Higher loop diuretic doses are required for therapeutic decongestion in patients with renal insufficiency. Poor response identifies a high-risk population. Copyright © 2018 Elsevier Inc. All rights reserved.

SOR-ring failure

International Nuclear Information System (INIS)

Kitamura, Hideo

1981-01-01

It was in the autumn of 1976 that the SOR-ring (synchrotron radiation storage ring) has commenced the regular operation. Since then, the period when the operation was interrupted due to the failures of SOR-ring itself is in total about 8 weeks. Failures and accidents have occurred most in the vacuum system. Those failure experiences are described on the vacuum, electromagnet, radio-frequency acceleration and beam transport systems with their interrupted periods. The eleven failures in the vacuum system have been reported, such as bellows breakage in a heating-evacuating period, leakage from the bellows of straight-through valves (made in U.S.A. and Japan), and leakage from the joint flange of the vacuum system. The longest interruption was 5 weeks due to the failure of a domestically manufactured straight-through valve. The failures of the electromagnet system involve the breakage in a cooling water system, short circuit of a winding in the Q magnet power transformer, blow of a fuse protecting the deflection magnet power source by the current less than the rating, and others. The failures of the RF acceleration system include the breakage of an output electronic tube the breakage of a cavity ceramic, RF voltage fluctuation due to the contact deterioration at a cavity electrode, and the failure of grid bias power source. It is necessary to select the highly reliable components for the vacuum system because the vacuum system failures require longer time for recovery, and very likely to induce secondary and tertiary failures. (Wakatsuki, Y.)

Association between Spirituality and Adherence to Management in Outpatients with Heart Failure

Directory of Open Access Journals (Sweden)

Juglans Souto Alvarez

2016-01-01

Full Text Available Abstract Background: Spirituality may influence how patients cope with their illness. Objectives: We assessed whether spirituality may influence adherence to management of outpatients with heart failure. Methods: Cross sectional study enrolling consecutive ambulatory heart failure patients in whom adherence to multidisciplinary treatment was evaluated. Patients were assessed for quality of life, depression, religiosity and spirituality utilizing validated questionnaires. Correlations between adherence and psychosocial variables of interest were obtained. Logistic regression models explored independent predictors of adherence. Results: One hundred and thirty patients (age 60 ± 13 years; 67% male were interviewed. Adequate adherence score was observed in 38.5% of the patients. Neither depression nor religiosity was correlated to adherence, when assessed separately. Interestingly, spirituality, when assessed by both total score sum (r = 0.26; p = 0.003 and by all specific domains, was positively correlated to adherence. Finally, the combination of spirituality, religiosity and personal beliefs was an independent predictor of adherence when adjusted for demographics, clinical characteristics and psychosocial instruments. Conclusion: Spirituality, religiosity and personal beliefs were the only variables consistently associated with compliance to medication in a cohort of outpatients with heart failure. Our data suggest that adequately addressing these aspects on patient’s care may lead to an improvement in adherence patterns in the complex heart failure management.

Acute liver failure

DEFF Research Database (Denmark)

Larsen, Fin Stolze; Bjerring, Peter Nissen

2011-01-01

Acute liver failure (ALF) results in a multitude of serious complications that often lead to multi-organ failure. This brief review focuses on the pathophysiological processes in ALF and how to manage these.......Acute liver failure (ALF) results in a multitude of serious complications that often lead to multi-organ failure. This brief review focuses on the pathophysiological processes in ALF and how to manage these....

Aspects of Professional Training at Local and Central Public Administration Institutions from Romania

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Tudorel ANDREI

2010-02-01

Full Text Available The article aims to identify some characteristics  of the training process of the central and local  public administration employees. For comments  formulation we used the information obtained  from the central and local public administration  civil servants, which was collected by applying a  statistical questionnaire. The study emphasizes a  series of positive and negative aspects related to  the application of some instruments for consulting  the actors involved in the training process, the  curricula content of the training programs  addressing the public sector personnel at central  and local levels.  

Post-Implementation Success Factors for Enterprise Resource Planning Student Administration Systems in Higher Education Institutions

Science.gov (United States)

Sullivan, Linda; Bozeman, William

2010-01-01

Enterprise Resource Planning (ERP) systems can represent one of the largest investments of human and financial resources by a higher education institution. They also bring a significant process reengineering aspect to the institution and the associated implementation project through the integration of compiled industry best practices into the…

Banking passivity and regulatory failure in emerging markets: theory and evidence from the Czech Republic

Czech Academy of Sciences Publication Activity Database

Hanousek, Jan; Roland, G.

č. 192 (2001), s. 1-28 ISSN 1211-3298 R&D Projects: GA AV ČR KSK9058117 Institutional research plan: CEZ:AV0Z7085904 Keywords : bank failures * Czech banking crisis Subject RIV: AH - Economics http://www.cerge-ei.cz/pdf/wp/Wp192.pdf

Evaluation of the Development of Professional Competence in Undergraduates: Methodical Aspects

Science.gov (United States)

Leontyev, Vyacheslav V.; Rebrina, Fayruza G.; Leontyeva, Irina A.; Gafiyatullina, Elvira A.

2016-01-01

Bologna process puts in a high claim for the modern European education in terms of competency building approach. The control is conducted by the agencies which monitor learning activity level in higher education institutions. This paper presents the aspects of higher education within the conduction of competency building approach projects in…

Research document no. 19. The transposition conditions of the market institutions in transition economies (Russia). The energy case; Cahier de recherche no. 19. Les conditions de transposition des institutions de marche dans les economies en transition (Russie). Le cas de l'energie

Energy Technology Data Exchange (ETDEWEB)

Locatelli, C

2000-07-01

The majority of the institutions of the market economy exist today in Russia but they do not take on with the russian economic framework. One assists in fact with particular appropriation modes of these institutions, defining behaviors directed by logics of survival. To analyze the situation, the author presents the standard approaches of the economic transition in the case of the energy in russia and the institutional and organization models failure. (A.L.B.)

Actions to reduce radioactive emissions: prevention of containment failure by flooding Containment and Reactor Cavity

International Nuclear Information System (INIS)

Fornos Herrando, J.

2013-01-01

The reactor cavity of Asco and Vandellos II is dry type, thus a severe accident leading to vessel failure might potentially end up resulting in the loss of containment integrity, depending on the viability to cool the molten core. Therefore, significant radioactive emissions could be released to outside. In the framework of Fukushima Stress Tests, ANAV has analyzed the convenience of carrying out different actions to prevent failure of the containment integrity in order to reduce radioactive emissions. The aim of this paper is to present and describe the main phenomenological aspects associated with two of these actions: containment flooding and reactor cavity flooding.

Transitioning to Physics-of-Failure as a Reliability Driver in Power Electronics

DEFF Research Database (Denmark)

Wang, Huai; Liserre, Marco; Blaabjerg, Frede

2014-01-01

Power electronics has progressively gained important status in power generation, distribution and consumption. With more than 70% of electricity processed through power electronics, recent research endeavors to improve the reliability of power electronic systems to comply with more stringent...... constraints on cost, safety and availability in various applications. This paper serves to give an overview of the major aspects of reliability in power electronics and to address the future trends in this multidisciplinary research direction. The ongoing paradigm shift in reliability research is presented...... first. Then the three major aspects of power electronics reliability are discussed, respectively, which cover from physics-of-failure analysis of critical power elec-tronic components, state-of-the-art design for reliability process and robustness validation, and intelligent control and condition...

Leptothrix sp sheaths modified with iron oxide particles: Magnetically responsive, high aspect ratio functional material

Czech Academy of Sciences Publication Activity Database

Šafařík, Ivo; Angelova, R.; Baldíková, Eva; Pospišková, K.; Šafaříková, Miroslava

2017-01-01

Roč. 71, FEB (2017), s. 1342-1346 ISSN 0928-4931 R&D Projects: GA ČR(CZ) GA14-11516S; GA MŠk(CZ) LD14075 Institutional support: RVO:67179843 Keywords : removal * Leptothrix * Magnetic modification * Iron oxide * High aspect ratio material Subject RIV: EI - Biotechnology ; Bionics OBOR OECD: Environmental sciences (social aspects to be 5.7) Impact factor: 4.164, year: 2016

Heart Failure

OpenAIRE

McMurray, John; Ponikowski, Piotr

2011-01-01

Heart failure occurs in 3% to 4% of adults aged over 65 years, usually as a consequence of coronary artery disease or hypertension, and causes breathlessness, effort intolerance, fluid retention, and increased mortality. The 5-year mortality in people with systolic heart failure ranges from 25% to 75%, often owing to sudden death following ventricular arrhythmia. Risks of cardiovascular events are increased in people with left ventricular systolic dysfunction (LVSD) or heart failure.

Combinatorial analysis of systems with competing failures subject to failure isolation and propagation effects

International Nuclear Information System (INIS)

Xing Liudong; Levitin, Gregory

2010-01-01

This paper considers the reliability analysis of binary-state systems, subject to propagated failures with global effect, and failure isolation phenomena. Propagated failures with global effect are common-cause failures originated from a component of a system/subsystem causing the failure of the entire system/subsystem. Failure isolation occurs when the failure of one component (referred to as a trigger component) causes other components (referred to as dependent components) within the same system to become isolated from the system. On the one hand, failure isolation makes the isolated dependent components unusable; on the other hand, it prevents the propagation of failures originated from those dependent components. However, the failure isolation effect does not exist if failures originated in the dependent components already propagate globally before the trigger component fails. In other words, there exists a competition in the time domain between the failure of the trigger component that causes failure isolation and propagated failures originated from the dependent components. This paper presents a combinatorial method for the reliability analysis of systems subject to such competing propagated failures and failure isolation effect. Based on the total probability theorem, the proposed method is analytical, exact, and has no limitation on the type of time-to-failure distributions for the system components. An illustrative example is given to demonstrate the basics and advantages of the proposed method.

Water scarcity in Chennai, India: Institutions, entitlements and aspects of inequality in access

OpenAIRE

Anand, P. B.

2001-01-01

The main contributions of the paper can be divided into five areas. (a) It tries to explain conceptually, the institutional arrangements for water supply in Chennai and whether the state government’s decision about improving the performance of the water utility depends on particular political circumstances. A plausible explanation is also given of the impact of ground water regulation on the supply decision of private sector (tanker truck operators), using a crowding out framework. (b) It dis...

SOME ASPECTS OF THE STUDENTS' READINESS TO ACTIVITY IN AN ENVIRONMENT OF INSTITUTIONAL REPOSITORY

Directory of Open Access Journals (Sweden)

O. Oleksyuk

2013-02-01

Full Text Available The article investigated the state of development of specific digital libraries – institutional repositories. In the article described the features of their use in scientific research work of the students. This research contains an interview. It identified the major trends of use e-information in the studying and scientific work.

Rehabilitation of exacerbated case of oral mucositis associated with renal failure following bone marrow transplantation

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Pavesi VCS

2009-01-01

Full Text Available Inflammation of oral mucosa induced by anti neoplastic drugs is an important, dose limiting and costly side effect of cancer therapy. Here is presented an exacerbated case of oral mucositis associated with renal failure in a patient who underwent bone marrow transplantation. The clinical aspects and an integrated rehabilitation program are discussed below.

Estimation of component failure rates for PSA on nuclear power plants 1982-1997

International Nuclear Information System (INIS)

Kirimoto, Yukihiro; Matsuzaki, Akihiro; Sasaki, Atsushi

2001-01-01

Probabilistic safety assessment (PSA) on nuclear power plants has been studied for many years by the Japanese industry. The PSA methodology has been improved so that PSAs for all commercial LWRs were performed and used to examine for accident management.On the other hand, most data of component failure rates in these PSAs were acquired from U.S. databases. Nuclear Information Center (NIC) of Central Research Institute of Electric Power Industry (CRIEPI) serves utilities by providing safety- , and reliability-related information on operation and maintenance of the nuclear power plants, and by evaluating the plant performance and incident trends. So, NIC started a research study on estimating the major component failure rates at the request of the utilities in 1988. As a result, we estimated the hourly-failure rates of 47 component types and the demand-failure rates of 15 component types. The set of domestic component reliability data from 1982 to 1991 for 34 LWRs has been evaluated by a group of PSA experts in Japan at the Nuclear Safety Research Association (NSRA) in 1995 and 1996, and the evaluation report was issued in March 1997. This document describes the revised component failure rate calculated by our re-estimation on 49 Japanese LWRs from 1982 to 1997. (author)

SELF ASSESSMENT AND INSTITUTIONAL ASSESSMENT IN THE CONTEXT OF HIGHER EDUCATION

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Dumara Coutinho Tokunaga Sameshima

2015-03-01

Full Text Available Institutional Assessment is a comprehensive action, radical mobilizing and engaging the institution as a whole. Process is not indifferent or neutral. Instead, take advantage reaffirms values considered positive, the judge denies negative, their social relationships and work involved in all aspects of academic life and institutional (Newton Balzan and José Dias Sobrinho. As pointed out by the authors of the text, the institutional assessment is a challenge for managers in the field. In this sense this study addresses the understanding of Institutional Assessment and investigation procedure, that explicitly and reveal the subject institution's social reality prevailing in its various dimensions, identifying their points of excellence, their focus create obstacles, pointing paths and prospects for institutional development. The process of self-assessment meets the desire of institutions to maintain the provision of quality services and meet legislation on Institutional Assessment, specifically the Law. 10861/2004 which regulates the National Assessment of Higher Education - SINAES. The author's desire to emphasize that institutions of higher learning, being recognized as educational institutions, research and extension to provide excellence in education, training people competent, ethical and socially committed to the real exercise of citizenship.

Ecological aspects of distribution of potential toxin-producing micromycetes on stored apple fruit

OpenAIRE

Valiuškaitė, Alma; Survilienė, Elena; Lugauskas, Albinas; Levinskaitė, Loreta

2006-01-01

The effect of ecological aspects of distribution of potential toxin-producing micromycetes on stored apple fruit was investigated at the Lithuanian Institute of Horticulture and Institute of Botany in 2004–2005. Fungi of twenty species belonging to eight genera were isolated from rotten and healthy apple fruits. Penicillium expansum and Penicillium italicum showed a high frequency of occurrence and were isolated from 50% and 17% healthy apples and from 83% and 67% of rotten fruits respectivel...

Marked improvement in the success rate of medical management of early pregnancy failure following the implementation of a novel institutional protocol and treatment guidelines: a follow-up study.

Science.gov (United States)

Colleselli, V; Nell, T; Bartosik, T; Brunner, C; Ciresa-Koenig, A; Wildt, L; Marth, C; Seeber, B

2016-11-01

To analyze the success rate, time to passage of tissue and subjective patient experience of a newly implemented protocol for medical management of early pregnancy failure (EPF) over a 2-year period. A retrospective chart review of all patients with early pregnancy failure primarily opting for medical management was performed. 200 mg mifepristone were administered orally, followed by a single vaginal dose of 800 mcg misoprostol after 36-48 h. We followed-up with our patients using a written questionnaire. 167 women were included in the present study. We observed an overall success rate of 92 %, defined as no need for surgical management after medication administration. We could not identify predictive values for success in a multivariate regression analysis. Most patients (84 %) passed tissue within 6 h after misoprostol administration. The protocol was well tolerated with a low incidence of side effects. Pain was managed well with sufficient analgesics. Responders to the questionnaire felt adequately informed prior to treatment and rated their overall experience as positive. The adaption of the institutional medical protocol resulted in a marked improvement of success rate when compared to the previously used protocol (92 vs. 61 %). We credit this increase to the adjusted medication schema as well as to targeted physician education on the expected course and interpretation of outcome measures. Our results underscore that the medical management of EPF is a safe and effective alternative to surgical evacuation in the clinical setting.

Fiscal aspects of European monetary integration

DEFF Research Database (Denmark)

Hallett, Andrew Hughes; Hutchison, Michael; Hougaard Jensen, Svend E.

of fiscal policy in EMU. The contributors are experienced analysts in the field. Topics covered include the need for and consequences of fiscal co-ordination, constraints on national deficits and debt levels (the Stability Pact), and the role of fiscal federalism and insurance. The importance of co......-ordinating fiscal and monetary policies is also considered in depth. As long as these strategic and institutional aspects remain imperfectly understood, EMU will not be able to function to its full advantage and may suffer periods of instability or weakness. Contains 11 papers and three review essays, which analyze...

Failure to Rescue, Rescue Surgery and Centralization of Postoperative Complications: A Challenge for General and Acute Care Surgeons.

Science.gov (United States)

Zago, Mauro; Bozzo, Samantha; Carrara, Giulia; Mariani, Diego

2017-01-01

To explore the current literature on the failure to rescue and rescue surgery concepts, to identify the key items for decreasing the failure to rescue rate and improve outcome, to verify if there is a rationale for centralization of patients suffering postoperative complications. There is a growing awareness about the need to assess and measure the failure to rescue rate, on institutional, regional and national basis. Many factors affect failure to rescue, and all should be individually analyzed and considered. Rescue surgery is one of these factors. Rescue surgery assumes an acute care surgery background. Measurement of failure to rescue rate should become a standard for quality improvement programs. Implementation of all clinical and organizational items involved is the key for better outcomes. Preparedness for rescue surgery is a main pillar in this process. Centralization of management, audit, and communication are important as much as patient centralization. Celsius.

On the influence of institutional design on monetary policy making

NARCIS (Netherlands)

Raes, L.B.D.

2014-01-01

This thesis consists of a collection of essays on monetary policy making. These essays focus on institutional aspects which impact monetary policy making. Two chapters focus on analyzing voting records of central banks. A method is proposed to use the observed votes to infer the preferences of

Interference fits and stress-corrosion failure. [aircraft parts fatigue life analysis

Science.gov (United States)

Hanagud, S.; Carter, A. E.

1976-01-01

It is pointed out that any proper design of interference fit fastener, interference fit bushings, or stress coining processes should consider both the stress-corrosion susceptibility and fatigue-life improvement together. Investigations leading to such a methodology are discussed. A service failure analysis of actual aircraft parts is considered along with the stress-corrosion susceptibility of cold-working interference fit bushings. The optimum design of the amount of interference is considered, giving attention to stress formulas and aspects of design methodology.

The Rural Institutions in Colombia: Reflections for Analysis and Strengthening

Directory of Open Access Journals (Sweden)

Sandro Ropero Beltran

2016-09-01

Full Text Available The rural question is one of the great challenges for institutions in Colombia. The discussion regarding institutional efficiency and effectiveness for the rural sector should be brought forward based on circumstantial aspects that in turn mediate social the social, political, cultural, environmental, economic and productive in the Colombian agriculture, including trade agreements and post-conflict eventually included. The new rurality as an approach to rural development poses a different view about the subject, conceives the rural thing as a multisectorial and multidimensional space, which is the starting point from which arise the elements of analysis that allow advance an institutional debate broad and participatory facing the structural transformation of the rural reality.

Adolescents' perceptions of institutional fairness: relations with moral reasoning, emotions, and behavior.

Science.gov (United States)

Arsenio, William F; Preziosi, Susanna; Silberstein, Erica; Hamburger, Benjamin

2012-01-01

This article addresses how low-income urban adolescents view the fairness of different aspects of American society, including how wealth is distributed, the nature of legal constraints, and overall social opportunities and legitimacy. This research emerged from efforts to understand the moral and emotional nature of some adolescents' aggressive tendencies. Recently it has become clearer that aggression can serve many purposes and that, for some adolescents, aggression is a coherent though problematic response to larger familial, neighborhood, and institutional forces. Consequently, the authors focus on the connections between low-income adolescents' perceptions of institutional and interpersonal fairness, certain aggressive tendencies, and related emotion judgments. At the same time, relatively little is known about how low-income adolescents as a group perceive the fairness of wealth distribution and other broad aspects of American society. Consequently, a second important goal is to examine these adolescents' normative beliefs about institutional fairness at a time of growing financial and educational inequalities in the United States. Copyright © 2013 Wiley Periodicals, Inc., A Wiley Company.

CRM ADOPTION IN A HIGHER EDUCATION INSTITUTION

Directory of Open Access Journals (Sweden)

Guy-Emmanuel Rigo

2016-04-01

Full Text Available More and more organisations, from private to public sectors, are pursuing higher levels of customer satisfaction, loyalty and retention. With this intent, higher education institutions (HEI have adopted CRM – Customer Relationship Management. In order to analyse some of the interesting aspects of this phenomenon n, we conducted an action research in a European Institute. The main research question we answered is “how to adopt a CRM strategy in a Higher Education Institution?” Some of the main findings of this study are (1 even though HEI’s main customer is the student, there are others stakeholders that a CRM project must consider; (2 universities can use their internal resources to implement a CRM project successfully; and (3 using Agile software methodology is an effective way to define clearer, more objective and more assertive technical requirements which result in a CRM software that meet send user’s expectations and organizational strategic goals. These findings can help other HEIs

NATO Advanced Study Institute on Advanced Physical Oceanographic Numerical Modelling

CERN Document Server

1986-01-01

This book is a direct result of the NATO Advanced Study Institute held in Banyuls-sur-mer, France, June 1985. The Institute had the same title as this book. It was held at Laboratoire Arago. Eighty lecturers and students from almost all NATO countries attended. The purpose was to review the state of the art of physical oceanographic numerical modelling including the parameterization of physical processes. This book represents a cross-section of the lectures presented at the ASI. It covers elementary mathematical aspects through large scale practical aspects of ocean circulation calculations. It does not encompass every facet of the science of oceanographic modelling. We have, however, captured most of the essence of mesoscale and large-scale ocean modelling for blue water and shallow seas. There have been considerable advances in modelling coastal circulation which are not included. The methods section does not include important material on phase and group velocity errors, selection of grid structures, advanc...

Documents assignment to archival fonds in research institutions of the NAS of Ukraine

Directory of Open Access Journals (Sweden)

Sichova O.

2015-01-01

Full Text Available The article analyzes the main aspects of the assignment of the records of research institutions of the NAS of Ukraine to archival fonds, in particular, the records assignment to archival fonds according to certain characteristics, archival fonds creation in accordance with the scientific principles of provenance, continuity and archival fond integrity. Shown are the features of the internal systematization of the documents of research institutions of the NAS of Ukraine, caused by the specifics of the institutions functions. Illustrated are the examples of institutional archival fonds acquiring names and the conditions leading to their renaming. Analyzed is the procedure of a chronological scope fixation of a research institution of the NAS of Ukraine archival fond

Deactivation of Pacemaker: Ethical Approach or Managerial Failure?

Directory of Open Access Journals (Sweden)

Macková Marie

2017-12-01

Full Text Available The decision about the deactivation of a pacemaker must be the result of a multicriteria decision-making process where the legal, ethical and effectiveness aspects must be taken into account and delicately balanced, while also considering the risk of managerial failure. Academic as well as professional discussion is necessary because there is a whole range of question marks on this topic and all the aspects mentioned above. The aim of this paper is to contribute to the debate by presenting the views of Czech physicians about the possibility of deactivation of the pacemaker in patients in terminal states. Based on the results of our research, the following steps are recommended to enable the deactivation of pacemakers in the Czech environment. Before the patient’s own indication of pacemaker therapy, treatment should be discussed with the patient in detail, including complications and deactivation options. Czech ethical consultant services should be set up in Czech hospitals. And last but not least, they should take an opinion on this issue as well as the professional society.

Cardiac dysfunction in heart failure: the cardiologist's love affair with time.

Science.gov (United States)

Brutsaert, Dirk L

2006-01-01

Translating research into clinical practice has been a challenge throughout medical history. From the present review, it should be clear that this is particularly the case for heart failure. As a consequence, public awareness of this disease has been disillusionedly low, despite its prognosis being worse than that of most cancers and many other chronic diseases. We explore how over the past 150 years since Ludwig and Marey concepts about the evaluation of cardiac performance in patients with heart failure have emerged. From this historical-physiologic perspective, we have seen how 3 increasingly reductionist approaches or schools of thought have evolved in parallel, that is, an input-output approach, a hemodynamic pump approach, and a muscular pump approach. Each one of these has provided complementary insights into the pathophysiology of heart failure and has resulted in measurements or derived indices, some of which still being in use in present-day cardiology. From the third, most reductionist muscular pump approach, we have learned that myocardial and ventricular relaxation properties as well as temporal and spatial nonuniformities have been largely overlooked in the 2 other, input-output and hemodynamic pump, approaches. A key message from the present review is that relaxation and nonuniformities can be fully understood only from within the time-space continuum of cardiac pumping. As cyclicity and rhythm are, in some way, the most basic aspects of cardiac function, considerations of time should dominate over any measurement of cardiac performance as a muscular pump. Any measurement that is blind for the arrow of cardiac time should therefore be interpreted with caution. We have seen how the escape from the time domain-as with the calculation of LV ejection fraction-fascinating though as it may be, has undoubtedly served to hinder a rational scientific debate on the recent, so-called systolic-diastolic heart failure controversy. Lacking appreciation of early

MANAGING CHANGE: SOME THEORETICAL AND APPLICATIVE ASPECTS

Directory of Open Access Journals (Sweden)

Botezat Elena

2012-07-01

Full Text Available The strategic organizational change aims is the change of procedures and systems, organizational structures and responsibilities but especially acquiring new knowledge and skills. Significant authors (Drucker: 1999; Kotter: 1996; Buckingham n Clifton: 2001, supporters of the theory of strategic leadership show an inclination for the idea of optimal management of an organization, which depends on circumstantial factors as place and time, the individual and the context in which it acts. Many experts who studied organizational change saw as possible the future replacement of the current state, desired only after completion of specific phases, in a certain sequence. In this article we will focus our attention on the reduction phase of resistance to change. The research objectives targeted both theoretical aspects consisting in bringing to the forefront the relevant aspects related to organizational change in the current context and practical aspects related to identifying and analyzing the main elements that make it possible or on the contrary act as brakes in way of introduction and implementation of change. To achieve the research objectives, we used the method of direct observation and the questionnaire method supported by the gathering of more information from the organization's documents (Beton Construct SRL and support discussions with the employees. Data processing and analysis revealed that in the organization certain factors exist and manifest that constitute obstacles or inhibit organizational change, namely: the goal of the change is not clear, the rewards of change are not related to the effort needed to make them happen, change determines fear of failure, change is often imposed by coercion, change requires effort and commitment required for employees that think they do not have resources anymore. Summarizing the results of usage for certain methods and techniques to implement change, we can say that the actions of an authoritarian

Survival analysis of heart failure patients: A case study.

Science.gov (United States)

Ahmad, Tanvir; Munir, Assia; Bhatti, Sajjad Haider; Aftab, Muhammad; Raza, Muhammad Ali

2017-01-01

This study was focused on survival analysis of heart failure patients who were admitted to Institute of Cardiology and Allied hospital Faisalabad-Pakistan during April-December (2015). All the patients were aged 40 years or above, having left ventricular systolic dysfunction, belonging to NYHA class III and IV. Cox regression was used to model mortality considering age, ejection fraction, serum creatinine, serum sodium, anemia, platelets, creatinine phosphokinase, blood pressure, gender, diabetes and smoking status as potentially contributing for mortality. Kaplan Meier plot was used to study the general pattern of survival which showed high intensity of mortality in the initial days and then a gradual increase up to the end of study. Martingale residuals were used to assess functional form of variables. Results were validated computing calibration slope and discrimination ability of model via bootstrapping. For graphical prediction of survival probability, a nomogram was constructed. Age, renal dysfunction, blood pressure, ejection fraction and anemia were found as significant risk factors for mortality among heart failure patients.

Chemical aspects of pellet-cladding interaction in light water reactor fuel elements

International Nuclear Information System (INIS)

Olander, D.R.

1982-01-01

In contrast to the extensive literature on the mechanical aspects of pellet-cladding interaction (PCI) in light water reactor fuel elements, the chemical features of this phenomenon are so poorly understood that there is still disagreement concerning the chemical agent responsible. Since the earliest work by Rosenbaum, Davies and Pon, laboratory and in-reactor experiments designed to elucidate the mechanism of PCI fuel rod failures have concentrated almost exclusively on iodine. The assumption that this is the reponsible chemical agent is contained in models of PCI which have been constructed for incorporation into fuel performance codes. The evidence implicating iodine is circumstantial, being based primarily upon the volatility and significant fission yield of this element and on the microstructural similarity of the failed Zircaloy specimens exposed to iodine in laboratory stress corrosion cracking (SCC) tests to cladding failures by PCI

Respiratory Failure

Science.gov (United States)

Respiratory failure happens when not enough oxygen passes from your lungs into your blood. Your body's organs, ... brain, need oxygen-rich blood to work well. Respiratory failure also can happen if your lungs can' ...

Heart failure - home monitoring

Science.gov (United States)

... this page: //medlineplus.gov/ency/patientinstructions/000113.htm Heart failure - home monitoring To use the sharing features on ... your high blood pressure Fast food tips Heart failure - discharge Heart failure - fluids and diuretics Heart failure - what to ...

Clinical Utility of Exercise Training in Heart Failure with Reduced and Preserved Ejection Fraction

Science.gov (United States)

Asrar Ul Haq, Muhammad; Goh, Cheng Yee; Levinger, Itamar; Wong, Chiew; Hare, David L

2015-01-01

Reduced exercise tolerance is an independent predictor of hospital readmission and mortality in patients with heart failure (HF). Exercise training for HF patients is well established as an adjunct therapy, and there is sufficient evidence to support the favorable role of exercise training programs for HF patients over and above the optimal medical therapy. Some of the documented benefits include improved functional capacity, quality of life (QoL), fatigue, and dyspnea. Major trials to assess exercise training in HF have, however, focused on heart failure with reduced ejection fraction (HFREF). At least half of the patients presenting with HF have heart failure with preserved ejection fraction (HFPEF) and experience similar symptoms of exercise intolerance, dyspnea, and early fatigue, and similar mortality risk and rehospitalization rates. The role of exercise training in the management of HFPEF remains less clear. This article provides a brief overview of pathophysiology of reduced exercise tolerance in HFREF and heart failure with preserved ejection fraction (HFPEF), and summarizes the evidence and mechanisms by which exercise training can improve symptoms and HF. Clinical and practical aspects of exercise training prescription are also discussed. PMID:25698883

Economic impact of heart failure according to the effects of kidney failure.

Science.gov (United States)

Sicras Mainar, Antoni; Navarro Artieda, Ruth; Ibáñez Nolla, Jordi

2015-01-01

To evaluate the use of health care resources and their cost according to the effects of kidney failure in heart failure patients during 2-year follow-up in a population setting. Observational retrospective study based on a review of medical records. The study included patients ≥ 45 years treated for heart failure from 2008 to 2010. The patients were divided into 2 groups according to the presence/absence of KF. Main outcome variables were comorbidity, clinical status (functional class, etiology), metabolic syndrome, costs, and new cases of cardiovascular events and kidney failure. The cost model included direct and indirect health care costs. Statistical analysis included multiple regression models. The study recruited 1600 patients (prevalence, 4.0%; mean age 72.4 years; women, 59.7%). Of these patients, 70.1% had hypertension, 47.1% had dyslipidemia, and 36.2% had diabetes mellitus. We analyzed 433 patients (27.1%) with kidney failure and 1167 (72.9%) without kidney failure. Patients with kidney failure were associated with functional class III-IV (54.1% vs 40.8%) and metabolic syndrome (65.3% vs 51.9%, P<.01). The average unit cost was €10,711.40. The corrected cost in the presence of kidney failure was €14,868.20 vs €9,364.50 (P=.001). During follow-up, 11.7% patients developed ischemic heart disease, 18.8% developed kidney failure, and 36.1% developed heart failure exacerbation. Comorbidity associated with heart failure is high. The presence of kidney failure increases the use of health resources and leads to higher costs within the National Health System. Copyright © 2014 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

AspectJ in action practical aspect-oriented programming

CERN Document Server

Laddad, Ramnivas

2003-01-01

A guide to aspect-oriented programming and the AspectJ language, this book provides code examples that enable quick implementation of functionality in a system. Thorough introductions to AOP and AspectJ will help developers learn or advance their knowledge of AspectJ. Examples of everyday situations in which AspectJ solutions can be applied, such as logging, policy enforcement, resource pooling, business logic, thread-safety, authentication and authorization, and transaction management are provided. In addition, design patterns and idioms are covered, as is business rule implementation. The latest technologies, such as JEES, JAAS, and log4j, are explained and connected with AspectJ.

Safeguards at the Central Institute for Nuclear Research at Rossendorf/GDR

International Nuclear Information System (INIS)

Helming, M.; Rehak, W.; Schillert, B.

1989-01-01

Experience in the implementation of domestic and international safeguards at the Central Institute for Nuclear Research at Rossendorf is reported covering the following topics: overview of the main nuclear installations belonging to the Institute; structure of its material balance areas; responsibilities for the different aspects of accounting for and control of nuclear material at facility level; the various types of nuclear materials handled and their flow, accessibility and strategic significance; the assessment of IAEA safeguards effectiveness. 2 tabs., 2 figs. (author)

Structural Reliability Aspects in Design of Wind Turbines

DEFF Research Database (Denmark)

Sørensen, John Dalsgaard

2007-01-01

Reliability assessment, optimal design and optimal operation and maintenance of wind turbines are an area of significant interest for the fast growing wind turbine industry for sustainable production of energy. Offshore wind turbines in wind farms give special problems due to wake effects inside...... the farm. Reliability analysis and optimization of wind turbines require that the special conditions for wind turbine operation are taken into account. Control of the blades implies load reductions for large wind speeds and parking for high wind speeds. In this paper basic structural failure modes for wind...... turbines are described. Further, aspects are presented related to reliability-based optimization of wind turbines, assessment of optimal reliability level and operation and maintenance....

Dependent failures of diesel generators

International Nuclear Information System (INIS)

Mankamo, T.; Pulkkinen, U.

1982-01-01

This survey of dependent failures (common-cause failures) is based on the data of diesel generator failures in U. S. nuclear power plants as reported in Licensee Event Reports. Failures were classified into random and potentially dependent failures. All failures due to design errors, manufacturing or installation errors, maintenance errors, or deviations in the operational environment were classified as potentially dependent failures.The statistical dependence between failures was estimated from the relative portion of multiple failures. Results confirm the earlier view of the significance of statistical dependence, a strong dependence on the age of the diesel generator was found in each failure class excluding random failures and maintenance errors, which had a nearly constant frequency independent of diesel generator age

Immune mediated liver failure

OpenAIRE

Wang, Xiaojing; Ning, Qin

2014-01-01

Liver failure is a clinical syndrome of various etiologies, manifesting as jaundice, encephalopathy, coagulopathy and circulatory dysfunction, which result in subsequent multiorgan failure. Clinically, liver failure is classified into four categories: acute, subacute, acute-on-chronic and chronic liver failure. Massive hepatocyte death is considered to be the core event in the development of liver failure, which occurs when the extent of hepatocyte death is beyond the liver regenerative capac...

Failure modes and effects analysis (FMEA) for Gamma Knife radiosurgery.

Science.gov (United States)

Xu, Andy Yuanguang; Bhatnagar, Jagdish; Bednarz, Greg; Flickinger, John; Arai, Yoshio; Vacsulka, Jonet; Feng, Wenzheng; Monaco, Edward; Niranjan, Ajay; Lunsford, L Dade; Huq, M Saiful

2017-11-01

Gamma Knife radiosurgery is a highly precise and accurate treatment technique for treating brain diseases with low risk of serious error that nevertheless could potentially be reduced. We applied the AAPM Task Group 100 recommended failure modes and effects analysis (FMEA) tool to develop a risk-based quality management program for Gamma Knife radiosurgery. A team consisting of medical physicists, radiation oncologists, neurosurgeons, radiation safety officers, nurses, operating room technologists, and schedulers at our institution and an external physicist expert on Gamma Knife was formed for the FMEA study. A process tree and a failure mode table were created for the Gamma Knife radiosurgery procedures using the Leksell Gamma Knife Perfexion and 4C units. Three scores for the probability of occurrence (O), the severity (S), and the probability of no detection for failure mode (D) were assigned to each failure mode by 8 professionals on a scale from 1 to 10. An overall risk priority number (RPN) for each failure mode was then calculated from the averaged O, S, and D scores. The coefficient of variation for each O, S, or D score was also calculated. The failure modes identified were prioritized in terms of both the RPN scores and the severity scores. The established process tree for Gamma Knife radiosurgery consists of 10 subprocesses and 53 steps, including a subprocess for frame placement and 11 steps that are directly related to the frame-based nature of the Gamma Knife radiosurgery. Out of the 86 failure modes identified, 40 Gamma Knife specific failure modes were caused by the potential for inappropriate use of the radiosurgery head frame, the imaging fiducial boxes, the Gamma Knife helmets and plugs, the skull definition tools as well as other features of the GammaPlan treatment planning system. The other 46 failure modes are associated with the registration, imaging, image transfer, contouring processes that are common for all external beam radiation therapy

Analyzing EFL Teachers’ Initial Job Motivation and Factors Effecting Their Motivation in Fezalar Educational Institutions in Iraq

Directory of Open Access Journals (Sweden)

Selcuk Koran

2015-02-01

Full Text Available Teacher motivation is one of the primary variables of students’ high performance. It is experienced that students whose teachers are highly motivated are more engaged in the learning process. Therefore, it’s mostly the teacher who determines the level of success or failure in achieving institution’s goal in the educational process. Thus, teachers are expected to demonstrate a high job motivation performance by administrations. However, some teachers seem naturally enthusiastic about teaching while others need to be stimulated, inspired and challenged. There are several factors that provide teachers with necessary motivation driven by which they can work effectively. These factors can be emotional, financial, physical or academic. This study is an attempt to find out what motivates teachers to enter this profession, since the reasons of entering this job has significant influence on their commitment to the job, investigate factors which are responsible for high or low motivation of language teachers in Fezalar Educational Institutions (FEI, which is a Turkish private institution that operates in Iraq, and ascertain the degree to which intrinsic and extrinsic motivational factors impact teachers in their work situation. Based on the review of the recent researches of motivation, in general, and of language teacher motivation, in particular, and relying on the qualitative and quantitative study of the issue, a detailed analysis of some aspects of foreign language teacher motivation is presented in the article. Keywords: teacher motivation, job satisfaction, foreign language teaching, L2 teacher motivation

Improving Decision Making for Advanced Heart Failure Patients and Caregivers.

Science.gov (United States)

McIlvennan, Colleen K

2017-04-01

In this month's Magnet® Perspectives column, Colleen K. McIlvennan, DNP, ANP, lead nurse practitioner, Advanced Heart Failure and Transplantation at the University of Colorado, discusses her groundbreaking research encompassing patients' and caregivers' emotional, rational, and fundamental beliefs when considering a left ventricular assist device (LVAD). Results have led to the development of 2 innovative decision aids that are currently in use by LVAD programs across the United States and Canada. Dr McIlvennan's efforts led to a $2 million grant from the Patient-Centered Outcomes Research Institute, as well as national recognition from the American Heart Association and the Heart Failure Society of America. Last year, she received the 2016 National Magnet Nurse of the Year® Award in the Empirical Outcomes category. In addition to sharing her findings, Dr McIlvennan examines the value of performing research in a Magnet-recognized organization.

[The Predictive Factors of Stent Failure in the Treatment of Malignant Extrinsc Ureteral Obstruction Using Internal Ureteral Stents].

Science.gov (United States)

Matsuura, Hiroshi; Arase, Shigeki; Hori, Yasuhide; Tochigi, Hiromi

2017-12-01

In this study, we retrospectively reviewed the experiences at our single institute in the treatment of malignant extrinsic ureteral obstruction (MUO) using ureteral stents to investigate the clinical outcomes and the predictive factors of stent failure. In 52 ureters of 38 patients who had radiologically significant hydronephrosis due to MUO, internal ureteral stents (The BARD(R) INLAY(TM) ureteral stent set) were inserted. The median follow-up interval after the initial stent insertion was 124.5 days (4-1,120). Stent failure occurred in 8 ureters (15.4%) of the 7 patients. The median interval from the first stent insertion to stent failure was 88 days (1-468). A Cox regression multivariate analysis showed that the significant predictors of stent failure were bladder invasion. Based on the possibility of stent failure, the adaptation of the internal ureteral stent placement should be considered especially in a patient with MUO combined with bladder invasion.

Human Factors Engineering Aspects of Modifications in Control Room Modernization

Energy Technology Data Exchange (ETDEWEB)

Hugo, Jacques [Idaho National Lab. (INL), Idaho Falls, ID (United States); Clefton, Gordon [Idaho National Lab. (INL), Idaho Falls, ID (United States); Joe, Jeffrey [Idaho National Lab. (INL), Idaho Falls, ID (United States)

2017-06-01

This report describes the basic aspects of control room modernization projects in the U.S. nuclear industry and the need for supplementary guidance on the integration of human factors considerations into the licensing and regulatory aspects of digital upgrades. The report pays specific attention to the integration of principles described in NUREG-0711 (Human Factors Engineering Program Review Model) and how supplementary guidance can help to raise general awareness in the industry regarding the complexities of control room modernization projects created by many interdependent regulations, standards and guidelines. The report also describes how human factors engineering principles and methods provided by various resources and international standards can help in navigating through the process of licensing digital upgrades. In particular, the integration of human factors engineering guidance and requirements into the process of licensing digital upgrades can help reduce uncertainty related to development of technical bases for digital upgrades that will avoid the introduction of new failure modes.

Risk Factors of Clinical and Immunological Failure in South Indian Cohort on Generic Antiretroviral Therapy.

Science.gov (United States)

Sadashiv, Mucheli Shravan; Rupali, Priscilla; Manesh, Abi; Kannangai, Rajesh; Abraham, Ooriapadickal Cherian; Pulimood, Susanne A; Karthik, Rajiv; Rajkumar, S; Thomas, Kurien

2017-12-01

Since the time of NACO Antiretroviral (ART) roll-out, generic ART has been the mainstay of therapy. There are many studies documenting the efficacy of generic ART but with the passage of time, failure of therapy is on the rise. As institution of second line ART has significant financial implications both for a program and for an individual it is imperative that we determine factors which contribute towards treatment failure in a cohort of patients on generic antiretroviral therapy. This was a nested matched case-control study assessing the predictors for treatment failure in our cohort who had been on Anti-retroviral therapy for at least a year. We identified 42 patients (Cases) with documented treatment failure out of our cohort of 823 patients and 42 sex, age and duration of therapy-matched controls. Using a structured proforma, we collected information from the out-patient and in-patient charts of the Infectious Diseases clinic Cohort in CMC, Vellore. A set of predetermined variables were studied as potential risk factors for treatment failure on ART. Univariate analysis showed significant association with 1) Self-reported nonadherenceART and thus help development of targeted interventions.

Data Management: New Tools, New Organization, and New Skills in a French Research Institute

Directory of Open Access Journals (Sweden)

Caroline Martin

2017-04-01

Full Text Available In the context of E-science and open access, visibility and impact of scientific results and data have become important aspects for spreading information to users and to the society in general. The objective of this general trend of the economy is to feed the innovation process and create economic value. In our institute, the French National Research Institute of Science and Technology for Environment and Agriculture, Irstea, the department in charge of scientific and technical information, with the help of other professionals (Scientists, IT professionals, ethics advisors…, has recently developed suitable services for the researchers and for their needs concerning the data management in order to answer European recommendations for open data. This situation has demanded to review the different workflows between databases, to question the organizational aspects between skills, occupations, and departments in the institute. In fact, the data management involves all professionals and researchers to asset their working ways together.

AspectKE*

DEFF Research Database (Denmark)

Yang, Fan; Masuhara, Hidehiko; Aotani, Tomoyuki

2010-01-01

Enforcing security policies to distributed systems is difficult, in particular, when a system contains untrusted components. We designed AspectKE*, a distributed AOP language based on a tuple space, to tackle this issue. In AspectKE*, aspects can enforce access control policies that depend......KE*, and demonstrate usefulness of AspectKE* through a security aspect for a distributed chat system....

Comparing Learning from Productive Failure and Vicarious Failure

Science.gov (United States)

Kapur, Manu

2014-01-01

A total of 136 eighth-grade math students from 2 Singapore schools learned from either productive failure (PF) or vicarious failure (VF). PF students "generated" solutions to a complex problem targeting the concept of variance that they had not learned yet before receiving instruction on the targeted concept. VF students…

WE-G-BRA-09: Microsphere Brachytherapy Failure Mode and Effects Analysis in a Dual-Vendor Environment

International Nuclear Information System (INIS)

Younge, K C; Lee, C I; Feng, M; Novelli, P; Moran, J M; Prisciandaro, J I

2015-01-01

Purpose: To improve the safety and quality of a dual-vendor microsphere brachytherapy program with failure mode and effects analysis (FMEA). Methods: A multidisciplinary team including physicists, dosimetrists, a radiation oncologist, an interventional radiologist, and radiation safety personnel performed an FMEA for our dual-vendor microsphere brachytherapy program employing SIR-Spheres (Sirtex Medical Limited, Australia) and Theraspheres (BTG, England). We developed a program process tree and step-by-step instructions which were used to generate a comprehensive list of failure modes. These modes were then ranked according to severity, occurrence rate, and detectability. Risk priority numbers (RPNs) were calculated by multiplying these three scores together. Three different severity scales were created: one each for harmful effects to the patient, staff, or the institution. Each failure mode was ranked on one or more of these scales. Results: The group identified 164 failure modes for the microsphere program. 113 of these were ranked using the patient severity scale, 52 using the staff severity scale, and 50 using the institution severity scale. The highest ranked items on the patient severity scale were an error in the automated dosimetry worksheet (RPN = 297.5), and the incorrect target specified on the planning study (RPN = 135). Some failure modes ranked differently between vendors, especially those corresponding to dose vial preparation because of the different methods used. Based on our findings, we made several improvements to our QA program, including documentation to easily identify which product is being used, an additional hand calculation during planning, and reorganization of QA steps before treatment delivery. We will continue to periodically review and revise the FMEA. Conclusion: We have applied FMEA to our dual-vendor microsphere brachytherapy program to identify potential key weaknesses in the treatment chain. Our FMEA results were used to

WE-G-BRA-09: Microsphere Brachytherapy Failure Mode and Effects Analysis in a Dual-Vendor Environment

Energy Technology Data Exchange (ETDEWEB)

Younge, K C; Lee, C I; Feng, M; Novelli, P; Moran, J M; Prisciandaro, J I [Univ Michigan Medical Center, Ann Arbor, MI (United States)

2015-06-15

Purpose: To improve the safety and quality of a dual-vendor microsphere brachytherapy program with failure mode and effects analysis (FMEA). Methods: A multidisciplinary team including physicists, dosimetrists, a radiation oncologist, an interventional radiologist, and radiation safety personnel performed an FMEA for our dual-vendor microsphere brachytherapy program employing SIR-Spheres (Sirtex Medical Limited, Australia) and Theraspheres (BTG, England). We developed a program process tree and step-by-step instructions which were used to generate a comprehensive list of failure modes. These modes were then ranked according to severity, occurrence rate, and detectability. Risk priority numbers (RPNs) were calculated by multiplying these three scores together. Three different severity scales were created: one each for harmful effects to the patient, staff, or the institution. Each failure mode was ranked on one or more of these scales. Results: The group identified 164 failure modes for the microsphere program. 113 of these were ranked using the patient severity scale, 52 using the staff severity scale, and 50 using the institution severity scale. The highest ranked items on the patient severity scale were an error in the automated dosimetry worksheet (RPN = 297.5), and the incorrect target specified on the planning study (RPN = 135). Some failure modes ranked differently between vendors, especially those corresponding to dose vial preparation because of the different methods used. Based on our findings, we made several improvements to our QA program, including documentation to easily identify which product is being used, an additional hand calculation during planning, and reorganization of QA steps before treatment delivery. We will continue to periodically review and revise the FMEA. Conclusion: We have applied FMEA to our dual-vendor microsphere brachytherapy program to identify potential key weaknesses in the treatment chain. Our FMEA results were used to

Recent work on superconducting QWRs at the Weizmann Institute (invited)

International Nuclear Information System (INIS)

Ben-Zvi, I.; Sokolowski, J.S.

1986-01-01

Recent work on superconducting quarter-wave resonators (QWR) at the Weizmann Institute of Science is reported. Two subjects are discussed: the performance of these resonators as particle acceleration devices in the booster module recently installed at the accelerator laboratory and new aspects of the electron multipactoring phenomenon in these resonators

The analysis of risk of the radiation failures in Russian navy. Experience of international cooperation

International Nuclear Information System (INIS)

Lisovsky, I.V.

2000-01-01

The international research program 'Risk and nuclear waste' is carried out under a management FOA - Swedish Defence Research Establishment and CERUM - Centre for Regional Science of the University of Umea (Sweden) at participation UAF - University of Alaska, Fairbanks, KNC - Kola Centre of Science of Russian Academy Science (RAN), MMBI - Murmansk Sea Bbiological Institute KNC of RAN. A component of the program is the project INTAS 96-1802 An Estimation of potential risk of radioactive pollution of an environment on Europe from nuclear sources on Russia'. This project (scientific official responsible for the project - Mr R. BERGMAN) consists of 5 directions and is carried out by forces Swedish Defence Research Establishment (Sweden) - direction 1, Oulu University (Finland) - direction 2, Institute of applied Mathematicians of RAN (Russia) - direction 3, Laboratory of Modeling of an Environment of KNC of RAN (Russia) - direction 4 and St. -Petersburg State Technical University (Russia) - direction 5 (scientific official responsible for this part of the project - Mr I. LISOVSKY). The working program of researches on a direction 5 project INTAS 96-1802 provides: determination of the list of typical sources of danger emergency radioactive emissions in an environment in connection with military activity in Russia; the description of the basic scripts of development of failures, resulting to emission of radionuclides in an environment; the analysis of radiation risk for the population and environment, connected to an emergency condition of the storage for radioactive waste 'Mironova mountain'; the description of models, used for accounts of fields of concentration and the migration of radionuclides in a ground and coastal waters; an estimation higienic and ecological danger of nuclear submarines removed from operation and solid radioactive waste; an estimation of risk of failures with air excharge of radionuclides; an estimation of possible doses of chronic exposure for

Aspects and Polymorphism in AspectJ

DEFF Research Database (Denmark)

Lorenz, David Harel; Ernst, Erik

2003-01-01

There are two important points of view on inclusion or subtype polymorphism in object-oriented programs, namely polymorphic access and dynamic dispatch. These features are essential for object-oriented programming, and it is worthwhile to consider whether they are supported in aspect-oriented......J as the basis for the presentation. The results are not exclusive to AspectJ---aspectual polymorphism may make aspects in any comparable AOSD language more expressive and reusable across programs, while preserving safety....

Upgrade of Common Cause Failure Modelling of NPP Krsko PSA

International Nuclear Information System (INIS)

Vukovic, I.; Mikulicic, V.; Vrbanic, I.

2006-01-01

Over the last thirty years the probabilistic safety assessments (PSA) have been increasingly applied in technical engineering practice. Various failure modes of system of concern are mathematically and explicitly modelled by means of fault tree structure. Statistical independence of basic events from which the fault tree is built is not acceptable for an event category referred to as common cause failures (CCF). Based on overview of current international status of modelling of common cause failures in PSA several steps were made related to primary technical basis for methodology and data used for CCF model upgrade project in NPP Krsko (NEK) PSA. As a primary technical basis for methodological aspects of CCF modelling in Krsko PSA the following documents were considered: NUREG/CR-5485, NUREG/CR-4780, and Westinghouse Owners Group documents (WOG) WCAP-15674 and WCAP-15167. Use of these documents is supported by the most relevant guidelines and standards in the field, such as ASME PRA Standard and NRC Regulatory Guide 1.200. WCAP documents are in compliance with NUREG/CR-5485 and NUREG/CR-4780. Additionally, they provide WOG perspective on CCF modelling, which is important to consider since NEK follows WOG practice in resolving many generic and regulatory issues. It is, therefore, desirable that NEK CCF methodology and modelling is in general accordance with recommended WOG approaches. As a primary basis for CCF data needed to estimate CCF model parameters and their uncertainty, the main used documents were: NUREG/CR-5497, NUREG/CR-6268, WCAP-15167, and WCAP-16187. Use of NUREG/CR-5497 and NUREG/CR-6268 as a source of data for CCF parameter estimating is supported by the most relevant industry and regulatory PSA guides and standards currently existing in the field, including WOG. However, the WCAP document WCAP-16187 has provided a basis for CCF parameter values specific to Westinghouse PWR plants. Many of events from NRC / INEEL database were re-classified in WCAP

The Massification of Higher Education in the UK: Aspects of Service Quality

Science.gov (United States)

Giannakis, Mihalis; Bullivant, Nicola

2016-01-01

This article explores several aspects of service quality for the provision of higher education. Alongside the trend of the massification of higher education over the past two decades, higher education institutions are required to review quality across a range of outputs, besides teaching and learning. The study was undertaken within the…

Institutional aspects of local participation in natural resource management

Directory of Open Access Journals (Sweden)

Herminia C. Tanguilig

2010-09-01

Full Text Available The Philippine Local Government Code provides the basis for local natural resources management. This Code which was enacted into Law in 1991, however, is not necessarily the driving force for many Local Government Units (LGU’s who have made breakthroughs in local natural resources management (NRM.The paper provides case studies that reveal the policy and institutional hurdles in implementing local and participatory natural resources management programmes; the lessons and experiences amongst LGU’s in linking good governance with NRM; the research and development activities on local and participatory NRM; and the key institutional and policy issues to be communicated at the national level.Through the development of the Natural Resources Management and Development Plan (NRMDP employing public-private partnerships and capitalizing the presence of research and non-governmental organizations, agri-business and other community sectors, the Municipality of Lantapan, a local government unit, succeeded in overcoming constraints such as: lack of budget, manpower, technical skills, and poor community involvement.A key feature of the NRMDP is the Landcare Program which centers on formation of community landcare groups that mobilize resources for wider adoption of conservation practices. The Landcare Program is a grassroots approach for rapid and inexpensive dissemination of available, simple, and lower-cost technologies of agroforestry and conservation practices. It was also found out that communities have important roles to play but local government units have greater responsibility to provide the policy and institutional basis for supporting community-based initiatives.Case studies reveal that the responsibility for producing environmental goods goes beyond the normal practices of governance and is entertwined with the need for long-term education and managing the political culture through a pragmatic approach that directly links NRM with good

Operational Aspects of Dealing with the Large BaBar Data Set

Energy Technology Data Exchange (ETDEWEB)

Trunov, Artem G

2003-06-13

To date, the BaBar experiment has stored over 0.7PB of data in an Objectivity/DB database. Approximately half this data-set comprises simulated data of which more than 70% has been produced at more than 20 collaborating institutes outside of SLAC. The operational aspects of managing such a large data set and providing access to the physicists in a timely manner is a challenging and complex problem. We describe the operational aspects of managing such a large distributed data-set as well as importing and exporting data from geographically spread BaBar collaborators. We also describe problems common to dealing with such large datasets.

How EPRI [Electric Power Research Institute] helps utilities save money

International Nuclear Information System (INIS)

Anon.

1996-01-01

A number of case studies are presented which illustrate how the work of the Electric Power Research Institute in the USA has enabled nuclear utilities to save money. The areas covered by the examples are: steam generator tube repair; streamlining of reliability centred maintenance; cost effective instrumentation and control maintenance; reducing the frequency of instrument calibration; optimising the engineering change process; detecting and reducing fuel failure; extending the qualified life of equipment. (U.K.)

Health physics aspects of a research reactor fuel shipment

International Nuclear Information System (INIS)

Dodd, B.; Johnson, A.G.; Anderson, T.V.

1984-01-01

In June 1982, 92 irradiated fuel elements were shipped from the Oregon State University TRIGA Reactor to Westinghouse Hanford Corporation to be used in the Fuel Materials Examination Facility, This paper describes some of the health physics aspects of the planning, preparation and procedures associated with that shipment. In particular, the lessons learned are described in order that the benefits of the experience gained may be readily available to other small institutions. (author)

HEART FAILURE – KEEPING STEP WITH THE PROGRESS

Directory of Open Access Journals (Sweden)

Camelia Diaconu

2018-06-01

countries across North America (NA, Central and South America (CSA, Western (WE and Eastern Europe (EE, the Eastern Mediterranean and Africa (EMA, South East Asia (SEA and the Western Pacific (WP, under the study co-chairs, Prof. Gerasimos Filippatos (Greece and Prof. Mihai Gheorghiade (USA. Inter-regional differences in the hospital entry point, comorbidities and precipitants have been observed. Ischemia was a common precipitant in SEA, WP and EMA, whereas non-adherence to diet and medication was more common in NA. There have been also observed differences regarding the treatment, especially in time to initial intravenous therapy. Patients in NA have significantly longer time to first therapy, compared with other regions; this may impact the symptoms, because the sooner the IV therapies are delivered, the sooner symptoms will improve. There are differences regarding the implementation of international heart failure guidelines, which may influence the patients’ outcomes. Researchers from the Institute of Molecular Biotechnology at the Vienna BioCenter have studied the first systems for heart regeneration following complex heart attacks in mammals. In vivo neonatal models showed that, after a heart attack, mice underwent total repair of cardiac injury. This type of repair had been encountered previously in fish, but not in mammals. The researchers set up now genetic systems to identify the molecular signals that mediate this regeneration of the heart. Biotechnologies may become the future of the heart failure treatment.

Pregnancy in fanconi anaemia with bone marrow failure: a case report and review of the literature.

Science.gov (United States)

Sorbi, Flavia; Mecacci, Federico; Di Filippo, Alessandro; Fambrini, Massimiliano

2017-02-03

Fanconi anaemia is a rare inherited disease characterized by congenital abnormalities, progressive bone marrow failure and predisposition to malignancy. Successful pregnancies in transplanted patients have been reported. In this paper we will describe the pregnancy of a patient with Fanconi anaemia without transplantation. A 34-year-old nulliparous woman with Fanconi anaemia was referred to our institution. Pregnancy was complicated by progressive pancytopenia and two severe infections. C-section was performed at 36 weeks. Both infant and mother are well. Successful pregnancy in a Fanconi anaemia patient with bone marrow failure is possible. The mode of delivery in patients with bone marrow failure should be determined by obstetric indications. The case highlights the safe outcome of the pregnancy with strict clinical and laboratory control by a multidisciplinary team.