WorldWideScience

Sample records for integrated gerontological improvements

  1. Reluctant gerontologists: integrating gerontological nursing content into a prelicensure program.

    Science.gov (United States)

    Miller, Joanne M; Coke, Lola; Moss, Angela; McCann, Judith J

    2009-01-01

    Integration of readily available resources on care of older adults increased student and faculty interest and knowledge of gerontological nursing. The authors describe their use of these practical and easy-to-implement resources.

  2. Integrating student-focused career planning into undergraduate gerontology programs.

    Science.gov (United States)

    Manoogian, Margaret M; Cannon, Melissa L

    2018-04-02

    As our global older adult populations are increasing, university programs are well-positioned to produce an effective, gerontology-trained workforce (Morgan, 2012; Silverstein & Fitzgerald, 2017). A gerontology curriculum comprehensively can offer students an aligned career development track that encourages them to: (a) learn more about themselves as a foundation for negotiating career paths; (b) develop and refine career skills; (c) participate in experiential learning experiences; and (d) complete competency-focused opportunities. In this article, we discuss a programmatic effort to help undergraduate gerontology students integrate development-based career planning and decision-making into their academic programs and achieve postgraduation goals.

  3. Nursing curriculums may hinder a career in gerontological nursing: An integrative review.

    Science.gov (United States)

    Garbrah, William; Välimäki, Tarja; Palovaara, Marjo; Kankkunen, Päivi

    2017-09-01

    To investigate what prevents undergraduate nursing students from choosing gerontological nursing as a career option. This study utilised an integrative literature review, which allows the inclusion of previous studies with diverse research designs to gain a broader view of the reasons why nursing students do not choose a gerontological nursing career. An electronic database search of CINAHL (Ebsco), Scopus and Eric elicited 251 scientific peer-reviewed empirical studies, published from 2006 to March 2016 in English. After meeting the inclusion criteria, 97 qualified for closer examination. Following exclusion, the final analysis and synthesis included 21 articles. Four main themes described nursing students' contributing reasons for not selecting gerontological nursing as a career option: socio-demographic factors; experiences, perceptions and knowledge about ageing; perceptions concerning the nature or status of gerontological nursing; and theoretical studies and practical education of nursing curriculum. Lack of positive experiences with older people before and during nursing students' studies led to their disinterest in gerontological nursing as a career option. The nursing curriculum also reinforces the perception of modern nursing as technical, with more emphasis on acute and critical care. The findings emphasise the need to implement an age-friendly curriculum and have nurses that specialise in gerontology to serve as mentors and role models. It is important to assist nursing students in identifying the potentials for career advancement in terms of gerontological nursing. There is also a need for nursing faculties to liaise with other stakeholders to develop or improve upon the clinical atmosphere for nursing students during gerontological nursing placement. Nursing faculties must review their curriculum to ensure that there is sufficient focus on the needs of older people within the curriculum for every student. Furthermore, respected role models who are

  4. Gerontology's Future: An Integrative Model for Disciplinary Advancement

    Science.gov (United States)

    Alkema, Gretchen E.; Alley, Dawn E.

    2006-01-01

    Scholars have debated the legitimacy of gerontology as a discipline since Metchnikoff coined the term more than 100 years ago. Recent developments such as the emergence of interdisciplinary aging theories and consensus on longitudinal research methods suggest that gerontology is materializing as a unique discipline, rather than a subset of another…

  5. The French Society of Geriatrics and Gerontology position paper on the concept of integration.

    Science.gov (United States)

    Somme, Dominique; Trouvé, Hélène; Passadori, Yves; Corvez, Alain; Jeandel, Claude; Bloch, Marie-Aline; Ruault, Geneviève; Dupont, Olivier; de Stampa, Matthieu

    2014-01-01

    The concept of integration, although dating from the 1990s, has only recently appeared in French public health policy. It must be linked with 'coordination', which is the base of most French public policies applied to geriatrics since the 1960s. Herein, we report the French Society of Geriatrics and Gerontology working group's findings according to three axes: definition of integration, objectives of this organisational approach and the means needed to achieve them. Integration is a process that aims to overcome the fragmentation of services for vulnerable people. This process requires a multilevel approach, particularly concerning how to modify public policies and financing systems. Notably, all relevant levels need to develop shared processes, tools, resources, financing, interventions and action-reports on the latter. Integration must be accompanied by a local dedicated professional (the 'pilot'). Results of recent experiments showed that it is possible to implement integrative dynamics in France.

  6. [The French Society of Geriatrics and Gerontology position paper on the concept of integration, Part One].

    Science.gov (United States)

    Somme, Dominique; Trouvé, Hélène; Passadori, Yves; Corvez, Alain; Jeandel, Claude; Bloch, Marie-Aline; Ruault, Geneviève; Dupont, Olivier; de Stampa, Matthieu

    2014-03-01

    The concept of integrated services delivery, although dating from the 1990s, has only recently appeared in the French public health policy. To clarify the concept and its adaptation to the reality of the French systems of healthcare and social services, the French Society of Geriatrics and Gerontology established an interdisciplinary working group. This article reports the group's findings according to three axes: the definition of integration, the objectives of this organizational approach and the means needed to achieve them. Analysis of the literature indicated that integration is a process that aims to overcome the fragmentation of services for vulnerable people. This process requires a multilevel approach, particularly concerning how to modify public policies and financing systems. Notably, all relevant levels need to develop shared processes, tools, resources, finance, interventions and feed-back on the latter. Indeed, this sharing is the ultimate proof of evolution towards integration. In this first part of the position paper, its authors analyzed integrated care definitions used in international literature in view of designing the most important components of integrated care. The examination of this concept must be articulated with the idea of "coordination" which has been the cornerstone of the majority of public policies applied to the field of geriatrics and gerontology since the 1960s in France. The components of integrated care highlight that it is an ambitious process leading to real systemic modification. The authors also have proposed to open up a dialogue between citizens' aspirations and integrated care objectives with the aim to verify that the latter respond to the needs as expressed by the targeted group.

  7. Social Gerontology--Integrative and Territorial Aspects: A Citation Analysis of Subject Scatter and Database Coverage

    Science.gov (United States)

    Lasda Bergman, Elaine M.

    2011-01-01

    To determine the mix of resources used in social gerontology research, a citation analysis was conducted. A representative sample of citations was selected from three prominent gerontology journals and information was added to determine subject scatter and database coverage for the cited materials. Results indicate that a significant portion of…

  8. [The French Society of Geriatrics and Gerontology position paper on the concept of integration. Part two].

    Science.gov (United States)

    Somme, Dominique; Trouvé, Hélène; Passadori, Yves; Corvez, Alain; Jeandel, Claude; Bloch, Marie-Aline; Ruault, Geneviève; Dupont, Olivier; de Stampa, Matthieu

    2014-06-01

    The concept of integrated services delivery, although dating from the 1990s, has only recently appeared in French public health policy. To clarify the concept and its adaptation to the reality of the French systems of healthcare and social services, the French Society of Geriatrics and Gerontology established an interdisciplinary working group. This article reports that group's findings according to three axes: the definition of integration, the objectives of this organizational approach and the means needed to achieve them. Analysis of the literature indicated that integration is a process that aims to overcome the fragmentation of services for vulnerable people. This process requires a multilevel approach, particularly concerning how to modify public policies and financing systems. Notably, all relevant levels need to develop shared processes, tools, resources, finance, interventions and returns on the latter. Indeed, this sharing is the ultimate proof of evolution towards integration. In the second part of the position paper, its authors have developed arguments that could lead professionals and non-professional caregivers to adopt integrated care as an answer to their aspirations. Policy-maker perspectives and politicians are also analyzed. Bearing in mind that integrated care necessarily will always involve a human component which may find expression during individual case-management; relations between integration and case managements are clarified. Finally, lessons learned from national and international experiments are examined. Results suggest that integrated care must to be accompanied by a local pilot. Results of recent experiments have shown that it is possible to initiate a dynamic towards integrated care in France and hence join the international movement towards adapting our healthcare systems to new challenges.

  9. The National Hartford Center of Gerontological Nursing Excellence: An Evolution of a Nursing Initiative to Improve Care of Older Adults.

    Science.gov (United States)

    Harden, J Taylor; Watman, Rachael A

    2015-06-01

    The mission of the John A. Hartford Foundation is to improve the health of older Americans. This mission has been realized throughout the evolution of the National Hartford Center of Gerontological Nursing Excellence-an international collaboration between Schools of Nursing and Sigma Theta Tau International Honor Society of Nursing-whose goal is to support research, education, and practice to provide better nursing care for our aging society. The National Hartford Center is the focus of this supplement and an example of the Foundation's grant-making to prepare the nursing workforce to be competent to care for our aging society. This article traces the innovative origin and inception of the National Hartford Center, first as the Building Academic Geriatric Nursing Capacity (BAGNC) Initiative in 2000 under the leadership of two groundbreaking scholars in nursing and aging sciences: Claire M. Fagin, PhD, RN, and Patricia G. Archbold, DNSc. We continue through to today's leadership and culminate by describing the Center's influence on the gerontological nursing workforce and clinical practice; the paper also includes a brief introduction to the articles, highlighting advances in gerontological nursing science. With funding from the John A. Hartford Foundation, The Atlantic Philanthropies, The Mayday Fund, and a number of creative public and nonprofit partnerships, the National Hartford Center celebrates two decades and its greatest asset-the nearly 300 gerontological nursing leaders, including Archbold nursing pre-docs, Fagin nursing post-docs, and expert faculty, along with its Hartford Centers of Gerontological Nursing Excellence across the country. We trace the transition of BAGNC to the membership-based National Hartford Center and its move to The Gerontological Society of America to become a self-sustaining, autonomous unit. Current needs, challenges, lessons learned, and strategies of the National Hartford Center are examined within the context of sustainability

  10. Aerospace gerontology

    Science.gov (United States)

    Comfort, A.

    1982-01-01

    The relevancy of gerontology and geriatrics to the discipline of aerospace medicine is examined. It is noted that since the shuttle program gives the facility to fly passengers, including specially qualified older persons, it is essential to examine response to acceleration, weightlessness, and re-entry over the whole adult lifespan, not only its second quartile. The physiological responses of the older person to weightlessness and the return to Earth gravity are reviewed. The importance of the use of the weightless environment to solve critical problems in the fields of fundamental gerontology and geriatrics is also stressed.

  11. Space Gerontology

    Science.gov (United States)

    Miquel, J. (Editor); Economos, A. C. (Editor)

    1982-01-01

    Presentations are given which address the effects of space flght on the older person, the parallels between the physiological responses to weightlessness and the aging process, and experimental possibilities afforded by the weightless environment to fundamental research in gerontology and geriatrics.

  12. Integration or specialization? Similarities and differences between Sweden and the United States in gerontology education and training.

    Science.gov (United States)

    McCall, Mary E; Börjesson, Ulrika

    2017-01-01

    This article examines the similarities and differences in the education and training of gerontologists and others who work with older people in Sweden and the United States. It outlines the aging trends in both countries and assesses the level of training for those who provide care in a variety of fields. Both countries are aging, but the programs for gerontological training are quite different in the two countries, reflecting underlying cultural values. Sweden's education is generally more oriented toward the integration of some aging education in more disciplinary fields, such as nursing and social work and thus could benefit from more specialized, aging-specific courses. The United States is highly specialized, with multiple programs in various subfields of aging (e.g., geropsychology; aging services administration) and could benefit from integrating more aging knowledge into courses in other disciplines. The authors challenge professionals to consider if there is a basic but global curriculum and/or set of competencies in gerontology that could be agreed upon. As an increasingly global village, the ability to share and learn is more easily achievable. Sweden and the United States have much to learn from each other in terms of appropriately educating and training those who support our older people.

  13. [Working together in gerontology].

    Science.gov (United States)

    Bonnery, Anne-Marie

    2014-01-01

    The complexity of care situations notablywith regard to the care of frail dependent elderly people suffering from chronic pathologies, requires a specific approach, a partnership between a nurse and nursing auxiliary and inter-disciplinarity. This work organisation positions the elderly person at the centre of the approach to ensure they are considered as a partner in the care. Improving exchanges and constructing a common understanding are real necessities for professionals working in gerontology.

  14. A community-based approach for integrating geriatrics and gerontology into undergraduate medical education.

    Science.gov (United States)

    Martinez, Iveris L; Mora, Jorge Camilo

    2012-01-01

    Medical school accreditation requirements require educational opportunities in geriatrics. Twenty-six minimum graduating competencies in geriatrics have recently been identified for medical students. The authors describe how these competencies are being integrated into a new medical curriculum through coursework and community-based experiences. This approach is intended to expose students to older adults from diverse communities and adequately prepare students to address the complex and individual needs of these patients. Initial results indicate proficiency in the minimum geriatric competencies covered. The growth and diversity of the older adult population makes it important to integrate and evaluate geriatrics education in undergraduate medical education.

  15. [Intergenerational communication by age-integrating structures? Remarks on on gerontologic utopia].

    Science.gov (United States)

    Amrhein, L

    2002-08-01

    In their "aging and society" paradigm Riley and collaborators conceptualize the ideal type of an age-integrated society in which the social segregation of different age groups is removed. They claim that in the future the life-world areas of education, work and leisure will no longer exclusively follow the triple division of the life course but will be visited repeatedly in different phases of life. Therefore, they argue, age barriers would be dissolved in many areas, which would lead to more contact and cooperation and to a greater solidarity between the generations. This conception shall be rejected as an utopia because it contradicts central functional mechanisms of modern societies; at best it might be imagined as a "reflexive modernization" of age-segregated structures. A certain distance and alienation between the generations remains a direct, though unintended product of the modernization process and cannot be reversed without welfare losses. A dialogue of generations as a societal project, therefore, implies that the functional differentiation into age groups and life stages will be accepted without referring to pre-modern idealizations of generational relationships.

  16. [Principles of social gerontology].

    Science.gov (United States)

    Kricheldorff, Cornelia; Aner, Kirsten; Himmelsbach, Ines; Thiesemann, Rüdiger

    2015-12-01

    Social gerontology is seen as a science-based but application-oriented subdiscipline of gerontology. It focuses particularly on social relationships in old age, social participation of elderly and old people and the protection of their individual needs. Self-determination and autonomy are important value orientations. Central issues are the quality of life and life satisfaction from the perspective of personal resources and biographical influences and the conditions of individual aging in the sense of differential gerontology. Against this background, in the first part of this article Kirsten Aner discusses the social construction of aging and in part two Ines Himmelsbach describes the typical life events and developmental tasks in the process of aging. The article concludes with a theoretical basis in which Cornelia Kricheldorff outlines social aging theories and derives a brief description of approaches and interventions.

  17. Implementing an Online Writing Assessment Strategy for Gerontology

    Science.gov (United States)

    Brown, Pamela S.; Hanks, Roma S.

    2008-01-01

    Assessment of student learning is a growing concern for programs in gerontology. This report focuses on the conception, design, funding, and implementation of an innovative online workshop to assess and improve writing skills of students enrolled in distance-learning gerontology classes. The approach is multidisciplinary and involves a…

  18. Gerontologi i uddannelserne

    DEFF Research Database (Denmark)

    Glasdam, Stinne; Jacobsen, Frode Fadnes

    2011-01-01

    Artiklen viser, hvordan gerontologi er lavt prioriteret i uddannelser på bachelor-, diplom- og masterniveau (kandidat) i primært Danmark og Norge. Der tages udgangspunkt i et nordisk kortlægningsarbejde, som blev gennemført i 2008. Dette suppleres med danske og norske aktiviteter, som er kommet til...

  19. The gerontology revolution.

    Science.gov (United States)

    Littenberg, R L

    1986-01-01

    America is aging. There are more people over 65 than under 25 for the first time in history, and the age of the average American is increasing daily. As the baby boomers become the soon-to-be-elderly, they bring with them enough economic and political clout to be able to force change. This "gerontology revolution" will create demands for new and altered services, new marketing strategies, new arenas for competition, and as is often the case, new opportunities for those prepared. The time has come for medical groups to face the future of gerontology in a more proactive fashion--with new and effective programs for both the advantaged and the disadvantaged elderly.

  20. Future directions for gerontology: a nursing perspective.

    Science.gov (United States)

    Ford, P; McCormack, B

    2000-07-01

    This paper discusses the contribution nursing has made to the development of person-centred services, and the influence of gerontology upon such developments. It examines traditional attitudes to medicine and nursing, when curing was all-important and caring treated as secondary and the shift away from this attitude to a more holistic approach to nursing, where the dignity of the patient is an important issue. It argues that good practice utilizes different sources of knowledge, including intuitive knowledge, and discusses the integrated programme of policy, development, research and education activities that the Royal College of Nursing is developing. The options currently available to anyone wishing to study gerontology are discussed, and the pros and cons of the current emphasis on broad-based clinical and educational experience prior to specialization analysed. The key aim of the RCN is to develop the specialism of gerontological nursing and the quality of care experienced by older people. With this end in view, this paper describes the education programme being developed by the RCN, leading to the award of Gerontological Nurse Specialist--a person able to demonstrate knowledge of rehabilitation, clinical assessment, health care assessment and a holistic knowledge of the ageing process.

  1. Professionalizing Gerontology: Why AGHE Must Accredit Gerontology Programs

    Science.gov (United States)

    Pelham, Anabel; Schafer, Donna; Abbott, Pauline; Estes, Carroll

    2012-01-01

    The aging of society requires more trained aging specialists. Are higher education institutions prepared? Results of a comparison of gerontology programs in 2000 and 2010 indicate that the number of programs has declined and that higher education is not prepared. To address this challenge, the authors propose that gerontology be professionalized.…

  2. Is Gerontology Ready for Accreditation?

    Science.gov (United States)

    Haley, William E.; Ferraro, Kenneth F.; Montgomery, Rhonda J. V.

    2012-01-01

    The authors review widely accepted criteria for program accreditation and compare gerontology with well-established accredited fields including clinical psychology and social work. At present gerontology lacks many necessary elements for credible professional accreditation, including defined scope of practice, applied curriculum, faculty with…

  3. [Interdisciplinarity in gerontology: Theoretical problems and practical challenges].

    Science.gov (United States)

    Brandenburg, H

    2015-04-01

    Philosophy of science is the theoretical background of this article. Firstly, a definition of interdisciplinarity is given, integrating experiences from longitudinal studies in gerontology and arguing for rejecting the large vocable "interdisciplinarity", because of its overloaded meaning. Secondly, science-oriented, sociopsychological and practical barriers of interdisciplinary work in gerontology are presented, whereby the central statement is that interdisciplinarity is preconditionally dependent on a "culture of understanding". Thirdly, a model of interdisciplinarity in gerontology is shown. In general, this article does not focus on the question whether gerontology is a multidisciplinary, interdisciplinary or transdisciplinary discipline but how the requirement of interdisciplinarity can be successfully implemented. In conclusion, interdisciplinarity is not established due to the subject (of aging) or a methodological approach but evolves based on reciprocal contact between different disciplines, which can be entitled "fair cooperation."

  4. A Review of Behavioural Gerontology and Dementia Related Interventions

    OpenAIRE

    Josling, Megan

    2015-01-01

    Behavioural Gerontology is concerned with the interaction of the aging individual and their environment. One aspect of behavioural gerontology has focussed on the use of behaviourist methods to improve the functioning and quality of life of individuals with dementia. Positive reinforcement techniques have shown to have an effect on dementia related behavioural excesses (wandering, disruptive vocalisations), behavioural deficits (incontinence, self feeding) and mood changes (depression). One o...

  5. Is gerontology ready for accreditation?

    Science.gov (United States)

    Haley, William E; Ferraro, Kenneth F; Montgomery, Rhonda J V

    2012-01-01

    The authors review widely accepted criteria for program accreditation and compare gerontology with well-established accredited fields including clinical psychology and social work. At present gerontology lacks many necessary elements for credible professional accreditation, including defined scope of practice, applied curriculum, faculty with applied professional credentials, and resources necessary to support professional credentialing review. Accreditation with weak requirements will be dismissed as "vanity" accreditation, and strict requirements will be impossible for many resource-poor programs to achieve, putting unaccredited programs at increased risk for elimination. Accreditation may be appropriate in the future, but it should be limited to professional or applied gerontology, perhaps for programs conferring bachelor's or master's degrees. Options other than accreditation to enhance professional skills and employability of gerontology graduates are discussed.

  6. Evolution, Fruit Flies and Gerontology

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 1; Issue 11. Evolution, Fruit Flies and Gerontology Evolutionary Biology Helps Unravel the Mysteries of Ageing. Amitabh Joshi. General Article Volume 1 Issue 11 November 1996 pp 51-63 ...

  7. The challenge of cultural gerontology.

    Science.gov (United States)

    Twigg, Julia; Martin, Wendy

    2015-06-01

    Over the last decade, Cultural Gerontology has emerged as one of the most vibrant elements of writing about age (Twigg, J., & Martin, W. (Eds.) (2015). The Routledge handbook of cultural gerontology. London: Routledge). Reflecting the wider Cultural Turn, it has expanded the field of gerontology beyond all recognition. No longer confined to frailty, or the dominance of medical and social welfare perspectives, cultural gerontology addresses the nature and experience of later years in the widest sense. In this review, we will explore how the Cultural Turn, which occurred across the social sciences and humanities in the late 20th century, came to influence age studies. We will analyze the impulses that led to the emergence of the field and the forces that have inhibited or delayed its development. We will explore how cultural gerontology has recast aging studies, widening its theoretical and substantive scope, taking it into new territory intellectually and politically, presenting this in terms of 4 broad themes that characterize the work: subjectivity and identity; the body and embodiment; representation and the visual; and time and space. Finally, we will briefly address whether there are problems in the approach. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  8. Feminist gerontology and old men.

    Science.gov (United States)

    Calasanti, Toni

    2004-11-01

    This article outlines feminist gerontology and shows how its focus on power relations lends insight into the lives of those people disadvantaged by them as well as the people privileged by social inequalities. To illustrate the latter, I discuss how feminist gerontology might examine old men, using the topic of health as an example. For instance, arrangements that maintain privilege in young adulthood and middle age can lead to poor health in old age. These practices of masculinity include physical risk in competition with other men, neglect of social networks and medical care, and avoidance of any self-report of emotional strain. However, with its focus on diversity, feminist gerontology also emphasizes that experiences of manhood, aging, and health vary by one's location in a network of inequalities.

  9. [Gerocomy -- gerontology -- geriatrics. The naming of a modern medical discipline].

    Science.gov (United States)

    Schäfer, D; Moog, F P

    2005-11-25

    300 years ago, the lawyer Theodosius Schöpffer coined the notion gerontology. On this occasion, this paper offers terms and corresponding concepts of gerontology which arose in the western tradition: 1. From the Graeco-Roman antiquity until 1750, gerocomy (the care for the elderly) was defined as a branch of medicine, but in practice almost did not exist. Basically, it provided instructions for a way of life in conformity with the physiological circumstances of elderly people. Its implementation was left to the patient. Furthermore, in the early modern times medical treatises dealt more frequently with diseases of the elderly and their therapy. The gerokomia succeeded in evolving a specific technical literature. Yet it failed to get institutionalized. 2. At the beginning of the 20th century, Ignaz Nascher interpreted geriatrics as a counterpart to pediatrics and opposed it to a clinical-pathological consideration of old age before 1900. He aimed at the exploration and treatment of old age as an autonomous physiological entity. Under the influence of the demographic transformation the institutionalization of geriatrics as a interdisciplinary branch within medicine could be realized relatively soon. 3. Around 1930, we experience the recreation of the notion gerontology, initially restricted to medical gerontology. However, with the integration of the non-medical sciences of old age the spectrum and the objectives changed. Today gerontology signifies on a international level a generic term or independent scientific discipline beside medicine. This evolution corresponds with the intentions pursued 300 years ago.

  10. Globalization of Gerontology Education: Current Practices and Perceptions for Graduate Gerontology Education in the United States

    Science.gov (United States)

    MWANGI, SAMUEL M.; YAMASHITA, TAKASHI; EWEN, HEIDI H.; MANNING, LYDIA K.; KUNKEL, SUZANNE R.

    2013-01-01

    The purpose of this study is to document current practices and understandings about globalization of gerontology education in the United States. Better understanding of aging requires international perspectives in global communities. However, little is known about how globalization of gerontology education is practiced in U.S. graduate-level degree programs. The authors conducted qualitative interviews with representatives of the Association for Gerontology in Higher Education, the major national organization supporting higher education in gerontology, graduate program directors, and students. Although all respondents expressed their interest in globalizing gerontology education, actual practices are diverse. The authors discuss suggested conceptualization and strategies for globalizing gerontology education. PMID:22490075

  11. Globalization of gerontology education: current practices and perceptions for graduate gerontology education in the United States.

    Science.gov (United States)

    Mwangi, Samuel M; Yamashita, Takashi; Ewen, Heidi H; Manning, Lydia K; Kunkel, Suzanne R

    2012-01-01

    The purpose of this study is to document current practices and understandings about globalization of gerontology education in the United States. Better understanding of aging requires international perspectives in global communities. However, little is known about how globalization of gerontology education is practiced in U.S. graduate-level degree programs. The authors conducted qualitative interviews with representatives of the Association for Gerontology in Higher Education, the major national organization supporting higher education in gerontology, graduate program directors, and students. Although all respondents expressed their interest in globalizing gerontology education, actual practices are diverse. The authors discuss suggested conceptualization and strategies for globalizing gerontology education.

  12. Research Note-Testing for Gerontological Competencies: A Pilot Study

    Science.gov (United States)

    Galambos, Colleen; Curl, Angela L.; Woodbury, Karen

    2014-01-01

    This article reports on the pilot delivery of an evaluation method to gauge student learning of gerontological competencies. Using a pretest and posttest design, data were collected on 46 students over 3 classes. Results indicated significant improvement in how students rated or perceived their competencies skill level between pretest and posttest…

  13. [Geriatrics and gerontology in Senegal].

    Science.gov (United States)

    Coumé, Mamadou; Touré, Kamadore; Faye, Atoumane; Moreira, Therese Diop

    2013-01-01

    Senegal is dealing positively with its demographic transition. On September 1st 2006, the Senegalese government introduced the "Plan Sesame", a national free health care program for elderly people aged 60 years and over. The University of Dakar academic authorities support the Sesame plan through an innovative training program in geriatrics and gerontology. Such programs aim to address the challenge of ageing in a developing country.

  14. European Initiatives in Postgraduate Education in Gerontology

    Science.gov (United States)

    van Rijsselt, Rene J. T.; Parkatti, Terttu; Troisi, Joseph

    2007-01-01

    This paper describes three innovative European initiatives in postgraduate education in gerontology. The first is the European Masters Program in Gerontology (EuMaG), developed as an interdisciplinary joint program, supported and delivered by 22 European universities. Second, the Nordplus initiative to increase mobility of students and staff in…

  15. European initiatives in postgraduate education in gerontology

    NARCIS (Netherlands)

    van Rijsselt, R.J.T.; Parkatti, T.; Troisi, J.

    2007-01-01

    This paper describes three innovative European initiatives in postgraduate education in gerontology. The first is the European Masters Program in Gerontology (EuMaG), developed as an interdisciplinary joint program, supported and delivered by 22 European universities. Second, the Nordplus initiative

  16. Gerontological research in the Netherlands: An inventory

    NARCIS (Netherlands)

    Haaijman, J.J.; Borne, H.W. van den

    1978-01-01

    An inventory of the recently concluded, current and planned gerontological research in the Netherlands has been made. About 160 investigators are committed to this kind of research, on which they spend 71 man years. In terms of manpower, the most effort is spent in social gerontology (76

  17. Adapting the Quebecois method for assessing implementation to the French National Alzheimer Plan 2008–2012: lessons for gerontological services integration

    Directory of Open Access Journals (Sweden)

    Dominique Somme

    2014-06-01

    Full Text Available Introduction: Many countries face ageing-related demographic and epidemiological challenges, notably neurodegenerative disorders, due to the multiple care services they require, thereby pleading for a more integrated system of care. The integrated Quebecois method issued from the Programme of Research to Integrate Services for the Maintenance of Autonomy inspired a French pilot experiment and the National Alzheimer Plan 2008–2012. Programme of Research to Integrate Services for the Maintenance of Autonomy method implementation was rated with an evaluation grid adapted to assess its successive degrees of completion.Discussion: The approaching end of the president's term led to the method's institutionalization (2011–2012, before the implementation study ended. When the government changed, the study was interrupted. The results extracted from that ‘lost’ study (presented herein have, nonetheless, ‘found’ some key lessons.Key lessons/conclusion: It was possible to implement a Quebecois integrated-care method in France. We describe the lessons and pitfalls encountered in adapting this evaluation tool. This process is necessarily multidisciplinary and requires a test phase. A simple tool for quantitative assessment of integration was obtained. The first assessment of the tool was unsatisfactory but requires further studies. In the meantime, we recommend using mixed methodologies to assess the services integration level.

  18. Adapting the Quebecois method for assessing implementation to the French National Alzheimer Plan 2008–2012: lessons for gerontological services integration

    Directory of Open Access Journals (Sweden)

    Dominique Somme

    2014-06-01

    Full Text Available Introduction: Many countries face ageing-related demographic and epidemiological challenges, notably neurodegenerative disorders, due to the multiple care services they require, thereby pleading for a more integrated system of care. The integrated Quebecois method issued from the Programme of Research to Integrate Services for the Maintenance of Autonomy inspired a French pilot experiment and the National Alzheimer Plan 2008–2012. Programme of Research to Integrate Services for the Maintenance of Autonomy method implementation was rated with an evaluation grid adapted to assess its successive degrees of completion. Discussion: The approaching end of the president's term led to the method's institutionalization (2011–2012, before the implementation study ended. When the government changed, the study was interrupted. The results extracted from that ‘lost’ study (presented herein have, nonetheless, ‘found’ some key lessons. Key lessons/conclusion: It was possible to implement a Quebecois integrated-care method in France. We describe the lessons and pitfalls encountered in adapting this evaluation tool. This process is necessarily multidisciplinary and requires a test phase. A simple tool for quantitative assessment of integration was obtained. The first assessment of the tool was unsatisfactory but requires further studies. In the meantime, we recommend using mixed methodologies to assess the services integration level.

  19. [Swiss research agenda for gerontological nursing].

    Science.gov (United States)

    Imhof, Lorenz; Naef, Rahel; Mahrer-Imhof, Romy

    2008-12-01

    In Switzerland life expectancy is currently 84 years in women and 79 years in men. By 2030 the number of people over 80 will increase by 83% to 625 000. The need of nursing care in this population is expected to double. In order to ensure high quality care, scientific knowledge generated by nursing research is, therefore, pivotal. Within the framework of a national project, a nursing research agenda has been formulated based on a literature review, expert panels, a national survey, and a consensus conference; seven priorities for clinical nursing research for the years 2007-2017 have been developed. In the field of gerontological nursing twenty-one research priorities have been identified. They include among others interventions to support independent living and autonomy at home or the impact of new technology on nursing care of the elderly. Support for caregivers and the health of caregivers of patients with dementia have to be addressed as well as interventions for specific challenges in the elderly such as fall prevention, delirium, malnutrition, and depression. Pivotal questions in nursing research are concerned with the continuity of nursing care that exceeds institutional and professional boundaries. Moreover, it is recommended that research projects address the impact of political decisions on nursing care and provide knowledge to improve quality in nursing homes and community health care. With this article the first research agenda for gerontological nursing is presented, that is based on the seven priorities of the Swiss Research Agenda for Nursing-SRAN and in turn can be used as a basis for strategic discussion, action plans, and research projects.

  20. Mixed methods in gerontological research: Do the qualitative and quantitative data “touch”?

    Science.gov (United States)

    Happ, Mary Beth

    2010-01-01

    This paper distinguishes between parallel and integrated mixed methods research approaches. Barriers to integrated mixed methods approaches in gerontological research are discussed and critiqued. The author presents examples of mixed methods gerontological research to illustrate approaches to data integration at the levels of data analysis, interpretation, and research reporting. As a summary of the methodological literature, four basic levels of mixed methods data combination are proposed. Opportunities for mixing qualitative and quantitative data are explored using contemporary examples from published studies. Data transformation and visual display, judiciously applied, are proposed as pathways to fuller mixed methods data integration and analysis. Finally, practical strategies for mixing qualitative and quantitative data types are explicated as gerontological research moves beyond parallel mixed methods approaches to achieve data integration. PMID:20077973

  1. Gerontology course in the nursing undergraduate curricula

    Directory of Open Access Journals (Sweden)

    Samira AlSenany

    2014-12-01

    Full Text Available Objective To explores nursing faculty members’ attitudes towards older people, their thoughts about gerontological nursing education. Method Five focus groups and a survey were used with nursing faculty members 132 at the three nursing schools to explore their attitudes towards the care of older people and the perceived status of gerontological nursing education. The survey was given to 132 faculty members, including 76 clinical instructors, 40 associate professors and 16 professors. The nursing faculty in general had a positive attitude toward older people (M=3.36, SD 0.25, and teachers’ attitudes were higher than those of their nursing students (M=3.18, SD0.29. Results This study results suggests that Saudi nursing curricula should include more extensive gerontology content and clinical experience with older people. Conclusion This is the first time in Saudi Arabia that research has listened to their voices and examined their commitments toward gerontology education.

  2. Globalization of Gerontology Education: Current Practices and Perceptions for Graduate Gerontology Education in the United States

    Science.gov (United States)

    Mwangi, Samuel M.; Yamashita, Takashi; Ewen, Heidi H.; Manning, Lydia K.; Kunkel, Suzanne R.

    2012-01-01

    The purpose of this study is to document current practices and understandings about globalization of gerontology education in the United States. Better understanding of aging requires international perspectives in global communities. However, little is known about how globalization of gerontology education is practiced in U.S. graduate-level…

  3. A Review of Behavioural Gerontology and Dementia Related Interventions

    Directory of Open Access Journals (Sweden)

    Josling, Megan

    2015-12-01

    Full Text Available Behavioural Gerontology is concerned with the interaction of the aging individual and their environment. One aspect of behavioural gerontology has focussed on the use of behaviourist methods to improve the functioning and quality of life of individuals with dementia. Positive reinforcement techniques have shown to have an effect on dementia related behavioural excesses (wandering, disruptive vocalisations, behavioural deficits (incontinence, self feeding and mood changes (depression. One of the major concerns of using reinforcement techniques in the case of dementia is maintenance of the behavioural changes with the continual implementation of the intervention. Research has indicated that individuals with dementia meet behavioural extinction criteria at an advanced rate in comparison with individuals without dementia. Thus for a behavioural change to be successfully maintained it requires diligence on the part of the caregiver and/or nursing home staff. In the case of dementia care centres and nursing homes, when using behavioural interventions to modify the behavioural symptoms of dementia, there needs to be a considerable overlap between Behavioural Gerontology and Organisational Behavioural Management to ensure the successful maintenance of behavioural change.

  4. How to Make Reminiscence Movies: A Project-Based Gerontology Course

    Science.gov (United States)

    Yancura, Loriena A.

    2013-01-01

    One key to successful gerontological education lies in teaching students to integrate information from diverse academic disciplines into practical contexts. This article describes a project-based course within which students learn to integrate theories by working with older adult partners to make reminiscence movies based on an important event or…

  5. Financial gerontology and the rehabilitation nurse.

    Science.gov (United States)

    Mauk, Kristen L; Mauk, James M

    2006-01-01

    Rehabilitation nurses, particularly those who work in geriatrics, recognize that the elderly have become increasingly heterogeneous, with many remaining active well into their 80s and beyond. As the baby boomers enter older adulthood, the senior healthcare market will be greatly affected. The areas of finance, economics, and marketing are seeing new trends that combine the expertise of financial planners with healthcare advisors and advocates for seniors. One emerging specialty area is financial gerontology. This article defines financial gerontology, presents emerging trends and certifications related to the field, and discusses implications for the rehabilitation nurse.

  6. Music Therapy Training for Undergraduate Nursing Students: A Modality to Foster Interest in Gerontological Nursing.

    Science.gov (United States)

    Lin, Hui-Chuan; Chen, Shu-Ling; Hsieh, Chia-En; Lin, Ping-Yi

    2016-06-01

    gerontological nursing. 2. Describe the results of using music therapy to create positive attitudes toward older adults. DISCLOSURE STATEMENT Neither the planners nor the authors have any conflicts of interest to disclose. Nursing students generally have a negative attitude toward older adults. Preparing nurses to meet the care needs of an expanding aging population is a challenge for nursing educators. The purpose of the current study was to explore whether incorporating music therapy into a practical geriatric nursing course at a nursing home cultivates positive attitudes toward older adults, raises students' willingness to work with older adults, and increases their interest in specializing in gerontological nursing after graduation. Focus groups were conducted to collect data from three participant groups (N = 20). Verbatim transcripts of audiorecorded interviews were analyzed using content analysis, which revealed four themes: (a) better appreciation and understanding of music therapy, (b) role modeling instructors' successful experience and positive attitude toward older adults, (c) changing attitudes toward older adults, and (d) improving interaction skills with older adults. Results suggested music can be integrated into a gerontological nursing course to enhance students' motivation to learn, empathize, and approach older adults. [Journal of Gerontological Nursing, 42(6), 25-31.]. Copyright 2016, SLACK Incorporated.

  7. Using Today's Headlines for Teaching Gerontology

    Science.gov (United States)

    Haber, David

    2008-01-01

    It is a challenge to attract undergraduate students into the gerontology field. Many do not believe the aging field is exciting and at the cutting edge. Students, however, can be convinced of the timeliness, relevance, and excitement of the field by, literally, bringing up today's headlines in class. The author collected over 250 articles during…

  8. Why should medical students study Social Gerontology?

    Science.gov (United States)

    Tinker, Anthea; Hussain, Labib; D'Cruz, Jack Lilly; Tai, William Yee Seng; Zaidman, Sebastian

    2016-03-01

    The General Medical Council (GMC) provides a core curriculum for all medical degrees in the UK. However, these guidelines do not provide in-depth, specific learning outcomes for the various medical specialties. Recognising our ageing population, the British Geriatrics Society in 2013 published their own supplementary guidelines to encourage and further direct teaching on Gerontology and Geriatric Medicine in medical school curricula. Although teaching on Geriatric Medicine, a sub-discipline of Gerontology, has reassuringly increased in UK medical schools, there are convincing arguments for greater emphasis to be placed on the teaching of another sub-discipline: Social Gerontology. Considering the skills and knowledge likely to be gained from the teaching of Social Gerontology, in this paper we argue for the greater universal adoption of its teaching. This would help ensure that the doctors of tomorrow are better equipped to manage more successfully and holistically the growing cohort of older patients. © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  9. Value of Gerontology for Occupational Social Work.

    Science.gov (United States)

    Safford, Florence

    1988-01-01

    As aging affects society increasingly, occupational social workers can benefit from gerontological research and practice in developing programs to help older employees counteract ageism, prepare for retirement, cope with health challenges, and reduce stress in family relations. The workplace is a convenient site for preventive and therapeutic…

  10. Regional integration, improving women's economic situation, and ...

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

    Regional integration, improving women's economic situation, and ... of the West African Economic and Monetary Union on their economic development, the ... production sectors, and commercialization networks affected by regional trade, the ...

  11. Prevalence of depression in residents of gerontology centre in Sarajevo

    Directory of Open Access Journals (Sweden)

    Jasmina Mahmutović

    2012-04-01

    Full Text Available Introduction: Depressive disorder, as a major problem of public health, takes high fourth place in its prevalence in general population, and is considered to be the second most frequent health problem of femalepopulation. Depression is the most frequent mental problem of persons in their third age of life. The aim of this study is to evaluate prevalence of depression and establish the ratio between the current number ofdiagnosed and of unrecognised depression among the residents of Gerontology Centre in Sarajevo.Methods: This is a cross-sectional, descriptive, and analytical study undertaken throughout May and June 2011 on the sample of 150 residents of “The Gerontology Centre“ in Sarajevo that were above 65 years of age. The following instruments were used for the research: the Geriatric Depression Scale (GDS, modified questionnaire consisting of two parts (general data and data related to health state, and the medical records of the residents. For statistic analysis of data was used the SPSS program for Windows.Results: According to GDS, prevalence of depression was 65.3%, out of which mild depression occurred in 46.7% cases and severe depression in 18.7%. The prevalence of verified (diagnosed depression was 11.3per cents.Conclusions: According to the GD scale, unrecognised depressions seem to be almost six times more frequent (65.3:11% than is the case with depressions diagnosed in medical records of the protégées of theGerontology Centre in Sarajevo. Timely recognition of depression and its treating in institutions for protection of health of persons in third age of life can substantially improve the quality of life of these patients.

  12. Student nurses' motivation to choose gerontological nursing as a career in China: a survey study.

    Science.gov (United States)

    Cheng, Min; Cheng, Cheng; Tian, Yan; Fan, Xiuzhen

    2015-07-01

    The world's population is aging, and the need for nurses is increasing. Working with older adults, however, has always been an unpopular career choice among student nurses. It is important to understand student nurses' motivation for choosing gerontological nursing as a career. The purpose of this study was to examine the motivation for choosing gerontological nursing as a career and to identify the associated factors among student nurses. Cross-sectional survey. Participants were last-semester student nurses from 7 universities offering nursing undergraduate programs in Shandong, China. Of the 1290 student nurses, 916 completed the survey (a response rate of 71.0%). The outcome variable was the motivation to choose gerontological nursing as a career. This was measured using a motivation questionnaire that included expectancy and value subscales. Other instruments included the Chinese version of the Facts on Aging Quiz I, the Geriatrics Attitudes Scale, the Anxiety about Aging Scale, a clinical practice environment questionnaire and a self-administered general information questionnaire. Student nurses' expectancy and value aspects of motivation for choosing gerontological nursing as a career were both at a moderate level; the highest value they held was of personal interest. Clinical practice environment, anxiety about aging and the attitudes about geriatrics were the main factors influencing student nurses' motivation to choose gerontological nursing as a career in China. It is imperative for nurse educators to improve the gerontological nursing clinical practice environment for student nurses. Moreover, cultivating student nurses' positive attitudes about geriatrics and relieving anxiety about aging could be beneficial. Copyright © 2015. Published by Elsevier Ltd.

  13. Quality Assurance in Gerontological and Geriatric Training Programs: The European Case

    Science.gov (United States)

    Politynska, Barbara; van Rijsselt, Rene J. T.; Lewko, Jolanta; Philp, Ian; Figueiredo, Daniella; De Sousa, Lilliana

    2012-01-01

    Quality assurance (QA) in gerontological and geriatric education programs is regarded as essential to maintain standards, strengthen accountability, improve readability of qualifications, and facilitate professional mobility. In this article the authors present a summary of international developments in QA and elaborate four international trends,…

  14. AIM: An Integrated Approach to Organizational Improvement

    Directory of Open Access Journals (Sweden)

    Ronald A. Styron, Jr.

    2016-02-01

    Full Text Available This concept paper is based on the new problem-solving model of Blended Leadership called Alloy Improvement Model (AIM. This model consists of an integration of change theory, leadership theory, and democratic principles and practices to form a comprehensive problem-solving strategy for organizational leaders. The utilization of AIM will assist leaders in moving from problems to solutions while engaging stakeholders in a comprehensive, efficient, inclusive, informative, integrated and transparent process.

  15. Performance improvement integration: a whole systems approach.

    Science.gov (United States)

    Page, C K

    1999-02-01

    Performance improvement integration in health care organizations is a challenge for health care leaders. Required for accreditation by the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission), performance improvement (PI) can be designed as a sustainable model for performance to survive in a turbulent period. Central Baptist Hospital developed a model for PI that focused on strategy established by the leadership team, delineated responsibility through the organizational structure of shared governance, and accountability for outcomes evidenced through the organization's profitability. Such an approach integrated into the culture of the organization can produce positive financial margins, positive customer satisfaction, and commendations from the Joint Commission.

  16. Teaching Psychological and Social Gerontology to Millennial Undergraduates

    Science.gov (United States)

    Siegal, Brittany; Kagan, Sarah H.

    2012-01-01

    Matters of development and generation may create barriers in teaching millennial undergraduates psychological and social gerontology. We introduce strategy to mitigate these barriers by teaching psychological and social gerontology as undergraduate honors courses, augmented with the use of social networking tools. We detail honors programming,…

  17. Expanding Gerontology Enrollments: Successful Results of an Innovative Outreach Program

    Science.gov (United States)

    Reynolds, Sandra L.; Haley, William E.; Hyer, Kathryn

    2007-01-01

    As state budget allocations for higher education decrease, "specialty" programs such as gerontology must continually demonstrate their productivity. State and private universities increasingly rely on student credit hours (SCH) or tuition generated, which is making it difficult for many gerontology programs to expand. The School of Aging Studies…

  18. Accreditation of Gerontology Programs: A Look from Inside

    Science.gov (United States)

    Van Dussen, Daniel J.; Applebaum, Robert; Sterns, Harvey

    2012-01-01

    For over three decades, there has been considerable discussion about the development of gerontology education in the United States. A debate about accreditation is a logical outgrowth in this evolution. The dialogue about accreditation raises some important questions and gives gerontology an opportunity to further define itself. Accreditation…

  19. Early Journals and Their Influences on the Development of Gerontology

    Science.gov (United States)

    Mercer, Lorraine; Carter, Lorraine

    2012-01-01

    This examination of early gerontology journals identifies the multidisciplinary backgrounds of contributors, methods of investigation, nascent theory development, and formative themes and controversies. Through use of content, thematic, and critical analyses of second year issues of "The Gerontologist," "Educational Gerontology," "Research on…

  20. Review of Nursing Literature: Evolution of Gerontological Education in Nursing.

    Science.gov (United States)

    Philipose, Vimala; And Others

    1991-01-01

    A literature review found that (1) many students and nurses held negative views of the elderly, affecting career choices; (2) gerontological content in baccalaureate nursing programs ranged from little or none to adequate; and (3) a severe shortage of faculty prepared to teach gerontological nursing and negative attitudes toward this…

  1. Policies and Practices in Educational Gerontology in Taiwan

    Science.gov (United States)

    Lin, Yi-Yin; Huang, Chin-Shan

    2013-01-01

    Policy on educational gerontology seems a relatively recent subfield in most countries' social policies. The concept of education for older adults did not appear in Taiwan's political discourse until 1980. The purposes of this paper are to provide an overall introduction to the development of educational gerontology policies and practices in…

  2. An integrated approach for prioritized process improvement.

    Science.gov (United States)

    Vanteddu, Gangaraju; McAllister, Charles D

    2014-01-01

    The purpose of this paper is to propose an integrated framework to simultaneously identify and improve healthcare processes that are important from the healthcare provider's and patient's perspectives. A modified quality function deployment (QFD) chart is introduced to the field of healthcare quality assurance. A healthcare service example is used to demonstrate the utility of the proposed chart. The proposed framework is versatile and can be used in a wide variety of healthcare quality improvement contexts, wherein, two different perspectives are needed to be considered for identifying and improving critical healthcare processes. The modified QFD chart used in conjunction with the stacked Pareto chart will facilitate the identification of key performance metrics from the patient's and the hospital's perspectives. Subsequently, the chief contributory factors at different levels are identified in a very efficient manner. Healthcare quality improvement professionals will be able to use the proposed modified QFD chart in association with stacked Pareto chart for effective quality assurance.

  3. An improved integrally formed radio frequency quadrupole

    Science.gov (United States)

    Abbott, S.R.

    1987-10-05

    An improved radio frequency quadrupole is provided having an elongate housing with an elongate central axis and top, bottom and two side walls symmetrically disposed about the axis, and vanes formed integrally with the walls, the vanes each having a cross-section at right angles to the central axis which tapers inwardly toward the axis to form electrode tips spaced from each other by predetermined distances. Each of the four walls, and the vanes integral therewith, is a separate structural element having a central lengthwise plane passing through the tip of the vane, the walls having flat mounting surfaces at right angles to and parallel to the control plane, respectively, which are butted together to position the walls and vane tips relative to each other. 4 figs.

  4. Auto-Gerontology: A Personal Odyssey.

    Science.gov (United States)

    Palmore, Erdman B

    2017-11-01

    The four leading theories of optimal aging are activity, continuity, successful aging, and selective optimization with adaptation. All tend to support the slogan, "Use it or lose it." I have tried to continue using my abilities in four key areas: professional, volunteer, personal relationships, and physical fitness. Ageism also has become personal for me because I have made it a personal priority to do what I can to reduce ageism. This includes research and writing, developing a list of 45 advantages to aging, avoiding ageist jokes and language, developing positive slogans about aging, maintaining personal fitness, going on birthday adventures, and being proud of my age (85). I close with answers to some questions about auto-gerontology.

  5. Gerontology Education and Research in Kenya: Establishing a U.S.-African Partnership in Aging

    Science.gov (United States)

    King, Sharon V.; Gachuhi, Mugo; Ice, Gillian; Cattell, Maria; Whittington, Frank

    2005-01-01

    This article reprises four presentations on "Gerontology Education in Kenya," a seminar at the 2004 Annual Meeting of the Association of Gerontology in Higher Education. It describes the process by which the Gerontology Institute of Georgia State University established a 3-year gerontology education and research partnership with Kenyatta…

  6. [Discussion paper on participation and participative methods in gerontology].

    Science.gov (United States)

    Aner, Kirsten

    2016-02-01

    The concept of "participation" and the demand for the use of "participative methods" in human, healthcare, nursing and gerontological research as well as the corresponding fields of practice are in great demand; however, the targets and organization of "participation" are not always sufficiently explicated. The working group on critical gerontology of the German Society of Gerontology and Geriatrics uses this phenomenon as an opportunity for positioning and develops a catalogue of criteria for reflection and assessment of participation of elderly people in science and practice, which can also be considered a stimulus for further discussions.

  7. Discussion paper on participation and participatory methods in gerontology.

    Science.gov (United States)

    Aner, K

    2016-12-01

    The concept of "participation" and the use of "participatory methods" in human, healthcare, nursing, and gerontological research, as well as the corresponding fields of practice, represent an expanding field of interest. However, the objectives and organization of "participation" are not always sufficiently explicated. The Critical Gerontology Working Group of the German Society of Gerontology and Geriatrics presents a statement on this phenomenon, and proposes a catalogue of criteria for reflection upon and assessment of participation by older people in research and practice, which can also be considered a stimulus for further discussions.

  8. Integrated hospital emergency care improves efficiency.

    Science.gov (United States)

    Boyle, A A; Robinson, S M; Whitwell, D; Myers, S; Bennett, T J H; Hall, N; Haydock, S; Fritz, Z; Atkinson, P

    2008-02-01

    There is uncertainty about the most efficient model of emergency care. An attempt has been made to improve the process of emergency care in one hospital by developing an integrated model. The medical admissions unit was relocated into the existing emergency department and came under the 4-hour target. Medical case records were redesigned to provide a common assessment document for all patients presenting as an emergency. Medical, surgical and paediatric short-stay wards were opened next to the emergency department. A clinical decision unit replaced the more traditional observation unit. The process of patient assessment was streamlined so that a patient requiring admission was fully clerked by the first attending doctor to a level suitable for registrar or consultant review. Patients were allocated directly to specialty on arrival. The effectiveness of this approach was measured with routine data over the same 3-month periods in 2005 and 2006. There was a 16.3% decrease in emergency medical admissions and a 3.9% decrease in emergency surgical admissions. The median length of stay for emergency medical patients was reduced from 7 to 5 days. The efficiency of the elective surgical services was also improved. Performance against the 4-hour target declined but was still acceptable. The number of bed days for admitted surgical and medical cases rose slightly. There was an increase in the number of medical outliers on surgical wards, a reduction in the number of incident forms and formal complaints and a reduction in income for the hospital. Integrated emergency care has the ability to use spare capacity within emergency care. It offers significant advantages beyond the emergency department. However, improved efficiency in processing emergency patients placed the hospital at a financial disadvantage.

  9. APPROACH FOR IMPROVING THE INTEGRATED SENSOR ORIENTATION

    Directory of Open Access Journals (Sweden)

    E. Mitishita

    2016-06-01

    Full Text Available The direct determination of exterior orientation parameters (EOP of aerial images via integration of the Inertial Measurement Unit (IMU and GPS is often used in photogrammetric mapping nowadays. The accuracies of the EOP depend on the accurate parameters related to sensors mounting when the job is performed (offsets of the IMU relative to the projection centre and the angles of boresigth misalignment between the IMU and the photogrammetric coordinate system. In principle, when the EOP values do not achieve the required accuracies for the photogrammetric application, the approach, known as Integrated Sensor Orientation (ISO, is used to refine the direct EOP. ISO approach requires accurate Interior Orientation Parameters (IOP and standard deviation of the EOP under flight condition. This paper investigates the feasibility of use the in situ camera calibration to obtain these requirements. The camera calibration uses a small sub block of images, extracted from the entire block. A digital Vexcel UltraCam XP camera connected to APPLANIX POS AVTM system was used to get two small blocks of images that were use in this study. The blocks have different flight heights and opposite flight directions. The proposed methodology improved significantly the vertical and horizontal accuracies of the 3D point intersection. Using a minimum set of control points, the horizontal and vertical accuracies achieved nearly one image pixel of resolution on the ground (GSD. The experimental results are shown and discussed.

  10. Images of Sexuality and Aging in Gerontological Literature

    OpenAIRE

    Scherrer, Kristin S.

    2009-01-01

    Discursive portrayals of aging and sexuality have important implications for the creation and reproduction of inequalities. This article delineates some of the images of older adults’ sexualities using an interpretive content analysis of gerontology articles dealing with issues of sexuality in 21 gerontological journals over a 20-year span (1988–2007). The 3 main findings of this analysis were (a) that aging sexualities are asserted, (b) that the sexual identities of older adults vary, and (c...

  11. [Aspects for data mining implementation in gerontology and geriatrics].

    Science.gov (United States)

    Mikhal'skiĭ, A I

    2014-01-01

    Current challenges facing theory and practice in ageing sciences need new methods of experimental data investigation. This is a result as of experimental basis developments in biological research, so of information technology progress. These achievements make it possible to use well proven in different fields of science and engineering data mining methods for tasks in gerontology and geriatrics. Some examples of data mining methods implementation in gerontology are presented.

  12. Gerontology and geriatrics in Dutch medical education.

    Science.gov (United States)

    Tersmette, W; van Bodegom, D; van Heemst, D; Stott, D; Westendorp, R

    2013-01-01

    The world population is ageing and healthcare services require trained staff who can address the needs of older patients. In this study we determined how current medical education prepares Dutch students of medicine in the field of Gerontology and Geriatrics (G&G). Using a checklist of the essentials of G&G, we assessed Dutch medical education on three levels. On the national level we analysed the latest National Blueprint for higher medical education (Raamplan artsopleiding 2009). On the faculty level we reviewed medical curricula on the basis of interviews with program directors and inspection of course materials. On the student level we assessed the topics addressed in the questions of the cross-institutional progress test (CIPT). The National Bluepr int contains few specific G&G objectives. Obligatory G&G courses in medical schools on average amount to 2.2% of the total curriculum measured as European Credit Transfer System units (ECTS). Only two out of eight medical schools have practical training during the Master phase in the form of a clerkship in G&G. In the CIPT, on average 1.5% of questions cover G&G. Geriatric education in the Netherlands does not seem to be in line with current demographic trends. The National Blueprint falls short of providing sufficiently detailed objectives for education on the care of older people. The geriatric content offered by medical schools is varied and incomplete, and students are only marginally tested on their knowledge of G&G in the CIPT.

  13. Advancing the Aging and Technology Agenda in Gerontology.

    Science.gov (United States)

    Schulz, Richard; Wahl, Hans-Werner; Matthews, Judith T; De Vito Dabbs, Annette; Beach, Scott R; Czaja, Sara J

    2015-10-01

    Interest in technology for older adults is driven by multiple converging trends: the rapid pace of technological development; the unprecedented growth of the aging population in the United States and worldwide; the increase in the number and survival of persons with disability; the growing and unsustainable costs of caring for the elderly people; and the increasing interest on the part of business, industry, and government agencies in addressing health care needs with technology. These trends have contributed to the strong conviction that technology can play an important role in enhancing quality of life and independence of older individuals with high levels of efficiency, potentially reducing individual and societal costs of caring for the elderly people. The purpose of this "Forum" position article is to integrate what we know about older adults and technology systems in order to provide direction to this vital enterprise. We define what we mean by technology for an aging population, provide a brief history of its development, introduce a taxonomy for characterizing current technology applications to older adults, summarize research in this area, describe existing development and evaluation processes, identify factors important for the acceptance of technology among older individuals, and recommend future directions for research in this area. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  14. Some Improvements of Conformable Fractional Integral Inequalities

    Directory of Open Access Journals (Sweden)

    Fuat Usta

    2017-07-01

    Full Text Available In this study, we wish to set up and present some new conformable fractional integral inequalities of the Gronwall type which have a great variety of implementation area in differential and integral equations.

  15. Successful aging and its discontents: a systematic review of the social gerontology literature.

    Science.gov (United States)

    Martinson, Marty; Berridge, Clara

    2015-02-01

    The purpose of this study was to analyze the range of critiques of successful aging models and the suggestions for improvement as expressed in the social gerontology literature. We conducted a systematic literature review using the following criteria: journal articles retrieved in the Abstracts in Social Gerontology, published 1987-2013, successful aging/ageing in the title or text (n = 453), a critique of successful aging models as a key component of the article. Sixty-seven articles met the criteria. Qualitative methods were used to identify key themes and inductively configure meanings across the range of critiques. The critiques and remedies fell into 4 categories. The Add and Stir group suggested a multidimensional expansion of successful aging criteria and offered an array of additions. The Missing Voices group advocated for adding older adults' subjective meanings of successful aging to established objective measures. The Hard Hitting Critiques group called for more just and inclusive frameworks that embrace diversity, avoid stigma and discrimination, and intervene at structural contexts of aging. The New Frames and Names group presented alternative ideal models often grounded in Eastern philosophies. The vast array of criteria that gerontologists collectively offered to expand Rowe and Kahn's original successful model is symptomatic of the problem that a normative model is by definition exclusionary. Greater reflexivity about gerontology's use of "successful aging" and other normative models is needed. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  16. Lessons learned about ageing and gerontological nursing in South Africa

    Directory of Open Access Journals (Sweden)

    Staja Q. Booker

    2015-07-01

    Full Text Available Background: The unprecedented global growth in older adults merits high-quality gerontological nursing care. As gerontological nursing grows in visibility in developed and developing countries, nurses must possess a broader worldview of ageing with knowledge of physiological, psychosocial, and cultural issues. Purpose: The purpose of this article is to: (1 highlight lessons learned on differences and similarities in ageing and care of older adults in the United States of America (USA and South Africa (SA; and (2 provide recommendations on how to advance gerontological nursingeducation in SA. Methods: A two-week international service-learning project was undertaken by visiting SA and learning about their nursing system and care of older adults. Service-learning is an innovative teaching-learning-service method that provided reflective and hands-on experience of gerontological nursing. This article provides a personal reflection of lessons learned about ageing and gerontological nursing during the service-learning project. Findings: Care of older adults in SA is in many ways different from and similar to that in the USA. Consequently global nurses should recognise those differences and provide culturally appropriate care. This service-learning experience also demonstrated the need for gerontological nursing education in SA. Based on this, recommendations on how to infuse and advance gerontological nursing education in SA are provided. Conclusion: Caring for older adults in a global context requires knowledge and understanding of cultures and their values and practices. With a growing population of diverse older adults, there is a need for incorporation

  17. Developing a revenue integrity improvement plan.

    Science.gov (United States)

    Banks, Kate

    2010-11-01

    A revenue integrity plan should address five key areas: Accuracy of patient information. Verification of payer information and policies. Accuracy of documentation. Processing of claims. Accuracy of payment.

  18. Potential Applications of Smart Multifunctional Wearable Materials to Gerontology.

    Science.gov (United States)

    Armstrong, David G; Najafi, Bijan; Shahinpoor, Mohsen

    2017-01-01

    Smart multifunctional materials can play a constructive role in addressing some very important aging-related issues. Aging affects the ability of older adults to continue to live safely and economically in their own residences for as long as possible. Thus, there will be a greater need for preventive, acute, rehabilitative, and long-term health care services for older adults as well as a need for tools to enable them to function independently during daily activities. The objective of this paper is, thus, to present a comprehensive review of some potential smart materials and their areas of applications to gerontology. Thus, brief descriptions of various currently available multifunctional smart materials and their possible applications to aging-related problems are presented. It is concluded that some of the most important applications to geriatrics may be in various sensing scenarios to collect health-related feedback or information and provide personalized care. Further described are the applications of wearable technologies to aging-related needs, including devices for home rehabilitation, remote monitoring, social well-being, frailty monitoring, monitoring of diabetes and wound healing and fall detection or prediction. It is also concluded that wearable technologies, when combined with an appropriate application and with appropriate feedback, may help improve activities and functions of older patients with chronic diseases. Finally, it is noted that methods developed to measure what one collectively manages in this population may provide a foundation to establish new definitions of quality of life. © 2017 S. Karger AG, Basel.

  19. Improve data integration performance by employing metadata management utility

    Energy Technology Data Exchange (ETDEWEB)

    Wei, M.; Sung, A.H. [New Mexico Petroleum Recovery Research Center, Socorro, NM (United States)

    2005-07-01

    This conference paper explored ways of integrating petroleum and exploration data obtained from different sources in order to provide more comprehensive data for various analysis purposes and to improve the integrity and consistency of integrated data. This paper proposes a methodology to enhance oil and gas industry data integration performance by cooperating data management utilities in Microsoft SQL Server database management system (DBMS) for small scale data integration without support of commercial software. By semi-automatically capturing metadata, data sources are investigated in detail, data quality problems are partially cleansed, and the performance of data integration is improved. 20 refs., 7 tabs., 1 fig.

  20. [Some problems of modern gerontology and geriatrics in the Russian Federation: the sight of the clinical physician].

    Science.gov (United States)

    Miakotnykh, V S

    2012-01-01

    This article presents some problems of modern Russian gerontology and geriatrics by eyes of the scientist--the clinical physician having long-term experience in the field. Educational, scientific, practical aspects of gerontology and those stereotypes of understanding of problems of elderly which developed for years are subjected the certain criticism, decades, but in the modern world any more absolutely correspond to a today's reality. It is offered to transform the ideology of the major directions of gerontology, having put at the head of a corner not ideas of prolongation of life as that and carrying out basically actions in relation to seriously ill, but improvements of quality of life, preventive maintenance and treatment of set of the age-related diseases, overcoming of the developed practice of the relation to elderly and senile patients as to persons dependent and demanding the constant help. The author urges the public health governing bodies to reconsider the norms of the geriatric help existing for many years but not meeting modern requirements in the conditions of polyclinic and a hospital and to make more clear and claimed by a society the possibilities and achievements of gerontology.

  1. Integrated Data for Improved Asset Management

    Science.gov (United States)

    2016-05-26

    The objective of this research is to demonstrate the potential benefits for agency-wide data integration for VDOT asset management. This objective is achieved through an example application that requires information distributed across multiple databa...

  2. Infusing gerontology into grades 7-12 social studies curricula.

    Science.gov (United States)

    Krout, John A; Wasyliw, Zenon

    2002-06-01

    This paper describes a model process to increase the exposure of middle and high school students to information on aging so they better understand the implications of an aging population and the stereotypes of older adults. A college Gerontology Institute, a social studies teacher education faculty member, and middle/high school social studies teachers collaborated on a program to develop and implement lesson plans that incorporate information on aging into existing courses. Institute staff provided expertise on gerontology and student teachers assisted in writing lesson plan objectives. Teachers developed about a dozen lessons covering from one class to two weeks in subjects such as global history, participation in government, Western civilizations, economics, and government. This experience suggests a number of issues that should be addressed when developing a gerontology infusion initiative with school teachers. Information on aging can be successfully incorporated into existing school curricula within the constraints of mandated learning objectives.

  3. Expanding gerontology enrollments: successful results of an innovative outreach program.

    Science.gov (United States)

    Reynolds, Sandra L; Haley, William E; Hyer, Kathryn

    2007-01-01

    As state budget allocations for higher education decrease, "specialty" programs such as gerontology must continually demonstrate their productivity. State and private universities increasingly rely on student credit hours (SCH) or tuition generated, which is making it difficult for many gerontology programs to expand. The School of Aging Studies at the University of South Florida has achieved a 236% increase in annual SCH productivity over the past 5 years by methods including qualifying courses for university liberal arts requirements, and designing and cross-listing interdisciplinary courses. This increased productivity has supported program expansion and led to beneficial outreach to students from diverse majors.

  4. 76 FR 17999 - Geriatrics and Gerontology Advisory Committee; Notice of Meeting

    Science.gov (United States)

    2011-03-31

    ... DEPARTMENT OF VETERANS AFFAIRS Geriatrics and Gerontology Advisory Committee; Notice of Meeting... Committee Act) that a meeting of the Geriatrics and Gerontology Advisory Committee will be held on April 14... pertaining to geriatrics and gerontology. The Committee assesses the capability of VA health care facilities...

  5. 76 FR 54536 - Geriatrics and Gerontology Advisory Committee; Notice of Meeting

    Science.gov (United States)

    2011-09-01

    ... DEPARTMENT OF VETERANS AFFAIRS Geriatrics and Gerontology Advisory Committee; Notice of Meeting... Committee Act) that a meeting of the Geriatrics and Gerontology Advisory Committee will be held on September... all matters pertaining to geriatrics and gerontology. The Committee assesses the capability of VA...

  6. 75 FR 54232 - Geriatrics and Gerontology Advisory Committee; Notice of Meeting

    Science.gov (United States)

    2010-09-03

    ... DEPARTMENT OF VETERANS AFFAIRS Geriatrics and Gerontology Advisory Committee; Notice of Meeting... Committee Act) that a meeting of the Geriatrics and Gerontology Advisory Committee will be held on September... pertaining to geriatrics and gerontology. The Committee assesses the capability of VA health care facilities...

  7. 78 FR 55778 - Geriatrics and Gerontology Advisory Committee, Notice of Meeting

    Science.gov (United States)

    2013-09-11

    ... DEPARTMENT OF VETERANS AFFAIRS Geriatrics and Gerontology Advisory Committee, Notice of Meeting.... App. 2, that a meeting of the Geriatrics and Gerontology Advisory Committee will be held on September... all matters pertaining to geriatrics and gerontology. The Committee assesses the capability of VA...

  8. European Master's Program in Gerontology (EuMaG): Goals, Curriculum, and Students

    Science.gov (United States)

    Aartsen, Marja

    2011-01-01

    The European Master's Program in Gerontology (EuMaG) started in September 2003 with support from the European Commission. The EuMaG is a modular, 2-year, part-time international training program about the aging process and its societal implications. The multidisciplinary curriculum comprises four domains of gerontology (i.e., social gerontology,…

  9. 77 FR 14860 - Geriatrics and Gerontology Advisory Committee, Notice of Meeting

    Science.gov (United States)

    2012-03-13

    ... DEPARTMENT OF VETERANS AFFAIRS Geriatrics and Gerontology Advisory Committee, Notice of Meeting... Committee Act) that a meeting of the Geriatrics and Gerontology Advisory Committee will be held on April 11... matters pertaining to geriatrics and gerontology. The Committee assesses the capability of VA health care...

  10. 78 FR 12831 - Geriatrics and Gerontology Advisory Committee, Notice of Meeting Amendment

    Science.gov (United States)

    2013-02-25

    ... DEPARTMENT OF VETERANS AFFAIRS Geriatrics and Gerontology Advisory Committee, Notice of Meeting....S.C. App. 2, that a meeting of the Geriatrics and Gerontology Advisory Committee has been... and the Under Secretary for Health on all matters pertaining to geriatrics and gerontology. The...

  11. 77 FR 49865 - Geriatrics and Gerontology Advisory Committee, Notice of Meeting

    Science.gov (United States)

    2012-08-17

    ... DEPARTMENT OF VETERANS AFFAIRS Geriatrics and Gerontology Advisory Committee, Notice of Meeting... Committee Act) that a meeting of the Geriatrics and Gerontology Advisory Committee will be held on September... all matters pertaining to geriatrics and gerontology. The Committee assesses the capability of VA...

  12. The Development of Educational Gerontology in Taiwan: An Interpretive and Critical Perspective

    Science.gov (United States)

    Huang, Chin-Shan

    2010-01-01

    Educational gerontology is increasingly becoming a global phenomenon. Taiwan, a small island in the western Pacific Ocean, has responded to its aging population with the development of the studies and practices of educational gerontology. This study, first, traces the development of educational gerontology in Taiwan, based on Peterson's definition…

  13. 75 FR 11638 - Geriatrics and Gerontology Advisory Committee; Notice of Meeting

    Science.gov (United States)

    2010-03-11

    ... DEPARTMENT OF VETERANS AFFAIRS Geriatrics and Gerontology Advisory Committee; Notice of Meeting... Committee Act) that a meeting of the Geriatrics and Gerontology Advisory Committee will be held on April 22... all matters pertaining to geriatrics and gerontology. The Committee assesses the capability of VA...

  14. 78 FR 6406 - Geriatrics and Gerontology Advisory Committee, Notice of Meeting

    Science.gov (United States)

    2013-01-30

    ... DEPARTMENT OF VETERANS AFFAIRS Geriatrics and Gerontology Advisory Committee, Notice of Meeting.... App. 2, that a meeting of the Geriatrics and Gerontology Advisory Committee will be held on April 10... matters pertaining to geriatrics and gerontology. The Committee assesses the capability of VA health care...

  15. Improving Maladaptive Behaviors Using Sensory Integration Techniques.

    Science.gov (United States)

    Shuman, Theresa

    A study examined the use of sensory integration techniques to reduce the maladaptive behaviors that interfered with the learning of nine high school students with mental impairments attending a special school. Maladaptive behaviors identified included rocking, toe walking, echolalia, resistance to change, compulsive behaviors, aggression,…

  16. Shared or Integrated: Which Type of Integration is More Effective Improves Students’ Creativity?

    Science.gov (United States)

    Mariyam, M.; Kaniawati, I.; Sriyati, S.

    2017-09-01

    Integrated science learning has various types of integration. This study aims to apply shared and integrated type of integration with project based learning (PjBL) model to improve students’ creativity on waste recycling theme. The research method used is a quasi experiment with the matching-only pre test-post test design. The samples of this study are 108 students consisting of 36 students (experiment class 1st), 35 students (experiment class 2nd) and 37 students (control class 3rd) at one of Junior High School in Tanggamus, Lampung. The results show that there is difference of creativity improvement in the class applied by PjBL model with shared type of integration, integrated type of integration and without any integration in waste recycling theme. Class applied by PjBL model with shared type of integration has the higher creativity improvement than the PjBL model with integrated type of integration and without any integration. Integrated science learning using shared type only combines 2 lessons, hence an intact concept is resulted. So, PjBL model with shared type of integration more effective improves students’ creativity than integrated type.

  17. Integration of transportation for improved mobility.

    Science.gov (United States)

    2017-07-04

    Mobility management and improvement have become the focal point of the federal, state, and local transportation agencies over the last decade. Even with decreasing vehicle-miles-traveled (VMT) over the same time span, the congestion and delays have n...

  18. Advancing nursing home practice: the International Association of Geriatrics and Gerontology Recommendations.

    Science.gov (United States)

    Tolson, Debbie; Morley, John E; Rolland, Yves; Vellas, Bruno

    2011-01-01

    Recognition of the urgent need to improve the provision of long-term care, as well as the known variations in standards of nursing home care around the world, prompted the International Association of Geriatrics and Gerontology (IAGG), in association with the World Health Organization (WHO), to form a task force. This task force was charged with the identification of the key concerns, research priorities, and actions that would enhance the care provided to older people in nursing homes. Nurses are equipped with the knowledge to take a leadership role in the IAGG/WHO initiative, and the task force eagerly seeks their input. Copyright © 2011 Mosby, Inc. All rights reserved.

  19. Sexuality and Aging: A Timely Addition to the Gerontology Curriculum.

    Science.gov (United States)

    Fitzpatrick, Tanya R.

    2000-01-01

    Describes the development and content of a course on sexuality in aging for a gerontology master's program. Topics include physical health, AIDS, gay/lesbian issues, widows/widowers, marriage, ethnic issues, menopause, and impotence. Provides a 33-item bibliography. (SK)

  20. Maximizing the Potential of Internships in Gerontology and Geriatrics

    Science.gov (United States)

    Karasik, Rona J.

    2009-01-01

    Internships and similar applied opportunities have long been valued for providing students with opportunities for practical experience, career preparation, and personal growth. The need for applied experiences in gerontology and geriatrics is particularly salient. Creating and sustaining effective internship experiences, however, requires careful…

  1. Professional and Personal Development in Contemporary Gerontology Doctoral Education

    Science.gov (United States)

    Ewen, Heidi H.; Rowles, Graham D.; Watkins, John F.

    2012-01-01

    This article reports on the Gerontology Doctoral Student Assessment Model (GDSAM), a comprehensive web-based system premised on developing an evaluation mechanism attuned to the special requirements of advanced graduate education at the doctoral level. The system focuses on longitudinal tracking of selected dimensions of intellectual,…

  2. Educational Gerontology in Korea: An Interpretive and Critical Study

    Science.gov (United States)

    Kee, Youngwha

    2010-01-01

    Wilma Donahue's book in 1955, "Education for Later Maturity", was considered the first major work to identify the educational needs of the aging person. Peterson considers it one of the earliest comprehensive surveys of older learners. However, the idea of educational gerontology was probably first used in 1970 at the University of…

  3. Survey of master's gerontology students spanning over 40 years.

    Science.gov (United States)

    Molinari, Victor; Ellis, Michelle L

    2014-01-01

    The University of South Florida's master's degree in gerontology is a long-established program that focuses on a multidisciplinary approach to population aging. This study identifies graduate students' needs in preparation for a professional career in gerontology. An online survey was distributed to graduates and those currently enrolled (N = 56) in order to better understand expectations for the program, identify outcomes of graduation, and obtain program recommendations for future students. The program's 40 year history was well represented with participants ranging from the first graduating class to current students. Results indicated high satisfaction in students' expectations of the program, educational experience, and assessment of faculty. Further, 68% of graduates reported success in gaining age-related employment shortly after graduation. However, students echoed well-known barriers in gerontology, reporting tough competition for jobs versus those with licensure, and challenges in promoting their nonclinical gerontology degree to employers. Respondents recommended more applied coursework and assistance with career planning to enhance employment opportunities upon graduation. Implications of these findings are discussed in further detail.

  4. What Should Gerontology Learn from Health Education Accreditation?

    Science.gov (United States)

    Bradley, Dana Burr; Fitzgerald, Kelly

    2012-01-01

    Quality assurance and accreditation are closely tied together. This article documents the work toward a unified and comprehensive national accreditation program in health education. By exploring the accreditation journey of another discipline, the field of gerontology should learn valuable lessons. These include an attention to inclusivity, a…

  5. Geezer Poet? A Member of the Gerontology Therapeutic Team?

    Science.gov (United States)

    Herbert, Mary Kennan

    2014-01-01

    Poetry and gerontology are often not viewed as congenial or likely companions. Yet these two approaches to communication, creativity, and health may have much in common. I would like to present some of my own work, five poems in fact, in light of my personal history and as a teacher/facilitator. My goal here is to reveal ideas and directions that…

  6. Web-Based Gerontology Courses: How Do They Measure Up?

    Science.gov (United States)

    Hills, William E.; Brallier, Sara A.; Palm, Linda J.; Graham, Jamie M.

    2009-01-01

    This study compared Web-based and lecture-based Gerontology and Psychology of Aging courses in terms of student performance, demographic and academic characteristics of students enrolled in the courses, and extent to which these characteristics differentially predicted outcomes of learning in the two course types. Participants for this study were…

  7. Paradigms in the Gerontology Classroom: Connections and Challenges to Learning

    Science.gov (United States)

    Morgan, Leslie

    2012-01-01

    The article explores paradigms for approaching course content to be studied in the classroom. These paradigms, or global views about what is of interest or importance and ways of knowing, relate to key questions in gerontology, such as what is the relevant domain/content to be studied, what is the central level of analysis or action, what are…

  8. A Gerontology Practitioner Continuing Education Certificate Program: Lessons Learned

    Science.gov (United States)

    Englehardt, Jacqueline; Hash, Kristina M.; Mankowski, Mariann; Harper-Dorton, Karen V.; Pilarte, Ann E.

    2016-01-01

    This article discusses the results of a school of social work survey assessing the geriatric training needs of social workers and other professionals in aging and the need for a gerontology practitioner's continuing education (CE) certificate program. A total of 391 professionals, the majority of whom were social workers, participated in an online…

  9. Time and ageing: a physicist's look at gerontology

    NARCIS (Netherlands)

    Uffink, J.

    2000-01-01

    To enter, as a physicist, into the field of gerontology brings along certain dangers. I will presumably fall into pitfalls of misunderstanding or step on some other booby traps which those who are familiar with the terrain have learned to avoid. This danger is probably even greater since the

  10. Collaborative Online Teaching: A Model for Gerontological Social Work Education

    Science.gov (United States)

    Fulton, Amy E.; Walsh, Christine A.; Azulai, Anna; Gulbrandsen, Cari; Tong, Hongmei

    2015-01-01

    Social work students and faculty are increasingly embracing online education and collaborative teaching. Yet models to support these activities have not been adequately developed. This paper describes how a team of instructors developed, delivered, and evaluated an undergraduate gerontological social work course using a collaborative online…

  11. Generations and the Generation of Theory in Social Gerontology.

    Science.gov (United States)

    Hendricks, Jon

    1992-01-01

    Looks at theorizing in gerontology as career-related activity engaged in by scholars who are prone to same demographic imperatives as other human beings as way of shedding more light on many uses of theory. Uses concept of theoretical generations as means of accounting for succession of models and explanatory frameworks. (Author/NB)

  12. Teaching an Interdisciplinary Gerontological Course to Pharmacy Students

    Science.gov (United States)

    Sumner, Edward D.

    1978-01-01

    An interdisciplinary course on gerontology has been developed and offered as an elective at the Medical University of South Carolina College of Pharmacy. Instruction is provided in the physical, psychological, and social influences with ambulatory and institutionalized geriatrics patients. A course outline and course objectives are included. (SW)

  13. Time, Story, and Wisdom: Emerging Themes in Narrative Gerontology

    Science.gov (United States)

    Randall, William Lowell; Kenyon, Gary M.

    2004-01-01

    Narrative approaches in the field of aging are receiving increasing attention by theorists and practitioners alike. This article draws on recent thinking in narrative gerontology to look at three aspects of aging on which a narrative perspective can shed further light. In relation to the temporal aspects, the notion of storytime is examined.…

  14. Improvements of the integral transport theory method

    International Nuclear Information System (INIS)

    Kavenoky, A.; Lam-Hime, M.; Stankovski, Z.

    1979-01-01

    The integral transport theory is widely used in practical reactor design calculations however it is computer time consuming for two dimensional calculations of large media. In the first part of this report a new treatment is presented; it is based on the Galerkin method: inside each region the total flux is expanded over a three component basis. Numerical comparison shows that this method can considerably reduce the computing time. The second part of the this report is devoted to homogeneization theory: a straightforward calculation of the fundamental mode for an heterogeneous cell is presented. At first general presentation of the problem is given, then it is simplified to plane geometry and numerical results are presented

  15. Integrated Circuit Chip Improves Network Efficiency

    Science.gov (United States)

    2008-01-01

    Prior to 1999 and the development of SpaceWire, a standard for high-speed links for computer networks managed by the European Space Agency (ESA), there was no high-speed communications protocol for flight electronics. Onboard computers, processing units, and other electronics had to be designed for individual projects and then redesigned for subsequent projects, which increased development periods, costs, and risks. After adopting the SpaceWire protocol in 2000, NASA implemented the standard on the Swift mission, a gamma ray burst-alert telescope launched in November 2004. Scientists and developers on the James Webb Space Telescope further developed the network version of SpaceWire. In essence, SpaceWire enables more science missions at a lower cost, because it provides a standard interface between flight electronics components; new systems need not be custom built to accommodate individual missions, so electronics can be reused. New protocols are helping to standardize higher layers of computer communication. Goddard Space Flight Center improved on the ESA-developed SpaceWire by enabling standard protocols, which included defining quality of service and supporting plug-and-play capabilities. Goddard upgraded SpaceWire to make the routers more efficient and reliable, with features including redundant cables, simultaneous discrete broadcast pulses, prevention of network blockage, and improved verification. Redundant cables simplify management because the user does not need to worry about which connection is available, and simultaneous broadcast signals allow multiple users to broadcast low-latency side-band signal pulses across the network using the same resources for data communication. Additional features have been added to the SpaceWire switch to prevent network blockage so that more robust networks can be designed. Goddard s verification environment for the link-and-switch implementation continuously randomizes and tests different parts, constantly anticipating

  16. Communications and Integration Enhancements to Improve Homeland Security

    National Research Council Canada - National Science Library

    Sando, Terrance W

    2007-01-01

    .... Homeland Security responses. These technology enhancements and processes combined with the force capabilities that the National Guard has recently created, when integrated with other national capabilities, will greatly improve...

  17. What's stopping a career in gerontological nursing?: literature review.

    Science.gov (United States)

    Neville, Christine; Dickie, Robyn; Goetz, Sandra

    2014-01-01

    Despite the rapid aging of the world's population, many countries are experiencing difficulty in recruiting nurses to work with older people. A literature review was conducted regarding the career preferences of undergraduate nursing students from seven different countries. The literature review has identified that gerontological nursing does not feature highly as a career goal. Notably, this has been the situation for the past decade. There is no indication that the situation is going to change at any time in the future unless some serious decisions are made at professional, health service, community, and government levels. This literature review has identified the reasons why undergraduate nurses are not choosing gerontological nursing as a career, what has been done in an attempt to address the problem, and what else may be done. Copyright 2014, SLACK Incorporated.

  18. [Politics and power in gerontological nursing in Brazil].

    Science.gov (United States)

    Kletemberg, Denise Faucz; Padilha, Maria Itayra

    2012-10-01

    The objective of the present study was to identify the politic activities implemented by gerontological nursing in Brazil in the period spanning 1970 to 1996, which aimed at making it an effective specialty in elderly care. This descriptive-qualitative study was performed using a historical approach, using thematic oral history. Fourteen nurses, pioneers in the field, took part in the study. The following categories were identified: 1) Political organization of the field; and 2) Relationship between the field and the State. Results identified the following examples of political activities: traveling throughout Brazil, aimed at getting researchers interested in the theme; creating the Scientific Department of Gerontological Nursing; and assuming an effective participation in the creation of public policies in the country. The specialty is aware of the political relevance for its construction and has been making efforts to achieve recognition as a field of knowledge within the multidisciplinary team of elderly care.

  19. [When the disabled sector meets that of gerontology].

    Science.gov (United States)

    Felgines, Marjorie

    Denis is a 62-year-old man with Down syndrome. He lives in a residential home and is retired from a supported employment service centre. Since suffering a stroke, Denis has been relatively immobile, looking on as a spectator in the medical-social centre where he is living. Anticipating his advancing years, the team has turned to a gerontological team which will intervene in a centre for people with disabilities. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

  20. Integrating Planning, Assessment, and Improvement in Higher Education

    Science.gov (United States)

    Sherlock, Barbara J.

    2009-01-01

    Based on Penn State's popular "Innovation Insights" series, this book brings together in one handy reference nearly a decade of tried and true insights into continuous quality improvements in higher education. Their five-step model for integrating planning, assessment, and improvement moves plans off the shelf and into the weekly and daily…

  1. A Review of Our Roots: Blacks in Gerontology

    Science.gov (United States)

    Brown, Candace S.; Baker, Tamara A.; Mingo, Chivon A.; Harden, J. Taylor; Whitfield, Keith; Aiken-Morgan, Adrienne T.; Phillips, Karon L.; Washington, Tiffany

    2014-01-01

    The historical underpinnings in the field of gerontology rest on the contributions of scholars across a myriad of racial and ethnic backgrounds. With the increasing diversity of the adult population, there is a need to increase the number of researchers who study older adults from diverse racial and ethnic populations in general and Black elderly people in particular. Furthermore, it is important to document the participation of Black older adults in our earliest and continuing research efforts. Understanding the historical context and the foundational influence of Black scholars in this field is critical. To realize its humble beginnings, one must become aware of the contributions by Black scholars who have a vested interest in the aging process. With universal similarities and unique differences among older adults, there is a need to acknowledge the past and current scholarship of those who study the aging processes of Blacks while marveling over the future possibilities. The purpose of this review is to elucidate the legacy and current contributions, philosophies, and research of Black scholars in the field of gerontology. In addition, exploration of the theoretical and conceptual frameworks used to establish national and organizational initiatives is reviewed. The impetus in initiating and continuing this work requires a “knowledge of our roots” while moving into the future. It is important to learn the history and significance of Black scholars in gerontology, the contributions of older Blacks, and appreciate the resiliency and marveled life course of this unique population. PMID:24022695

  2. Collaborative learning in gerontological clinical settings: The students' perspective.

    Science.gov (United States)

    Suikkala, Arja; Kivelä, Eeva; Käyhkö, Pirjo

    2016-03-01

    This study deals with student nurses' experiences of collaborative learning in gerontological clinical settings where aged people are involved as age-experts in students' learning processes. The data were collected in 2012 using the contents of students' reflective writing assignments concerning elderly persons' life history interviews and the students' own assessments of their learning experiences in authentic elder care settings. The results, analyzed using qualitative content analysis, revealed mostly positive learning experiences. Interaction and collaborative learning activities in genuine gerontological clinical settings contributed to the students' understanding of the multiple age-related and disease-specific challenges as well as the issues of functional decline that aged patients face. Three types of factors influenced the students' collaborative learning experiences in gerontological clinical settings: student-related, patient-related and learning environment-related factors. According to the results, theoretical studies in combination with collaboration, in an authentic clinical environment, by student nurses, elderly patients, representatives of the elder care staff and nurse educators provide a feasible method for helping students transform their experiences with patients into actual skills. Their awareness of and sensitivity to the needs of the elderly increase as they learn. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Using the Internet for Gerontology Education: Assessing and Improving Wikipedia

    Science.gov (United States)

    Infeld, Donna Lind; Adams, William C.

    2013-01-01

    Older adults, students, professionals, and the general public increasingly turn to the Internet and to Wikipedia for information. Wikipedia, the world's sixth most used website, is by far the most widely used open-source information site. Among its nearly four million English-language encyclopedia articles, how thorough is coverage of key…

  4. Gerontology found me: gaining understanding of advanced practice nurses in geriatrics.

    Science.gov (United States)

    Campbell-Detrixhe, Dia D; Grassley, Jane S; Zeigler, Vicki L

    2013-10-01

    Examining the meanings of the experiences of advanced practice nurses (APNs) who chose to work with older adults and why they continue to work with this population was the focus of this hermeneutic qualitative research study. Twelve geriatric APNs currently practicing in two South Central states were interviewed using an open-ended interview guide. Using Gadamerian hermeneutics, the researchers identified Gerontology Found Me as the significant expression that reflected the fundamental meaning of the experience as a whole. Four themes emerged that further described the meanings of the participants' personal, educational, and professional experiences: Becoming a Gerontology Nurse, Being a Gerontology Nurse, Belonging to Gerontology, and Bringing Others to Gerontology. This study concluded that APNs' personal and professional experiences were more influential than educational experiences to become geriatric nurses, and having these personal and professional experiences of being in relationship with older individuals further contributed to their choice of gerontology.

  5. Higher education in gerontology: A comparison of master's programs in Japan, Taiwan, and Turkey.

    Science.gov (United States)

    Ikeuchi, Tomoko; Lu, Feng-Hwa; Holdsworth, Jason K; Arun, Özgür; Wang, Shan-Tair; Murakami, Ikuko; Osada, Hisao

    2017-01-01

    As of 2015, there is only one master's program of gerontology acknowledged by each of the following countries: Japan, Taiwan, and Turkey. All three programs have fewer than 15 years of history. These three countries differ in society types based on the proportion of older adults, rate of population aging, and population size. However, in terms of gerontological education, they seem to share great commonalities. Common challenges are a lack of awareness of the field of gerontology, insufficient numbers of gerontology programs and faculty members to produce trained gerontologists within society, and the inadequacy of opportunities for trained gerontologists to play an active role in various fields. This study intends not only to compare the differences and similarities among three countries and programs, but also to elucidate characteristics of a unique gerontology program in each country and identify challenges and possibilities from the perspective of gerontological educators.

  6. Toward the realization of a better aged society: messages from gerontology and geriatrics.

    Science.gov (United States)

    Arai, Hidenori; Ouchi, Yasuyoshi; Yokode, Masayuki; Ito, Hideki; Uematsu, Hiroshi; Eto, Fumio; Oshima, Shinichi; Ota, Kikuko; Saito, Yasushi; Sasaki, Hidetada; Tsubota, Kazuo; Fukuyama, Hidenao; Honda, Yoshihito; Iguchi, Akihisa; Toba, Kenji; Hosoi, Takayuki; Kita, Toru

    2012-01-01

    1. Recent medical advancements, and improvements in hygiene and food supply have led to Japan having the longest life expectancy in the world. Over the past 50 years, the percentage of the elderly population has increased fourfold from 5.7% in 1960 to 23.1% in 2010. This change has occurred at the fastest rate in the world. Compared with France, where the percentage of the elderly population has increased just twofold in the past 100 years, Japanese society is aging at an unprecedented rate. In addition, the percentage of the very elderly (aged 75 years and over), comprising more frail people, exceeded 10% of the nation's population in 2008. In such a situation, many elderly Japanese wish to spend their later years healthy, and wish to achieve great accomplishments in their lives. To achieve that, rather than considering an aging population as a negative social phenomenon, we should create a society where elderly people can enjoy a healthy, prosperous life through social participation and contribution. Factors that hamper the elderly from leading a healthy life include various psychological and social problems occurring in older age, as well as a high incidence of diseases. Therefore, gerontology, which focuses on health promotion of the elderly by encompassing the study of social welfare, psychology, environment and social systems; and geriatrics, which focuses on health care of elderly people and carried out research, education and practices to promote health in the elderly, are becoming more important. Furthermore, along with a need for multidisciplinary care to support geriatric medicine, the development of a comprehensive education system for aged-care professionals is awaited. Thus, we should now recognize the importance of gerontology and geriatrics, and a reform of medical-care services should be made in order to cope with the coming aged society. Population aging is a global phenomenon. The actions being taken by Japan, the world's most aged society, have

  7. Efficiency improvement for vehicle powertrains using energy integration techniques

    OpenAIRE

    Dimitrova, Zlatina; Maréchal, François

    2016-01-01

    The main design criteria for the modern sustainable development of vehicle powertrains are the high energy efficiency of the conversion system, the competitive cost and the lowest possible environmental impacts. The need for efficiency improvement of the vehicle energy system induces the search for an innovative methodology during the design process. In this article the energy services for mobility and comfort are integrated. The energy integration of the mobility and the comfort service is a...

  8. Improvement attributes in healthcare: implications for integrated care.

    Science.gov (United States)

    Harnett, Patrick John

    2018-04-16

    Purpose Healthcare quality improvement is a key concern for policy makers, regulators, carers and service users. Despite a contemporary consensus among policy makers that integrated care represents a means to substantially improve service outcomes, progress has been slow. Difficulties achieving sustained improvement at scale imply that methods employed are not sufficient and that healthcare improvement attributes may be different when compared to prior reference domains. The purpose of this paper is to examine and synthesise key improvement attributes relevant to a complex healthcare change process, specifically integrated care. Design/methodology/approach This study is based on an integrative literature review on systemic improvement in healthcare. Findings A central theme emerging from the literature review indicates that implementing systemic change needs to address the relationship between vision, methods and participant social dynamics. Practical implications Accommodating personal and professional network dynamics is required for systemic improvement, especially among high autonomy individuals. This reinforces the need to recognise the change process as taking place in a complex adaptive system where personal/professional purpose/meaning is central to the process. Originality/value Shared personal/professional narratives are insufficiently recognised as a powerful change force, under-represented in linear and rational empirical improvement approaches.

  9. Improving integration for integrated coastal zone management: an eight country study.

    Science.gov (United States)

    Portman, M E; Esteves, L S; Le, X Q; Khan, A Z

    2012-11-15

    Integrated coastal zone management (ICZM) is a widely accepted approach for sustainable management of the coastal environment. ICZM emphasizes integration across sectors, levels of government, uses, stakeholders, and spatial and temporal scales. While improving integration is central to progress in ICZM, the role of and the achievement of integration remain understudied. To further study these two points, our research analyzes the performance of specific mechanisms used to support ICZM in eight countries (Belgium, India, Israel, Italy, Portugal, Sweden, UK, and Vietnam). The assessment is based on a qualitative comparative analysis conducted through the use of two surveys. It focuses on five ICZM mechanisms (environmental impact assessment; planning hierarchy; setback lines; marine spatial planning, and regulatory commission) and their role in improving integration. Our findings indicate that certain mechanisms enhance specific types of integration more effectively than others. Environmental impact assessment enhances science-policy integration and can be useful to integrate knowledge across sectors. Planning hierarchy and regulatory commissions are effective mechanisms to integrate policies across government levels, with the latter also promoting public-government integration. Setback lines can be applied to enhance integration across landscape units. Marine spatial planning is a multi-faceted mechanism with the potential to promote all types of integration. Policy-makers should adopt the mechanisms that are suited to the type of integration needed. Results of this study also contribute to evidence-based coastal management by identifying the most common impediments related to the mechanisms of integration in the eight studied countries. Copyright © 2012 Elsevier B.V. All rights reserved.

  10. INTEGRATED COST MODEL FOR IMPROVING THE PRODUCTION IN COMPANIES

    Directory of Open Access Journals (Sweden)

    Zuzana Hajduova

    2014-12-01

    Full Text Available Purpose: All processes in the company play important role in ensuring functional integrated management system. We point out the importance of need for a systematic approach to the use of quantitative, but especially statistical methods for modelling the cost of the improvement activities that are part of an integrated management system. Development of integrated management systems worldwide leads towards building of systematic procedures of implementation maintenance and improvement of all systems according to the requirements of all the sides involved.Methodology: Statistical evaluation of the economic indicators of improvement costs and the need for a systematic approach to their management in terms of integrated management systems have become a key role also in the management of processes in the company Cu Drôt, a.s. The aim of this publication is to highlight the importance of proper implementation of statistical methods in the process of improvement costs management in the integrated management system of current market conditions and document the legitimacy of a systematic approach in the area of monitoring and analysing indicators of improvement with the aim of the efficient process management of company. We provide specific example of the implementation of appropriate statistical methods in the production of copper wire in a company Cu Drôt, a.s. This publication also aims to create a model for the estimation of integrated improvement costs, which through the use of statistical methods in the company Cu Drôt, a.s. is used to support decision-making on improving efficiency.Findings: In the present publication, a method for modelling the improvement process, by an integrated manner, is proposed. It is a method in which the basic attributes of the improvement in quality, safety and environment are considered and synergistically combined in the same improvement project. The work examines the use of sophisticated quantitative, especially

  11. Intergenerational service learning: to promote active aging, and occupational therapy gerontology practice.

    Science.gov (United States)

    Horowitz, Beverly P; Wong, Stephanie Dapice; Dechello, Karen

    2010-01-01

    Americans are living longer, and the meaning of age has changed, particularly for Boomers and seniors. These demographic changes have economic and social ramifications with implications for health care, including rehabilitation services, and health science education. Service learning is an experiential learning pedagogy that integrates traditional higher education with structured active learning experiences. This article reports on one intergenerational service learning program spanning 3 years. It was designed to facilitate community dialogue on fall prevention and active aging, and to provide intergenerational educational community-based experiences in occupational therapy professional education. The program additionally sought to promote students' understanding of aging and issues related to aging in place, students' professional development and civic engagement, and to encourage students to consider pursuing a career in occupational therapy gerontology practice.

  12. Will Happiness Improve the Psychological Integration of Migrant Workers?

    Science.gov (United States)

    Li, Tian-Cheng; Chu, Chien-Chi; Meng, Fan-Cun; Li, Qin; Mo, Di; Li, Bin; Tsai, Sang-Bing

    2018-05-03

    Happiness is a major factor that influences people’s perceptions and behavior. Two-stage least squares regression was applied to investigate the effect of happiness on the psychological integration of migrant workers in China. The data for a total of 1625 individuals were obtained from the 2014 China Labor-force Dynamics Survey (CLDS). This study describes happiness from three main aspects: happiness, life satisfaction, and economic satisfaction. The psychological integration includes two dimensions of settlement willingness, and trust level; these have gone through dimension-reduced processing by using the weighted average method. The empirical evidence shows, first, that happiness has a significantly positive effect on the psychological integration of migrant workers and second, that the sense of life satisfaction in particular plays a more significant role. The acceleration of the social and political integration in migrant workers will enhance their psychological integration. Additionally, social, cultural and economic integration is found to influence migrant workers’ psychological integration by promoting happiness. Happiness between different generations of migrant workers was found to have a noticeably positive impact on their psychological integration; however, the happiness of the younger migrant workers was more perceivable than that of the other generations. Preferential policies should therefore be provided to improve the happiness of migrant workers.

  13. Will Happiness Improve the Psychological Integration of Migrant Workers?

    Science.gov (United States)

    Li, Qin; Mo, Di; Li, Bin

    2018-01-01

    Happiness is a major factor that influences people’s perceptions and behavior. Two-stage least squares regression was applied to investigate the effect of happiness on the psychological integration of migrant workers in China. The data for a total of 1625 individuals were obtained from the 2014 China Labor-force Dynamics Survey (CLDS). This study describes happiness from three main aspects: happiness, life satisfaction, and economic satisfaction. The psychological integration includes two dimensions of settlement willingness, and trust level; these have gone through dimension-reduced processing by using the weighted average method. The empirical evidence shows, first, that happiness has a significantly positive effect on the psychological integration of migrant workers and second, that the sense of life satisfaction in particular plays a more significant role. The acceleration of the social and political integration in migrant workers will enhance their psychological integration. Additionally, social, cultural and economic integration is found to influence migrant workers’ psychological integration by promoting happiness. Happiness between different generations of migrant workers was found to have a noticeably positive impact on their psychological integration; however, the happiness of the younger migrant workers was more perceivable than that of the other generations. Preferential policies should therefore be provided to improve the happiness of migrant workers. PMID:29751489

  14. Driving Performance Improvements by Integrating Competencies with Human Resource Practices

    Science.gov (United States)

    Lee, Jin Gu; Park, Yongho; Yang, Gi Hun

    2010-01-01

    This study explores the issues in the development and application of a competency model and provides implications for more precise integration of competencies into human resource (HR) functions driving performance improvement. This research is based on a case study from a Korean consumer corporation. This study employed document reviews,…

  15. Improving Acceptance, Integration, and Health Among LGBT Service Members

    Science.gov (United States)

    2017-10-01

    through multiple rounds of internal testing and quality assurance procedures. Recruitment for the Phase II survey was initiated on August 25, 2017...Award Numbers: W81XWH-15-1-0701 Title: Improving Acceptance, Integration, and Health Among LGBT Service Members Principal Investigators...burden to Department of Defense, Washington Headquarters Services , Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis

  16. [Physical and pharmacological restraints in geriatric and gerontology services and centers].

    Science.gov (United States)

    Ramos Cordero, Primitivo; López Trigo, José Antonio; Maíllo Pedraz, Herminio; Paz Rubio, José María

    2015-01-01

    Physical and pharmacological restraints are a controversial issue in the context of geriatric care due to their moral, ethical, social and legal repercussions and, despite this fact, no specific legislation exists at a national level. The use of restraints is being questioned with growing frequency, as there are studies that demonstrate that restraints do not reduce the number of falls or their consequences, but rather can increase them, cause complications, injuries and potentially fatal accidents. Restraints are not always used rationally, despite compromising a fundamental human right, that is, freedom, protected in the Constitution, as well as values and principles, such as dignity and personal self-esteem. There are centers where restraints are applied to more than 50% of patients, and in some cases without the consent of their legal representatives. On some occasions, restraints are used for attaining organizational or environmental objectives, such as complying with tight schedules, and for reducing or avoiding the supervision of patients who walk erratically and, at times, are used indefinitely. Even greater confusion exists with respect to the emerging concept of chemical or pharmacological restraints, since no conceptual framework exists based on scientific evidence, and with sufficient consensus for guiding healthcare workers. In this context, the Sociedad Española de Geriatría y Gerontología (SEGG--Spanish Geriatrics and Gerontology Society), aware of the significance and transcendence of the issue, and in an attempt to preserve and guarantee maximum freedom, dignity and self-esteem, on the one hand, and to ensure the maximum integrity and legal certainty of the persons cared for in geriatric and gerontology services and centers, on the other, decided to create an "Interdisciplinary Committee on Restraints" made up by members from different disciplines and members of SEGG Working Groups or Committees, external health care workers, groups

  17. Integrating patient satisfaction into performance measurement to meet improvement challenges.

    Science.gov (United States)

    Smith, J E; Fisher, D L; Endorf-Olson, J J

    2000-05-01

    A Value Compass has been proposed to guide health care data collection. The "compass corners" represent the four types of data needed to meet health care customer expectations: appropriate clinical outcomes, improved functional status, patient satisfaction, and appropriate costs. Collection of all four types of data is necessary to select processes in need of improvement, guide improvement teams, and monitor the success of improvement efforts. INTEGRATED DATA AT BRYANLGH: BryanLGH Medical Center in Lincoln, Nebraska, has adopted multiple performance measurement systems to collect clinical outcome, financial, and patient satisfaction data into integrated databases. Data integration allows quality professionals at BryanLGH to identify quality issues from multiple perspectives and track the interrelated effects of improvement efforts. A CASE EXAMPLE: Data from the fourth quarter of 1997 indicated the need to improve processes related to cesarean section (C-section) deliveries. An interdisciplinary team was formed, which focused on educating nurses, physicians, and the community about labor support measures. Physicians were given their own rates of C-section deliveries. The C-section rate decreased from 27% to 19%, but per-case cost increased. PickerPLUS+ results indicated that BryanLGH obstetric patients reported fewer problems with receiving information than the Picker norm, but they reported more problems with the involvement of family members and friends. The data collected so far have indicated a decrease in the C-section rate and a need to continue to work on cost and psychosocial issues. A complete analysis of results was facilitated by integrated performance management systems. Successes have been easily tracked over time, and the need for further work on related processes has been clearly identified.

  18. Improvement of Engineering Work Efficiency through System Integration

    International Nuclear Information System (INIS)

    Lee, Sangdae; Jo, Sunghan; Hyun, Jinwoo

    2016-01-01

    This paper presents the concept of developing an integrated engineering system for ER to improve efficiency and utilization of engineering system. Each process including computer system and database was introduced separately by each department at that different time. Each engineering process has a close relation with other engineering processes. The introduction of processes in a different time has caused the several problems such as lack of interrelationship between engineering processes, lack of integration fleet-wide statistical data, lack of the function of data comparison among plants and increase of access time by different access location on internet. These problems have caused inefficiency of engineering system utilization to get proper information and degraded engineering system utilization. KHNP has introduced and conducted advanced engineering processes to maintain equipment effectively in a highly reliable condition since 2000s. But engineering systems for process implementation have been developed in each department at a different time. This has caused the problems of process inefficiency and data discordance. Integrated Engineering System(IES) to integrate dispersed engineering processes will improve work efficiency and utilization of engineering system because integration system would enable engineer to get total engineering information easily and do engineering work efficiently

  19. Improvement of Engineering Work Efficiency through System Integration

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Sangdae; Jo, Sunghan; Hyun, Jinwoo [KHNP CRI, Daejeon (Korea, Republic of)

    2016-10-15

    This paper presents the concept of developing an integrated engineering system for ER to improve efficiency and utilization of engineering system. Each process including computer system and database was introduced separately by each department at that different time. Each engineering process has a close relation with other engineering processes. The introduction of processes in a different time has caused the several problems such as lack of interrelationship between engineering processes, lack of integration fleet-wide statistical data, lack of the function of data comparison among plants and increase of access time by different access location on internet. These problems have caused inefficiency of engineering system utilization to get proper information and degraded engineering system utilization. KHNP has introduced and conducted advanced engineering processes to maintain equipment effectively in a highly reliable condition since 2000s. But engineering systems for process implementation have been developed in each department at a different time. This has caused the problems of process inefficiency and data discordance. Integrated Engineering System(IES) to integrate dispersed engineering processes will improve work efficiency and utilization of engineering system because integration system would enable engineer to get total engineering information easily and do engineering work efficiently.

  20. Integrating health promotion with quality improvement in a Swedish hospital.

    Science.gov (United States)

    Astnell, Sandra; von Thiele Schwarz, Ulrica; Hasson, Henna; Augustsson, Hanna; Stenfors-Hayes, Terese

    2016-09-01

    Integration of workplace employee health promotion (HP) and occupational health and safety (OHS) work into organizational quality improvement systems is suggested as a way to strengthen HP and OHS activities in an organization. The aim of this article was to study what consequences integration of HP, OHS and a quality improvement system called kaizen has on the frequency and type of HP and OHS activities. A quasi-experimental study design was used where an integration of the three systems for HP, OHS respectively kaizen, was performed at six intervention units at a Swedish hospital. The remaining six units served as controls. Document analysis of all employees' written improvement suggestions (kaizen notes) during 2013 was conducted. The findings show that the intervention group had more suggestions concerning HP and OHS (n = 114) when compared with the control group (n = 78) and a greater variety of HP and OHS suggestions. In addition, only the intervention group had included HP aspects. In both groups, most kaizen notes with health consideration had a preventive focus rather than rehabilitative. The intervention, i.e. the integration of HP, OHS and kaizen work, had a favourable effect on HP and OHS work when compared with the controls. The results of the study support that this system can work in practice at hospitals. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  1. Improving Construction Process through Integration and Concurrent Engineering

    Directory of Open Access Journals (Sweden)

    Malik Khalfan

    2012-11-01

    Full Text Available In an increasingly competitive business environment, improvedtime-to-market, reduced production cost, quality of the productand customer involvement are rapidly becoming the key successfactors for any product development process. Consequently, mostorganisations are moving towards the adoption of latest technologyand new management concepts and philosophies such as totalquality management and concurrent engineering (CE to bringimprovement in their product development process. This paperdiscusses the adoption of integrated processes and CE withinthe construction industry to enable construction organisations toimprove their project development process. It also discusses aproposed integrated database model for the construction projects,which should enable the construction process to improve, becomemore effective and more efficient.

  2. Mentoring in Gerontology Doctoral Education: The Role of Elders in Mentoring Gerontologists

    Science.gov (United States)

    Wangmo, Tenzin; Ewen, Heidi H.; Webb, Alicia K.; Teaster, Pamela B.; Russell Hatch, Laurie

    2009-01-01

    This study examined elder mentors' and students' roles, functions, and satisfaction with the Elder Mentorship program at the Graduate Center for Gerontology, University of Kentucky. The Elder Mentorship program matches gerontology doctoral students with older adults in the community. Parallel surveys were constructed to evaluate the program from…

  3. Gerontology Programs in Japanese Higher Education: A Brief History, Current Status, and Future Prospects

    Science.gov (United States)

    Tsukada, Noriko; Tatara, Toshio

    2005-01-01

    The development of gerontological education is lagging behind in Japan in spite of Japan's large population of elders. Nevertheless, there are signs that this may be changing. In this paper we discuss how gerontology education has evolved in Japan over the past 40 years. Specifically, we provide an overview of the development of academic societies…

  4. Theoretically Based Pedagogical Strategies Leading to Deep Learning in Asynchronous Online Gerontology Courses

    Science.gov (United States)

    Majeski, Robin; Stover, Merrily

    2007-01-01

    Online learning has enjoyed increasing popularity in gerontology. This paper presents instructional strategies grounded in Fink's (2003) theory of significant learning designed for the completely asynchronous online gerontology classroom. It links these components with the development of mastery learning goals and provides specific guidelines for…

  5. Gerontology Content in MSW Curricula and Student Attitudes toward Older Adults

    Science.gov (United States)

    Olson, Mark D.

    2007-01-01

    The unprecedented growth in the nation's older adult population has called attention to the increasing need for geriatric social workers. However, research suggests that social work students hold ageist attitudes that prevent many from pursuing careers in gerontology. The present study sought to identify student perceptions of gerontology content…

  6. GAMDB: a web resource to connect microRNAs with autophagy in gerontology.

    Science.gov (United States)

    Zhang, Lan; Xie, Tao; Tian, Mao; Li, Jingjing; Song, Sicheng; Ouyang, Liang; Liu, Bo; Cai, Haoyang

    2016-04-01

    MicroRNAs (miRNAs) are endogenous ~23 nucleotides (nt) RNAs, regulating gene expression by pairing to the mRNAs of protein-coding genes to direct their post-transcriptional repression. Both in normal and aberrant activities, miRNAs contribute to a recurring paradigm of cellular behaviors in pathological settings, especially in gerontology. Autophagy, a multi-step lysosomal degradation process with function to degrade long-lived proteins and damaged organelles, has significant impact on gerontology. Thus, elucidating how miRNAs participate in autophagy may enlarge the scope of miRNA in autophagy and facilitate researches in gerontology. Herein, based upon the published studies, predicted targets and gerontology-related diseases, we constructed a web resource named Gerontology-Autophagic-MicroRNA Database (GAMDB) (http://gamdb.liu-lab.com/index.php), which contained 836 autophagy-related miRNAs, 197 targeted genes/proteins and 56 aging-related diseases such as Parkinson' disease, Alzheimer's disease and Huntington's disease. We made use of large amounts of data to elucidate the intricate relationships between microRNA-regulated autophagic mechanisms and gerontology. This database will facilitate better understanding of autophagy regulation network in gerontology and thus promoting gerontology-related therapy in the future. © 2016 John Wiley & Sons Ltd.

  7. Self-Assessment of Gerontology Teaching Practice: A First-Step in Enhancing Student Learning

    Science.gov (United States)

    VonDras, Dean D.

    2008-01-01

    This article discusses self-assessment of gerontology teaching practice. Through a process of self-reflection one may find insight into their teaching and, concomitantly, develop best-practices for enhancing student learning in gerontology. A self-assessment framework is presented, illuminating best-practices in the areas of the lecture-discussion…

  8. Oral History in the Classroom: A Comparison of Traditional and On-Line Gerontology Classes

    Science.gov (United States)

    Ehlman, Katie; Ligon, Mary; Moriello, Gabriele; Welleford, E. Ayn; Schuster, Kirsten

    2011-01-01

    In this study, the effectiveness of an oral history assignment was assessed in a traditional gerontology class versus a distance education (DE) gerontology class. Attitudes toward older adults and the aging process were measured before and after students in the traditional (n = 29) and DE (n = 16) setting completed an oral history assignment.…

  9. The Current State and Developments in Higher Education in Gerontology in the Nordic Countries

    Science.gov (United States)

    Hietanen, Heidi; Lyyra, Tiina-Mari; Parkatti, Terttu; Heikkinen, Eino

    2012-01-01

    The growing size of the older population challenges not only researchers but also higher education in gerontology. On the basis of an online survey the authors describe the situation of Nordic higher education in gerontology in 2008 and 2009 and also give some good examples of Nordic- and European-level collaboration. The survey results showed…

  10. Continuous improvement of the BNFL transport integrated management system

    International Nuclear Information System (INIS)

    Hale, J.A.

    1998-01-01

    The integrated Management System of BNFL Transport and Pacific Nuclear Transport Limited (PNTL) is subject to continuous improvement by the application of established improvement techniques adopted by BNFL. The technique currently being used is the application of a Total Quality Management (TQM) philosophy, involving the identification of key processes, benchmarking against existing measures, initiating various improvement projects and applying process changes within the Company. The measurement technique being used is based upon the European Foundation for Quality Management Model (EFQM). A major initiative was started in 1996 to include the requirements of the Environmental Management Systems standard ISO 14001 within the existing integrated management system. This resulted in additional activities added to the system, modification to some existing activities and additional training for personnel. The system was audited by a third party certification organisation, Lloyds Register Quality Assurance (LRQA), during 1997. This paper describes the arrangements to review and update the integrated management system of BNFL Transport and PNTL to include the requirements of the environmental standard ISO 14001 and it also discusses the continuous improvement process adopted by BNFL Transport. (authors)

  11. Electronics/avionics integrity - Definition, measurement and improvement

    Science.gov (United States)

    Kolarik, W.; Rasty, J.; Chen, M.; Kim, Y.

    The authors report on the results obtained from an extensive, three-fold research project: (1) to search the open quality and reliability literature for documented information relative to electronics/avionics integrity; (2) to interpret and evaluate the literature as to significant concepts, strategies, and tools appropriate for use in electronics/avionics product and process integrity efforts; and (3) to develop a list of critical findings and recommendations that will lead to significant progress in product integrity definition, measurement, modeling, and improvements. The research consisted of examining a broad range of trade journals, scientific journals, and technical reports, as well as face-to-face discussions with reliability professionals. Ten significant recommendations have been supported by the research work.

  12. Elderly patients with Vascular Brain Accident: A gerontogeriatric vision, from a literature review of studies published in the Journal Kairos Gerontology

    OpenAIRE

    Ana Cristina dos Santos Silva; Flamínia Manzano Moreira Lodovici; Ruth Gelehrter da Costa Lopes; Maria Helena Villas Bôas Concone

    2015-01-01

    This research aimed to assess the work published in the journal Kairos Gerontology, from 1998 to 2014, with the theme: elderly affected by cerebrovascular accident. It was intended to be a reflection of the importance of this thematic gerontogeriatria, contributing to the social integration of older persons, from a holistic look. At the end of this survey, we can affirm the importance of respect to reality of these elderly people in its context of life, as well as preventive measures in prima...

  13. Improving Acceptance, Integration and Health among LGBT Service Members

    Science.gov (United States)

    2017-10-01

    these stressors on LGBT service members is poorly understood, with very little data available on the unique physical and mental health needs of these...Bullying • Overall health • Healthcare utilization • Lost duty days • Sick call visits • Physical health symptoms • Sexual/gender identity disclosure...Award Numbers: W81XWH-15-1-0699 Title: Improving Acceptance, Integration and Health among LGBT Service Members Principal Investigators: Jeremy

  14. INTEGRATION MECHANISMS OF IMPROVEMENT OF HUMAN RESOURCES MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Vera A. Akimenko

    2013-01-01

    Full Text Available In the current economic conditions, the efficiency of business processes of an organization is determined by the quality of the staff. Therefore, actual is the creation and application of new approaches to the management of human re-sources. The article presents a comparative analysis of management practices and their impact on the effectiveness of personnel management, the mechanism of their integration to improve the efficiency of the process.

  15. Development and improvement of the integrated system of management

    Directory of Open Access Journals (Sweden)

    Lukmanova Inessa Galeevna

    2014-07-01

    Full Text Available Integrated management system construction can be considered a way that transforms using business processes and information resources into final construction products. Autonomous system of quality management, environmental, health and safety organizations introduction usually lead to the accumulation of duplicate documents, which increase the time spent on processing and analysis as well as increase the financial costs of maintaining the operation of each of them separately. System integration allows reducing these costs and entailing the most obvious benefits: reduced volumes of documents; reduction of time spent on analysis; reducing the cost of audit and certification; involvement of all the employees of the organization; productivity growth; increasing the attractiveness for consumers; reducing the burden on administrative and executive devices; ensuring a high level of flexibility in the organization's management system in case of internal and external changes. Integration of quality management systems, environmental management and safety management systems, production and safety led to the possibility to establish such integrated management system in developing building companies, which allows establishing a unified management system, as an element of management of organization. The main drawback of the currently used standards and specifications is the lack of flexibility of their application, as well as the basic principles and approaches to their implementation. Thus, knowing about what the system should be, but not knowing how to create it, many organizations have to operate without methodological support. Absence of mandatory standards concerning integration of management systems creates opportunities for the existence of multiple options for interaction systems. Economic effects on the integrated management system is formed from three sources: the reduction of production costs by improving product quality and reducing defects and

  16. Improved parallel solution techniques for the integral transport matrix method

    Energy Technology Data Exchange (ETDEWEB)

    Zerr, R. Joseph, E-mail: rjz116@psu.edu [Department of Mechanical and Nuclear Engineering, The Pennsylvania State University, University Park, PA (United States); Azmy, Yousry Y., E-mail: yyazmy@ncsu.edu [Department of Nuclear Engineering, North Carolina State University, Burlington Engineering Laboratories, Raleigh, NC (United States)

    2011-07-01

    Alternative solution strategies to the parallel block Jacobi (PBJ) method for the solution of the global problem with the integral transport matrix method operators have been designed and tested. The most straightforward improvement to the Jacobi iterative method is the Gauss-Seidel alternative. The parallel red-black Gauss-Seidel (PGS) algorithm can improve on the number of iterations and reduce work per iteration by applying an alternating red-black color-set to the subdomains and assigning multiple sub-domains per processor. A parallel GMRES(m) method was implemented as an alternative to stationary iterations. Computational results show that the PGS method can improve on the PBJ method execution time by up to 10´ when eight sub-domains per processor are used. However, compared to traditional source iterations with diffusion synthetic acceleration, it is still approximately an order of magnitude slower. The best-performing cases are optically thick because sub-domains decouple, yielding faster convergence. Further tests revealed that 64 sub-domains per processor was the best performing level of sub-domain division. An acceleration technique that improves the convergence rate would greatly improve the ITMM. The GMRES(m) method with a diagonal block pre conditioner consumes approximately the same time as the PBJ solver but could be improved by an as yet undeveloped, more efficient pre conditioner. (author)

  17. Improved parallel solution techniques for the integral transport matrix method

    International Nuclear Information System (INIS)

    Zerr, R. Joseph; Azmy, Yousry Y.

    2011-01-01

    Alternative solution strategies to the parallel block Jacobi (PBJ) method for the solution of the global problem with the integral transport matrix method operators have been designed and tested. The most straightforward improvement to the Jacobi iterative method is the Gauss-Seidel alternative. The parallel red-black Gauss-Seidel (PGS) algorithm can improve on the number of iterations and reduce work per iteration by applying an alternating red-black color-set to the subdomains and assigning multiple sub-domains per processor. A parallel GMRES(m) method was implemented as an alternative to stationary iterations. Computational results show that the PGS method can improve on the PBJ method execution time by up to 10´ when eight sub-domains per processor are used. However, compared to traditional source iterations with diffusion synthetic acceleration, it is still approximately an order of magnitude slower. The best-performing cases are optically thick because sub-domains decouple, yielding faster convergence. Further tests revealed that 64 sub-domains per processor was the best performing level of sub-domain division. An acceleration technique that improves the convergence rate would greatly improve the ITMM. The GMRES(m) method with a diagonal block pre conditioner consumes approximately the same time as the PBJ solver but could be improved by an as yet undeveloped, more efficient pre conditioner. (author)

  18. Numerical Simulation of Antennas with Improved Integral Equation Method

    International Nuclear Information System (INIS)

    Ma Ji; Fang Guang-You; Lu Wei

    2015-01-01

    Simulating antennas around a conducting object is a challenge task in computational electromagnetism, which is concerned with the behaviour of electromagnetic fields. To analyze this model efficiently, an improved integral equation-fast Fourier transform (IE-FFT) algorithm is presented in this paper. The proposed scheme employs two Cartesian grids with different size and location to enclose the antenna and the other object, respectively. On the one hand, IE-FFT technique is used to store matrix in a sparse form and accelerate the matrix-vector multiplication for each sub-domain independently. On the other hand, the mutual interaction between sub-domains is taken as the additional exciting voltage in each matrix equation. By updating integral equations several times, the whole electromagnetic system can achieve a stable status. Finally, the validity of the presented method is verified through the analysis of typical antennas in the presence of a conducting object. (paper)

  19. Independent community care gerontological nursing: becoming an entrepreneur.

    Science.gov (United States)

    Caffrey, Rosalie A

    2005-08-01

    Few nurses have the experience of developing an independent practice. This ethnographic study explores the process and challenges of becoming an entrepreneur as described by nurses developing independent practices in community care gerontologic nursing. The process included developing a legal contract, marketing strategies, and reimbursement amounts and strategies. Major barriers to implementing this role identified by the nurses included ignorance and confusion by others about their role, financial issues related to an uncertain income, time management, and legal concerns especially around delegation. These were experienced and dedicated nurses who were also risk-takers and enjoyed the independence of practicing nursing because they believed it was meant to be practiced. Suggestions for research, education, and practice are included.

  20. Job Satisfaction Among Gerontological Social Workers in Ontario, Canada.

    Science.gov (United States)

    Simons, Kelsey; An, Sofiya

    2015-01-01

    Little is known about job satisfaction among Canada's social work workforce in aging, although social workers remain a key component of interdisciplinary care in health and social service settings. This study begins to address this gap in knowledge by examining individual, interpersonal, and job-design factors influencing the job satisfaction of gerontological social workers in Ontario. Data were collected via two online surveys with a sample drawn from the Ontario Association of Social Workers' membership list (N = 104). A multiple regression model explained 37% of the variance in job satisfaction, F = 5.47[10, 93], p social work clinicians, and providing educational and clinical supports to clinicians.

  1. Practical theologians’ calling to serve in the field of gerontology

    Directory of Open Access Journals (Sweden)

    Petria M. Theron

    2013-08-01

    Full Text Available The South African demographic statistics echo the global trend of an ageing population. This fact poses challenges to the country’s labour supply, to health care, retirement and intergenerational relations. The elderly are faced with specific challenges such as negative views regarding older people, discrimination and prejudice based on age, changing roles, the loss of a support system when children emigrate, financial problems, abuse and neglect, emotions of fear and depression, and the struggle to find meaning in life and suffering. The field of study that concerns ageing and older adulthood is called gerontology. Joan Erber defines it as ‘the study of the biological, behavioural, and social phenomena that occur from the point of maturity to old age.’ It is an interdisciplinary field where different disciplines seek to address the problems associated with ageing. Biologists focus on the biological processes of ageing, psychologists focus on aspects like mental abilities, personality and behaviour, whilst sociologists study the social roles, group behaviour and status of older people. The question may be asked what is being done regarding the spiritual and emotional needs of the elderly. This is the niche of practical theology, as indicated by one definition of practical theology that it is ‘a place where religious belief, tradition and practice meet contemporary experiences, questions and actions and conducts a dialogue that is mutually enriching, intellectually critical, and practically transforming’ according to Pattison and Woodward. The aims of this exploratory article are (1 to investigate to what extent research in practical theology has addressed the spiritual and emotional needs of the elderly and (2 to identify opportunities where practical theology may provide service in the field of gerontology.

  2. An Integrated Care Initiative to Improve Patient Outcome in Schizophrenia.

    Science.gov (United States)

    Mayer-Amberg, Norbert; Woltmann, Rainer; Walther, Stefanie

    2015-01-01

    The optimal treatment of schizophrenia patients requires integration of medical and psychosocial inputs. In Germany, various health-care service providers and institutions are involved in the treatment process. Early and continuous treatment is important but often not possible because of the fragmented medical care system in Germany. The Integrated Care Initiative Schizophrenia has implemented a networked care concept in the German federal state of Lower Saxony that integrates various stakeholders of the health care system. In this initiative, office-based psychiatrists, specialized nursing staff, psychologists, social workers, hospitals, psychiatric institutional outpatient's departments, and other community-based mental health services work together in an interdisciplinary approach. Much emphasis is placed on psychoeducation. Additional efforts cover socio-therapy, visiting care, and family support. During the period from October 2010 (start of the initiative) to December 2012, first experiences and results of quality indicators were collected of 713 registered patients and summarized in a quality monitoring report. In addition, standardized patient interviews were conducted, and duration of hospital days was recorded in 2013. By the end of 2012, patients had been enrolled for an average of 18.7 months. The overall patient satisfaction measured in a patient survey in June 2013 was high and the duration of hospital days measured in a pre-post analysis in July 2013 was reduced by 44%. Two years earlier than planned, the insurance fund will continue the successfully implemented Integrated Care Initiative and adopt it in the regular care setting. This initiative can serve as a learning case for how to set up and measure integrated care systems that may improve outcomes for patients suffering from schizophrenia.

  3. An Integrated Care Initiative to Improve Patient Outcome in Schizophrenia

    Directory of Open Access Journals (Sweden)

    Norbert eMayer-Amberg

    2016-01-01

    Full Text Available The optimal treatment of schizophrenia patients requires integration of medical and psychosocial inputs. In Germany, various healthcare service providers and institutions are involved in the treatment process. Early and continuous treatment is important but often not possible because of the fragmented medical care system in Germany. The current work is a quality monitoring report of a novel care setting, called Integrated Care Initiative Schizophrenia. It has implemented a networked care concept in the German federal state of Lower Saxony that integrates various stakeholders of the health care system. In this initiative, office-based psychiatrists, specialised nursing staff, psychologists, social workers, hospitals, psychiatric institutional outpatient’s departments and other community-based mental health services work together in an interdisciplinary approach. Much emphasis is placed on psychoeducation. Additional efforts cover socio-therapy, visiting care, and family support. During the period from October 2010 (start of the initiative to December 2012, first experiences and results of quality indicators were collected of 713 registered patients and summarised in a quality monitoring report. In addition, standardised patient interviews were conducted, and duration of hospital days was recorded in 2013. By the end of 2012, patients had been enrolled for an average of 18.7 months. The overall patient satisfaction measured in a patient survey in June 2013 was high and the duration of hospital days measured in a pre-post analysis in July 2013 was reduced by 44%. Two years earlier than planned, the insurance fund will continue the successfully implemented integrated care initiative and adopt it in the regular care setting. This initiative can serve as a learning case for how to set up and measure integrated care systems that may improve outcomes for patients suffering from schizophrenia.

  4. Integrating empowerment evaluation and quality improvement to achieve healthcare improvement outcomes

    Science.gov (United States)

    Wandersman, Abraham; Alia, Kassandra Ann; Cook, Brittany; Ramaswamy, Rohit

    2015-01-01

    While the body of evidence-based healthcare interventions grows, the ability of health systems to deliver these interventions effectively and efficiently lags behind. Quality improvement approaches, such as the model for improvement, have demonstrated some success in healthcare but their impact has been lessened by implementation challenges. To help address these challenges, we describe the empowerment evaluation approach that has been developed by programme evaluators and a method for its application (Getting To Outcomes (GTO)). We then describe how GTO can be used to implement healthcare interventions. An illustrative healthcare quality improvement example that compares the model for improvement and the GTO method for reducing hospital admissions through improved diabetes care is described. We conclude with suggestions for integrating GTO and the model for improvement. PMID:26178332

  5. Integrating empowerment evaluation and quality improvement to achieve healthcare improvement outcomes.

    Science.gov (United States)

    Wandersman, Abraham; Alia, Kassandra Ann; Cook, Brittany; Ramaswamy, Rohit

    2015-10-01

    While the body of evidence-based healthcare interventions grows, the ability of health systems to deliver these interventions effectively and efficiently lags behind. Quality improvement approaches, such as the model for improvement, have demonstrated some success in healthcare but their impact has been lessened by implementation challenges. To help address these challenges, we describe the empowerment evaluation approach that has been developed by programme evaluators and a method for its application (Getting To Outcomes (GTO)). We then describe how GTO can be used to implement healthcare interventions. An illustrative healthcare quality improvement example that compares the model for improvement and the GTO method for reducing hospital admissions through improved diabetes care is described. We conclude with suggestions for integrating GTO and the model for improvement. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. “Exchange of letters between generations”: Gerontological intergenerational project, carried out in a elderly long-term institution of São Paulo

    Directory of Open Access Journals (Sweden)

    Marcelo Piovezan

    2015-12-01

    Full Text Available The work promoted a gerontological action through anonymous letters that provided intergenerational link between institutionalized elderly and high school students. Allowed the inclusion of the elderly aiming positive impact on their depression and provided positive promotion on aging to the students. The intervention showed the possibility to establish links between the elderly and the young students, improving their sense of belonging, self-efficacy and better self-esteem.  

  7. Improving occupational safety and health by integration into product development

    DEFF Research Database (Denmark)

    Broberg, Ole

    1996-01-01

    A cross-sectional case study was performed in a large company producing electro-mechanical products for industrial application. The objectives were: (i) to study the product development process and the role of key actors', (ii) to identify current practice on integrating occupational safety and h...... and studies of documents. A questionnaire regarding product development tasks and occupational safety and health were distributed to 30 design and production engineers. A total of 27 completed the questionnaire corresponding to a response rate of 90 per cent.......A cross-sectional case study was performed in a large company producing electro-mechanical products for industrial application. The objectives were: (i) to study the product development process and the role of key actors', (ii) to identify current practice on integrating occupational safety...... and health into the development process, especially the efforts and attitudes of design and production engineers', and (iii) to identify key actors'reflections on how to improve this integration. The study was based on qualitative as well as quantitative methods including interviews, questionnaires...

  8. Converging Technologies for Improving Human Performance: Integrating From the Nanoscale

    International Nuclear Information System (INIS)

    Roco, M.C.; Bainbridge, W.S.

    2002-01-01

    In the early decades of the twenty-first century, concentrated efforts can unify science based on the unity of nature, thereby advancing the combination of nanotechnology, biotechnology, information technology, and new humane technologies based in cognitive science. Converging technologies integrated from the nanoscale could determine a tremendous improvement in human abilities and societal outcomes. This is a broad, cross cutting, emerging, and timely opportunity of interest to individuals, society, and humanity in the long term.About eighty scientific leaders, industry experts, and policy makers across a range of fields have contributed to develop a vision for the potential to improve human physical, mental, and social capabilities through the convergence of the four technologies. Six major themes have emerged: (a) The broad potential of converging technologies; (b) Expanding human cognition and communication; (c) Improving human health and physical capabilities; (d) Enhancing group and societal outcomes; (e) National security, and (f) Unifying science and education. This article summarizes the observations, conclusions, and recommendations made in the report (Roco and Bainbridge, eds., 2002. Converging Technologies for Improving Human Performance, NSF-DOC Report, June 2002, Arlington VA, USA)

  9. NASA Remote Sensing Technologies for Improved Integrated Water Resources Management

    Science.gov (United States)

    Toll, D. L.; Doorn, B.; Searby, N. D.; Entin, J. K.; Lee, C. M.

    2014-12-01

    This presentation will emphasize NASA's water research, applications, and capacity building activities using satellites and models to contribute to water issues including water availability, transboundary water, flooding and droughts for improved Integrated Water Resources Management (IWRM). NASA's free and open exchange of Earth data observations and products helps engage and improve integrated observation networks and enables national and multi-national regional water cycle research and applications that are especially useful in data sparse regions of most developing countries. NASA satellite and modeling products provide a huge volume of valuable data extending back over 50 years across a broad range of spatial (local to global) and temporal (hourly to decadal) scales and include many products that are available in near real time (see earthdata.nasa.gov). To further accomplish these objectives NASA works to actively partner with public and private groups (e.g. federal agencies, universities, NGO's, and industry) in the U.S. and international community to ensure the broadest use of its satellites and related information and products and to collaborate with regional end users who know the regions and their needs best. Key objectives of this talk will highlight NASA's Water Resources and Capacity Building Programs with their objective to discover and demonstrate innovative uses and practical benefits of NASA's advanced system technologies for improved water management in national and international applications. The event will help demonstrate the strong partnering and the use of satellite data to provide synoptic and repetitive spatial coverage helping water managers' deal with complex issues. The presentation will also demonstrate how NASA is a major contributor to water tasks and activities in GEOSS (Global Earth Observing System of Systems) and GEO (Group on Earth Observations).

  10. Topics in space gerontology: Effects of altered gravity and the problem of biological age

    Science.gov (United States)

    Economos, A. C.

    1982-01-01

    The use of altered gravity experimentation as a gerontological research tool is examined and a rationale for a systems approach to the adaptation to spaceflight is presented. The dependence of adaptation capacity on biological age is also discussed.

  11. Beyond Assessment: Conducting Theoretically Grounded Research on Service-Learning in Gerontology Courses.

    Science.gov (United States)

    Kruger, Tina M; Pearl, Andrew J

    2016-01-01

    Service-learning is a useful pedagogical tool and high-impact practice, providing multiple benefits. Gerontology (and other) courses frequently include service-learning activities but lack theory-based, intentional research on outcomes. Here, the authors define service-learning and contextualize it in higher education, provide an overview of research and assessment in service-learning and gerontology courses, demonstrate the shortcomings of program evaluations, and offer suggestions for future research to advance and generate theory.

  12. Improving basic math skills through integrated dynamic representation strategies.

    Science.gov (United States)

    González-Castro, Paloma; Cueli, Marisol; Cabeza, Lourdes; Álvarez-García, David; Rodríguez, Celestino

    2014-01-01

    In this paper, we analyze the effectiveness of the Integrated Dynamic Representation strategy (IDR) to develop basic math skills. The study involved 72 students, aged between 6 and 8 years. We compared the development of informal basic skills (numbers, comparison, informal calculation, and informal concepts) and formal (conventionalisms, number facts, formal calculus, and formal concepts) in an experimental group (n = 35) where we applied the IDR strategy and in a Control group (n = 37) in order to identify the impact of the procedure. The experimental group improved significantly in all variables except for number facts and formal calculus. It can therefore be concluded that IDR favors the development of the skills more closely related to applied mathematics than those related to automatic mathematics and mental arithmetic.

  13. Improving Microbial Genome Annotations in an Integrated Database Context

    Science.gov (United States)

    Chen, I-Min A.; Markowitz, Victor M.; Chu, Ken; Anderson, Iain; Mavromatis, Konstantinos; Kyrpides, Nikos C.; Ivanova, Natalia N.

    2013-01-01

    Effective comparative analysis of microbial genomes requires a consistent and complete view of biological data. Consistency regards the biological coherence of annotations, while completeness regards the extent and coverage of functional characterization for genomes. We have developed tools that allow scientists to assess and improve the consistency and completeness of microbial genome annotations in the context of the Integrated Microbial Genomes (IMG) family of systems. All publicly available microbial genomes are characterized in IMG using different functional annotation and pathway resources, thus providing a comprehensive framework for identifying and resolving annotation discrepancies. A rule based system for predicting phenotypes in IMG provides a powerful mechanism for validating functional annotations, whereby the phenotypic traits of an organism are inferred based on the presence of certain metabolic reactions and pathways and compared to experimentally observed phenotypes. The IMG family of systems are available at http://img.jgi.doe.gov/. PMID:23424620

  14. Pursuing Improvement in Clinical Reasoning: The Integrated Clinical Education Theory.

    Science.gov (United States)

    Jessee, Mary Ann

    2018-01-01

    The link between clinical education and development of clinical reasoning is not well supported by one theoretical perspective. Learning to reason during clinical education may be best achieved in a supportive sociocultural context of nursing practice that maximizes reasoning opportunities and facilitates discourse and meaningful feedback. Prelicensure clinical education seldom incorporates these critical components and thus may fail to directly promote clinical reasoning skill. Theoretical frameworks supporting the development of clinical reasoning during clinical education were evaluated. Analysis of strengths and gaps in each framework's support of clinical reasoning development was conducted. Commensurability of philosophical underpinnings was confirmed, and complex relationships among key concepts were elucidated. Six key concepts and three tenets comprise an explanatory predictive theory-the integrated clinical education theory (ICET). ICET provides critical theoretical support for inquiry and action to promote clinical education that improves development of clinical reasoning skill. [J Nurs Educ. 2018;57(1):7-13.]. Copyright 2018, SLACK Incorporated.

  15. Improving microbial genome annotations in an integrated database context.

    Directory of Open Access Journals (Sweden)

    I-Min A Chen

    Full Text Available Effective comparative analysis of microbial genomes requires a consistent and complete view of biological data. Consistency regards the biological coherence of annotations, while completeness regards the extent and coverage of functional characterization for genomes. We have developed tools that allow scientists to assess and improve the consistency and completeness of microbial genome annotations in the context of the Integrated Microbial Genomes (IMG family of systems. All publicly available microbial genomes are characterized in IMG using different functional annotation and pathway resources, thus providing a comprehensive framework for identifying and resolving annotation discrepancies. A rule based system for predicting phenotypes in IMG provides a powerful mechanism for validating functional annotations, whereby the phenotypic traits of an organism are inferred based on the presence of certain metabolic reactions and pathways and compared to experimentally observed phenotypes. The IMG family of systems are available at http://img.jgi.doe.gov/.

  16. Case Study: Accelerating Process Improvement by Integrating the TSP and CMMI

    National Research Council Canada - National Science Library

    Wall, Daniel S; McHale, James; Pomeroy-Huff, Marsha

    2005-01-01

    .... This case study describes the process improvement efforts of both NAVAIR divisions and how they integrated the two SEI technologies to accelerate process improvement within their organizations...

  17. Preparing Future Leaders: An Integrated Quality Improvement Residency Curriculum.

    Science.gov (United States)

    Potts, Stacy; Shields, Sara; Upshur, Carole

    2016-06-01

    The Accreditation Council for Graduate Medical Education (ACGME) has recognized the importance of quality improvement (QI) training and requires that accredited residencies in all specialties demonstrate that residents are "integrated and actively participate in interdisciplinary clinical quality improvement and patient safety activities." However, competing demands in residency training may make this difficult to accomplish. The study's objective is to develop and evaluate a longitudinal curriculum that meets the ACGME requirement for QI and patient safety training and links to patient-centered medical home (PCMH) practices. Residents in the Worcester Family Medicine Residency (WFMR) participated in a faculty-developed quality improvement curriculum that included web-based tutorials, quality improvement projects, and small-group sessions across all 3 years of residency. They completed self-evaluations of knowledge and use of curricular activities annually and at graduation, and comparisons were made between two graduating classes, as well as comparison of end of PGY2 to end of PGY3 for one class. Graduating residents who completed the full 3 years of the curriculum rated themselves as significantly more skilled in nine of 15 areas assessed at end of residency compared to after PGY2 and reported confidence in providing future leadership in a focus group. Five areas were also rated significantly higher than prior-year residents. Involving family medicine residents in a longitudinal curriculum with hands-on practice in implementing QI, patient safety, and chronic illness management activities that are inclusive of PCMH goals increased their self-perceived skills and leadership ability to implement these new and emerging evidence-based practices in primary care.

  18. Learnt and perceived professional roles of a new type of nurse specialized in Gerontology and Geriatrics, a qualitative study.

    Science.gov (United States)

    Huizenga, Petra; Finnema, Evelyn; Roodbol, Petrie

    2016-07-01

    To gain insight into a new type of nurse specialized in gerontology and geriatrics, how they find meaning in the care of older persons and how this relates to the seven professional roles derived from the CanMEDS theoretical framework. To promote the quality of care for older persons in the Netherlands, one of the measures taken is the training and deployment of Registered Nurses specialized in Gerontology and Geriatrics. We focus on their professional roles in this study, to gain insight into the extent to which they fulfil their professional standards. A qualitative study, consisting of seven focus group interviews. The study population included 67 Registered Nurses. Data were collected between October 2011-May 2013. Nurses work in all seven CanMEDS roles, but not with all competences associated with these seven roles. The more distant the role is from patient activities, the less frequently competences such as social networks; design; research; innovation of care; legal, financial and organizational frameworks; professional ethics and professional innovation are mentioned. Nurses engage in activities consistent with nursing care for older people; however, despite their training, they are mainly focused on direct-patient care. Their limited awareness of the complete range of professional competences risks the stagnation of their development in professional roles such as health advocate, scholar and professional, which will not lead to an improvement in the care for older persons. © 2016 John Wiley & Sons Ltd.

  19. Aging worlds in contradiction: gerontological observations in the Mediterranean region

    Directory of Open Access Journals (Sweden)

    Hans-Joachim von Kondratowitz

    2015-12-01

    Full Text Available This article discusses the existing and developing aging regimes in the Northern and Southern rim countries of the whole Mediterranean region which are all undergoing considerable social and political transformation processes. It is argued that several eye-opening theoretical interventions for such a gerontological project may lead to some methodological problems and pitfalls, which have to be dealt with productively. Central collective concepts of such an analysis (as the change-oriented "modernization effects" of societal aging and the continuity-oriented gaze at the "unity of the region" have to be reconsidered and ought to be more differentiated in order to allow smaller social entities (such as kinship and community systems and their connectivity to be central orientations for analyzing poverty and care management in old age in the Mediterranean region. How to reconnect such a rather micro-political agenda with large processes and big structures of aging policies in the region however still remains an open question.

  20. Health information technologies in geriatrics and gerontology: a mixed systematic review.

    Science.gov (United States)

    Vedel, Isabelle; Akhlaghpour, Saeed; Vaghefi, Isaac; Bergman, Howard; Lapointe, Liette

    2013-01-01

    To review, categorize, and synthesize findings from the literature about the application of health information technologies in geriatrics and gerontology (GGHIT). This mixed-method systematic review is based on a comprehensive search of Medline, Embase, PsychInfo and ABI/Inform Global. Study selection and coding were performed independently by two researchers and were followed by a narrative synthesis. To move beyond a simple description of the technologies, we employed and adapted the diffusion of innovation theory (DOI). 112 papers were included. Analysis revealed five main types of GGHIT: (1) telecare technologies (representing half of the studies); (2) electronic health records; (3) decision support systems; (4) web-based packages for patients and/or family caregivers; and (5) assistive information technologies. On aggregate, the most consistent finding proves to be the positive outcomes of GGHIT in terms of clinical processes. Although less frequently studied, positive impacts were found on patients' health, productivity, efficiency and costs, clinicians' satisfaction, patients' satisfaction and patients' empowerment. Further efforts should focus on improving the characteristics of such technologies in terms of compatibility and simplicity. Implementation strategies also should be improved as trialability and observability are insufficient. Our results will help organizations in making decisions regarding the choice, planning and diffusion of GGHIT implemented for the care of older adults.

  1. Integrated software system for improving medical equipment management.

    Science.gov (United States)

    Bliznakov, Z; Pappous, G; Bliznakova, K; Pallikarakis, N

    2003-01-01

    The evolution of biomedical technology has led to an extraordinary use of medical devices in health care delivery. During the last decade, clinical engineering departments (CEDs) turned toward computerization and application of specific software systems for medical equipment management in order to improve their services and monitor outcomes. Recently, much emphasis has been given to patient safety. Through its Medical Device Directives, the European Union has required all member nations to use a vigilance system to prevent the reoccurrence of adverse events that could lead to injuries or death of patients or personnel as a result of equipment malfunction or improper use. The World Health Organization also has made this issue a high priority and has prepared a number of actions and recommendations. In the present workplace, a new integrated, Windows-oriented system is proposed, addressing all tasks of CEDs but also offering a global approach to their management needs, including vigilance. The system architecture is based on a star model, consisting of a central core module and peripheral units. Its development has been based on the integration of 3 software modules, each one addressing specific predefined tasks. The main features of this system include equipment acquisition and replacement management, inventory archiving and monitoring, follow up on scheduled maintenance, corrective maintenance, user training, data analysis, and reports. It also incorporates vigilance monitoring and information exchange for adverse events, together with a specific application for quality-control procedures. The system offers clinical engineers the ability to monitor and evaluate the quality and cost-effectiveness of the service provided by means of quality and cost indicators. Particular emphasis has been placed on the use of harmonized standards with regard to medical device nomenclature and classification. The system's practical applications have been demonstrated through a pilot

  2. The Increasing Use of Theory in Social Gerontology: 1990–2004

    Science.gov (United States)

    Putney, Norella M.; Rice, Melissa; Bengtson, Vern L.

    2010-01-01

    Objectives. To determine how often theory is used in published research in social gerontology, compare theory use over a 10-year period (1990–1994 to 2000–2004), and identify the theories most frequently used in social gerontology research. Methods. Systematic review of articles published in eight leading journals from 2000 to 2004 (N = 1,046) and comparison with a review conducted 10 years earlier. Results. Theory was mentioned in 39% of articles published from 2000 to 2004, representing a 12% increase in the use of theory over 10 years. This increase was driven by theories outside the core sociology of aging theories identified by Bengtson, V. L., Burgess, E. O., and Parrott, T. M. (1997). Theory, explanation, and a third generation of theoretical development in social gerontology. Journal of Gerontology: Social Sciences, 52B, S72–S88. The five most frequently used theories included the life course perspective, life-span developmental theories, role theory, exchange theory, and person–environment theory/ecological theories of aging. Commonly used models included stress process/stress and coping models, successful aging models, the Andersen behavioral model of health services use, models of control/self-efficacy/mastery, and disablement process models. Discussion. Theory use in social gerontology increased between 1990 and 2004, with a shift toward theories that cross disciplines. However, the majority of research in social gerontology continues to be atheoretical. Models are widely used as a supplement to or substitute for theory. Many of these models are currently being debated and elaborated, and over time, they may emerge as important theoretical contributions to social gerontology. PMID:20675614

  3. The increasing use of theory in social gerontology: 1990-2004.

    Science.gov (United States)

    Alley, Dawn E; Putney, Norella M; Rice, Melissa; Bengtson, Vern L

    2010-09-01

    To determine how often theory is used in published research in social gerontology, compare theory use over a 10-year period (1990-1994 to 2000-2004), and identify the theories most frequently used in social gerontology research. Systematic review of articles published in eight leading journals from 2000 to 2004 (N = 1,046) and comparison with a review conducted 10 years earlier. Theory was mentioned in 39% of articles published from 2000 to 2004, representing a 12% increase in the use of theory over 10 years. This increase was driven by theories outside the core sociology of aging theories identified by Bengtson, V. L., Burgess, E. O., and Parrott, T. M. (1997). Theory, explanation, and a third generation of theoretical development in social gerontology. Journal of Gerontology: Social Sciences, 52B, S72-S88. The five most frequently used theories included the life course perspective, life-span developmental theories, role theory, exchange theory, and person-environment theory/ecological theories of aging. Commonly used models included stress process/stress and coping models, successful aging models, the Andersen behavioral model of health services use, models of control/self-efficacy/mastery, and disablement process models. Theory use in social gerontology increased between 1990 and 2004, with a shift toward theories that cross disciplines. However, the majority of research in social gerontology continues to be atheoretical. Models are widely used as a supplement to or substitute for theory. Many of these models are currently being debated and elaborated, and over time, they may emerge as important theoretical contributions to social gerontology.

  4. Health coaching to improve healthy lifestyle behaviors: an integrative review.

    Science.gov (United States)

    Olsen, Jeanette M; Nesbitt, Bonnie J

    2010-01-01

    Chronic diseases account for 70% of U.S. deaths. Health coaching may help patients adopt healthy lifestyle behaviors that prevent and control diseases. This integrative review analyzed health coaching studies for evidence of effectiveness and to identify key program features. Multiple electronic databases were utilized, yielding a final sample of 15 documents. The search was limited to peer-reviewed research articles published between 1999 and 2008. Studies were further analyzed if they (1) specifically cited coaching as a program intervention, and (2) applied the intervention to research. Articles describing various quantitative and qualitative methodologies were critically analyzed using a systematic method. Data were synthesized using a matrix format according to purpose, method, intervention, findings, critique, and quality rating. All 15 studies utilized nonprobability sampling, 7 (47%) with randomized intervention and control groups. Significant improvements in one or more of the behaviors of nutrition, physical activity, weight management, or medication adherence were identified in six (40%) of the studies. Common features of effective programs were goal setting (73%), motivational interviewing (27%), and collaboration with health care providers (20%). Health coaching studies with well-specified methodologies and more rigorous designs are needed to strengthen findings; however, this behavioral change intervention suggests promise.

  5. Complete integration of technology for improved reproduction of auricular prostheses.

    Science.gov (United States)

    Watson, Jason; Hatamleh, Muhanad M

    2014-05-01

    The accurate reproduction of the form and surface details of missing body structures is an essential part of any successful prosthetic rehabilitation. It helps mask the prosthesis and gives confidence to the patient. This clinical report details the integration of multiple in-house digital technologies of laser scanning, rapid prototyping, and digital color scanning and formulating to improve the shape, texture, orientation, and color of auricular prostheses for 3 patients with missing unilateral ears. A structured light laser scanner was used to digitize the patient's nondefect ear. The digitized data were then manipulated in specialist software and mirrored to reflect the opposing side. A rapid prototyping machine was used to manufacture a 3-dimensional (3D) model of the soft tissue required. This 3D mirrored ear model allowed the accurate reproduction of missing soft tissue. A color spectrometer was used to accurately reproduce the skin tones digitally and physically. Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  6. The zebrafish as a gerontology model in nervous system aging, disease, and repair.

    Science.gov (United States)

    Van Houcke, Jessie; De Groef, Lies; Dekeyster, Eline; Moons, Lieve

    2015-11-01

    Considering the increasing number of elderly in the world's population today, developing effective treatments for age-related pathologies is one of the biggest challenges in modern medical research. Age-related neurodegeneration, in particular, significantly impacts important sensory, motor, and cognitive functions, seriously constraining life quality of many patients. Although our understanding of the causal mechanisms of aging has greatly improved in recent years, animal model systems still have much to tell us about this complex process. Zebrafish (Danio rerio) have gained enormous popularity for this research topic over the past decade, since their life span is relatively short but, like humans, they are still subject to gradual aging. In addition, the extensive characterization of its well-conserved molecular and cellular physiology makes the zebrafish an excellent model to unravel the underlying mechanisms of aging, disease, and repair. This review provides a comprehensive overview of the progress made in zebrafish gerontology, with special emphasis on nervous system aging. We review the evidence that classic hallmarks of aging can also be recognized within this small vertebrate, both at the molecular and cellular level. Moreover, we illustrate the high level of similarity with age-associated human pathologies through a survey of the functional deficits that arise as zebrafish age. Copyright © 2015 Elsevier B.V. All rights reserved.

  7. Continuing interprofessional education in geriatrics and gerontology in medically underserved areas.

    Science.gov (United States)

    Toner, John A; Ferguson, K Della; Sokal, Regina Davis

    2009-01-01

    There is a widening gap between the health care needs of older persons and the treatment skills of the health care professionals who serve them. This gap is especially severe in rural areas, where there is a shortage of and inadequate collaboration between health care professionals and poor access to services for older persons. There is also a special opportunity in rural areas, particularly those designated as "medically underserved," for continuing interprofessional education as a vehicle for retaining health care professionals who tend to leave medically underserved areas for more lucrative professional opportunities elsewhere. In collaboration with the Consortium of New York Geriatric Education Centers, the Columbia-New York Geriatric Education Center at the Stroud Center of Columbia University has developed the Program for Outreach to Interprofessional Services and Education (POISE). The purpose of POISE is to develop, implement, evaluate, and sustain interprofessional education and training for health care learners, while emphasizing improved access to health services for the geriatric population in medically underserved areas. The POISE model was designed as an effective approach to teaching the core geriatrics and gerontology curriculum endorsed by the national (U.S. Department of Health and Human Services) network of Geriatric Education Centers to health care learners in medically underserved areas of upstate New York. This article describes the adaptation and implementation of the POISE model.

  8. Identifying and evaluating electronic learning resources for use in adult-gerontology nurse practitioner education.

    Science.gov (United States)

    Thompson, Hilaire J; Belza, Basia; Baker, Margaret; Christianson, Phyllis; Doorenbos, Ardith; Nguyen, Huong

    2014-01-01

    Enhancing existing curricula to meet newly published adult-gerontology advanced practice registered nurse (APRN) competencies in an efficient manner presents a challenge to nurse educators. Incorporating shared, published electronic learning resources (ELRs) in existing or new courses may be appropriate in order to assist students in achieving competencies. The purposes of this project were to (a) identify relevant available ELR for use in enhancing geriatric APRN education and (b) to evaluate the educational utility of identified ELRs based on established criteria. A multilevel search strategy was used. Two independent team members reviewed identified ELR against established criteria to ensure utility. Only resources meeting all criteria were retained. Resources were found for each of the competency areas and included formats such as podcasts, Web casts, case studies, and teaching videos. In many cases, resources were identified using supplemental strategies and not through traditional search or search of existing geriatric repositories. Resources identified have been useful to advanced practice educators in improving lecture and seminar content in a particular topic area and providing students and preceptors with additional self-learning resources. Addressing sustainability within geriatric APRN education is critical for sharing of best practices among educators and for sustainability of teaching and related resources. © 2014.

  9. Improved data for integrated modeling of global environmental change

    Science.gov (United States)

    Lotze-Campen, Hermann

    2011-12-01

    The assessment of global environmental changes, their impact on human societies, and possible management options requires large-scale, integrated modeling efforts. These models have to link biophysical with socio-economic processes, and they have to take spatial heterogeneity of environmental conditions into account. Land use change and freshwater use are two key research areas where spatial aggregation and the use of regional average numbers may lead to biased results. Useful insights can only be obtained if processes like economic globalization can be consistently linked to local environmental conditions and resource constraints (Lambin and Meyfroidt 2011). Spatially explicit modeling of environmental changes at the global scale has a long tradition in the natural sciences (Woodward et al 1995, Alcamo et al 1996, Leemans et al 1996). Socio-economic models with comparable spatial detail, e.g. on grid-based land use change, are much less common (Heistermann et al 2006), but are increasingly being developed (Popp et al 2011, Schneider et al 2011). Spatially explicit models require spatially explicit input data, which often constrains their development and application at the global scale. The amount and quality of available data on environmental conditions is growing fast—primarily due to improved earth observation methods. Moreover, systematic efforts for collecting and linking these data across sectors are on the way (www.earthobservations.org). This has, among others, also helped to provide consistent databases on different land cover and land use types (Erb et al 2007). However, spatially explicit data on specific anthropogenic driving forces of global environmental change are still scarce—also because these cannot be collected with satellites or other devices. The basic data on socio-economic driving forces, i.e. population density and wealth (measured as gross domestic product per capita), have been prepared for spatially explicit analyses (CIESIN, IFPRI

  10. "Successful aging," gerontological theory and neoliberalism: a qualitative critique.

    Science.gov (United States)

    Rubinstein, Robert L; de Medeiros, Kate

    2015-02-01

    This article is a critique of the successful aging (SA) paradigm as described in the Rowe and Kahn book, Successful Aging (1998). The major point of this article is that two key ideas in the book may be understood as consonant with neoliberalism, a social perspective that came into international prominence at the same time the SA paradigm was initially promoted. These two key ideas are (a) the emphasis on individual social action applied to the nature of the aging experience and (b) the failure to provide a detailed policy agenda for the social and cultural change being promoted and, particularly, for older adults who may be left behind by the approach to change the book suggests. The article provides no evidence for a direct connection between SA and neoliberalism, but rather shows how similarities in their approaches to social change characterize both of them. In sum, the article shows (a) how the implicit social theory developed in the book, in a manner similar to neoliberalism, elevates the individual as the main source of any changes that must accompany the SA paradigm and (b) the focus on SA as individual action does not provide for those older adults who do not or will not age "successfully." This, we conclude, implicitly sets up a two-class system of older adults, which may not be an optimal means of addressing the needs of all older adults. The article also reviews a number of studies about SA and shows how these, too, may emphasize its similarities to neoliberalism and other issues that the SA paradigm does not adequately address. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. Voxel inversion of airborne electromagnetic data for improved model integration

    Science.gov (United States)

    Fiandaca, Gianluca; Auken, Esben; Kirkegaard, Casper; Vest Christiansen, Anders

    2014-05-01

    spatially constrained 1D models with 29 layers. For comparison, the SCI inversion models have been gridded on the same grid of the voxel inversion. The new voxel inversion and the classic SCI give similar data fit and inversion models. The voxel inversion decouples the geophysical model from the position of acquired data, and at the same time fits the data as well as the classic SCI inversion. Compared to the classic approach, the voxel inversion is better suited for informing directly (hydro)geological models and for sequential/Joint/Coupled (hydro)geological inversion. We believe that this new approach will facilitate the integration of geophysics, geology and hydrology for improved groundwater and environmental management.

  12. The delivery of distance education--is it time for doctoral programs in gerontology?

    Science.gov (United States)

    Heinz, Melinda; Martin, Peter; Doll, Gayle; Pearson-Scott, Jean

    2015-01-01

    The delivery of higher education in gerontology is changing; students are now able to receive an education solely online. Perhaps it is time to consider offering this option at the doctoral level. A needs assessment was conducted to assess whether a doctoral program in gerontology should be created in the Great Plains Interactive Distance Education Alliance (GPIDEA) program. An online survey was sent to 247 students enrolled in the GPIDEA program and to students who had taken a GPIDEA course in gerontology but were not currently enrolled in the program. One hundred and twenty-three students began the survey, although only 120 students completed the survey. Findings indicated students are interested in a doctoral program in gerontology. Approximately 65% of students were interested in obtaining a PhD from a distance education program. However, an applied program focusing on community outreach and leadership was of most interest to students. Students were less interested in research-based programs or in research residency. Therefore, the development of distance education doctoral degree programs in gerontology may need to be created differently than "traditional" formats.

  13. Is gerontology ready for anti-racist pedagogy? A survey of educators' practices and perspectives.

    Science.gov (United States)

    Karasik, Rona J; Kishimoto, Kyoko

    2018-01-01

    The older population in the United States is becoming more diverse, bringing increasing attention to the ways in which diversity and multiculturalism are addressed in gerontological education. Although diversity and multiculturalism have long been recognized as important components of the aging experience, our approach to understanding their significance and impact continues to grow and change. Anti-racist pedagogy represents one catalyst to stimulate such change. To evaluate the potential for anti-racist pedagogy in gerontology, this study explored gerontological educators' (N = 121) current practices and perspectives regarding the inclusion of diversity content in their courses, as well as the extent to which they are familiar with and/or use anti-racist pedagogy in their classes. The findings suggest that greater attention to issues of race, ethnicity, and multicultural diversity throughout the gerontological curriculum is needed and wanted. Although respondents were generally unfamiliar with the name anti-racist pedagogy, many indicated that their current teaching practices employed select components of it. Overall, the findings point toward the need for continued exploration of how anti-racist pedagogy may be brought into the gerontological classroom, as well as its implications for future research, policy, and practice.

  14. Perceptions on the importance of gerontological education by teachers and students of undergraduate health sciences

    Directory of Open Access Journals (Sweden)

    Correa-Muñoz Elsa

    2007-01-01

    Full Text Available Abstract Background The main challenge of higher education institutions throughout the world is to develop professionals capable of understanding and responding to the current social priorities of our countries. Given the utmost importance of addressing the complex needs of an increasingly elderly population in Mexico, the National Autonomous University of Mexico has systematically incorporated modules dealing with primary gerontological health care into several of its undergraduate programs in health sciences. The objective of this study was to analyze teacher's and student's perceptions about the current educational practices on gerontology. Methods A cross-sectional study was carried out with a sample of 26 teachers and 122 undergraduate students. Subjects were administered interviews and responded survey instrument. Results A vast proportion of the teachers (42% reported students' attitudes towards their academic training as the most important factor affecting learning in the field of gerontology, whereas students reported that the main problems of education in gerontology were theoretical (32% and methodological (28%. In addition, 41% of students considered education on ageing matters as an essential element for their professional development, as compared to 19% of teachers (p Conclusion Our findings suggest that the teachers' perceptions about the low importance of education on ageing matters for the professional practice of health sciences could be a negative factor for gerontology teaching.

  15. Integrating Flow, Form, and Function for Improved Environmental Water Management

    Science.gov (United States)

    Albin Lane, Belize Arela

    Rivers are complex, dynamic natural systems. The performance of river ecosystem functions, such as habitat availability and sediment transport, depends on the interplay of hydrologic dynamics (flow) and geomorphic settings (form). However, most river restoration studies evaluate the role of either flow or form without regard for their dynamic interactions. Despite substantial recent interest in quantifying environmental water requirements to support integrated water management efforts, the absence of quantitative, transferable relationships between river flow, form, and ecosystem functions remains a major limitation. This research proposes a novel, process-driven methodology for evaluating river flow-form-function linkages in support of basin-scale environmental water management. This methodology utilizes publically available geospatial and time-series data and targeted field data collection to improve basic understanding of river systems with limited data and resource requirements. First, a hydrologic classification system is developed to characterize natural hydrologic variability across a highly altered, physio-climatically diverse landscape. Next, a statistical analysis is used to characterize reach-scale geomorphic variability and to investigate the utility of topographic variability attributes (TVAs, subreach-scale undulations in channel width and depth), alongside traditional reach-averaged attributes, for distinguishing dominant geomorphic forms and processes across a hydroscape. Finally, the interacting roles of flow (hydrologic regime, water year type, and hydrologic impairment) and form (channel morphology) are quantitatively evaluated with respect to ecosystem functions related to hydrogeomorphic processes, aquatic habitat, and riparian habitat. Synthetic river corridor generation is used to evaluate and isolate the role of distinct geomorphic attributes without the need for intensive topographic surveying. This three-part methodology was successfully

  16. Care Plan Improvement in Nursing Homes: An Integrative Review.

    Science.gov (United States)

    Mariani, Elena; Chattat, Rabih; Vernooij-Dassen, Myrra; Koopmans, Raymond; Engels, Yvonne

    2017-01-01

    Care planning nowadays is a key activity in the provision of services to nursing home residents. A care plan describes the residents' needs and the actions to address them, providing both individualized and standardized interventions and should be updated as changes in the residents' conditions occur. The aim of this review was to identify the core elements of the implementation of changes in nursing homes' care plans, by providing an overview of the type of stakeholders involved, describing the implementation strategies used, and exploring how care plans changed. An integrative literature review was used to evaluate intervention studies taking place in nursing homes. Data were collected from PubMed, CINHAL-EBSCO, and PsycINFO. English language articles published between 1995 and April 2015 were included. Data analysis followed the strategy of Knafl and Whittemore. Twenty-six articles were included. The stakeholders involved were professionals, family caregivers, and patients. Only a few studies directly involved residents and family caregivers in the quality improvement process. The implementation strategies used were technology implementation, audit, training, feedback, and supervision. The majority of interventions changed the residents' care plans in terms of developing a more standardized care documentation that primarily focuses on its quality. Only some interventions developed more tailored care plans that focus on individualized needs. Care plans generally failed in providing both standardized and personalized interventions. Efforts should be made to directly involve residents in care planning and provide professionals with efficient tools to report care goals and actions in care plans.

  17. Improving Casing Integrity by Induction Brazing of Casing Connections

    NARCIS (Netherlands)

    Ernens, Dennis; Hariharan, Hari; van Haaften, Willem Maarten; Pasaribu, Rihard; Jabs, Matthew; McKim, Richard

    2017-01-01

    Brazing technology allows metallurgical joining of dissimilar materials using a filler material. In this paper brazing technology applied to casing connections is presented. The initial application was triggered by challenges with mechanical and pressure integrity after expansion of casing

  18. Integrating the Joint Force: Improving Coordination Among The Component Commanders

    National Research Council Canada - National Science Library

    Krogman, Kenneth

    2003-01-01

    .... By examining one aspect of joint fire support, the Fire Support Coordination Line (FSCL), the operational level implications of doctrine, and implications regarding horizontal integration and coordination become clear...

  19. Learning from internships in gerontology and geriatrics: assessment and program evaluation.

    Science.gov (United States)

    Karasik, Rona J

    2009-01-01

    Internships are an essential component of gerontological education. Harvesting the learning from internships, however, requires careful attention to assessing an intern's work. In addition to providing feedback to students, internship assessment can also yield data useful for academic program evaluation. Drawing on internship assessment data collected from undergraduate and graduate gerontology interns and their community preceptors over a period of seven semesters, this article explores (1) concerns regarding how to assess what interns are learning, (2) ways to provide students with additional opportunities for learning from their internships, and (3) how information from these student-learning outcomes may be used to evaluate the effectiveness of the overall academic program.

  20. An Integrated Care Initiative to Improve Patient Outcome in Schizophrenia

    OpenAIRE

    Mayer-Amberg, Norbert; Woltmann, Rainer; Walther, Stefanie

    2016-01-01

    The optimal treatment of schizophrenia patients requires integration of medical and psychosocial inputs. In Germany, various healthcare service providers and institutions are involved in the treatment process. Early and continuous treatment is important but often not possible because of the fragmented medical care system in Germany. The current work is a quality monitoring report of a novel care setting, called Integrated Care Initiative Schizophrenia. It has implemented a networked care con...

  1. Engaging Clinicians to lead improvement of care integration

    OpenAIRE

    White, Sharyn Ann; Ewald, Dan; Wilson, Catriona; Rose, Vicki

    2017-01-01

    Introduction: Health systems are complex and the outcomes of a given action are not easily predictable. While the International experience provides principles for successful integration, these require local adaptation to be effective in the context of a regional area of Northern NSW.At an organisational level health jurisdictions in the region have been working in partnership, building trust and developing a shared vision for Integration (top-down) but we needed to learn what could be done at...

  2. Improving the Marine Corps Reserve Infantry Battalion: Manning, Training, Integration, and Retention

    National Research Council Canada - National Science Library

    Parrish, Ross A

    2008-01-01

    .... Recognizing that all Marine Corps reserve infantry battalions have deployed at least once in support of the GWOT, further improvements in the manning, training, integration, and retention within...

  3. Use of a screening tool and primary health care gerontology nurse specialist for high-needs older people.

    Science.gov (United States)

    King, Anna; Boyd, Michal; Dagley, Lynelle

    2017-02-01

    To describe implementation of an innovative gerontology nurse specialist role within one primary health organisation in Auckland, New Zealand. Quantitative outcomes of the screening tool as well as the nurse specialist assessment will be presented. The intervention involved use of the Brief Risk Identification for Geriatric Health Tool (BRIGHT) to identify high-needs older people with subsequent comprehensive geriatric assessment (CGA) performed by the gerontology nurse specialist. A total 384 of the 416 BRIGHTs were completed (92% response rate) and 15% of these were identified as high risk (n = 57). The BRIGHTs for high-risk older people revealed the highest scoring question was 'needing help with housework' (26%). The most frequent intervention by the gerontology nurse specialist was education (30%). The primary health care gerontology nurse specialist model delivers a proactive case finding and specialist gerontology intervention for older people at high risk of functional or health decline.

  4. Experiencing aging or demystifying myths? - impact of different "geriatrics and gerontology" teaching strategies in first year medical students.

    Science.gov (United States)

    Lucchetti, Alessandra Lamas Granero; Lucchetti, Giancarlo; de Oliveira, Isabella Noceli; Moreira-Almeida, Alexander; da Silva Ezequiel, Oscarina

    2017-02-08

    With the aging of the population comes a greater need for geriatric and gerontology teaching. However, there is currently a dearth of investigations on the impact of different educational methodologies for teaching in this area early in medical courses. The present study aims to determine the impact of two educational strategies on the topic "Geriatrics and Gerontology" ("experiencing aging" and "myths of aging") as compared to a control group (no intervention) on the attitudes, empathy and knowledge of first year medical students. An intervention-based study in education was conducted at the beginning of the first year of a medical course. Students submitted to educational strategies were compared against students with no intervention. The two strategies were: "Experiencing Aging" - also known as the "aging game" (simulation of the disabilities and physiological changes of aging), and "Myths of Aging" - a knowledge discussion based on a "quiz show", questioning common myths about aging. All students were assessed on their attitudes towards older persons (Maxwell-Sullivan, UCLA attitudes), empathy (Maxwell-Sullivan), knowledge on facts and positive view about aging (Palmore), and cognitive knowledge. Data were analysed using Student's t, Chi-squared or ANOVA tests. A total of 230 students were assessed. The "experiencing aging" intervention was associated with improvement in empathy but worsening of attitude. The "myths of aging" intervention was associated with an improved attitude overall and positive view about aging but with no change in empathy towards older persons. Educational strategies can influence the attitudes and empathy of students, leading to different outcomes. These data highlight the importance of assessing the outcomes of educational strategies in medical teaching to ascertain in what manner (how), situations (when) and settings (where) these activities should be introduced.

  5. SYSTEMS FOR IMPROVEMENT OF BUSINESS INTEGRATED MANAGEMENT PROCESSES IN PORTS

    Directory of Open Access Journals (Sweden)

    Pavle Popovic

    2017-03-01

    Full Text Available Based on test results obtained so far, the objective relating to modern scientific methods and approaches has been defined with the intention to develop model which defines new management system integration model, by adopting necessary practical terms of real systems that most frequently circulate in maritime practice in the field of integrated management systems (IMS in terms of safety and security of vessels and ports. The subject of research is maritime, particularly port services, by way of defining internal and external advantages through adopting integrated management systems. The research will be conducted through theoretical and applied assessments of case study analyses using example of the Port of Kotor H.Co.

  6. Improving Music Genre Classification by Short-Time Feature Integration

    DEFF Research Database (Denmark)

    Meng, Anders; Ahrendt, Peter; Larsen, Jan

    2005-01-01

    Many different short-time features, using time windows in the size of 10-30 ms, have been proposed for music segmentation, retrieval and genre classification. However, often the available time frame of the music to make the actual decision or comparison (the decision time horizon) is in the range...... of seconds instead of milliseconds. The problem of making new features on the larger time scale from the short-time features (feature integration) has only received little attention. This paper investigates different methods for feature integration and late information fusion for music genre classification...

  7. Improving environmental impact assessmentfor better integrated coastal zone management

    NARCIS (Netherlands)

    Tiwi, D.A.

    2004-01-01

    How to make use of coastal and marine resources in a sustainable manner is an increasing concern among coastal stakeholders all over the world. Integrated Coastal Zone Management (ICZM) is a well-known concept nowadays, but its implementation is often hampered. This is also the case in Indonesia.

  8. Successful outsourcing: improving quality of life through integrated support services.

    Science.gov (United States)

    Bates, Jason; Sharratt, Martin; King, John

    2014-01-01

    This article examines the way that non-clinical support services are provided in healthcare settings through outsourcing partnerships. The integrated support services model and benefits to patient experience and safety as well as organizational efficiency and effectiveness are explored through an examination of services at a busy urban community hospital.

  9. Integrated fish management improves food security in the Bolivian ...

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

    2013-09-17

    Sep 17, 2013 ... An integrated approach to fish management can create a win–win solution to these issues. ... This was the first time a public event in Bolivia recognized the important role ... Download a PDF version of this article (245KB) ...

  10. Integrative Teaching Techniques and Improvement of German Speaking Learning Skills

    Science.gov (United States)

    Litualy, Samuel Jusuf

    2016-01-01

    This research ist a Quasi-Experimental research which only applied to one group without comparison group. It aims to prove whether the implementation of integrative teaching technique has influenced the speaking skill of the students in German Education Study Program of FKIP, Pattimura University. The research was held in the German Education…

  11. ICT Integration in Education: Incorporation for Teaching & Learning Improvement

    Science.gov (United States)

    Ghavifekr, Simin; Razak, Ahmad Zabidi Abd; Ghani, Muhammad Faizal A.; Ran, Ng Yan; Meixi, Yao; Tengyue, Zhang

    2014-01-01

    Over the last two decades, the rapid growth of ICT has become one of the most important topics discussed by the scholars in education. This is due to the capability of ICT in providing a dynamic and proactive teaching and learning environment. In line with the current digital era, teachers are required to integrate ICT in their daily teaching and…

  12. Development of Improved Caprock Integrity and Risk Assessment Techniques

    Energy Technology Data Exchange (ETDEWEB)

    Bruno, Michael [Geomechanics Technologies, Incorporated, Monrovia, CA (United States)

    2014-09-30

    GeoMechanics Technologies has completed a geomechanical caprock integrity analysis and risk assessment study funded through the US Department of Energy. The project included: a detailed review of historical caprock integrity problems experienced in the natural gas storage industry; a theoretical description and documentation of caprock integrity issues; advanced coupled transport flow modelling and geomechanical simulation of three large-scale potential geologic sequestration sites to estimate geomechanical effects from CO₂ injection; development of a quantitative risk and decision analysis tool to assess caprock integrity risks; and, ultimately the development of recommendations and guidelines for caprock characterization and CO₂ injection operating practices. Historical data from gas storage operations and CO₂ sequestration projects suggest that leakage and containment incident risks are on the order of 10-1 to 10-2, which is higher risk than some previous studies have suggested for CO₂. Geomechanical analysis, as described herein, can be applied to quantify risks and to provide operating guidelines to reduce risks. The risk assessment tool developed for this project has been applied to five areas: The Wilmington Graben offshore Southern California, Kevin Dome in Montana, the Louden Field in Illinois, the Sleipner CO₂ sequestration operation in the North Sea, and the In Salah CO₂ sequestration operation in North Africa. Of these five, the Wilmington Graben area represents the highest relative risk while the Kevin Dome area represents the lowest relative risk.

  13. The integration of improved Monte Carlo compton scattering algorithms into the Integrated TIGER Series

    International Nuclear Information System (INIS)

    Quirk, Thomas J. IV

    2004-01-01

    The Integrated TIGER Series (ITS) is a software package that solves coupled electron-photon transport problems. ITS performs analog photon tracking for energies between 1 keV and 1 GeV. Unlike its deterministic counterpart, the Monte Carlo calculations of ITS do not require a memory-intensive meshing of phase space; however, its solutions carry statistical variations. Reducing these variations is heavily dependent on runtime. Monte Carlo simulations must therefore be both physically accurate and computationally efficient. Compton scattering is the dominant photon interaction above 100 keV and below 5-10 MeV, with higher cutoffs occurring in lighter atoms. In its current model of Compton scattering, ITS corrects the differential Klein-Nishina cross sections (which assumes a stationary, free electron) with the incoherent scattering function, a function dependent on both the momentum transfer and the atomic number of the scattering medium. While this technique accounts for binding effects on the scattering angle, it excludes the Doppler broadening the Compton line undergoes because of the momentum distribution in each bound state. To correct for these effects, Ribbefor's relativistic impulse approximation (IA) will be employed to create scattering cross section differential in both energy and angle for each element. Using the parameterizations suggested by Brusa et al., scattered photon energies and angle can be accurately sampled at a high efficiency with minimal physical data. Two-body kinematics then dictates the electron's scattered direction and energy. Finally, the atomic ionization is relaxed via Auger emission or fluorescence. Future work will extend these improvements in incoherent scattering to compounds and to adjoint calculations.

  14. Developing a Postbasic Gerontology Program for International Learners: Considerations for the Process.

    Science.gov (United States)

    Bolan, Christine M.

    2003-01-01

    Chilean and Canadian schools of nursing collaborated in the development of 13 self-paced print modules in gerontology with web-based components. A 6-week preceptored clinical experience followed completion of the theory portion to support learner mastery of program outcomes. The curriculum was developed using a creative, systematic approach that…

  15. Nurturing gerontology students’ intrinsic motivation to cocreate : the design of a powerful learning environment.

    NARCIS (Netherlands)

    Jukema, Jan S.; Veerman, Mieke; van Alphen, Jacqueline; Visser, Geraldine; Kingma, Tineke

    2017-01-01

    Professionals such as gerontologists play an important role in the design, development and implementation of age-friendly services. and products, by using working methods and principles of co-creation. A Dutch undergraduate applied gerontology programme aims to train students in the why, how and

  16. A World Apart? Bridging the Gap between Theory and Applied Social Gerontology

    Science.gov (United States)

    Hendricks, Jon; Applebaum, Robert; Kunkel, Suzanne

    2010-01-01

    This article is based on the premise that there is inadequate attention to the link between theory and applied research in social gerontology. The article contends that applied research studies do not often or effectively employ a theoretical framework and that theory-based articles, including theory-based research, are not often focused on…

  17. Implementation of Writing across the Curriculum (WAC) Learning Approaches in Social Work and Sociology Gerontology Courses

    Science.gov (United States)

    Kolb, Patricia

    2013-01-01

    This article describes the goals and methods of the international Writing Across the Curriculum (WAC) movement in higher education, and WAC-enriched learning approaches that the author used in teaching a social work gerontology practice course and a sociological theories of aging course. The author's in-class, low-stakes, nongraded writing…

  18. Tomorrow Belongs to Those Who Prepare for It Today: Gerontology Doctoral Students Career Aspirations

    Science.gov (United States)

    Ewen, Heidi H.; Carr, Dawn C.; Reynolds, Courtney

    2012-01-01

    This research seeks to examine the characteristics and goals of students enrolled in gerontology doctoral education. The authors seek to identify the unique characteristics of scholars enrolled in the interdisciplinary study of aging and elicit discussion on the ways in which these scholars will contribute to the growth and development of the…

  19. Promoting Careers in Gerontology to Students: What Are Undergraduates Seeking in a Career?

    Science.gov (United States)

    Eshbaugh, Elaine; Gross, Patricia E.; Hillebrand, Kelsey; Davie, Josie; Henninger, William R.

    2013-01-01

    The graying of the Baby Boomers has created a shortage of professionals in aging-related careers. However, colleges and universities with gerontology and aging programs face a challenge of recruiting students. The purpose of this study was to determine what students are looking for in a career and whether these attributes are congruent with…

  20. The Great Plains IDEA Gerontology Program: An Online, Interinstitutional Graduate Degree

    Science.gov (United States)

    Sanders, Gregory F.

    2011-01-01

    The Great-Plains IDEA Gerontology Program is a graduate program developed and implemented by the Great Plains Interactive Distance Education Alliance (Great Plains IDEA). The Great Plains IDEA (Alliance) originated as a consortium of Colleges of Human Sciences ranging across the central United States. This Alliance's accomplishments have included…

  1. Applying Theories of Adult Learning in Developing Online Programs in Gerontology

    Science.gov (United States)

    Carter, Christy S.; Solberg, Lauren B.; Solberg, Laurence M.

    2017-01-01

    The Department of Aging and Geriatric Research at the University of Florida College of Medicine has established online education programs to provide healthcare professionals with advanced training in the field of gerontology to establish proficiency in providing quality care to older individuals. A major barrier to creating our online education…

  2. Nursing home research: the first International Association of Gerontology and Geriatrics (IAGG) research conference.

    Science.gov (United States)

    Rolland, Yves; Resnick, Barbara; Katz, Paul R; Little, Milta O; Ouslander, Joseph G; Bonner, Alice; Geary, Carol R; Schumacher, Karen L; Thompson, Sarah; Martin, Finbarr C; Wilbers, Joachim; Zúñiga, Franziska; Ausserhofer, D; Schwendimann, R; Schüssler, S; Dassen, Theo; Lohrmann, Christa; Levy, Cari; Whitfield, Emily; de Souto Barreto, Philipe; Etherton-Beer, Christopher; Dilles, Tinne; Azermai, Majda; Bourgeois, Jolyce; Orrell, Martin; Grossberg, George T; Kergoat, Hélène; Thomas, David R; Visschedijk, Jan; Taylor, Stephanie J C; Handajani, Yvonne S; Widjaja, Nelly T; Turana, Yuda; Rantz, Marilyn J; Skubic, Marjorie; Morley, John E

    2014-05-01

    The International Association of Gerontology and Geriatrics held its first conference on nursing home research in St Louis, MO, in November 2013. This article provides a summary of the presentations. Copyright © 2014 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

  3. Interdisciplinary Collaboration in Gerontology and Geriatrics in Latin America: Conceptual Approaches and Health Care Teams

    Science.gov (United States)

    Gomez, Fernando; Curcio, Carmen Lucia

    2013-01-01

    The underlying rationale to support interdisciplinary collaboration in geriatrics and gerontology is based on the complexity of elderly care. The most important characteristic about interdisciplinary health care teams for older people in Latin America is their subjective-basis framework. In other regions, teams are organized according to a…

  4. The growth of gerontology and geriatrics in Mexico: Past, present, and future.

    Science.gov (United States)

    Rivera-Hernandez, Maricruz; Flores Cerqueda, Sergio; García Ramírez, José Carlos

    2017-01-01

    Life expectancy is increasing in Mexico, creating new opportunities and challenges in different areas, including gerontology and geriatric education and research. Although in the European Union there are more than 3,000 institutions that focus on aging research, in Latin America there are only 250 programs where theoretical and practical knowledge is taught. In Mexico, the number of institutions that offer gerontology and geriatric education is relatively small. One of the major concerns is that Mexico is not adequately prepared to optimally deal with the aging of its population. Thus, the main challenge that Mexico faces is to train practitioners, researchers, and policy makers to be able to respond to the aging priorities of this country. The goal of this review is to investigate the literature regarding 60 years in the fields of gerontology and geriatrics in Mexico. Even when programs have evolved within the past decades, there are some challenges to gerontological and geriatric education and aging research in Mexico. The implications for Mexico are discussed, as well as opportunities for moving these fields forward.

  5. The State of Gerontological Social Work Education in California: Implications for Curricula Evaluation

    Science.gov (United States)

    Damron-Rodriguez, JoAnn; Goodman, Catherine; Ranney, Molly; Min, Jong Won; Takahashi, Nancy

    2013-01-01

    California has actively engaged in the Hartford Geriatric Social Work Initiative. Subsequently, the California Social Work Education Center Aging Initiative conducted a university survey of gerontology education in California graduate social work schools ("N"?=?17). In 2005, students taking aging courses were 12% in comparison to a…

  6. European Master's program in Gerontology (EuMaG): Goals, curriculum, and students

    NARCIS (Netherlands)

    Aartsen, M.J.

    2011-01-01

    The European Master's Program in Gerontology (EuMaG) started in September 2003 with support from the European Commission. The EuMaG is a modular, 2-year, part-time international training program about the aging process and its societal implications. The multidisciplinary curriculum comprises four

  7. Assessing Needs for Gerontological Education in Urban and Rural Areas of Ohio

    Science.gov (United States)

    Van Dussen, Daniel J.; Leson, Suzanne M.; Emerick, Eric S.; Voytek, Joseph A.; Ewen, Heidi H.

    2016-01-01

    Purpose of the Study: This project surveyed health care professionals from both urban and rural care settings in Ohio and examined differences in professionals' needs and interests in continuing gerontological education. Design and Methods: The survey data were analyzed for 766 health care professionals descriptively, using cross-tabulations and…

  8. Setting Priorities for Gerontological Social Work Research: A National Delphi Study

    Science.gov (United States)

    Burnette, Denise; Morrow-Howell, Nancy; Chen, Li-Mei

    2003-01-01

    Purpose: An increasingly important task for all disciplines involved in aging research is to identify and prioritize areas for investigation. This article reports the results of a national Delphi study on setting research priorities for gerontological social work. Design and Methods: Delphi methodology, a structured process for eliciting and…

  9. In Support of a Gerontological Nursing Program: A Resource Exchange Model.

    Science.gov (United States)

    Newbern, Virginia B.; Kennedy-Malone, Laurie

    1994-01-01

    At the University of North Carolina-Greensboro, the Gerontological Nursing Network serves as advocates for older adults, helps graduates find employment, identifies preceptors and practicum sites, and advises about trends. Its interdisciplinary membership is drawn from nursing, medicine, psychology, politics, religion, and sociology. (SK)

  10. Peer and Faculty Mentoring for Students Pursuing a PhD in Gerontology

    Science.gov (United States)

    Webb, Alicia K.; Wangmo, Tenzin; Ewen, Heidi H.; Teaster, Pamela B.; Hatch, Laurie R.

    2009-01-01

    The Graduate Center for Gerontology at the University of Kentucky incorporates three levels of mentoring in its PhD program. This project assessed satisfaction with peer and faculty mentoring and explored their perceived benefits and purposes. Core and affiliate faculty and current and graduated students were surveyed. Participants seemed…

  11. Training Needs in Gerontology. Hearings, Special Committee on Aging, United States Senate. Part 2.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Special Committee on Aging.

    At the second day of hearings on training needs in gerontology the witnesses were Stephen Kurzman accompanied by Arthur S. Flemming, John Lapp, Gerald D. LaVeck; George Maddox; Elias Cohen; Wilma Donahue; Brin Hawkins with Lettie Graves and Yolanda Owens; and John B. Martin. (MS)

  12. Why gerontology and geriatrics can teach us a lot about mentoring.

    Science.gov (United States)

    Clark, Phillip G

    2018-05-15

    Gerontology, geriatrics, and mentoring have a lot in common. The prototype of this role was Mentor, an older adult in Homer's The Odyssey, who was enlisted to look after Odysseus' son, Telemachus, while his father was away fighting the Trojan War. Portrayed as an older man, the name "mentor" literally means "a man who thinks," which is not a bad characterization generally for faculty members in gerontology! In particular, gerontological and geriatrics education can teach us a lot about the importance of mentoring and provide some critical insights into this role: (1) the importance of interprofessional leadership and modeling, (2) the application of the concept of "grand-generativity" to mentoring, (3) "it takes a community" to be effective in mentoring others, and (4) the need to tailor mentorship styles to the person and the situation. This discussion explores these topics and argues that gerontological and geriatrics educators have a particularly important role and responsibility in mentoring students, colleagues, and administrators related to the very future of our field.

  13. Integrated Systems Mitigate Land Degradation and Improve Agricultural System Sustainability

    Science.gov (United States)

    Landblom, Douglas; Senturklu, Songul; Cihacek, Larry; Brevik, Eric

    2017-04-01

    Rain-fed agricultural production supported by exogenous inputs is not sustainable because a continuous influx of expensive inputs (fertilizer, chemicals, fossil fuel, labor, tillage, and other) is required. Alternatives to traditional management allow natural occurring dynamic soil processes to provide the necessary microbial activity that supports nutrient cycling in balance with nature. Research designed to investigate the potential for integrated systems to replace expensive inputs has shown that healthy soils rich in soil organic matter (SOM) are the foundation upon which microbial nutrient cycling can reduce and eventually replace expensive fertilizer. No-till seed placement technology effectively replaces multiple-pass cultivation conserving stored soil water in semi-arid farming systems. In multi-crop rotations, cool- and warm-season crops are grown in sequence to meet goals of the integrated farming and ranching system, and each crop in the rotation complements the subsequent crop by supplying a continuous flow of essential SOM for soil nutrient cycling. Grazing animals serve an essential role in the system's sustainability as non-mechanized animal harvesters that reduce fossil fuel consumption and labor, and animal waste contributes soil nutrients to the system. Integrated systems' complementarity has contributed to greater soil nutrient cycling and crop yields, fertilizer reduction or elimination, greater yearling steer grazing net return, reduced cow wintering costs grazing crop residues, increased wildlife sightings, and reduced environmental footprint. Therefore, integrating crop and animal systems can reverse soil quality decline and adopting non-traditional procedures has resulted in a wider array of opportunities for sustainable agriculture and profitability.

  14. Improving Acceptance, Integration, and Health Among LGBT Service Members

    Science.gov (United States)

    2016-10-01

    Military, LGBT, health disparities, minority stress , social networks 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a...physical and mental health needs of this community. This project includes LGBT service members from all four services, Army, Air Force, Navy and...acceptance and integration of sexual minorities into traditional heterosexual work environments. Further, the findings will address possible health

  15. Overlay improvement methods with diffraction based overlay and integrated metrology

    Science.gov (United States)

    Nam, Young-Sun; Kim, Sunny; Shin, Ju Hee; Choi, Young Sin; Yun, Sang Ho; Kim, Young Hoon; Shin, Si Woo; Kong, Jeong Heung; Kang, Young Seog; Ha, Hun Hwan

    2015-03-01

    To accord with new requirement of securing more overlay margin, not only the optical overlay measurement is faced with the technical limitations to represent cell pattern's behavior, but also the larger measurement samples are inevitable for minimizing statistical errors and better estimation of circumstance in a lot. From these reasons, diffraction based overlay (DBO) and integrated metrology (IM) were mainly proposed as new approaches for overlay enhancement in this paper.

  16. A calculation technique to improve continuous monitoring of containment integrity

    International Nuclear Information System (INIS)

    Dick, J.E.

    1990-01-01

    The containment envelope of nuclear plants is a passive and extremely effective safety feature. World experience indicates, however, that inadvertent breaches of envelope integrity can go undetected for substantial time periods. Consequently, continuous monitoring of integrity is being closely examined by many containment designers and operators. The most promising approach is to use sensors and systems that automatically measure changes in the mass of air in containment, time integrate any known air mass flow rates across containment boundaries, and perform a mass balance to obtain the air mass leaked. As fluctuations in such measurements are typically too large to enable leakage to be calculated to the desired precision, filtering and statistical techniques must be used to filter out random and time-dependent fluctuations. Current approaches cannot easily deal with nonrandom or systematic fluctuations in the measurements, including pressure changes within the containment. As a result, sampling periods must be kept short, or data measured during periods of varying containment pressure must be discarded. The technique described allows for much longer sampling periods under conditions of fluctuating containment pressure and eliminates the invalidation of data when the containment pressure fluctuation is nonrandom. It should therefore yield a much more precise value for the containment leakage characteristic. It also promises to be able to distinguish the presence of systematic errors unrelated to systematic pressure changes and to establish whether the containment leakage characteristic is laminar or turbulent

  17. Improving wave forecasting by integrating ensemble modelling and machine learning

    Science.gov (United States)

    O'Donncha, F.; Zhang, Y.; James, S. C.

    2017-12-01

    Modern smart-grid networks use technologies to instantly relay information on supply and demand to support effective decision making. Integration of renewable-energy resources with these systems demands accurate forecasting of energy production (and demand) capacities. For wave-energy converters, this requires wave-condition forecasting to enable estimates of energy production. Current operational wave forecasting systems exhibit substantial errors with wave-height RMSEs of 40 to 60 cm being typical, which limits the reliability of energy-generation predictions thereby impeding integration with the distribution grid. In this study, we integrate physics-based models with statistical learning aggregation techniques that combine forecasts from multiple, independent models into a single "best-estimate" prediction of the true state. The Simulating Waves Nearshore physics-based model is used to compute wind- and currents-augmented waves in the Monterey Bay area. Ensembles are developed based on multiple simulations perturbing input data (wave characteristics supplied at the model boundaries and winds) to the model. A learning-aggregation technique uses past observations and past model forecasts to calculate a weight for each model. The aggregated forecasts are compared to observation data to quantify the performance of the model ensemble and aggregation techniques. The appropriately weighted ensemble model outperforms an individual ensemble member with regard to forecasting wave conditions.

  18. Improving Building Performance through Integrating Constructability in the Design Process

    OpenAIRE

    Ezzat Othman, Ayman Ahmed

    2011-01-01

    The traditional procurment approaches commonly adopted in construction projects and the involvement of multitude of various project participants with diverse objectives, skills and interests tended to separate design from construction.This separation obstructs contractors from providing designers with construction feedback and suggestions for design improvement, which ultimately hampers the improvement of building performance. Because of the importance of the design phase and the vit...

  19. Successful integration of ergonomics into continuous improvement initiatives.

    Science.gov (United States)

    Monroe, Kimberly; Fick, Faye; Joshi, Madina

    2012-01-01

    Process improvement initiatives are receiving renewed attention by large corporations as they attempt to reduce manufacturing costs and stay competitive in the global marketplace. These initiatives include 5S, Six Sigma, and Lean. These programs often take up a large amount of available time and budget resources. More often than not, existing ergonomics processes are considered separate initiatives by upper management and struggle to gain a seat at the table. To effectively maintain their programs, ergonomics program managers need to overcome those obstacles and demonstrate how ergonomics initiatives are a natural fit with continuous improvement philosophies.

  20. Advocating vaccination of adults aged 60 years and older in Western Europe: statement by the Joint Vaccine Working Group of the European Union Geriatric Medicine Society and the International Association of Gerontology and Geriatrics-European Region.

    Science.gov (United States)

    Michel, Jean-Pierre; Chidiac, Christian; Grubeck-Loebenstein, Beatrix; Johnson, Robert W; Lambert, Paul Henri; Maggi, Stefania; Moulias, Robert; Nicholson, Karl; Werner, Hans

    2009-04-01

    Vaccines are an underused public health strategy for healthy aging. Considering the risks of vaccine-preventable diseases and the current low vaccine coverage rates in older European citizens, the two European geriatric and gerontological societies (European Union Geriatric Medicine Society [EUGMS] and International Association of Gerontology and Geriatrics-European Region [IAGG-ER]) convened a Joint Vaccine Working Group to develop a consensus document advocating routine vaccination of aging populations. The mandate of this Working Group was to improve the uptake of routine vaccinations in adults aged 60 years and over. The consensus statement underlines the need to establish, strengthen, and harmonize European policies that continue routine vaccinations to adulthood and that will include older populations. Improved vaccination rates will promote healthy aging by reducing the burden of vaccine-preventable infectious diseases in older populations, a population that is rapidly increasing in Europe.

  1. Improved Anomaly Detection using Integrated Supervised and Unsupervised Processing

    Science.gov (United States)

    Hunt, B.; Sheppard, D. G.; Wetterer, C. J.

    There are two broad technologies of signal processing applicable to space object feature identification using nonresolved imagery: supervised processing analyzes a large set of data for common characteristics that can be then used to identify, transform, and extract information from new data taken of the same given class (e.g. support vector machine); unsupervised processing utilizes detailed physics-based models that generate comparison data that can then be used to estimate parameters presumed to be governed by the same models (e.g. estimation filters). Both processes have been used in non-resolved space object identification and yield similar results yet arrived at using vastly different processes. The goal of integrating the results of the two is to seek to achieve an even greater performance by building on the process diversity. Specifically, both supervised processing and unsupervised processing will jointly operate on the analysis of brightness (radiometric flux intensity) measurements reflected by space objects and observed by a ground station to determine whether a particular day conforms to a nominal operating mode (as determined from a training set) or exhibits anomalous behavior where a particular parameter (e.g. attitude, solar panel articulation angle) has changed in some way. It is demonstrated in a variety of different scenarios that the integrated process achieves a greater performance than each of the separate processes alone.

  2. Managing and organising collaborative improvement: a system integrator perspective

    NARCIS (Netherlands)

    Middel, H.G.A.; Fisscher, O.A.M.; Groen, Arend J.

    2007-01-01

    More than ever, companies are challenged to improve their performance and respond quickly and accurately to changes within the market. Because of external dynamics, competition is moving towards the level of networks of organisations, and thus the individual firm is an inadequate entity for

  3. Quality improvement in food value chains: searching for integrated solutions

    NARCIS (Netherlands)

    Bijman, J.; Bitzer, V.

    2016-01-01

    Quality improvement in food value chains offers both opportunities and challenges for farmers in Africa. This chapter introduces the key concepts that are used in the studies presented in this book. It also provides a short description of each of the chapters. Quality is an elusive concept. It has a

  4. Managing and organising collaborative improvement: A System Integrator perspective

    NARCIS (Netherlands)

    Middel, H.G.A.; Fisscher, O.A.M.; Groen, Arend J.

    2004-01-01

    More than ever, companies are challenged to improve their performance and respond quickly and accurately to changes within the market. Due to external dynamics competition is moving towards the level of networks of organisations, and, therefore, the individual firm is an inadequate entity for

  5. [A new stage of development of gerontology and geriatrics in Russia: Problems o creation of a geriatric care system. Part 2. The structure of the system, scientific approach].

    Science.gov (United States)

    Anisimov, V N; Serpov, V Yu; Finagentov, A V; Khavinson, V Kh

    2017-01-01

    The publication is the second part of the analytical review on the new stage of development of gerontology and geriatrics in Russia. Components of social support system for senior citizens and the structure of social-medical care as its crucial components are presented. The problem of positioning of geriatric care within the system of social support for senior citizens, as well as its peculiarities and the algorithm providing geriatric care are discussed. The analysis of this algorithm allowed us to justify the indissoluble link and continuity of individual components of geriatric care and its cost-effectiveness. The position of the Russian Federation Ministry of Health concerning of introduction of geriatric care as an element in the system of medical care for older citizens was looking through. The pilot project «Territory of Care» proposed by the Russian Federation Ministry of Labor and Ministry of Health for establishment of long-term system of medical and social care to citizens of the older generation on the principles of multidisciplinary and interdepartmental interaction was elucidated as well. Some failures of the project have been highlighted and recommendations for its development were stressed. The role of gerontology as a systemic basis for creation of geriatric service in Russia and for the development of an integrated social and medical care to citizens of the older generation was underlined. The main priorities in the field of aging in the forthcoming decade are formulated. The most promising areas of research in the field of gerontology were discussed, the implementation of which will allow to realize the State social policy goals focused on the quality of life of senior citizens. Finally, the position of Gerontological Society of the Russian Academy of Sciences on the creation of mechanisms of scientific support for the renovation of geriatric services, including collaboration with experts in the field of practical medicine, social workers, and

  6. Improving Acceptance, Integration, and Health Among LGBT Service Members

    Science.gov (United States)

    2016-10-01

    lifting of the bans – remains alive and well, with some LGBT service members experiencing interpersonal and institutional discrimination ...being among LGBT service members and improve unit cohesion. The military has always been a leader in understanding and implementing gender and...matters. These should be people that you know and who know you. These should be people you have had contact with in the past 3 months or so – either in

  7. Integrated approach to improving local CD uniformity in EUV patterning

    Science.gov (United States)

    Liang, Andrew; Hermans, Jan; Tran, Timothy; Viatkina, Katja; Liang, Chen-Wei; Ward, Brandon; Chuang, Steven; Yu, Jengyi; Harm, Greg; Vandereyken, Jelle; Rio, David; Kubis, Michael; Tan, Samantha; Dusa, Mircea; Singhal, Akhil; van Schravendijk, Bart; Dixit, Girish; Shamma, Nader

    2017-03-01

    Extreme ultraviolet (EUV) lithography is crucial to enabling technology scaling in pitch and critical dimension (CD). Currently, one of the key challenges of introducing EUV lithography to high volume manufacturing (HVM) is throughput, which requires high source power and high sensitivity chemically amplified photoresists. Important limiters of high sensitivity chemically amplified resists (CAR) are the effects of photon shot noise and resist blur on the number of photons received and of photoacids generated per feature, especially at the pitches required for 7 nm and 5 nm advanced technology nodes. These stochastic effects are reflected in via structures as hole-to-hole CD variation or local CD uniformity (LCDU). Here, we demonstrate a synergy of film stack deposition, EUV lithography, and plasma etch techniques to improve LCDU, which allows the use of high sensitivity resists required for the introduction of EUV HVM. Thus, to improve LCDU to a level required by 5 nm node and beyond, film stack deposition, EUV lithography, and plasma etch processes were combined and co-optimized to enhance LCDU reduction from synergies. Test wafers were created by depositing a pattern transfer stack on a substrate representative of a 5 nm node target layer. The pattern transfer stack consisted of an atomically smooth adhesion layer and two hardmasks and was deposited using the Lam VECTOR PECVD product family. These layers were designed to mitigate hole roughness, absorb out-of-band radiation, and provide additional outlets for etch to improve LCDU and control hole CD. These wafers were then exposed through an ASML NXE3350B EUV scanner using a variety of advanced positive tone EUV CAR. They were finally etched to the target substrate using Lam Flex dielectric etch and Kiyo conductor etch systems. Metrology methodologies to assess dimensional metrics as well as chip performance and defectivity were investigated to enable repeatable patterning process development. Illumination

  8. Improving Permafrost Hydrology Prediction Through Data-Model Integration

    Science.gov (United States)

    Wilson, C. J.; Andresen, C. G.; Atchley, A. L.; Bolton, W. R.; Busey, R.; Coon, E.; Charsley-Groffman, L.

    2017-12-01

    The CMIP5 Earth System Models were unable to adequately predict the fate of the 16GT of permafrost carbon in a warming climate due to poor representation of Arctic ecosystem processes. The DOE Office of Science Next Generation Ecosystem Experiment, NGEE-Arctic project aims to reduce uncertainty in the Arctic carbon cycle and its impact on the Earth's climate system by improved representation of the coupled physical, chemical and biological processes that drive how much buried carbon will be converted to CO2 and CH4, how fast this will happen, which form will dominate, and the degree to which increased plant productivity will offset increased soil carbon emissions. These processes fundamentally depend on permafrost thaw rate and its influence on surface and subsurface hydrology through thermal erosion, land subsidence and changes to groundwater flow pathways as soil, bedrock and alluvial pore ice and massive ground ice melts. LANL and its NGEE colleagues are co-developing data and models to better understand controls on permafrost degradation and improve prediction of the evolution of permafrost and its impact on Arctic hydrology. The LANL Advanced Terrestrial Simulator was built using a state of the art HPC software framework to enable the first fully coupled 3-dimensional surface-subsurface thermal-hydrology and land surface deformation simulations to simulate the evolution of the physical Arctic environment. Here we show how field data including hydrology, snow, vegetation, geochemistry and soil properties, are informing the development and application of the ATS to improve understanding of controls on permafrost stability and permafrost hydrology. The ATS is being used to inform parameterizations of complex coupled physical, ecological and biogeochemical processes for implementation in the DOE ACME land model, to better predict the role of changing Arctic hydrology on the global climate system. LA-UR-17-26566.

  9. Process Improvement Through Tool Integration in Aero-Mechanical Design

    Science.gov (United States)

    Briggs, Clark

    2010-01-01

    Emerging capabilities in commercial design tools promise to significantly improve the multi-disciplinary and inter-disciplinary design and analysis coverage for aerospace mechanical engineers. This paper explores the analysis process for two example problems of a wing and flap mechanical drive system and an aircraft landing gear door panel. The examples begin with the design solid models and include various analysis disciplines such as structural stress and aerodynamic loads. Analytical methods include CFD, multi-body dynamics with flexible bodies and structural analysis. Elements of analysis data management, data visualization and collaboration are also included.

  10. Improvement of nuclear ship engineering simulation system. Hardware renewal and interface improvement of the integral type reactor

    Energy Technology Data Exchange (ETDEWEB)

    Takahashi, Hiroki; Kyoya, Masahiko; Shimazaki, Junya [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Kano, Tadashi [KCS, Co., Mito, Ibaraki (Japan); Takahashi, Teruo [Energis, Co., Kobe, Hyogo (Japan)

    2001-10-01

    JAERI had carried out the design study about a lightweight and compact integral type reactor (an advanced marine reactor) with passive safety equipment as a power source for the future nuclear ships, and completed an engineering design. We have developed the simulator for the integral type reactor to confirm the design and operation performance and to utilize the study of automation of the reactor operation. The simulator can be used also for future research and development of a compact reactor. However, the improvement in a performance of hardware and a human machine interface of software of the simulator were needed for future research and development. Therefore, renewal of hardware and improvement of software have been conducted. The operability of the integral-reactor simulator has been improved. Furthermore, this improvement with the hardware and software on the market brought about better versatility, maintainability, extendibility and transfer of the system. This report mainly focuses on contents of the enhancement in a human machine interface, and describes hardware renewal and the interface improvement of the integral type reactor simulator. (author)

  11. A MODEL FOR INTEGRATED SOFTWARE TO IMPROVE COMMUNICATION POLICY IN DENTAL TECHNICAL LABS

    Directory of Open Access Journals (Sweden)

    Minko M. Milev

    2017-06-01

    Full Text Available Introduction: Integrated marketing communications (IMC are all kinds of communications between organisations and customers, partners, other organisations and society. Aim: To develop and present an integrated software model, which can improve the effectiveness of communications in dental technical services. Material and Methods: The model of integrated software is based on recommendations of a total of 700 respondents (students of dental technology, dental physicians, dental technicians and patients of dental technical laboratories in Northeastern Bulgaria. Results and Discussion: We present the benefits of future integrated software to improve the communication policy in the dental technical laboratory that meets the needs of fast cooperation and well-built communicative network between dental physicians, dental technicians, patients and students. Conclusion: The use of integrated communications could be a powerful unified approach to improving the communication policy between all players at the market of dental technical services.

  12. Integrating educational resources for improvement in operating performance

    International Nuclear Information System (INIS)

    Chewning, J.S.

    1985-01-01

    The contribution nuclear power is making to the world's supply of electric power has greatly decreased our dependence on oil. It is imperative that this vital resource continue to replace finite resources. Improper and/or insufficient attention on the part of nuclear facility management to the quality and amount of training given to operating and maintenance personnel can be a major factor in impeding the growth of nuclear generation. Haphazard, 'knee jerk' attention to staff preparation invites public opposition and fuels the anti-nuclear fires. Plant managers must be the overseers of the training programme for their plant. While they can delegate the day-to-day supervision to a training manager, top management must see that the person chosen for this job is well qualified, that he or she has the physical resources needed to carry out an adequate training programme, and that all plant personnel understand the important position the training programme holds in the plant. Managers must be responsible for seeing that the training programme is an integral part of the plant by defining avenues of communication between the training manager and the instructors, on the one hand, and between the training manager and the supervisors on the other. Management has the greatest impact on the overall attitude throughout the plant towards the importance of training and, therefore, must keep abreast of the quality of the training programme in the plant and move quickly to remedy any deficiencies. Such action is a message to all staff that training should be given the same respect as that given to plant operation

  13. Activities of the radiobiological institute, the institute for experimental gerontology, and the primate center. Annual report, 1976

    International Nuclear Information System (INIS)

    1976-01-01

    Activities, presented by way of concise articles, cover the following subjects: radiation physics, radiobiology, experimental tumor therapy, tumor induction and tumor biology, immunology, transplantation and immunogenetics, hematology, gerontology, ethology, microbiology and quotobiology, techniques, and animals

  14. The use of artificial intelligence techniques to improve the multiple payload integration process

    Science.gov (United States)

    Cutts, Dannie E.; Widgren, Brian K.

    1992-01-01

    A maximum return of science and products with a minimum expenditure of time and resources is a major goal of mission payload integration. A critical component then, in successful mission payload integration is the acquisition and analysis of experiment requirements from the principal investigator and payload element developer teams. One effort to use artificial intelligence techniques to improve the acquisition and analysis of experiment requirements within the payload integration process is described.

  15. A participatory and integrative approach to improve productivity and ergonomics in assembly

    NARCIS (Netherlands)

    Looze, M.P. de; Rhijn, J.W. van; Deursen, J. van; Tuinzaad, G.H.; Reijneveld, C.N.

    2003-01-01

    A participatory and integrative approach was applied to improve the productivity and ergonomics of the assembly lines in two factories, producing magnetic stop valves and office furniture, respectively. Main elements of the approach are the active participation of the company and the integration of

  16. The Role of Standardization in Improving the Effectiveness of Integrated Risk Management

    OpenAIRE

    Ciocoiu, Carmen Nadia; Dobrea, Razvan Catalin

    2010-01-01

    The need of standardization in risk management is justified by the efforts to develop and introduce, during the last few years, integrated risk management frameworks inside the organizations. The financial crisis has underscored the fact that significant improvements in risk management organizations and capabilities are required. The business community and also the experts recognize that the risk management standards have an important role in improving the effectiveness of integrated risk man...

  17. Nuclear agriculture and biotechnology: integrated approaches for crop improvement

    International Nuclear Information System (INIS)

    Suprasanna, P.; Venugopalan, V.

    2017-01-01

    Use of radiation and radioisotopes in agriculture is one of the most important fields of peaceful applications of atomic energy for societal benefit. They are used to induce genetic variability in crop plants to develop improved mutant varieties, to manage insect pests, to monitor fate and persistence of pesticides, to study fertilizer use efficiency and plant micronutrient uptake and also to preserve agricultural produce. So far, BARC has developed and released 42 Trombay mutant varieties in oilseeds (groundnut, mustard, soybean, sunflower), pulses (pigeonpea, blackgram, greengram, cowpea), rice and jute for commercial cultivation across the nation. Mutant characterization has been benefitted by genomics approaches and availability of crop genome sequencing. In this regard, studies are underway to utilize mutant germplasm for molecular characterization and understanding trait modification. The nuclear technologies have benefited the farmers, traders and end-users and will continue to play a significant role in addressing food and nutritional security. In this presentation, an overview will be given on the activities of the NABTD in the field of nuclear agriculture and biotechnology

  18. An integrated sampling and analysis approach for improved biodiversity monitoring

    Science.gov (United States)

    DeWan, Amielle A.; Zipkin, Elise F.

    2010-01-01

    Successful biodiversity conservation requires high quality monitoring data and analyses to ensure scientifically defensible policy, legislation, and management. Although monitoring is a critical component in assessing population status and trends, many governmental and non-governmental organizations struggle to develop and implement effective sampling protocols and statistical analyses because of the magnitude and diversity of species in conservation concern. In this article we describe a practical and sophisticated data collection and analysis framework for developing a comprehensive wildlife monitoring program that includes multi-species inventory techniques and community-level hierarchical modeling. Compared to monitoring many species individually, the multi-species approach allows for improved estimates of individual species occurrences, including rare species, and an increased understanding of the aggregated response of a community to landscape and habitat heterogeneity. We demonstrate the benefits and practicality of this approach to address challenges associated with monitoring in the context of US state agencies that are legislatively required to monitor and protect species in greatest conservation need. We believe this approach will be useful to regional, national, and international organizations interested in assessing the status of both common and rare species.

  19. Towards an integrative approach of improving indoor air quality

    Energy Technology Data Exchange (ETDEWEB)

    Bluyssen, Philomena M. [TNO Built Environment and Geosciences, P.O. Box 49, 2600 AA Delft (Netherlands)

    2009-09-15

    There seems to be a discrepancy between current Indoor Air Quality standards and end-users wishes and demands. Indoor air quality can be approached from three points of view: the human, the indoor air of the space and the sources contributing to indoor air pollution. Standards currently in use mainly address the indoor air of the space. ''Other or additional'' recommendations and guidelines are required to improve indoor air quality. Even though we do not fully understand the mechanisms behind the physical, chemical, physiological and psychological processes, it is still possible to identify the different ways to be taken regulatory, politically-socially (awareness), technically (process and product) and scientifically. Besides the fact that there is an urgent need to involve medicine and neuro-psychology in research to investigate the mechanisms behind dose-response, health effects and interactions between and with the other factors and parameters of the indoor environment and the human body and mind, a holistic approach is required including the sources, the air and last but not least the human beings (occupants) themselves. This paper mainly focuses on the European situation. (author)

  20. Nurturing gerontology students' intrinsic motivation to cocreate: The design of a powerful learning environment.

    Science.gov (United States)

    Jukema, Jan S; Veerman, Mieke; Van Alphen, Jacqueline; Visser, Geraldine; Smits, Carolien; Kingma, Tineke

    2017-09-21

    Professionals such as gerontologists play an important role in the design, development and implementation of age-friendly services. and products, by using working methods and principles of co-creation. A Dutch undergraduate applied gerontology programme aims to train students in the why, how and what of co-creation. The degree to which students are intrinsically motivated to develop competencies depends on how their psychological needs are met. These needs are autonomy, an awareness of competence and a sense of relatedness, as described in the self-determination theory. To nurture the intrinsic motivation of the applied gerontology students, a realistic, powerful learning environment called the Living Lab Applied Gerontology was designed and implemented. The aim of this paper is to present the design of this powerful learning environment and to discuss its value for nurturing the students' intrinsic motivation for co-creation. Based on a focus group with eight students, we identify directions for further research and development of living labs.

  1. Development and Implementation of a Peer Mentoring Program for Early Career Gerontological Faculty

    Science.gov (United States)

    Bryant, Ashley Leak; Brody, Ab; Perez, Adriana; Shillam, Casey; Edelman, Linda S.; Bond, Stewart M.; Foster, Victoria; Siegel, Elena

    2016-01-01

    Purpose In conjunction with the National Hartford Centers of Gerontological Nursing Excellence (NHCGNE), formerly known as the Building Academic Geriatric Nursing Capacity Initiative (BAGNC), the Hartford Gerontological Nursing Leaders (HGNL) developed and executed a program beginning in 2011 to enhance both (a) the experience of newly selected scholars and fellows to the NHCGNE and (b) the ongoing professional development of the HGNL. The purpose of this article is to describe key strategies used to develop and execute the mentoring program and to present the formative and summative program evaluation. Design The program was launched in January 2011 with seven peer mentor and mentee matches. In June 2012, the peer mentoring committee solicited feedback on the development of the peer mentoring program and changes were made for the subsequent cohorts. Findings An additional 12 matches were made in the following 2 years (2012 and 2013), for a total of 31 matches to date. We have learned several key lessons from our three cohorts regarding how to structure, implement, and carefully evaluate a peer mentoring program. Conclusions Informal evaluation of our peer mentoring program noted several challenges for both peer mentors and mentees. Having knowledge of and addressing those challenges may increase the overall quality and effectiveness of peer mentoring programs and, in turn, benefit academic nursing by strengthening the faculty workforce. Clinical Relevance Findings from development and implementation of a peer mentoring program for gerontological faculty could lead to new and adaptable programs in a variety of clinical and education settings. PMID:25808927

  2. El envejecimiento como relato: Una invitación a la gerontología narrativa

    Directory of Open Access Journals (Sweden)

    Feliciano Villar

    2015-07-01

    Full Text Available El presente artículo tiene como objetivo presentar una panorámica actual de la aplicación de un enfoque narrativo al estudio del envejecimiento. En primer lugar se delinea cuál es el objeto de conocimiento de la gerontología narrativa, que se extiende en un doble nivel interrelacionado: la identidad narrativa en la vejez por una parte, y los relatos culturales sobre el envejecimiento por otra. En segundo lugar, se describen las principales metodologías utilizadas en la gerontología narrativa, diferenciando entre aquellas interesadas en el contenido de los relatos (qué se narra de las interesadas en el proceso de elaboración dialogada de los relatos (cómo se narra. El artículo finaliza con algunas reflexiones sobre el futuro y desafíos a los que se enfrenta la gerontología narrativa.  

  3. Development and implementation of a peer mentoring program for early career gerontological faculty.

    Science.gov (United States)

    Bryant, Ashley Leak; Aizer Brody, Abraham; Perez, Adriana; Shillam, Casey; Edelman, Linda S; Bond, Stewart M; Foster, Victoria; Siegel, Elena O

    2015-05-01

    The Hartford Gerontological Nursing Leaders (HGNL) formerly known as the Building Academic Geriatric Nursing Capacity Initiative (BAGNC), in conjunction with the National Hartford Centers of Gerontological Nursing Excellence (NHCGNE), developed and executed a peer mentoring program beginning in 2011 to enhance both (a) the experience of newly selected scholars and fellows to the NHCGNE and (b) the ongoing professional development of HGNL members. The purpose of this article is to describe key strategies used to develop and execute the peer mentoring program and to present formative program evaluation. The program was launched in January 2011 with seven peer mentor and mentee matches. In June 2012, the peer mentoring committee solicited feedback on the development of the peer mentoring program and changes were made for the subsequent cohorts. An additional 12 matches were made in the following 2 years (2012 and 2013), for a total of 31 matches to date. We have learned several key lessons from our three cohorts regarding how to structure, implement, and carefully evaluate a peer mentoring program. Informal evaluation of our peer mentoring program noted several challenges for both peer mentors and mentees. Having knowledge of and addressing those challenges may increase the overall quality and effectiveness of peer mentoring programs and, in turn, benefit academic nursing by strengthening the faculty workforce. Findings from development and implementation of a peer mentoring program for gerontological faculty could lead to new and adaptable programs in a variety of clinical and education settings. © 2015 Sigma Theta Tau International.

  4. [Chartered specialist training in gerontology and geriatrics. Dissertation Council no. 601.001.01 working practice].

    Science.gov (United States)

    Kozina, L S

    2014-01-01

    The article highlights basic facts about the foundation and activity of the Gerontology and Geriatrics Dissertation Council of St. Petersburg Institute of Bioregulation and Gerontology, which took invaluable part in chartered specialist training in this field of science that has actively developed in Russia in recent decades. Over the period from June, 2001 to December, 2013, a total of 41 doctoral dissertations were defended, of which 32 dissertations were on Medicine and 9 on Biological Sciences. Likewise, over the same period, a total of 186 candidate's dissertations were defended, of which 152 dissertations were on Medicine and 34 on Biological Sciences, the defenders coming from various regions of Russia and other countries. The defence-representative trend data acquired over the period of the Dissertation Council activities shows that the number of defended doctoral dissertations was relatively small within the period from 2002 to 2008, but it increased significantly in the years 2009 to 2013. The number of defended candidate's dissertations increased significantly over the same period, too. Among many others considered by the Dissertation Council, there were dissertations dedicated to basic research in the field of gerontology and geriatrics. The priority topics of a large number of dissertations performed in St. Petersburg and other Russian towns are age pathology mechanisms, geroprotective effects of regulatory peptides and effectiveness of their use in clinic.

  5. What can I do with a doctoral degree in gerontology? Expanding your options.

    Science.gov (United States)

    Dassel, Kara Bottiggi; Ewen, Heidi; Carr, Dawn; Manning, Lydia; Leach, Corinne; Fitzgerald, Kelly

    2014-01-01

    An endless number of career trajectories are possible for gerontologists. With a growing aging population, our skills and areas of expertise are of high value to numerous industries. The purpose of this study is to describe the professional development and career trajectories of alumni of U.S. doctoral gerontology programs obtained through the Gerontology Education Longitudinal Study (GELS). Specifically, the authors examine how professional identification, doctoral program career preparation, and perception of job prospects affect alumni decisions to pursue "traditional" (i.e., academic) versus "nontraditional" (i.e., non-academic) careers. Results from the GELS revealed a fairly even split in the alumni sample of careers in traditional and nontraditional settings. The decision to pursue a traditional versus nontraditional career was not significantly associated with personal identification, doctoral program career preparation, or perception of employment options. These results suggest that the skill set obtained in doctoral gerontology programs is useful and is in demand in a variety of careers; therefore, doctoral programs may want to consider tailoring training to meet students' future career goals in both academic and non-academic settings.

  6. Interdisciplinary collaboration in gerontology and geriatrics in Latin America: conceptual approaches and health care teams.

    Science.gov (United States)

    Gomez, Fernando; Curcio, Carmen Lucia

    2013-01-01

    The underlying rationale to support interdisciplinary collaboration in geriatrics and gerontology is based on the complexity of elderly care. The most important characteristic about interdisciplinary health care teams for older people in Latin America is their subjective-basis framework. In other regions, teams are organized according to a theoretical knowledge basis with well-justified priorities, functions, and long-term goals, in Latin America teams are arranged according to subjective interests on solving their problems. Three distinct approaches of interdisciplinary collaboration in gerontology are proposed. The first approach is grounded in the scientific rationalism of European origin. Denominated "logical-rational approach," its core is to identify the significance of knowledge. The second approach is grounded in pragmatism and is more associated with a North American tradition. The core of this approach consists in enhancing the skills and competences of each participant; denominated "logical-instrumental approach." The third approach denominated "logical-subjective approach" has a Latin America origin. Its core consists in taking into account the internal and emotional dimensions of the team. These conceptual frameworks based in geographical contexts will permit establishing the differences and shared characteristics of interdisciplinary collaboration in geriatrics and gerontology to look for operational answers to solve the "complex problems" of older adults.

  7. Learning to Learn: towards a Relational and Transformational Model of Learning for Improved Integrated Care Delivery

    Directory of Open Access Journals (Sweden)

    John Diamond

    2013-06-01

    Full Text Available Health and social care systems are implementing fundamental changes to organizational structures and work practices in an effort to achieve integrated care. While some integration initiatives have produced positive outcomes, many have not. We reframe the concept of integration as a learning process fueled by knowledge exchange across diverse professional and organizational communities. We thus focus on the cognitive and social dynamics of learning in complex adaptive systems, and on learning behaviours and conditions that foster collective learning and improved collaboration. We suggest that the capacity to learn how to learn shapes the extent to which diverse professional groups effectively exchange knowledge and self-organize for integrated care delivery.

  8. [A new stage of development of gerontology and geriatrics in Russia: problems of creation of a geriatric care system. Part 1. Relevance, regulatory infrastructure].

    Science.gov (United States)

    Anisimov, V N; Serpov, V Yu; Finagentov, A V; Khavinson, V Kh

    2017-01-01

    This article is a 1st part of the analytical review, focused on a new step in development of geriatrics in Russia. Creation of state system geriatric care as important part of state politics in the area of enhancement of quality of life was proved. General aspects of improvement of social support of disable elderly persons in condition of restricted budget and interagency separation was presented. Establishment of unified system of medical social support and gerotechnologies for the elderly was substantiated, as a mechanism facilitated life activity and decreasing of demographic loading on economic status of regions of Russian Federation. Legislative and normative regulations of gerontology and geriatric development were observed as well. Accepted legislative and normative acts were analyzed for period since 1977 to 2014. The necessity of approaches to regulation modernization for elderly was demonstrated. Analytical review on number of legislative state documents issued after meeting of Presidium of State Council of the Russian Federation being in August 2014 was also presented. Applicability of these documents for realization new strategy of gerontology and geriatrics development in Russia was proved.

  9. 76 FR 34541 - Child and Adult Care Food Program Improving Management and Program Integrity

    Science.gov (United States)

    2011-06-13

    ... 7 CFR Parts 210, 215, 220 et al. Child and Adult Care Food Program Improving Management and Program..., 220, 225, and 226 RIN 0584-AC24 Child and Adult Care Food Program Improving Management and Program... management and integrity in the Child and Adult Care Food Program (CACFP), at 67 FR 43447 (June 27, 2002) and...

  10. Improvement of risk assessment by integrating toxicological and epidemiological approaches: the case of isoflavones

    NARCIS (Netherlands)

    Islam, M.A.

    2015-01-01

    Improvement of risk assessment by integrating toxicological and epidemiological approaches: the case of isoflavones

    PhD-thesis Mohammed Ariful Islam

    This thesis describes the results of a research project that aimed at the improvement of

  11. Alarm radiation dosimeter with improved integrating pulse ionization chamber and high voltage supply

    International Nuclear Information System (INIS)

    Borkowski, C.J.; Rochelle, J.M.

    1975-01-01

    An alarm dosimeter is described which features an improved integrating pulse ionization chamber of the type containing an hermetically sealed gas diode. Improved operation and miniaturization of the chamber are made possible by a ringing choke converter high voltage supply having a ripple-type output that insures discharge of the gas diode. (author)

  12. The SUSTAIN Project: A European Study on Improving Integrated Care for Older People Living at Home

    Science.gov (United States)

    Stoop, Annerieke; Billings, Jenny; Leichsenring, Kai; Ruppe, Georg; Tram, Nhu; Barbaglia, María Gabriela; Ambugo, Eliva A.; Zonneveld, Nick; Paat-Ahi, Gerli; Hoffmann, Henrik; Khan, Usman; Stein, Viktoria; Wistow, Gerald; Lette, Manon; Jansen, Aaltje P.D.; Nijpels, Giel; Baan, Caroline A.

    2018-01-01

    Introduction: Integrated care programmes are increasingly being put in place to provide care to older people who live at home. Knowledge of how to further develop integrated care and how to transfer successful initiatives to other contexts is still limited. Therefore, a cross-European research project, called Sustainable Tailored Integrated Care for Older People in Europe (SUSTAIN), has been initiated with a twofold objective: 1. to collaborate with local stakeholders to support and monitor improvements to established integrated care initiatives for older people with multiple health and social care needs. Improvements focus on person-centredness, prevention orientation, safety and efficiency; 2. to make these improvements applicable and adaptable to other health and social care systems, and regions in Europe. This paper presents the overall structure and approach of the SUSTAIN project. Methods: SUSTAIN uses a multiple embedded case study design. In three phases, SUSTAIN partners: (i) conduct interviews and workshops with stakeholders from fourteen established integrated care initiatives to understand where they would prefer improvements to existing ways of working; (ii) collaborate with local stakeholders to support the design and implementation of improvement plans, evaluate implementation progress and outcomes per initiative, and carry out overarching analyses to compare the different initiatives, and; (iii) translate knowledge and experience to an online roadmap. Discussion: SUSTAIN aims to generate evidence on how to improve integrated care, and apply and transfer the knowledge gained to other health and social care systems, and regions. Lessons learned will be brought together in practical tools to inform and support policy-makers and decision-makers, as well as other stakeholders involved in integrated care, to manage and improve care for older people living at home. PMID:29632456

  13. Integrated reservoir characterization: Improvement in heterogeneities stochastic modelling by integration of additional external constraints

    Energy Technology Data Exchange (ETDEWEB)

    Doligez, B.; Eschard, R. [Institut Francais du Petrole, Rueil Malmaison (France); Geffroy, F. [Centre de Geostatistique, Fontainebleau (France)] [and others

    1997-08-01

    The classical approach to construct reservoir models is to start with a fine scale geological model which is informed with petrophysical properties. Then scaling-up techniques allow to obtain a reservoir model which is compatible with the fluid flow simulators. Geostatistical modelling techniques are widely used to build the geological models before scaling-up. These methods provide equiprobable images of the area under investigation, which honor the well data, and which variability is the same than the variability computed from the data. At an appraisal phase, when few data are available, or when the wells are insufficient to describe all the heterogeneities and the behavior of the field, additional constraints are needed to obtain a more realistic geological model. For example, seismic data or stratigraphic models can provide average reservoir information with an excellent areal coverage, but with a poor vertical resolution. New advances in modelisation techniques allow now to integrate this type of additional external information in order to constrain the simulations. In particular, 2D or 3D seismic derived information grids, or sand-shale ratios maps coming from stratigraphic models can be used as external drifts to compute the geological image of the reservoir at the fine scale. Examples are presented to illustrate the use of these new tools, their impact on the final reservoir model, and their sensitivity to some key parameters.

  14. The innovation and practice of management improved by integration management information system in nuclear enterprise

    International Nuclear Information System (INIS)

    Zhang Fan; Cheng Lihong; Li Qisheng; Ge Zhengfa

    2012-01-01

    This article expounds that Hunan Taohuajiang Nuclear Power Company generally programs the route of company's core business and implements its integration through referencing the experience of informationization construction of other enterprises at the beginning of the foundation of this company, and summarizes the experience of system construction and analyses the innovation and signification of the integrative management information system to the nu- clear power enterprise management from data unified, resources sharing and business electronic and the management improvement of this company. (authors)

  15. Integrated methodology for production related risk management of vehicle electronics (IMPROVE)

    OpenAIRE

    Geis, Stefan Rafael

    2006-01-01

    This scientific work is designated to provide an innovative and integrated conceptional approach to improve the assembly quality of automotive electronics. This is achieved by the reduction and elimination of production related risks of automotive electronics and the implementation of a sustainable solution process. The focus is the development and implementation of an integrated technical risk management approach for automotive electronics throughout the vehicle life cycle and the vehicle pr...

  16. Elderly patients with Vascular Brain Accident: A gerontogeriatric vision, from a literature review of studies published in the Journal Kairos Gerontology

    Directory of Open Access Journals (Sweden)

    Ana Cristina dos Santos Silva

    2015-05-01

    Full Text Available This research aimed to assess the work published in the journal Kairos Gerontology, from 1998 to 2014, with the theme: elderly affected by cerebrovascular accident. It was intended to be a reflection of the importance of this thematic gerontogeriatria, contributing to the social integration of older persons, from a holistic look. At the end of this survey, we can affirm the importance of respect to reality of these elderly people in its context of life, as well as preventive measures in primary areas, with awareness of the population for the control of various vascular risk factors such as blood pressure, diabetes, cholesterol, triglycerides, heart disease, in addition to the need to refrain from smoking, having a healthy diet and physical exercise.  

  17. Integration of quality improvement and cost-efficiency through industrial improvement techniques

    Directory of Open Access Journals (Sweden)

    Vink JP

    2016-06-01

    Full Text Available Jasper P Vink,1 Maxime T Rigaudy,1,2 Karl O Elmqvist11Imperial College Business School, Imperial College London, London, 2Hull York Medical School, York, UKIn this journal, Crema and Verbano1 discussed the importance of defining quality of health care and how quality can be improved through various industrial instruments and techniques. Quality of health care is a heavily debated topic that requires a wide scope of considerations across the many stakeholders of the health system. We acknowledge Crema and Verbano’s arguments that patient safety is a basic pillar of quality, upon which we would like to expand by highlighting the clinical effectiveness and patient-reported outcomes, which are the two further crucial components of quality. The arguments made regarding quality improvement techniques and cost efficiency in health care provision are insightful, yet appear to make a distinction between efforts to improve quality, eliminate waste from processes, and cut costs in health care provision. We would argue that in fact these achievements are all closely related and can be achieved simultaneously, if the industrial techniques of quality management are applied adequately.View the original paper by Crema and Verbano.

  18. A modified integrated NDVI for improving estimates of terrestrial net primary production

    Science.gov (United States)

    Running, Steven W.

    1990-01-01

    Logic is presented for a time-integrated NDVI that is modified by an AVHRR derived surface evaporation resistance factor sigma, and truncated by temperatures that cause plant dormancy, to improve environmental sensitivity. With this approach, NDVI observed during subfreezing temperatures is not integrated. Water stress-related impairment in plant activity is incorporated by reducing the effective NDVI at each integration with sigma, which is derived from the slope of the surface temperature to NDVI ratio for climatically similar zones of the scene. A comparison of surface resistance before and after an extended drought period for a 1200 sq km region of coniferous forest in Montana is presented.

  19. Improving method for calculating integral index of personnel security of company

    Directory of Open Access Journals (Sweden)

    Chjan Khao Yui

    2016-06-01

    Full Text Available The paper improves the method of calculating the integral index of personnel security of a company. The author has identified four components of personnel security (social and motivational safety, occupational safety, not confliction security, life safety which are characterized by certain indicators. Integral index of personnel security is designed for the enterprises of machine-building sector in Kharkov region, taking into account theweight coefficients j-th component of bj, and weighting factors that determine the degree of contribution of the ith parameter in the integral index aіj as defined by experts.

  20. Performance Improvement of Receivers Based on Ultra-Tight Integration in GNSS-Challenged Environments

    Directory of Open Access Journals (Sweden)

    Feng Qin

    2013-12-01

    Full Text Available Ultra-tight integration was first proposed by Abbott in 2003 with the purpose of integrating a global navigation satellite system (GNSS and an inertial navigation system (INS. This technology can improve the tracking performances of a receiver by reconfiguring the tracking loops in GNSS-challenged environments. In this paper, the models of all error sources known to date in the phase lock loops (PLLs of a standard receiver and an ultra-tightly integrated GNSS/INS receiver are built, respectively. Based on these models, the tracking performances of the two receivers are compared to verify the improvement due to the ultra-tight integration. Meanwhile, the PLL error distributions of the two receivers are also depicted to analyze the error changes of the tracking loops. These results show that the tracking error is significantly reduced in the ultra-tightly integrated GNSS/INS receiver since the receiver’s dynamics are estimated and compensated by an INS. Moreover, the mathematical relationship between the tracking performances of the ultra-tightly integrated GNSS/INS receiver and the quality of the selected inertial measurement unit (IMU is derived from the error models and proved by the error comparisons of four ultra-tightly integrated GNSS/INS receivers aided by different grade IMUs.

  1. [Gerontology in rural and mountains regions aged people in the country and in mountain regions (author's transl)].

    Science.gov (United States)

    Gsell, O

    1977-04-01

    The gerontologic problems of people living in the country and in mountain regions always were neglected in comparison to those of townsmen. In the last decade an important structural change has happened, caused on the one side by the fact that more and more people leave the country for the towns, and by the problem of overaged persons in the country; on the other side this change is a consequence of improvement by modern technical acquisitions (more agricultural machines, silos), living hygiene and the tourism. The living conditions in the past and today in Switzerland are shown, referring to various publications. The ecological change also hits the aged people, financially by revenues, completion of private help organizations, rebuilding of homes for the aged persons in every village and regional nursing home, as well as household helps for those elderly people who still live in the country in their own houses. The qualitative differences between living conditions in the country and in town will in the near future be equalized--which is especially mentionned.

  2. Improving Outcomes through Transformational Health and Social Care Integration - The Scottish Experience.

    Science.gov (United States)

    Hendry, Anne; Taylor, Alison; Mercer, Stewart; Knight, Peter

    2016-01-01

    The Scottish Parliament recently passed legislation on integrating healthcare and social care to improve the quality and outcomes of care and support for people with multiple and complex needs across Scotland. This ambitious legislation provides a national framework to accelerate progress in person-centred and integrated care and support for the growing number of people who have multiple physical and mental health conditions and complex needs. Additional investment and improvement capacity is helping to commission support and services that are designed and delivered with people in local communities and in partnership with housing, community, voluntary and independent sectors.

  3. Integrated approach towards the application of horizontal wells to improve waterflooding performance. Annual report

    Energy Technology Data Exchange (ETDEWEB)

    Kelkar, M.; Liner, C.; Kerr, D.

    1995-05-01

    This annual report describes the progress during the second year of the project on Integrated Approach Towards the Application of Horizontal Wells to Improve Waterflooding Performance. This project is funded under the Department of Energy`s Class I program which is targeted towards improving the reservoir performance of mature oil fields located in fluvial-dominated deltaic deposits. The project involves an integrated approach to characterize the reservoir followed by the drilling of horizontal injection wells to improve production performance. The type of data we have integrated include cross bore hole seismic surveys, geological interpretation based on logs and cores, and engineering information. This report covers the second phase of the project which includes a detailed reservoir description of the field by integrating all the available information, followed by flow simulation of the Self Unit under various operating conditions. Based on an examination of the various operating parameters, we observed that the best possible solution to improve the Self Unit performance is to recomplete and stimulate most of the wells followed by an increase in the water injection rate. Drilling of horizontal injection well, although helpful in improving the performance, was not found to be economically feasible. The proposed reservoir management plan will be implemented shortly.

  4. Integrated Approach Towards the Application of Horizontal Wells to Improve Waterflooding Performance

    Energy Technology Data Exchange (ETDEWEB)

    Kelkar, Mohan; Liner, Chris; Kerr, Dennis

    1999-10-15

    This final report describes the progress during the six year of the project on ''Integrated Approach Towards the Application of Horizontal Wells to Improve Waterflooding Performance.'' This report is funded under the Department of Energy's (DOE's) Class I program which is targeted towards improving the reservoir performance of mature oil fields located in fluvially-dominated deltaic deposits. The project involves using an integrated approach to characterize the reservoir followed by drilling of horizontal injection wells to improve production performance. The project was divided into two budget periods. In the first budget period, many modern technologies were used to develop a detailed reservoir management plan; whereas, in the second budget period, conventional data was used to develop a reservoir management plan. The idea was to determine the cost effectiveness of various technologies in improving the performance of mature oil fields.

  5. CMS Nonpayment Policy, Quality Improvement, and Hospital-Acquired Conditions: An Integrative Review.

    Science.gov (United States)

    Bae, Sung-Heui

    This integrative review synthesized evidence on the consequences of the Centers for Medicare & Medicaid Services (CMS) nonpayment policy on quality improvement initiatives and hospital-acquired conditions. Fourteen articles were included. This review presents strong evidence that the CMS policy has spurred quality improvement initiatives; however, the relationships between the CMS policy and hospital-acquired conditions are inconclusive. In future research, a comprehensive model of implementation of the CMS nonpayment policy would help us understand the effectiveness of this policy.

  6. 2008 Kent award lecture: an historian interprets the future of gerontology.

    Science.gov (United States)

    Achenbaum, W Andrew

    2010-04-01

    Donald Peterson Kent believed that gerontology would grow through innovative inquiry, effective teaching, and well-evaluated policies and programs that benefited the elderly people. Because advances in research, education, and practice sustain each other, Kent's tripartite agenda continues to be instructive as globalization presents fresh challenges and opportunities for gerontologists to advance our multifaceted, multidisciplinary, multinational enterprise. Donald Kent's vision offers a compelling blueprint for interpreting the field's future as gerontologists engage in theory building, educational trail blazing, and redefining older people's roles in aging societies.

  7. [Methodologic developmental principles of standardized surveys within the scope of social gerontologic studies].

    Science.gov (United States)

    Bansemir, G

    1987-01-01

    The conception and evaluation of standardized oral or written questioning as quantifying instruments of research orientate by the basic premises of Marxist-Leninist theory of recognition and general scientific logic. In the present contribution the socio-gerontological research process is outlined in extracts. By referring to the intrinsic connection between some of its essential components--problem, formation of hypotheses, obtaining indicators/measurement, preliminary examination, evaluation-as well as to typical errors and (fictitious) examples of practical research, this contribution contrasts the natural, apparently uncomplicated course of structured questioning with its qualitative methodological fundamentals and demands.

  8. The evolution of gerontology and geriatrics in an era of a politics of aging.

    Science.gov (United States)

    Torres-Gil, Fernando M

    2017-01-01

    The fields of gerontology and geriatrics are facing unprecedented changes, pressures, and opportunities. The 21st century requires that we utilize contemporary approaches to modernizing these disciplines for new populations, new cohorts and new social, economic and political demands. This article draws on the authors professional, academic, and public policy experiences to suggest initiatives and paradigms that can set a road map to both change the last centuries' notions of longevity and social supports to one that accounts for technology, varied cohorts, a public/private sector divide, and the nexus of aging and diversity.

  9. Pain Research and Treatment in the Gerontological Context: A Discussion of the Issues

    Directory of Open Access Journals (Sweden)

    Margaret C Gibson

    1998-01-01

    Full Text Available An appreciation of the context in which gerontological health care occurs is crucial to the successful and ethical collection, interpretation and utilization of data on the pain experiences of elderly people. Important contextual considerations for researchers and clinicians who are addressing pain in the elderly are identified. It is argued that topics that are the focus of current attention in the field of pain and ageing, such as the effect of dementia on memory for pain and the responsiveness of the elderly to psychosocial pain treatment, would be clarified by an understanding of the broader sociopolitical context in which ageing occurs.

  10. Methodological challenges in measurements of functional ability in gerontological research. A review

    DEFF Research Database (Denmark)

    Avlund, Kirsten

    1997-01-01

    This article addresses two important challenges in the measurement of functional ability in gerontological research: the first challenge is to connect measurements to a theoretical frame of reference which enhances our understanding and interpretation of the collected data; the second relates...... procedure, validity, discriminatory power, and responsiveness. In measures of functional ability it is recommended: 1) always to consider the theoretical frame of reference as part of the validation process (e.g., the theory of "The Disablement Process"; 2) always to assess whether the included activities...

  11. Missing Link: Integrated Individual Leadership Development, Employee Engagement, and Customer Value-Added Improvement

    Science.gov (United States)

    Heldenbrand, Lois; Simms, Michael S.

    2012-01-01

    Long-term care is a key public issue that affects all of us in some way at some time of our lives. Nowhere is performance improvement and quality management more imperative. Through an 8-month field study and follow-up case study, we discuss how using an integrated approach to individual leadership development, employee engagement, and customer…

  12. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness.

    Science.gov (United States)

    Koch, Sven H; Weir, Charlene; Haar, Maral; Staggers, Nancy; Agutter, Jim; Görges, Matthias; Westenskow, Dwayne

    2012-01-01

    Fatal errors can occur in intensive care units (ICUs). Researchers claim that information integration at the bedside may improve nurses' situation awareness (SA) of patients and decrease errors. However, it is unclear which information should be integrated and in what form. Our research uses the theory of SA to analyze the type of tasks, and their associated information gaps. We aimed to provide recommendations for integrated, consolidated information displays to improve nurses' SA. Systematic observations methods were used to follow 19 ICU nurses for 38 hours in 3 clinical practice settings. Storyboard methods and concept mapping helped to categorize the observed tasks, the associated information needs, and the information gaps of the most frequent tasks by SA level. Consensus and discussion of the research team was used to propose recommendations to improve information displays at the bedside based on information deficits. Nurses performed 46 different tasks at a rate of 23.4 tasks per hour. The information needed to perform the most common tasks was often inaccessible, difficult to see at a distance or located on multiple monitoring devices. Current devices at the ICU bedside do not adequately support a nurse's information-gathering activities. Medication management was the most frequent category of tasks. Information gaps were present at all levels of SA and across most of the tasks. Using a theoretical model to understand information gaps can aid in designing functional requirements. Integrated information that enhances nurses' Situation Awareness may decrease errors and improve patient safety in the future.

  13. Action Research for Improving the Effectiveness of Technology Integration in Preservice Teacher Education

    Science.gov (United States)

    Kuo, Nai-Cheng

    2015-01-01

    This study aims at exploring how the Technological Pedagogical and Content Knowledge (TPACK) framework can be used to improve the effectiveness of integrating IDEA '04 and Research for Inclusive Settings (IRIS) modules in preservice teacher education. The purposes of this study were to maximize the potential of TPACK at the college and university…

  14. Faculty Integration of Technology into Instruction and Students' Perceptions of Computer Technology to Improve Student Learning

    Science.gov (United States)

    Keengwe, Jared

    2007-01-01

    There has been a remarkable improvement in access and rate of adoption of technology in higher education. Even so, reports indicate that faculty members are not integrating technology into instruction in ways that make a difference in student learning (Cuban, 2001; McCannon & Crews, 2000). To help faculty make informed decisions on student…

  15. An Improved Strong Tracking Cubature Kalman Filter for GPS/INS Integrated Navigation Systems.

    Science.gov (United States)

    Feng, Kaiqiang; Li, Jie; Zhang, Xi; Zhang, Xiaoming; Shen, Chong; Cao, Huiliang; Yang, Yanyu; Liu, Jun

    2018-06-12

    The cubature Kalman filter (CKF) is widely used in the application of GPS/INS integrated navigation systems. However, its performance may decline in accuracy and even diverge in the presence of process uncertainties. To solve the problem, a new algorithm named improved strong tracking seventh-degree spherical simplex-radial cubature Kalman filter (IST-7thSSRCKF) is proposed in this paper. In the proposed algorithm, the effect of process uncertainty is mitigated by using the improved strong tracking Kalman filter technique, in which the hypothesis testing method is adopted to identify the process uncertainty and the prior state estimate covariance in the CKF is further modified online according to the change in vehicle dynamics. In addition, a new seventh-degree spherical simplex-radial rule is employed to further improve the estimation accuracy of the strong tracking cubature Kalman filter. In this way, the proposed comprehensive algorithm integrates the advantage of 7thSSRCKF’s high accuracy and strong tracking filter’s strong robustness against process uncertainties. The GPS/INS integrated navigation problem with significant dynamic model errors is utilized to validate the performance of proposed IST-7thSSRCKF. Results demonstrate that the improved strong tracking cubature Kalman filter can achieve higher accuracy than the existing CKF and ST-CKF, and is more robust for the GPS/INS integrated navigation system.

  16. Improved Integral Attacks on SIMON32 and SIMON48 with Dynamic Key-Guessing Techniques

    Directory of Open Access Journals (Sweden)

    Zhihui Chu

    2018-01-01

    Full Text Available Dynamic key-guessing techniques, which exploit the property of AND operation, could improve the differential and linear cryptanalytic results by reducing the number of guessed subkey bits and lead to good cryptanalytic results for SIMON. They have only been applied in differential and linear attacks as far as we know. In this paper, dynamic key-guessing techniques are first introduced in integral cryptanalysis. According to the features of integral cryptanalysis, we extend dynamic key-guessing techniques and get better integral cryptanalysis results than before. As a result, we present integral attacks on 24-round SIMON32, 24-round SIMON48/72, and 25-round SIMON48/96. In terms of the number of attacked rounds, our attack on SIMON32 is better than any previously known attacks, and our attacks on SIMON48 are the same as the best attacks.

  17. Integrating qualitative research methods into care improvement efforts within a learning health system: addressing antibiotic overuse.

    Science.gov (United States)

    Munoz-Plaza, Corrine E; Parry, Carla; Hahn, Erin E; Tang, Tania; Nguyen, Huong Q; Gould, Michael K; Kanter, Michael H; Sharp, Adam L

    2016-08-15

    Despite reports advocating for integration of research into healthcare delivery, scant literature exists describing how this can be accomplished. Examples highlighting application of qualitative research methods embedded into a healthcare system are particularly needed. This article describes the process and value of embedding qualitative research as the second phase of an explanatory, sequential, mixed methods study to improve antibiotic stewardship for acute sinusitis. Purposive sampling of providers for in-depth interviews improved understanding of unwarranted antibiotic prescribing and elicited stakeholder recommendations for improvement. Qualitative data collection, transcription and constant comparative analyses occurred iteratively. Emerging themes and sub-themes identified primary drivers of unwarranted antibiotic prescribing patterns and recommendations for improving practice. These findings informed the design of a health system intervention to improve antibiotic stewardship for acute sinusitis. Core components of the intervention are also described. Qualitative research can be effectively applied in learning healthcare systems to elucidate quantitative results and inform improvement efforts.

  18. GERONTOLOGÍA EDUCATIVA DESDE LA PERSPECTIVA DE GÉNERO: UNA PRÁCTICA METODOLÓGICA (EDUCATIONAL GERONTOLOGY FROM A PERSPECTIVE OF GENDER: A METHODOLOGICAL PRACTICE

    Directory of Open Access Journals (Sweden)

    Hernández Sánchez Sonia

    2010-08-01

    Full Text Available Resumen:En el presente artículo se analiza un grupo de mujeres mayores, de 50 años a 72 años de edad, quienes participan desde el 2008, en un curso de capacitación para enfrentar los cambios y los desafíos de la vejez, asistiendo al Programa de Atención Integral de la Persona Adulta Mayor, de la Sede de Occidente. Ellas re-construyen una estructura de pensamiento acorde con el significado de su propio proceso de envejecimiento y vejez, al que relacionan con formas diferentes de acción e innovación y, con una búsqueda constante de autonomía. De esta manera, hacen una ruptura de ciertas creencias, prejuicios y preconceptos sociales, sobre el envejecimiento femenino, que aún se sostienen en algunos contenidos de la gerontología educativa. En la práctica metodológica del curso, se enfoca el interés en los procesos de interacción social, en “espacios cualitativos”, donde formulan el punto de partida central, para una gerontología educativa con perspectiva de género. En dichos espacios, ellas siempre han expresado grandes deseos de aprender a enfrentar los temores que poseen frente a su propia vejez, ante los cambios que ya están decididas a realizar en esta etapa de la vida y, a proyectar ese re-conocimiento de sí mismas a otras mujeres adultas mayores.Abstract:This article analyzes how a group of elderly women participating in a training course to face their changes and challenges in elderly stages of life, re-build a structure of thought that matches the meaning of their own aging process and of that of elderly age itself. These women relate this process to various forms of action and innovation and to a constant search for autonomy, breaking up with certain beliefs, prejudices, and social preconceptions, regarding female aging, which still remain in some contents of educational gerontology. In developing the methodology of the course, the focus is on the meaning of the processes of social interaction within

  19. Integrating Quality and Safety Competencies to Improve Outcomes: Application in Infusion Therapy Practice.

    Science.gov (United States)

    Sherwood, Gwen; Nickel, Barbara

    Despite intense scrutiny and process improvement initiatives, patient harm continues to occur in health care with alarming frequency. The Quality and Safety Education for Nursing (QSEN) project provides a roadmap to transform nursing by integrating 6 competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As front-line caregivers, nurses encounter inherent risks in their daily work. Infusion therapy is high risk with multiple potential risks for patient harm. This study examines individual and system application of the QSEN competencies and the Infusion Nurses Society's 2016 Infusion Therapy Standards of Practice in the improvement of patient outcomes.

  20. Evaluation of a peer mentoring program for early career gerontological nursing faculty and its potential for application to other fields in nursing and health sciences.

    Science.gov (United States)

    Brody, Abraham A; Edelman, Linda; Siegel, Elena O; Foster, Victoria; Bailey, Donald E; Bryant, Ashley Leak; Bond, Stewart M

    2016-01-01

    As the retirement rate of senior nursing faculty increases, the need to implement new models for providing mentorship to early career academics will become key to developing and maintaining an experienced faculty. This evaluation of a peer mentorship program for predoctoral and postdoctoral gerontological nurses examined its efficacy, utility, and potential for improvement. A web-based survey was developed, implemented, and completed by 22 mentees and 17 mentors (71% and 61% response rates, respectively) as part of the evaluation. The peer mentorship program was found to be valuable by both mentors (64.7%) and mentees (72.7%) in helping mentees further develop their careers and networks and providing mentors with supported mentorship experience. The peer mentorship program could serve as a model for other professional organizations, academic institutions, and consortiums to enhance and extend the formal vertical mentorship provided to early academic career individuals. Published by Elsevier Inc.

  1. A CMOS microdisplay with integrated controller utilizing improved silicon hot carrier luminescent light sources

    Science.gov (United States)

    Venter, Petrus J.; Alberts, Antonie C.; du Plessis, Monuko; Joubert, Trudi-Heleen; Goosen, Marius E.; Janse van Rensburg, Christo; Rademeyer, Pieter; Fauré, Nicolaas M.

    2013-03-01

    Microdisplay technology, the miniaturization and integration of small displays for various applications, is predominantly based on OLED and LCoS technologies. Silicon light emission from hot carrier electroluminescence has been shown to emit light visibly perceptible without the aid of any additional intensification, although the electrical to optical conversion efficiency is not as high as the technologies mentioned above. For some applications, this drawback may be traded off against the major cost advantage and superior integration opportunities offered by CMOS microdisplays using integrated silicon light sources. This work introduces an improved version of our previously published microdisplay by making use of new efficiency enhanced CMOS light emitting structures and an increased display resolution. Silicon hot carrier luminescence is often created when reverse biased pn-junctions enter the breakdown regime where impact ionization results in carrier transport across the junction. Avalanche breakdown is typically unwanted in modern CMOS processes. Design rules and process design are generally tailored to prevent breakdown, while the voltages associated with breakdown are too high to directly interact with the rest of the CMOS standard library. This work shows that it is possible to lower the operating voltage of CMOS light sources without compromising the optical output power. This results in more efficient light sources with improved interaction with other standard library components. This work proves that it is possible to create a reasonably high resolution microdisplay while integrating the active matrix controller and drivers on the same integrated circuit die without additional modifications, in a standard CMOS process.

  2. [PhD theses on gerontological topics in Russia 1995-2012: scientometric analysis].

    Science.gov (United States)

    Smol'kin, A A; Makarova, E A

    2014-01-01

    The paper presents a scientometric analysis of PhD theses on gerontological topics in Russian humanities (excluding economics) for the period from 1995 to 2012. During this period, 253 PhD theses (238 of "candidate dissertations," and 15 of "doctoral dissertations") were defended in Russia. Almost half of them were defended during the boom years (2005-2006; 2009-2010). The number of theses defended in the 2000-s has increased significantly compared to the second half of 1990-s. However for gerontological PhD-s overall as a percentage of all theses defended in Russian humanities, the number hardly changed and remained small (less than 0.3%). The leading discipline in the study of aging (within the humanities) is sociology accounting for more than a third of all defended theses. Though the theses were defended in 48 cities, more than half of them were defended in 3 cities, which are Moscow, St. Petersburg and Saratov. Thematic analysis showed that the leading position was occupied by two topics: "the elderly and the state" (42%) and "(re)socialization/adaptation of the elderly" (25%). 14% of the works are devoted to intergenerational relations and social status of the elderly. Other topics (old man/woman's personality, self-perceptions of aging, violence and crime against the elderly, loneliness, discrimination, etc.) are presented by very few studies.

  3. Evaluation of implementation an Integrated Safety and Preventive Maintenance System for Improving of Safety Indexes

    Directory of Open Access Journals (Sweden)

    I mohammadfam

    2014-03-01

    Full Text Available Accident analysis shows that one of the main reasons for accidents is non-integration of maintenance units with safety. Merging these two processes through an integrated system can reduce and or eliminate accidents, diseases, and environmental pollution. These issues lead to improvement in organizational performance, as well. The aim of this study is to design and establish an integrated system for obtaining the aforementioned goal. Integration was carried out at Nirou Moharreke Machine Tools Company via Structured System Analysis & Design Method (SSADM. In order to measure the effectiveness of the system, selected indexes were compared using statistical methods prior and after system establishment. Results show that the accident severity index reduced from 135.46 in 2010, to 43.85 in 2012. Moreover, system effectiveness improved equipment reliability and availability (e.g. reliability of the Pfeiffer Milling machine (P (t>50 increased from 0.89 in 2010, to 0.9 in 2012. This system by forecasting various failures, and planning and designing the required operations for preventing occurrence of these failures, plays an important role in improving safety conditions of equipment, and increasing organizational performance, and is capable of presenting an excellent accident prevention program.

  4. An experiential approach to improving the integration of knowledge during EIA in transport planning

    International Nuclear Information System (INIS)

    Soria-Lara, Julio A.; Bertolini, Luca; Brömmelstroet, Marco te

    2016-01-01

    The integration of knowledge from stakeholders and the public at large is seen as one of the biggest process-related barriers during the scoping phase of EIA application in transport planning. While the academic literature offers abundant analyses, discussions and suggestions how to overcome this problem, the proposed solutions are yet to be adequately tested in practice. In order to address this gap, we test the effectiveness of a set of interventions and trigger mechanisms for improving different aspects of knowledge integration. The interventions are tested in an experiential study with two sequential cases, representing “close-to-real-life” conditions, in the context of two cities in Andalusia, Spain. In general terms, the participants perceived that the integration of knowledge improved during the simulation of the EIA scoping phase. Certain shortcomings were also discussed, fundamentally related to how the time spent during the scoping phase was crucial to lead an effective learning process between the involved people. The study concludes with a reflection on the effectiveness of the tested interventions according to similarities and differences obtained from the two experiential case studies, as well as with a discussion of the potential to generate new knowledge through the use of experiential studies in EIA practice. - Highlights: • It tests a set of interventions and mechanisms to improve the integration of knowledge. • The scoping phase of EIA is simulated to assess the effectiveness of interventions. • Two sequential case studies are used.

  5. An experiential approach to improving the integration of knowledge during EIA in transport planning

    Energy Technology Data Exchange (ETDEWEB)

    Soria-Lara, Julio A., E-mail: julio.soria-lara@ouce.ox.ac.uk [Transport Research Unit, School of Geography and the Environment, University of Oxford, South Parks Road, Oxford OX1 3QY (United Kingdom); Bertolini, Luca, E-mail: l.bertolini@uva.nl [Centre for Urban Studies, University of Amsterdam, Nieuwe Achtergracht 166 1018 WV Amsterdam (Netherlands); Brömmelstroet, Marco te, E-mail: M.C.G.teBrommelstroet@uva.nl [Centre for Urban Studies, University of Amsterdam, Nieuwe Achtergracht 166 1018 WV Amsterdam (Netherlands)

    2016-01-15

    The integration of knowledge from stakeholders and the public at large is seen as one of the biggest process-related barriers during the scoping phase of EIA application in transport planning. While the academic literature offers abundant analyses, discussions and suggestions how to overcome this problem, the proposed solutions are yet to be adequately tested in practice. In order to address this gap, we test the effectiveness of a set of interventions and trigger mechanisms for improving different aspects of knowledge integration. The interventions are tested in an experiential study with two sequential cases, representing “close-to-real-life” conditions, in the context of two cities in Andalusia, Spain. In general terms, the participants perceived that the integration of knowledge improved during the simulation of the EIA scoping phase. Certain shortcomings were also discussed, fundamentally related to how the time spent during the scoping phase was crucial to lead an effective learning process between the involved people. The study concludes with a reflection on the effectiveness of the tested interventions according to similarities and differences obtained from the two experiential case studies, as well as with a discussion of the potential to generate new knowledge through the use of experiential studies in EIA practice. - Highlights: • It tests a set of interventions and mechanisms to improve the integration of knowledge. • The scoping phase of EIA is simulated to assess the effectiveness of interventions. • Two sequential case studies are used.

  6. Nuclear Regulatory Commission staff approaches to improving the integration of regulatory guidance documents and prelicensing reviews

    International Nuclear Information System (INIS)

    Johnson, R.L.

    1994-01-01

    The Nuclear Regulatory Commission staff is conducting numerous activities to improve the integration of its regulatory guidance documents (i.e., License Application Review Plan (LARP) and open-quotes Format and Content for the License Application for the High-Level Waste repositoryclose quotes (FCRG)) and pre-license application (LA) reviews. Those activities related to the regulatory guidance documents consist of: (1) developing an hierarchy of example evaluation findings for LARP; (2) identifying LARP review plan interfaces; (3) conducting an integration review of LARP review strategies; (4) correlating LARP to the ongoing technical program; and (5) revising the FCRG. Some of the more important strategies the staff is using to improve the integration of pre-LA reviews with the LA review include: (1) use of the draft LARP to guide the staff's pre-LA reviews; (2) focus detailed pre-LA reviews on key technical uncertainties; (3) identify and track concerns with DOE's program; and (4) use results of pre-LA reviews in LA reviews. The purpose of this paper is to describe these ongoing activities and strategies and discuss some of the new work that is planned to be included in LARP Revision 1 and the final FCRG, which are scheduled to be issued in late 1994. These activities reflect both the importance the staff has placed on integration and the staff's approach to improving integration in these areas. The staff anticipates that the results of these activities, when incorporated in the FCRG, LARP, and pre-LA reviews, will improve its guidance for DOE's ongoing site characterization program and LA annotated outline development

  7. Improved structural integrity through advances in reliable residual stress measurement: the impact of ENGIN-X

    Science.gov (United States)

    Edwards, L.; Santisteban, J. R.

    The determination of accurate reliable residual stresses is critical to many fields of structural integrity. Neutron stress measurement is a non-destructive technique that uniquely provides insights into stress fields deep within engineering components and structures. As such, it has become an increasingly important tool within engineering, leading to improved manufacturing processes to reduce stress and distortion as well as to the definition of more precise lifing procedures. This paper describes the likely impact of the next generation of dedicated engineering stress diffractometers currently being constructed and the utility of the technique using examples of residual stresses both beneficial and detrimental to structural integrity.

  8. Clinical performance improvement series. Classic CQI integrated with comprehensive disease management as a model for performance improvement.

    Science.gov (United States)

    Joshi, M S; Bernard, D B

    1999-08-01

    In recent years, health and disease management has emerged as an effective means of delivering, integrating, and improving care through a population-based approach. Since 1997 the University of Pennsylvania Health System (UPHS) has utilized the key principles and components of continuous quality improvement (CQI) and disease management to form a model for health care improvement that focuses on designing best practices, using best practices to influence clinical decision making, changing processes and systems to deploy and deliver best practices, and measuring outcomes to improve the process. Experience with 28 programs and more than 14,000 patients indicates significant improvement in outcomes, including high physician satisfaction, increased patient satisfaction, reduced costs, and improved clinical process and outcome measures across multiple diseases. DIABETES DISEASE MANAGEMENT: In three months a UPHS multidisciplinary diabetes disease management team developed a best practice approach for the treatment of all patients with diabetes in the UPHS. After the program was pilot tested in three primary care physician sites, it was then introduced progressively to additional practice sites throughout the health system. The establishment of the role of the diabetes nurse care managers (certified diabetes educators) was central to successful program deployment. Office-based coordinators ensure incorporation of the best practice protocols into routine flow processes. A disease management intranet disseminates programs electronically. Outcomes of the UPHS health and disease management programs so far demonstrate success across multiple dimensions of performance-service, clinical quality, access, and value. The task of health care leadership today is to remove barriers and enable effective implementation of key strategies, such as health and disease management. Substantial effort and resources must be dedicated to gain physician buy-in and achieve compliance. The

  9. Improved integrability of the gradients of solutions of elliptic equations with variable nonlinearity exponent

    International Nuclear Information System (INIS)

    Zhikov, Vasilii V; Pastukhova, Svetlana E

    2008-01-01

    Elliptic equations of p(x)-Laplacian type are investigated. There is a well-known logarithmic condition on the modulus of continuity of the nonlinearity exponent p(x), which ensures that a Laplacian with variable order of nonlinearity inherits many properties of the usual p-Laplacian of constant order. One of these is the so-called improved integrability of the gradient of the solution. It is proved in this paper that this property holds also under a slightly more general condition on the exponent p(x), although then the improvement of integrability is logarithmic rather than power-like. The method put forward is based on a new generalization of Gehring's lemma, which relies upon the reverse Hoelder inequality 'with increased support and exponent on the right-hand side'. A counterexample is constructed that reveals the extent to which the condition on the modulus of continuity obtained is sharp. Bibliography: 28 titles.

  10. Integrating Quality Improvement and Continuing Professional Development: A Model From the Mental Health Care System.

    Science.gov (United States)

    Sockalingam, Sanjeev; Tehrani, Hedieh; Lin, Elizabeth; Lieff, Susan; Harris, Ilene; Soklaridis, Sophie

    2016-04-01

    To explore the perspectives of leaders in psychiatry and continuing professional development (CPD) regarding the relationship, opportunities, and challenges in integrating quality improvement (QI) and CPD. In 2013-2014, the authors interviewed 18 participants in Canada: 10 psychiatrists-in-chief, 6 CPD leaders in psychiatry, and 2 individuals with experience integrating these domains in psychiatry who were identified through snowball sampling. Questions were designed to identify participants' perspectives about the definition, relationship, and integration of QI and CPD in psychiatry. Interviews were recorded and transcribed. An iterative, inductive method was used to thematically analyze the transcripts. To ensure the rigor of the analysis, the authors performed member checking and sampling until theoretical saturation was achieved. Participants defined QI as a concept measured at the individual, hospital, and health care system levels and CPD as a concept measured predominantly at the individual and hospital levels. Four themes related to the relationship between QI and CPD were identified: challenges with QI training, adoption of QI into the mental health care system, implementation of QI in CPD, and practice improvement outcomes. Despite participants describing QI and CPD as mutually beneficial, they expressed uncertainty about the appropriateness of aligning these domains within a mental health care context because of the identified challenges. This study identified challenges with aligning QI and CPD in psychiatry and yielded a framework to inform future integration efforts. Further research is needed to determine the generalizability of this framework to other specialties and health care professions.

  11. Improving teaching on the basis of student evaluation: integrative teaching consultation.

    Science.gov (United States)

    Wibbecke, Gerald; Kahmann, Janine; Pignotti, Tanja; Altenberger, Leander; Kadmon, Martina

    2015-01-01

    Due to the development of medical education in the past decade the role of teachers has changed and requires higher didactic competence. Student evaluation of teaching alone does not lead to considerable improvement of teaching quality. We present the concept of "Integrative Teaching Consultation", which comprises both the teacher's reflection and own objectives to improve their teaching as well as data from students ratings. Teachers in collaboration with a teaching consultant reflect on their teaching ability and set themselves improvement goals. Then the consultant himself observes a teaching session and subsequently analyses the respective student evaluation in order to give meaningful feedback to the teacher. The combination of student feedback with professional consultation elements can initiate and maintain improvements in teaching. Teaching consultation complements existing faculty development programs and increases the benefit of student evaluations.

  12. Improving teaching on the basis of student evaluation: Integrative teaching consultation

    Directory of Open Access Journals (Sweden)

    Wibbecke, Gerald

    2015-02-01

    Full Text Available Objective: Due to the development of medical education in the past decade the role of teachers has changed and requires higher didactic competence. Student evaluation of teaching alone does not lead to considerable improvement of teaching quality. We present the concept of "Integrative Teaching Consultation", which comprises both the teacher’s reflection and own objectives to improve their teaching as well as data from students ratings.Methods: Teachers in collaboration with a teaching consultant reflect on their teaching ability and set themselves improvement goals. Then the consultant himself observes a teaching session and subsequently analyses the respective student evaluation in order to give meaningful feedback to the teacher.Results: The combination of student feedback with professional consultation elements can initiate and maintain improvements in teaching. Conclusion: Teaching consultation complements existing faculty development programs and increases the benefit of student evaluations.

  13. Integrating Customer Intimacy Into Radiology to Improve the Patient Perspective: The Case of Breast Cancer Screening.

    Science.gov (United States)

    Chhor, Chloe M; Mercado, Cecilia L

    2016-02-01

    The customer intimacy business model has emerged as a key operational approach for health care organizations as they move toward patient-centered care. The question arises how the customer intimacy approach can be implemented in the clinical setting and whether it can help practitioners address problems and improve quality of care. Breast cancer screening and its emphasis on the patient perspective provides an interesting case study for understanding how the customer intimacy approach can be integrated into radiologic practice to improve the patient experience.

  14. An improved PIN photodetector with integrated JFET on high-resistivity silicon

    International Nuclear Information System (INIS)

    Dalla Betta, Gian-Franco; Piemonte, Claudio; Boscardin, Maurizio; Gregori, Paolo; Zorzi, Nicola; Fazzi, Alberto; Pignatel, Giorgio U.

    2006-01-01

    We report on a PIN photodetector integrated with a Junction Field Effect Transistor (JFET) on a high-resistivity silicon substrate. Owing to a modified fabrication technology, the electrical and noise characteristics of the JFET transistor have been enhanced with respect to the previous versions of the device, allowing the performance to be significantly improved. In this paper, the main design and technological aspects relevant to the proposed structure are addressed and experimental results from the electrical characterization are discussed

  15. Biomass pre-extraction, hydrolysis and conversion process improvements fro an integrated biorefinery

    Energy Technology Data Exchange (ETDEWEB)

    Jansen, Robert [Virdia, Inc., Danville, VA (United States)

    2014-12-23

    In this project, Virdia will show that it can improve the production of sugars suitable for the conversion into advanced biofuels from a range of woods. Several biomass feedstocks (Pine wood chips & Eucalyptus wood chips) will be tested on this new integrated biorefinery platform. The resultant drop-in biodiesel can be a cost-effective petroleum-replacement that can compete with projected market prices

  16. Integrated IoT technology in industrial lasers for the improved user experience

    Science.gov (United States)

    Ding, Jianwu; Liu, Jinhui

    2018-02-01

    The end users' biggest concern for any industrial equipment is the reliability and the service down-time. This is especially true for industrial lasers as they are typically used in fully or semi- automated processes. Here we demonstrate how to use the integrated Internet of Things (IoT) technology in industrial lasers to address the reliability and the service down-time so to improve end users' experience.

  17. On the use of small integrating spheres to improve the linearity range of RASNIKS systems

    International Nuclear Information System (INIS)

    Alberdi, J.; Burgos, C.; Ferrando, A.; Molinero, A.; Schvachkin, V.; Figueroa, C.F.; Matorras, F.; Rodrigo, T.; Ruiz, A.; Vila, I.

    1997-10-01

    Rasniks elements will be used in the CMS alignment system. The large displacements of the different sub detectors expected in the CMS experiment demands large linearity response of this system. By the use of a small integrating sphere we have optimized the source definition such that a factor three improvement in the linearity range with respect to conventional Rasniks configurations is obtained. The response range reached coincides with the maximum one can get with the components used in the test

  18. Epidermal Growth Factor Improves Intestinal Integrity and Survival in Murine Sepsis Following Chronic Alcohol Ingestion.

    Science.gov (United States)

    Klingensmith, Nathan J; Yoseph, Benyam P; Liang, Zhe; Lyons, John D; Burd, Eileen M; Margoles, Lindsay M; Koval, Michael; Ford, Mandy L; Coopersmith, Craig M

    2017-02-01

    Epidermal growth factor (EGF) is a cytoprotective protein that improves survival in preclinical models of sepsis through its beneficial effects on intestinal integrity. Alcohol use disorder worsens intestinal integrity and is associated with increased morbidity and mortality in critical illness. We sought to determine whether chronic alcohol ingestion alters the host response to systemic administration of EGF in sepsis. Six-week-old FVB/N mice were randomized to receive 20% alcohol or water for 12 weeks. All mice then underwent cecal ligation and puncture to induce polymicrobial sepsis. Mice were then randomized to receive either intraperitoneal injection of EGF (150 μg/kg/day) or normal saline. Water-fed mice given EGF had decreased 7-day mortality compared with water-fed mice (18% vs. 55%). Alcohol-fed mice given EGF also had decreased 7-day mortality compared with alcohol-fed mice (48% vs. 79%). Notably, while systemic EGF improved absolute survival to a similar degree in both water-fed and alcohol-fed mice, mortality was significantly higher in alcohol+EGF mice compared with water+EGF mice. Compared with water-fed septic mice, alcohol-fed septic mice had worsened intestinal integrity with intestinal hyperpermeability, increased intestinal epithelial apoptosis, decreased proliferation and shorter villus length. Systemic administration of EGF to septic alcohol-fed mice decreased intestinal permeability compared with septic alcohol-fed mice given vehicle, with increased levels of the tight junction mediators claudin-5 and JAM-A. Systemic administration of EGF to septic alcohol-fed mice also decreased intestinal apoptosis with an improvement in the Bax/Bcl-2 ratio. EGF also improved both crypt proliferation and villus length in septic alcohol-fed mice. EGF administration resulted in lower levels of both pro- and anti-inflammatory cytokines monocyte chemoattractant protein-1, tumor necrosis factor, and interleukin 10 in alcohol-fed mice. EGF is therefore

  19. Integration of solar thermal for improved energy efficiency in low-temperature-pinch industrial processes

    International Nuclear Information System (INIS)

    Atkins, Martin J.; Walmsley, Michael R.W.; Morrison, Andrew S.

    2010-01-01

    Solar thermal systems have the potential to provide renewable industrial process heat and are especially suited for low pinch temperature processes such as those in the food, beverage, and textile sectors. When correctly integrated within an industrial process, they can provide significant progress towards both increased energy efficiency and reduction in emissions. However, the integration of renewable solar energy into industrial processes presents a challenge for existing process integration techniques due to the non-continuous nature of the supply. A thorough pinch analysis study of the industrial process, taking in to account non-continuous operating rates, should be performed to evaluate the utility demand profile. Solar collector efficiency data under variable climatic conditions should also be collected for the specific site. A systematic method of combining this information leads to improved design and an optimal operating strategy. This approach has been applied to a New Zealand milk powder plant and benefits of several integration strategies, including mass integration, are investigated. The appropriate placement of the solar heat is analogous to the placement of a hot utility source and an energy penalty will be incurred when the solar thermal system provides heat below the pinch temperature.

  20. Integration of solar thermal for improved energy efficiency in low-temperature-pinch industrial processes

    Energy Technology Data Exchange (ETDEWEB)

    Atkins, Martin J.; Walmsley, Michael R.W.; Morrison, Andrew S. [Energy Research Group, School of Science and Engineering, University of Waikato, Private Bag 3105, Hamilton 3240 (New Zealand)

    2010-05-15

    Solar thermal systems have the potential to provide renewable industrial process heat and are especially suited for low pinch temperature processes such as those in the food, beverage, and textile sectors. When correctly integrated within an industrial process, they can provide significant progress towards both increased energy efficiency and reduction in emissions. However, the integration of renewable solar energy into industrial processes presents a challenge for existing process integration techniques due to the non-continuous nature of the supply. A thorough pinch analysis study of the industrial process, taking in to account non-continuous operating rates, should be performed to evaluate the utility demand profile. Solar collector efficiency data under variable climatic conditions should also be collected for the specific site. A systematic method of combining this information leads to improved design and an optimal operating strategy. This approach has been applied to a New Zealand milk powder plant and benefits of several integration strategies, including mass integration, are investigated. The appropriate placement of the solar heat is analogous to the placement of a hot utility source and an energy penalty will be incurred when the solar thermal system provides heat below the pinch temperature. (author)

  1. Sensitivity and fidelity of DNA microarray improved with integration of Amplified Differential Gene Expression (ADGE

    Directory of Open Access Journals (Sweden)

    Ile Kristina E

    2003-07-01

    Full Text Available Abstract Background The ADGE technique is a method designed to magnify the ratios of gene expression before detection. It improves the detection sensitivity to small change of gene expression and requires small amount of starting material. However, the throughput of ADGE is low. We integrated ADGE with DNA microarray (ADGE microarray and compared it with regular microarray. Results When ADGE was integrated with DNA microarray, a quantitative relationship of a power function between detected and input ratios was found. Because of ratio magnification, ADGE microarray was better able to detect small changes in gene expression in a drug resistant model cell line system. The PCR amplification of templates and efficient labeling reduced the requirement of starting material to as little as 125 ng of total RNA for one slide hybridization and enhanced the signal intensity. Integration of ratio magnification, template amplification and efficient labeling in ADGE microarray reduced artifacts in microarray data and improved detection fidelity. The results of ADGE microarray were less variable and more reproducible than those of regular microarray. A gene expression profile generated with ADGE microarray characterized the drug resistant phenotype, particularly with reference to glutathione, proliferation and kinase pathways. Conclusion ADGE microarray magnified the ratios of differential gene expression in a power function, improved the detection sensitivity and fidelity and reduced the requirement for starting material while maintaining high throughput. ADGE microarray generated a more informative expression pattern than regular microarray.

  2. Improvement of Students’ Environmental Literacy by Using Integrated Science Teaching Materials

    Science.gov (United States)

    Suryanti, D.; Sinaga, P.; Surakusumah, W.

    2018-02-01

    This study aims to determine the improvement of student environmental literacy through the use of integrated science teaching materials on pollution topics. The research is used weak experiment method with the one group pre-test post-test design. The sample of the study were junior high school students in Bandung amounted to 32 people of 7th grade. Data collection in the form of environmental literacy test instrument consist of four components of environmental literacy that is (1) Knowledge, (2) Competencies (Cognitive Skill), (3) Affective and (4) Environmentally Responsible Behavior. The results show that the student’s environmental literacy ability is improved after using integrated science teaching materials. An increase in the medium category is occurring in the knowledge (N-gain=46%) and cognitive skill (N-gain=31%), while the increase in the low category occurs in the affective component (N-gain=25%) and behaviour (N-gain=24%). The conclusions of this study as a whole the improvement of students’ environmental literacy by using integrated science teaching material is in the medium category (N-gain=34%).

  3. Learnt and perceived professional roles of a new type of nurse specialized in Gerontology and Geriatrics, a qualitative study

    NARCIS (Netherlands)

    Huizenga, Petra; Finnema, Evelyn; Roodbol, Petrie

    Aim. To gain insight into a new type of nurse specialized in gerontology and geriatrics, how they find meaning in the care of older persons and how this relates to the seven professional roles derived from the CanMEDS theoretical framework. Background. To promote the quality of care for older

  4. Considering Accreditation in Gerontology: The Importance of Interprofessional Collaborative Competencies to Ensure Quality Health Care for Older Adults

    Science.gov (United States)

    Goldberg, Lynette R.; Koontz, Jennifer Scott; Rogers, Nicole; Brickell, Jean

    2012-01-01

    The health care needs of older adults can be complex and multifaceted. Safe, effective, equitable, and person-centered service provision relies on skilled interprofessional, team-based practice. Too often, students seeking a career specializing in gerontology are not exposed to such interprofessional, team-based learning and practice during their…

  5. Web-based vs. traditional classroom instruction in gerontology: a pilot study.

    Science.gov (United States)

    Gallagher, Judith E; Dobrosielski-Vergona, Kathleen A; Wingard, Robin G; Williams, Theresa M

    2005-01-01

    Numerous studies have documented comparable outcomes from Web-based and traditional classroom instruction. However, there is a paucity of literature comparing these two delivery formats for gerontology courses in dental hygiene curricula. This study examines the effectiveness of alternative methods of course delivery by comparing student profiles and instructional outcomes from a dental hygiene gerontology course offered both on the Web and in a traditional classroom setting. Questionnaires were sent to both groups of students completing the course. The instrument was designed to establish profiles of the participating students. The data collected included familiarity with Web-based instruction, extent of prior computer training, previous interaction with the elderly, and student evaluations of course effectiveness. Traditional instructional outcomes from evaluated course work were compared, as were post-course exam outcomes that assessed retention of course information six months after course completion. The statistical significance of these data was determined using Statistical Package for Social Scientists software (SPSS, Inc., version 12.0, Chicago, IL). A comparison of student characteristics enrolled in the two course formats revealed marked differences. The Web-based group (n=12) included dental hygiene students (67%) and other health care providers (25%). All participants in the traditional classroom format (n=32) were dental hygiene students. Half of the Web-based respondents were over 25 years of age, and the majority (n=8) had previously taken an online course. The majority of traditional classroom students were 25 years of age or younger (n=21) and had never taken a Web-based course (n=20). Statistically significant differences in instructional outcomes were observed between students enrolled in these two formats. Student retention of course material six months after completion of the course was greater in the Web-based format. Students selecting a Web

  6. APROXIMACIONES DESDE LA GERONTOLOGÍA NARRATIVA: LA MEMORIA AUTOBIOGRÁFICA COMO RECURSO PARA EL DESARROLLO DE LA IDENTIDAD EN LA VEJEZ APROACHES FROM NARRATIVE GERONTOLOGY: AUTOBIOGRAPHICAL MEMORY AS A RESOURCE FOR IDENTITY DEVELOPMENT IN OLDER PEOPLE

    Directory of Open Access Journals (Sweden)

    Mónica Salazar Villanea

    2015-12-01

    Full Text Available En la actualidad, validar la reflexión y la actividad subjetiva en la vejez, tanto como la actividad objetiva externa, es un reto para la Gerontología: no solo se trata de aspirar a envejecer y mantenerse activo en el proceso, sino a reconocer también la relevancia de la actividad subjetiva en cuanto a reflexionar acerca de sí mismo, práctica necesaria para el desarrollo integral y equilibrado de la identidad frente a la demanda externa y progresiva de actividad objetiva y productiva en el sentido material. Una aproximación gerontológica con visión humanista (Baars, Dohmen, Grenier y Phillipson, 2013, en el paradigma ético del cuidado de sí-mismo, reconoce el desarrollo de la identidad en la vejez como un objetivo por encima del desarrollo de espacios de mera actividad productiva, al respecto, la Gerontología narrativa plantea que los seres humanos son seres creadores de sentido y significado (“meaning-making beings”, Kenyon, Bohlmeijer y Randall, 2010, por tanto, parte del potencial que yace en la posibilidad de educar con mejores herramientas a los envejecientes para favorecer los procesos de construcción de esos significados a partir de las propias experiencias vitales. Cabe resaltar, además, que desde dicha perspectiva, la vejez es el momento de la vida en el que más se ha trabajado en las habilidades narrativas. En este trabajo se centra en la descripción de los supuestos y abordajes psicogerontológicos que sustentan la propuesta de intervenciones propias de la Gerontología narrativa, basadas en la actividad del mundo subjetivo a partir de estrategias como la reminiscencia, la revisión de vida y la autobiografía.

  7. Just say know: an examination of substance use disorders among older adults in gerontological and substance abuse journals.

    Science.gov (United States)

    Rosen, Daniel; Engel, Rafael J; Hunsaker, Amanda E; Engel, Yael; Detlefsen, Ellen Gay; Reynolds, Charles F

    2013-01-01

    This article examines the extent to which studies of alcohol abuse, illicit drug use, and prescription drug abuse among older adults appear in the leading gerontological and substance abuse journals. The authors reviewed articles published in the 10 social science gerontological journals and the 10 social science substance abuse journals with the highest 5-year impact factors in PubMed from 2000 to 2010. Articles were selected that presented original research on alcohol, substance, or prescription abuse with older adults aged 50 and older; and were identified through aging and substance abuse-related Medical Subject Headings and word searches of titles and abstracts (N = 634). Full text of each article was reviewed by the authors, and consensus determined inclusion in the final sample. Of the 19,953 articles published respectively in the top 10 gerontological and substance abuse journals, 181 articles met the inclusion criteria of reporting findings related to substance use disorders among older adults. Specifically, 0.9% (102 of 11,700) of articles from the top 10 gerontology journals and 1.0% (79 of 8,253) of articles from the top 10 substance abuse journals met the criteria. Most published articles addressed alcohol misuse/abuse or polysubstance abuse with few articles addressing illicit drug use or the misuse of prescription medications. Less than 1% of articles published in the 10 gerontology journals and the 10 substance abuse journals with the highest 5-year impact scores addressed substance abuse in older adults. Practitioners treating health and/or mental health problems are at a disadvantage in accurately identifying and treating these conditions in older adult populations without a proper understanding of the role of comorbid substance use disorders.

  8. Qualitative Study to improve integrity of NET : Perspectives of Peer review and Authorship in research ethics

    Energy Technology Data Exchange (ETDEWEB)

    Kwon, Hyuk; Min, Byung Joo [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2007-10-15

    After Dr. Hwang's Human embryonic stem cell scandal, research ethics stood out as the hot issue in both Korean scientific circles and general public. Science Publishing Group referred the limitation of peer review system and the absence of responsibility of author to one of the causes for the scandal. In order to prevent a similar fraud, Ministry of Science and Technology(MOST) established guidelines for research ethics and integrity in 2006. The guidelines included fabrication, falsification, and plagiarism(FFP) and unfair authorship. MOST committed the authority of administration and supervision to the society and the institutes of research to preserve the research integrity. The society and institute are charged with overseeing the implementation of enacted ethics guidelines. SCI(Scientific Citation Index) holds the guideline of research ethics and canon of the society which were crafted in order to guaranty the integrity and quality of the research. The publication policy pertains submission of articles, authorship and responsibilities of a reviewer. Societies pay attention to the peer review policy because the quality of articles is strongly dependent on the peer review. Nuclear Engineering and Technology (NET) is the journal of Korea Nuclear Society(KNS). NET is registered with SCIE(Science Citation Index Expanded), recently. In addition to the growth in external circulation, the improvement of quality requires the effort of the society to establish a strict peer review system and a fair authorship. The qualitative study on peer review and authorship of NET was put into force to improve the quality of NET. Based on studies and suggestions, the policy focuses on research ethics to improve the integrity of NET.

  9. Qualitative Study to improve integrity of NET : Perspectives of Peer review and Authorship in research ethics

    International Nuclear Information System (INIS)

    Kwon, Hyuk; Min, Byung Joo

    2007-01-01

    After Dr. Hwang's Human embryonic stem cell scandal, research ethics stood out as the hot issue in both Korean scientific circles and general public. Science Publishing Group referred the limitation of peer review system and the absence of responsibility of author to one of the causes for the scandal. In order to prevent a similar fraud, Ministry of Science and Technology(MOST) established guidelines for research ethics and integrity in 2006. The guidelines included fabrication, falsification, and plagiarism(FFP) and unfair authorship. MOST committed the authority of administration and supervision to the society and the institutes of research to preserve the research integrity. The society and institute are charged with overseeing the implementation of enacted ethics guidelines. SCI(Scientific Citation Index) holds the guideline of research ethics and canon of the society which were crafted in order to guaranty the integrity and quality of the research. The publication policy pertains submission of articles, authorship and responsibilities of a reviewer. Societies pay attention to the peer review policy because the quality of articles is strongly dependent on the peer review. Nuclear Engineering and Technology (NET) is the journal of Korea Nuclear Society(KNS). NET is registered with SCIE(Science Citation Index Expanded), recently. In addition to the growth in external circulation, the improvement of quality requires the effort of the society to establish a strict peer review system and a fair authorship. The qualitative study on peer review and authorship of NET was put into force to improve the quality of NET. Based on studies and suggestions, the policy focuses on research ethics to improve the integrity of NET

  10. Exergoeconomic improvement of a complex cogeneration system integrated with a professional process simulator

    International Nuclear Information System (INIS)

    Vieira, Leonardo S.; Donatelli, Joao L.; Cruz, Manuel E.

    2009-01-01

    In this paper, the application of an iterative exergoeconomic methodology for improvement of thermal systems to a complex combined-cycle cogeneration plant is presented. The methodology integrates exergoeconomics with a professional process simulator, and represents an alternative to conventional mathematical optimization techniques, because it reduces substantially the number of variables to be considered in the improvement process. By exploiting the computational power of a simulator, the integrated approach permits the optimization routine to ignore the variables associated with the thermodynamic equations, and thus to deal only with the economic equations and objective function. In addition, the methodology combines recent available exergoeconomic techniques with qualitative and quantitative criteria to identify only those decision variables, which matter for the improvement of the system. To demonstrate the strengths of the methodology, it is here applied to a 24-component cogeneration plant, which requires O(10 3 ) variables for its simulation. The results which are obtained, are compared to those reached using a conventional mathematical optimization procedure, also coupled to the process simulator. It is shown that, for engineering purposes, improvement of the system is often more cost effective and less time consuming than optimization of the system.

  11. Integrating prevention of mother-to-child HIV transmission programs to improve uptake: a systematic review.

    Directory of Open Access Journals (Sweden)

    Lorainne Tudor Car

    Full Text Available BACKGROUND: We performed a systematic review to assess the effect of integrated perinatal prevention of mother-to-child transmission of HIV interventions compared to non- or partially integrated services on the uptake in low- and middle-income countries. METHODS: We searched for experimental, quasi-experimental and controlled observational studies in any language from 21 databases and grey literature sources. RESULTS: Out of 28 654 citations retrieved, five studies met our inclusion criteria. A cluster randomized controlled trial reported higher probability of nevirapine uptake at the labor wards implementing HIV testing and structured nevirapine adherence assessment (RRR 1.37, bootstrapped 95% CI, 1.04-1.77. A stepped wedge design study showed marked improvement in antiretroviral therapy (ART enrolment (44.4% versus 25.3%, p<0.001 and initiation (32.9% versus 14.4%, p<0.001 in integrated care, but the median gestational age of ART initiation (27.1 versus 27.7 weeks, p = 0.4, ART duration (10.8 versus 10.0 weeks, p = 0.3 or 90 days ART retention (87.8% versus 91.3%, p = 0.3 did not differ significantly. A cohort study reported no significant difference either in the ART coverage (55% versus 48% versus 47%, p = 0.29 or eight weeks of ART duration before the delivery (50% versus 42% versus 52%; p = 0.96 between integrated, proximal and distal partially integrated care. Two before and after studies assessed the impact of integration on HIV testing uptake in antenatal care. The first study reported that significantly more women received information on PMTCT (92% versus 77%, p<0.001, were tested (76% versus 62%, p<0.001 and learned their HIV status (66% versus 55%, p<0.001 after integration. The second study also reported significant increase in HIV testing uptake after integration (98.8% versus 52.6%, p<0.001. CONCLUSION: Limited, non-generalizable evidence supports the effectiveness of integrated PMTCT programs. More research measuring coverage and

  12. Gerontology across the professions and the Atlantic: Students' reflective views and voices.

    Science.gov (United States)

    Liu, Catherine; Balcom, Sarah; Carrigan, Steven; Malloy, Morgan; Mammba, Violet

    2017-01-01

    Health professions students need to have increasing exposure to interprofessional and international experience in developing the knowledge and skills needed to work with older adults. As students, the authors explore in this article the significant elements of our learning that took place in a blended Gerontology Across the Professions and the Atlantic course for participants from the United States, Canada, and Norway. These factors focus on the following aspects of this course: (1) weekly online topic discussions and learning experiences, (2) group case studies and presentations, (3) international perspectives, (4) interprofessional perspectives, and (5) the final course seminar in Bergen. The authors end their discussion by sharing sidebar stories of their experiences in this course that brought together the powerful, transformative elements of interprofessional and international insights into the challenges of geriatric care in the future.

  13. Supporting Family Carers Through Telephone-Mediated Group Programs: Opportunities For Gerontological Social Workers.

    Science.gov (United States)

    Shanley, Chris

    2008-01-01

    Telephone-mediated group programs are an important but under-utilized medium for reaching frail or disabled older persons' family carers who are in need of support. The primary purpose and style of group programs can range across a broad spectrum–encompassing educational, supportive and therapeutic types. Gerontological social workers are the members of the multidisciplinary care team whose training, experience and supervision makes them most suitable for facilitating this broad range of group types. Drawing on the experience of training a number of group facilitators, this article provides suggestions for social workers contemplating the use of telephone-mediated groups and highlights groupwork skills peculiar to conducting group programs via the telephone.

  14. Musical Memories: translating evidence-based gerontological nursing into a children's picture book.

    Science.gov (United States)

    Gerdner, Linda A; Buckwalter, Kathleen C

    2013-01-01

    Individuals with Alzheimer's disease (AD) are often cared for within multigenerational families. More specifically, 26% of family caregivers have children younger than 18 living with them. This article describes an innovative model for translation of an evidence-based intervention into an engaging, realistic picture book that serves as a teaching tool for children and their families. The book, Musical Memories, focuses on the relationship between a granddaughter and her grandmother who has AD. The story applies basic principles of the Progressively Lowered Stress Threshold model to explain the underlying cause of grandmother's behaviors and models the evidence-based guideline "Individualized Music for Elders with Dementia" to empower the granddaughter in maintaining a relationship with her grandmother. Musical Memories is intended to serve as a valuable resource for families and the gerontological nurses who serve them. Copyright 2013, SLACK Incorporated.

  15. [Heritages of science history in the gerontological discussion on multidisciplinary and interdisciplinary perspectives].

    Science.gov (United States)

    von Kondratowitz, Hans-Joachim

    2015-04-01

    Since the beginning of the nineteenth century, the history of science in modern Germany has been characterized by a development going in opposite directions. The old scientific disciplines with their traditional Gestus of knowledge acquisition are in contrast to new sciences resulting from external pressures, combining and mobilizing different areas of knowledge, which challenge former dominances and help to establish new open disciplines. However, gerontology in Germany is in this respect a clear latecomer and can only cast off the impact of medicine in the twentieth century to some extent. This article describes this process by the superposition of different lines of tradition, which have long-term effects reaching into the history of the early Federal Republic of Germany.

  16. Inertial sensors as measurement tools of elbow range of motion in gerontology

    Science.gov (United States)

    Sacco, G; Turpin, JM; Marteu, A; Sakarovitch, C; Teboul, B; Boscher, L; Brocker, P; Robert, P; Guerin, O

    2015-01-01

    Background and purpose Musculoskeletal system deterioration among the aging is a major reason for loss of autonomy and directly affects the quality of life of the elderly. Articular evaluation is part of physiotherapeutic assessment and helps in establishing a precise diagnosis and deciding appropriate therapy. Reference instruments are valid but not easy to use for some joints. The main goal of our study was to determine reliability and intertester reproducibility of the MP-BV, an inertial sensor (the MotionPod® [MP]) combined with specific software (BioVal [BV]), for elbow passive range-of-motion measurements in geriatrics. Methods This open, monocentric, randomized study compared inertial sensor to inclinometer in patients hospitalized in an acute, post-acute, and long-term-care gerontology unit. Results Seventy-seven patients (mean age 83.5±6.4 years, sex ratio 1.08 [male/female]) were analyzed. The MP-BV was reliable for each of the three measurements (flexion, pronation, and supination) for 24.3% (CI 95% 13.9–32.8) of the patients. Separately, the percentages of reliable measures were 59.7% (49.2–70.5) for flexion, 68.8% (58.4–79.5) for pronation, and 62.3% (51.2–73.1) for supination. The intraclass correlation coefficients were 0.15 (0.07–0.73), 0.46 (0.27–0.98), and 0.50 (0.31–40 0.98) for flexion, pronation, and supination, respectively. Conclusion This study shows the convenience of the MP-BV in terms of ease of use and of export of measured data. However, this instrument seems less reliable and valuable compared to the reference instruments used to measure elbow range of motion in gerontology. PMID:25759568

  17. Clinical and Educational Outcomes of an Integrated Inpatient Quality Improvement Curriculum for Internal Medicine Residents.

    Science.gov (United States)

    Ogrinc, Greg; Cohen, Emily S; van Aalst, Robertus; Harwood, Beth; Ercolano, Ellyn; Baum, Karyn D; Pattison, Adam J; Jones, Anne C; Davies, Louise; West, Al

    2016-10-01

    Integrating teaching and hands-on experience in quality improvement (QI) may increase the learning and the impact of resident QI work. We sought to determine the clinical and educational impact of an integrated QI curriculum. This clustered, randomized trial with early and late intervention groups used mixed methods evaluation. For almost 2 years, internal medicine residents from Dartmouth-Hitchcock Medical Center on the inpatient teams at the White River Junction VA participated in the QI curriculum. QI project effectiveness was assessed using statistical process control. Learning outcomes were assessed with the Quality Improvement Knowledge Application Tool-Revised (QIKAT-R) and through self-efficacy, interprofessional care attitudes, and satisfaction of learners. Free text responses by residents and a focus group of nurses who worked with the residents provided information about the acceptability of the intervention. The QI projects improved many clinical processes and outcomes, but not all led to improvements. Educational outcome response rates were 65% (68 of 105) at baseline, 50% (18 of 36) for the early intervention group at midpoint, 67% (24 of 36) for the control group at midpoint, and 53% (42 of 80) for the late intervention group. Composite QIKAT-R scores (range, 0-27) increased from 13.3 at baseline to 15.3 at end point ( P  < .01), as did the self-efficacy composite score ( P  < .05). Satisfaction with the curriculum was rated highly by all participants. Learning and participating in hands-on QI can be integrated into the usual inpatient work of resident physicians.

  18. Improved Guideline Adherence With Integrated Sickle Cell Disease and Asthma Care.

    Science.gov (United States)

    McClain, Brandi L; Ivy, Zalaya K; Bryant, Valencia; Rodeghier, Mark; DeBaun, Michael R

    2016-07-01

    In children with sickle cell disease (SCD), concomitant asthma is associated with increased morbidity and mortality when compared with children with SCD without asthma. Despite the well-established burden of asthma in children with SCD, no paradigm of care exists for the co-management of these two diseases. To address this gap, an integrated SCD and asthma clinic was created in a community health center that included (1) a dual respiratory therapist/asthma case manager; (2) an SCD nurse practitioner with asthma educator certification; (3) an onsite pulmonary function test laboratory; (4) a pediatric hematologist with expertise in managing SCD and asthma; and (5) application of the National Asthma Education and Prevention Program guidelines. A before (2010-2012) and after (2013-2014) study design was used to assess for improved quality of care with implementation of an integrative care model among 61 children with SCD and asthma followed from 2010 to 2014. Asthma action plan utilization after initial diagnosis increased with the integrative care model (n=16, 56% before, 100% after, p=0.003), as did the use of spirometry in children aged ≥5 years (n=41, 65% before, 95% after, pintegrative care model for SCD and asthma improved evidence-based asthma care, longer follow-up and evaluation will be needed to determine the impact on SCD-related morbidity. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  19. Improving yeast strains using recyclable integration cassettes, for the production of plant terpenoids

    Directory of Open Access Journals (Sweden)

    Johnson Christopher B

    2011-01-01

    Full Text Available Abstract Background Terpenoids constitute a large family of natural products, attracting commercial interest for a variety of uses as flavours, fragrances, drugs and alternative fuels. Saccharomyces cerevisiae offers a versatile cell factory, as the precursors of terpenoid biosynthesis are naturally synthesized by the sterol biosynthetic pathway. Results S. cerevisiae wild type yeast cells, selected for their capacity to produce high sterol levels were targeted for improvement aiming to increase production. Recyclable integration cassettes were developed which enable the unlimited sequential integration of desirable genetic elements (promoters, genes, termination sequence at any desired locus in the yeast genome. The approach was applied on the yeast sterol biosynthetic pathway genes HMG2, ERG20 and IDI1 resulting in several-fold increase in plant monoterpene and sesquiterpene production. The improved strains were robust and could sustain high terpenoid production levels for an extended period. Simultaneous plasmid-driven co-expression of IDI1 and the HMG2 (K6R variant, in the improved strain background, maximized monoterpene production levels. Expression of two terpene synthase enzymes from the sage species Salvia fruticosa and S. pomifera (SfCinS1, SpP330 in the modified yeast cells identified a range of terpenoids which are also present in the plant essential oils. Co-expression of the putative interacting protein HSP90 with cineole synthase 1 (SfCinS1 also improved production levels, pointing to an additional means to improve production. Conclusions Using the developed molecular tools, new yeast strains were generated with increased capacity to produce plant terpenoids. The approach taken and the durability of the strains allow successive rounds of improvement to maximize yields.

  20. Integrating quantitative thinking into an introductory biology course improves students' mathematical reasoning in biological contexts.

    Science.gov (United States)

    Hester, Susan; Buxner, Sanlyn; Elfring, Lisa; Nagy, Lisa

    2014-01-01

    Recent calls for improving undergraduate biology education have emphasized the importance of students learning to apply quantitative skills to biological problems. Motivated by students' apparent inability to transfer their existing quantitative skills to biological contexts, we designed and taught an introductory molecular and cell biology course in which we integrated application of prerequisite mathematical skills with biology content and reasoning throughout all aspects of the course. In this paper, we describe the principles of our course design and present illustrative examples of course materials integrating mathematics and biology. We also designed an outcome assessment made up of items testing students' understanding of biology concepts and their ability to apply mathematical skills in biological contexts and administered it as a pre/postcourse test to students in the experimental section and other sections of the same course. Precourse results confirmed students' inability to spontaneously transfer their prerequisite mathematics skills to biological problems. Pre/postcourse outcome assessment comparisons showed that, compared with students in other sections, students in the experimental section made greater gains on integrated math/biology items. They also made comparable gains on biology items, indicating that integrating quantitative skills into an introductory biology course does not have a deleterious effect on students' biology learning.

  1. Integrating Quantitative Thinking into an Introductory Biology Course Improves Students’ Mathematical Reasoning in Biological Contexts

    Science.gov (United States)

    Hester, Susan; Buxner, Sanlyn; Elfring, Lisa; Nagy, Lisa

    2014-01-01

    Recent calls for improving undergraduate biology education have emphasized the importance of students learning to apply quantitative skills to biological problems. Motivated by students’ apparent inability to transfer their existing quantitative skills to biological contexts, we designed and taught an introductory molecular and cell biology course in which we integrated application of prerequisite mathematical skills with biology content and reasoning throughout all aspects of the course. In this paper, we describe the principles of our course design and present illustrative examples of course materials integrating mathematics and biology. We also designed an outcome assessment made up of items testing students’ understanding of biology concepts and their ability to apply mathematical skills in biological contexts and administered it as a pre/postcourse test to students in the experimental section and other sections of the same course. Precourse results confirmed students’ inability to spontaneously transfer their prerequisite mathematics skills to biological problems. Pre/postcourse outcome assessment comparisons showed that, compared with students in other sections, students in the experimental section made greater gains on integrated math/biology items. They also made comparable gains on biology items, indicating that integrating quantitative skills into an introductory biology course does not have a deleterious effect on students’ biology learning. PMID:24591504

  2. Regulatory Improvements for Effective Integration of Distributed Generation into Electricity Distribution Networks

    International Nuclear Information System (INIS)

    Scheepers, M.J.J.; Jansen, J.C.; De Joode, J.; Bauknecht, D.; Gomez, T.; Pudjianto, D.; Strbac, G.; Ropenus, S.

    2007-11-01

    The growth of distributed electricity supply of renewable energy sources (RES-E) and combined heat and power (CHP) - so called distributed generation (DG) - can cause technical problems for electricity distribution networks. These integration problems can be overcome by reinforcing the network. Many European Member States apply network regulation that does not account for the impact of DG growth on the network costs. Passing on network integration costs to the DG-operator who is responsible for these extra costs may result in discrimination between different DG plants and between DG and large power generation. Therefore, in many regulatory systems distribution system operators (DSOs) are not being compensated for the DG integration costs. The DG-GRID project analysed technical and economical barriers for integration of distributed generation into electricity distribution networks. The project looked into the impact of a high DG deployment on the electricity distribution system costs and the impact on the financial position of the DSO. Several ways for improving network regulation in order to compensate DSOs for the increasing DG penetration were identified and tested. The DG-GRID project looked also into stimulating network innovations through economic regulation. The project was co-financed by the European Commission and carried out by nine European universities and research institutes. This report summarises the project results and is based on a number of DG-GRID reports that describe the conducted analyses and their results

  3. Integrating Environmental Management of Asthma into Pediatric Health Care: What Worked and What Still Needs Improvement?

    Science.gov (United States)

    Roberts, James R; Newman, Nicholas; McCurdy, Leyla E; Chang, Jane S; Salas, Mauro A; Eskridge, Bernard; De Ybarrondo, Lisa; Sandel, Megan; Mazur, Lynnette; Karr, Catherine J

    2016-12-01

    The National Environmental Education Foundation (NEEF) launched an initiative in 2005 to integrate environmental management of asthma into pediatric health care. This study, a follow-up to a 2013 study, evaluated the program's impact and assessed training results by 5 new faculty champions. We surveyed attendees at training sessions to measure knowledge and the likelihood of asking about and managing environmental triggers of asthma. To conduct the program evaluation, a workshop was held with the faculty champions and NEEF staff in which we identified major program benefits, as well as challenges and suggestions for the future. Trainee baseline knowledge of environmental triggers was low, but they reported robust improvement in environmental triggers knowledge and intention to recommend environmental management. The program has a broad, national scope, reaching more than 12 000 physicians, health care providers, and students, and some faculty champions successfully integrated materials into health record. Program barriers and future endeavors were identified.

  4. Further Improvement and System Integration of High Temperature Polymer Electrolyte Membrane Fuel Cells

    DEFF Research Database (Denmark)

    Li, Qingfeng; Jensen, Jens Oluf

    The new development in the field of polymer electrolyte membrane fuel cell (PEMFC) is high temperature PEMFC for operation above 100°C, which has been successfully demonstrated through the previous EC Joule III and the 5th framework programme. New challenges are encountered, bottlenecks for the new...... technology have been identified, and new concepts and solutions have been provisionally identified. FURIM is directed at tackling these key issues by concentrating on the further materials development, compatible technologies, and system integration of the high temperature PEMFC. The strategic developments...... of the FURIM are in three steps: (1) further improvement of the high temperature polymer membranes and related materials; (2) development of technological units including fuel cell stack, hydrocarbon reformer and afterburner, that are compatible with the HT-PEMFC; and (3) integration of the HT-PEMFC stack...

  5. At the Nexus of History, Ecology, and Hydrobiogeochemistry: Improved Predictions across Scales through Integration.

    Science.gov (United States)

    Stegen, James C

    2018-01-01

    To improve predictions of ecosystem function in future environments, we need to integrate the ecological and environmental histories experienced by microbial communities with hydrobiogeochemistry across scales. A key issue is whether we can derive generalizable scaling relationships that describe this multiscale integration. There is a strong foundation for addressing these challenges. We have the ability to infer ecological history with null models and reveal impacts of environmental history through laboratory and field experimentation. Recent developments also provide opportunities to inform ecosystem models with targeted omics data. A major next step is coupling knowledge derived from such studies with multiscale modeling frameworks that are predictive under non-steady-state conditions. This is particularly true for systems spanning dynamic interfaces, which are often hot spots of hydrobiogeochemical function. We can advance predictive capabilities through a holistic perspective focused on the nexus of history, ecology, and hydrobiogeochemistry.

  6. Improved bacteriophage genome data is necessary for integrating viral and bacterial ecology.

    Science.gov (United States)

    Bibby, Kyle

    2014-02-01

    The recent rise in "omics"-enabled approaches has lead to improved understanding in many areas of microbial ecology. However, despite the importance that viruses play in a broad microbial ecology context, viral ecology remains largely not integrated into high-throughput microbial ecology studies. A fundamental hindrance to the integration of viral ecology into omics-enabled microbial ecology studies is the lack of suitable reference bacteriophage genomes in reference databases-currently, only 0.001% of bacteriophage diversity is represented in genome sequence databases. This commentary serves to highlight this issue and to promote bacteriophage genome sequencing as a valuable scientific undertaking to both better understand bacteriophage diversity and move towards a more holistic view of microbial ecology.

  7. Integration of scheduling and discrete event simulation systems to improve production flow planning

    Science.gov (United States)

    Krenczyk, D.; Paprocka, I.; Kempa, W. M.; Grabowik, C.; Kalinowski, K.

    2016-08-01

    The increased availability of data and computer-aided technologies such as MRPI/II, ERP and MES system, allowing producers to be more adaptive to market dynamics and to improve production scheduling. Integration of production scheduling and computer modelling, simulation and visualization systems can be useful in the analysis of production system constraints related to the efficiency of manufacturing systems. A integration methodology based on semi-automatic model generation method for eliminating problems associated with complexity of the model and labour-intensive and time-consuming process of simulation model creation is proposed. Data mapping and data transformation techniques for the proposed method have been applied. This approach has been illustrated through examples of practical implementation of the proposed method using KbRS scheduling system and Enterprise Dynamics simulation system.

  8. Integrating adaptive management and ecosystem services concepts to improve natural resource management: Challenges and opportunities

    Science.gov (United States)

    Epanchin-Niell, Rebecca S.; Boyd, James W.; Macauley, Molly K.; Scarlett, Lynn; Shapiro, Carl D.; Williams, Byron K.

    2018-05-07

    Executive Summary—OverviewNatural resource managers must make decisions that affect broad-scale ecosystem processes involving large spatial areas, complex biophysical interactions, numerous competing stakeholder interests, and highly uncertain outcomes. Natural and social science information and analyses are widely recognized as important for informing effective management. Chief among the systematic approaches for improving the integration of science into natural resource management are two emergent science concepts, adaptive management and ecosystem services. Adaptive management (also referred to as “adaptive decision making”) is a deliberate process of learning by doing that focuses on reducing uncertainties about management outcomes and system responses to improve management over time. Ecosystem services is a conceptual framework that refers to the attributes and outputs of ecosystems (and their components and functions) that have value for humans.This report explores how ecosystem services can be moved from concept into practice through connection to a decision framework—adaptive management—that accounts for inherent uncertainties. Simultaneously, the report examines the value of incorporating ecosystem services framing and concepts into adaptive management efforts.Adaptive management and ecosystem services analyses have not typically been used jointly in decision making. However, as frameworks, they have a natural—but to date underexplored—affinity. Both are policy and decision oriented in that they attempt to represent the consequences of resource management choices on outcomes of interest to stakeholders. Both adaptive management and ecosystem services analysis take an empirical approach to the analysis of ecological systems. This systems orientation is a byproduct of the fact that natural resource actions affect ecosystems—and corresponding societal outcomes—often across large geographic scales. Moreover, because both frameworks focus on

  9. Provider perceptions of an integrated primary care quality improvement strategy: The PPAQ toolkit.

    Science.gov (United States)

    Beehler, Gregory P; Lilienthal, Kaitlin R

    2017-02-01

    The Primary Care Behavioral Health (PCBH) model of integrated primary care is challenging to implement with high fidelity. The Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) was designed to assess provider adherence to essential model components and has recently been adapted into a quality improvement toolkit. The aim of this pilot project was to gather preliminary feedback on providers' perceptions of the acceptability and utility of the PPAQ toolkit for making beneficial practice changes. Twelve mental health providers working in Department of Veterans Affairs integrated primary care clinics participated in semistructured interviews to gather quantitative and qualitative data. Descriptive statistics and qualitative content analysis were used to analyze data. Providers identified several positive features of the PPAQ toolkit organization and structure that resulted in high ratings of acceptability, while also identifying several toolkit components in need of modification to improve usability. Toolkit content was considered highly representative of the (PCBH) model and therefore could be used as a diagnostic self-assessment of model adherence. The toolkit was considered to be high in applicability to providers regardless of their degree of prior professional preparation or current clinical setting. Additionally, providers identified several system-level contextual factors that could impact the usefulness of the toolkit. These findings suggest that frontline mental health providers working in (PCBH) settings may be receptive to using an adherence-focused toolkit for ongoing quality improvement. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  10. Improving Land Use/Land Cover Classification by Integrating Pixel Unmixing and Decision Tree Methods

    Directory of Open Access Journals (Sweden)

    Chao Yang

    2017-11-01

    Full Text Available Decision tree classification is one of the most efficient methods for obtaining land use/land cover (LULC information from remotely sensed imageries. However, traditional decision tree classification methods cannot effectively eliminate the influence of mixed pixels. This study aimed to integrate pixel unmixing and decision tree to improve LULC classification by removing mixed pixel influence. The abundance and minimum noise fraction (MNF results that were obtained from mixed pixel decomposition were added to decision tree multi-features using a three-dimensional (3D Terrain model, which was created using an image fusion digital elevation model (DEM, to select training samples (ROIs, and improve ROI separability. A Landsat-8 OLI image of the Yunlong Reservoir Basin in Kunming was used to test this proposed method. Study results showed that the Kappa coefficient and the overall accuracy of integrated pixel unmixing and decision tree method increased by 0.093% and 10%, respectively, as compared with the original decision tree method. This proposed method could effectively eliminate the influence of mixed pixels and improve the accuracy in complex LULC classifications.

  11. An integrated conceptual framework for evaluating and improving 'understanding' in informed consent.

    Science.gov (United States)

    Bossert, Sabine; Strech, Daniel

    2017-10-17

    The development of understandable informed consent (IC) documents has proven to be one of the most important challenges in research with humans as well as in healthcare settings. Therefore, evaluating and improving understanding has been of increasing interest for empirical research on IC. However, several conceptual and practical challenges for the development of understandable IC documents remain unresolved. In this paper, we will outline and systematize some of these challenges. On the basis of our own experiences in empirical user testing of IC documents as well as the relevant literature on understanding in IC, we propose an integrated conceptual model for the development of understandable IC documents. The proposed conceptual model integrates different methods for the participatory improvement of written information, including IC, as well as quantitative methods for measuring understanding in IC. In most IC processes, understandable written information is an important prerequisite for valid IC. To improve the quality of IC documents, a conceptual model for participatory procedures of testing, revising, and retesting can be applied. However, the model presented in this paper needs further theoretical and empirical elaboration and clarification of several conceptual and practical challenges.

  12. Efficiencies and improvement potential of building integrated photovoltaic thermal (BIPVT) system

    International Nuclear Information System (INIS)

    Ibrahim, Adnan; Fudholi, Ahmad; Sopian, Kamaruzzaman; Othman, Mohd Yusof; Ruslan, Mohd Hafidz

    2014-01-01

    Highlights: • Performances analysis of BIPVT solar collector based on energy and exergy analyses. • A new absorber design of BIPVT solar collector is presented. • BIPVT solar collector is produced primary-energy saving efficiency from about 73% to 81%. • PVT energy efficiency varies between 55% and 62% where as the variation in the PVT exergy efficiency is from 12% to 14%. • The improvement potential is between 98 and 404 W. - Abstract: Building integrated photovoltaic thermal (BIPVT) system has been designed to produce both electricity and hot water and later integrated to building. The hot water is produced at the useful temperatures for the applications in Malaysia such as building integrated heating system and domestic hot water system as well as many industrial including agricultural and commercial applications. The photovoltaic thermal (PVT) system comprises of a high efficiency multicrystal photovoltaic (PV) module and spiral flow absorber for BIPVT application, have been performed and investigated. In this study, it was assumed that the absorber was attached underneath the flat plate single glazing sheet of polycrystalline silicon PV module and water has been used as a heat transfer medium in absorber. Performances analysis of BIPVT system based on energy and exergy analyses. It was based on efficiencies including energy and exergy, and exergetic improvement potential (IP) based on the metrological condition of Malaysia has been carried out. Results show that the hourly variation for BIPVT system, the PVT energy efficiency of 55–62% is higher than the PVT exergy efficiency of 12–14%. The improvement potential increases with increasing solar radiation, it is between 98 and 404 W. On the other hand, BIPVT system was produced primary-energy saving efficiency from about 73% to 81%

  13. Improving service quality of hospital front office using an integrated Kano model and quality function deployment

    Directory of Open Access Journals (Sweden)

    Anjar Priyono

    2017-11-01

    Full Text Available Purpose: The aims of this study are twofold: first, it attempts to investigate service attributes in a hospital front office; and second, to identify strategies to improve those service attributes. Design/methodology/approach: This study used integration of Quality Function Deployment and Kano Model. The research instrument, which takes the SERVQUAL model as its starting point, was developed using a comprehensive set of techniques, including a literature review of relevant topics, interviews and focus group discussions. Using a sample of 140 customers of an international hospital situated in Yogyakarta, Indonesia, 14 service attributes required by customers were identified. The attributes, which were further categorised into 5 attractive, 4 one-dimensional and 5 ‘must-be’ attributes, were analysed using the Kano Model. Findings: Using the integrated QFD and Kano Model, the service attributes needed for improvement were identified. The results are different from those when the company used either SERVQUAL or QFD alone. This study also reveals that benchmarking with competitor might produce misleading results. The results are different when the analysis combined a comprehensive method of QFD and Kano Model. Practical implications: Service providers will benefit from the findings of this study, as both the service attributes and technical requirements that require improvement as a priority are identified. Originality/value: It is the first time that front office quality of hospital is examined using integrated method of SERVQUAL, QFD and Kano Model. The recommendations proposed from this comprehensive method offer novel solution that has never been found in existing study.

  14. Storage systems for improved grid integration of photovoltaic systems; Speichersysteme fuer eine verbesserte Netzintegration von Photovoltaikanlagen

    Energy Technology Data Exchange (ETDEWEB)

    Ying, Shaoqing [Brandenburgische Technische Univ. Cottbus (Germany). CEBra-Research

    2013-07-15

    Since the enactment of the Renewable Energy Law in the year 2000 Germany has seen a massive increase in capacity for energy production from renewable resources. Of these, wind power and photovoltaics show heavily fluctuating supply profiles, with significant impact on energy supply grids. One approach to lessening the load on power grids, aside from their expansion, is to install energy storage systems. Recent studies on the use of such storage systems for improved grid integration of photovoltaic systems have shown the viability of this approach for ground-mounted plants connected to the medium or high voltage level as well as for roof-mounted plants for the low-voltage level.

  15. Integrated Management System in construction company-effective tool of quality, environment and safety level improving

    OpenAIRE

    Gašparík, Jozef

    2009-01-01

    Contribution Presents the struCture of integrated M anageMent systeM ( iMs) according to international standards ISO 9001:2008, ISO 14001:2004 and STN OHSAS 18001:2009, which consists of 3 management systems focused to quality, environment and safety of building processes. The purpose of paper is to describe basic steps concerning the development of IMS. Paper analises basic processes of IMS like company vision, IMS planning, implementing, monitoring, revive and improving. The paper presents ...

  16. The interrelationship between environmental goals, productivity improvement, and increased energy efficiency in integrated paper and steel plants

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-06-01

    This report presents the results of an investigation into the interrelationships between plant-level productivity, energy efficiency, and environmental improvements for integrated pulp and paper mills and integrated steel mills in the US. Integrated paper and steel plants are defined as those facilities that use some form of onsite raw material to produce final products (for example, paper and paperboard or finished steel). Fully integrated pulp and paper mills produce onsite the pulp used to manufacture paper from virgin wood fiber, secondary fiber, or nonwood fiber. Fully integrated steel mills process steel from coal, iron ore, and scrap inputs and have onsite coke oven facilities.

  17. Improving Integrated Operation in the Joint Integrated Mission Model (JIMM) and the Simulated Warfare Environment Data Transfer (SWEDAT) Protocol

    National Research Council Canada - National Science Library

    Mutschler, David W

    2005-01-01

    ...). It allows integrated operation of resources whereby the JIMM threat environment, stimulators virtual cockpits, systems under test, and other agents are combined within the same simulation exercise...

  18. Exogenous DNA internalisation by sperm cells is improved by combining lipofection and restriction enzyme mediated integration.

    Science.gov (United States)

    Churchil, R R; Gupta, J; Singh, A; Sharma, D

    2011-06-01

    1. Three types of exogenous DNA inserts, i.e. complete linearised pVIVO2-GFP/LacZ vector (9620 bp), the LacZ gene (5317 bp) and the GFP gene (2152 bp) were used to transfect chicken spermatozoa through simple incubation of sperm cells with insert. 2. PCR assay, Dot Blot hybridisation and Southern hybridisation showed the successful internalisation of exogenous DNA by chicken sperm cells. 3. Lipofection and Restriction Enzyme Mediated Integration (REMI) were used to improve the rate of internalisation of exogenous DNA by sperm cells. 4. Results from dot blot as well as Southern hybridisation were semi-quantified and improved exogenous DNA uptake by sperm cells through lipofection and REMI. Stronger signals were observed from hybridisation of LacZ as well as GFP specific probe with the DNA from lipofected exogenous DNA transfected sperm DNA in comparison with those transfected with nude exogenous DNA.

  19. Improving the Level and Quality of Ethics Review in Chinese Medicine and Integrative Medicine.

    Science.gov (United States)

    Zhang, Cheng-Bin; Li, En-Chang

    2018-04-01

    Three features of ethics review in Chinese medicine (CM) and integrative medicine (IM) were put forward in this paper. It is consistent with the principles of ethical review in Western medicine; it has to be compliant with the laws of CM and IM; emphasis should be laid on the review of clinical practice facts and experience. Three problems were pointed out. The characteristics of CM and IM are not distinctive enough, operation procedures need to be refined and effectiveness remains to be improved. Based on the mentioned above, seven measures were proposed to improve the level and quality of ethics review in CM and IM, including better brand awareness, considerable tolerance, treatment based on disease differentiation and syndrome differentiation, scientific review and toxicity and side effects of CM, perfection of the ethics review system, reasonable procedures of ethics review and more specialized ethics review workers.

  20. Process improvement program evolves into compliance program at an integrated delivery system.

    Science.gov (United States)

    Tyk, R C; Hylton, P G

    1998-09-01

    An integrated delivery system discovered questionable practices when it undertook a process-improvement initiative for its revenue-to-cash cycle. These discoveries served as a wake-up call to the organization that it needed to develop a comprehensive corporate compliance program. The organization engaged legal counsel to help it establish such a program. A corporate compliance officer was hired, and a compliance committee was set up. They worked with counsel to develop the structure and substance of the program and establish a corporate code of conduct that became a part of the organization's policies and procedures. Teams were formed in various areas of the organization to review compliance-related activities and suggest improvements. Clinical and nonclinical staff attended mandatory educational sessions about the program. By approaching compliance systematically, the organization has put itself in an excellent position to avoid fraudulent and abusive activities- and the government scrutiny they invite.

  1. An integrated management system to improve the performance of nuclear installations

    Energy Technology Data Exchange (ETDEWEB)

    Beckmerhagen, I.A.; Berg, H.P. [Bundesamt fur Strahlenschutz, Salzgitter (Germany)

    2001-07-01

    A integrated management system encompasses all management and assessment activities. The integration of DM, QM, safety management and occupational health into an integrated management system is shown for structures, systems and components of waste repositories because they have to fulfill reliability requirements derived from comprehensive safety assessments, and these structures, systems and components (such as transport vehicles and stacker trucks for the underground emplacement activities) are especially manufactured for this purpose and are not series products. QM institutes a QM system which ensures that there are clearly defined and auditable procedures. The requirements are written down in specifications or operation manuals and/or maintenance manuals. The QM system provides assurance that the installed structures, systems or components meet and continue to meet the prescribed goals with the help of DM and that safety management and occupational health specified requirements are fulfilled. DM focuses on the use of engineering analyses, assessments and methods to improve the design, specification, construction, dependability and operation of important systems, structures and components. (author)

  2. Integrating family planning into postpartum care through modern quality improvement: experience from Afghanistan.

    Science.gov (United States)

    Tawfik, Youssef; Rahimzai, Mirwais; Ahmadzai, Malalah; Clark, Phyllis Annie; Kamgang, Evelyn

    2014-05-01

    To address low contraceptive use in Afghanistan, we supported 2 large public maternity hospitals and 3 private hospitals in Kabul to use modern quality improvement (QI) methods to integrate family planning into postpartum care. In 2012, QI teams comprising hospital staff applied root cause analysis to identify barriers to integrated postpartum family planning (PPFP) services and to develop solutions for how to integrate services. Changes made to service provision to address identified barriers included creating a private counseling space near the postpartum ward, providing PPFP counseling training and job aids to staff, and involving husbands and mothers-in-law in counseling in person or via mobile phones. After 10 months, the proportion of postpartum women who received family planning counseling before discharge in the 5 hospitals increased from 36% to 55%, and the proportion of women who received family planning counseling with their husbands rose from 18% to 90%. In addition, the proportion of postpartum women who agreed to use family planning and left the hospital with their preferred method increased from 12% to 95%. Follow-up telephone surveys with a random sample of women who had received PPFP services in the 2 public hospitals and a control group of postpartum women who had received routine hospital services found significant differences in the proportion of women with self-reported pregnancies: 3% vs. 15%, respectively, 6 months after discharge; 6% vs. 22% at 12 months; and 14% vs. 35% at 18 months (P family planning and postpartum services by testing changes they deemed feasible.

  3. Advances in Integrative Nanomedicine for Improving Infectious Disease Treatment in Public Health.

    Science.gov (United States)

    Bell, Iris R; Schwartz, Gary E; Boyer, Nancy N; Koithan, Mary; Brooks, Audrey J

    2013-04-01

    Infectious diseases present public health challenges worldwide. An emerging integrative approach to treating infectious diseases is using nanoparticle (NP) forms of traditional and alternative medicines. Advantages of nanomedicine delivery methods include better disease targeting, especially for intracellular pathogens, ability to cross membranes and enter cells, longer duration drug action, reduced side effects, and cost savings from lower doses. We searched Pubmed articles in English with keywords related to nanoparticles and nanomedicine. Nanotechnology terms were also combined with keywords for drug delivery, infectious diseases, herbs, antioxidants, homeopathy, and adaptation. NPs are very small forms of material substances, measuring 1-100 nanometers along at least one dimension. Compared with bulk forms, NPs' large ratio of surface-area-to-volume confers increased reactivity and adsorptive capacity, with unique electromagnetic, chemical, biological, and quantum properties. Nanotechnology uses natural botanical agents for green manufacturing of less toxic NPs. Nanoparticle herbs and nutriceuticals can treat infections via improved bioavailability and antiinflammatory, antioxidant, and immunomodulatory effects. Recent studies demonstrate that homeopathic medicines may contain source and/or silica nanoparticles because of their traditional manufacturing processes. Homeopathy, as a form of nanomedicine, has a promising history of treating epidemic infectious diseases, including malaria, leptospirosis and HIV/AIDS, in addition to acute upper respiratory infections. Adaptive changes in the host's complex networks underlie effects. Nanomedicine is integrative, blending modern technology with natural products to reduce toxicity and support immune function. Nanomedicine using traditional agents from alternative systems of medicine can facilitate progress in integrative public health approaches to infectious diseases.

  4. An integrated management system to improve the performance of nuclear installations

    International Nuclear Information System (INIS)

    Beckmerhagen, I.A.; Berg, H.P.

    2001-01-01

    A integrated management system encompasses all management and assessment activities. The integration of DM, QM, safety management and occupational health into an integrated management system is shown for structures, systems and components of waste repositories because they have to fulfill reliability requirements derived from comprehensive safety assessments, and these structures, systems and components (such as transport vehicles and stacker trucks for the underground emplacement activities) are especially manufactured for this purpose and are not series products. QM institutes a QM system which ensures that there are clearly defined and auditable procedures. The requirements are written down in specifications or operation manuals and/or maintenance manuals. The QM system provides assurance that the installed structures, systems or components meet and continue to meet the prescribed goals with the help of DM and that safety management and occupational health specified requirements are fulfilled. DM focuses on the use of engineering analyses, assessments and methods to improve the design, specification, construction, dependability and operation of important systems, structures and components. (author)

  5. An integrated methodology for process improvement and delivery system visualization at a multidisciplinary cancer center.

    Science.gov (United States)

    Singprasong, Rachanee; Eldabi, Tillal

    2013-01-01

    Multidisciplinary cancer centers require an integrated, collaborative, and stream-lined workflow in order to provide high quality of patient care. Due to the complex nature of cancer care and continuing changes to treatment techniques and technologies, it is a constant struggle for centers to obtain a systemic and holistic view of treatment workflow for improving the delivery systems. Project management techniques, Responsibility matrix and a swim-lane activity diagram representing sequence of activities can be combined for data collection, presentation, and evaluation of the patient care. This paper presents this integrated methodology using multidisciplinary meetings and walking the route approach for data collection, integrated responsibility matrix and swim-lane activity diagram with activity time for data representation and 5-why and gap analysis approach for data analysis. This enables collection of right detail of information in a shorter time frame by identifying process flaws and deficiencies while being independent of the nature of the patient's disease or treatment techniques. A case study of a multidisciplinary regional cancer centre is used to illustrate effectiveness of the proposed methodology and demonstrates that the methodology is simple to understand, allowing for minimal training of staff and rapid implementation. © 2011 National Association for Healthcare Quality.

  6. Zbigniew Wozniak, The Elderly in Social Policy. Towards a New Architecture of Gerontological Programmes (Development in Humanities, Volume 4, Lit Verlag, 2013

    Directory of Open Access Journals (Sweden)

    Dianne Campbell

    2015-03-01

    Full Text Available A review of the following book: Zbigniew Wozniak, The Elderly in Social Policy. Towards a New Architecture of Gerontological Programmes (Development in Humanities, Volume 4, Lit Verlag, 2013

  7. The effect of science learning integrated with local potential to improve science process skills

    Science.gov (United States)

    Rahardini, Riris Riezqia Budy; Suryadarma, I. Gusti Putu; Wilujeng, Insih

    2017-08-01

    This research was aimed to know the effectiveness of science learning that integrated with local potential to improve student`s science process skill. The research was quasi experiment using non-equivalent control group design. The research involved all student of Muhammadiyah Imogiri Junior High School on grade VII as a population. The sample in this research was selected through cluster random sampling, namely VII B (experiment group) and VII C (control group). Instrument that used in this research is a nontest instrument (science process skill observation's form) adapted Desak Megawati's research (2016). The aspect of science process skills were making observation and communication. The data were using univariat (ANOVA) analyzed at 0,05 significance level and normalized gain score for science process skill increase's category. The result is science learning that integrated with local potential was effective to improve science process skills of student (Sig. 0,00). This learning can increase science process skill, shown by a normalized gain score value at 0,63 (medium category) in experiment group and 0,29 (low category) in control group.

  8. Finding a nonlinear lattice with improved integrability using Lie transform perturbation theory

    International Nuclear Information System (INIS)

    Sonnad, Kiran G.; Cary, John R.

    2004-01-01

    A condition for improved dynamic aperture for nonlinear, alternating gradient transport systems is derived using Lie transform perturbation theory. The Lie transform perturbation method is used here to perform averaging over fast oscillations by canonically transforming to slowly oscillating variables. This is first demonstrated for a linear sinusoidal focusing system. This method is then employed to average the dynamics over a lattice period for a nonlinear focusing system, provided by the use of higher order poles such as sextupoles and octupoles along with alternate gradient quadrupoles. Unlike the traditional approach, the higher order focusing is not treated as a perturbation. The Lie transform method is particularly advantageous for such a system where the form of the Hamiltonian is complex. This is because the method exploits the property of canonical invariance of Poisson brackets so that the change of variables is accomplished by just replacing the old ones with the new. The analysis shows the existence of a condition in which the system is azimuthally symmetric in the transformed, slowly oscillating frame. Such a symmetry in the time averaged frame renders the system nearly integrable in the laboratory frame. This condition leads to reduced chaos and improved confinement when compared to a system that is not close to integrability. Numerical calculations of single-particle trajectories and phase space projections of the dynamic aperture performed for a lattice with quadrupoles and sextupoles confirm that this is indeed the case

  9. Improvements to Integrated Tradespace Analysis of Communications Architectures (ITACA) Network Loading Analysis Tool

    Science.gov (United States)

    Lee, Nathaniel; Welch, Bryan W.

    2018-01-01

    NASA's SCENIC project aims to simplify and reduce the cost of space mission planning by replicating the analysis capabilities of commercially licensed software which are integrated with relevant analysis parameters specific to SCaN assets and SCaN supported user missions. SCENIC differs from current tools that perform similar analyses in that it 1) does not require any licensing fees, 2) will provide an all-in-one package for various analysis capabilities that normally requires add-ons or multiple tools to complete. As part of SCENIC's capabilities, the ITACA network loading analysis tool will be responsible for assessing the loading on a given network architecture and generating a network service schedule. ITACA will allow users to evaluate the quality of service of a given network architecture and determine whether or not the architecture will satisfy the mission's requirements. ITACA is currently under development, and the following improvements were made during the fall of 2017: optimization of runtime, augmentation of network asset pre-service configuration time, augmentation of Brent's method of root finding, augmentation of network asset FOV restrictions, augmentation of mission lifetimes, and the integration of a SCaN link budget calculation tool. The improvements resulted in (a) 25% reduction in runtime, (b) more accurate contact window predictions when compared to STK(Registered Trademark) contact window predictions, and (c) increased fidelity through the use of specific SCaN asset parameters.

  10. An integrated CRISPR Bombyx mori genome editing system with improved efficiency and expanded target sites.

    Science.gov (United States)

    Ma, Sanyuan; Liu, Yue; Liu, Yuanyuan; Chang, Jiasong; Zhang, Tong; Wang, Xiaogang; Shi, Run; Lu, Wei; Xia, Xiaojuan; Zhao, Ping; Xia, Qingyou

    2017-04-01

    Genome editing enabled unprecedented new opportunities for targeted genomic engineering of a wide variety of organisms ranging from microbes, plants, animals and even human embryos. The serial establishing and rapid applications of genome editing tools significantly accelerated Bombyx mori (B. mori) research during the past years. However, the only CRISPR system in B. mori was the commonly used SpCas9, which only recognize target sites containing NGG PAM sequence. In the present study, we first improve the efficiency of our previous established SpCas9 system by 3.5 folds. The improved high efficiency was also observed at several loci in both BmNs cells and B. mori embryos. Then to expand the target sites, we showed that two newly discovered CRISPR system, SaCas9 and AsCpf1, could also induce highly efficient site-specific genome editing in BmNs cells, and constructed an integrated CRISPR system. Genome-wide analysis of targetable sites was further conducted and showed that the integrated system cover 69,144,399 sites in B. mori genome, and one site could be found in every 6.5 bp. The efficiency and resolution of this CRISPR platform will probably accelerate both fundamental researches and applicable studies in B. mori, and perhaps other insects. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Development road of critical care medicine in China: reference, integration and improvement

    Directory of Open Access Journals (Sweden)

    Hai-tao ZHANG

    2013-07-01

    Full Text Available Fundamental critical care medicine (FCCM and specialty critical care medicine (SCCM have their own independent developmental itinerary and have made indelible contributions to intensive treatment in the long history of CCM. The experts in FCCM are usually dominant in the cross-sectional study for various severe illnesses, and lay emphases on balancing the relationship among the dysfunctional organs under the guidance of overall treatment concept. SCCM experts emphasize longitudinal in-depth study for a specialized subject or special disease in order to solve the principal problem of the severe illness under the guidance of its own principal. At present, the main challenge of CCM is to avoid the habitual linear thinking. It is necessary for the members of FCCM to learn the knowledge of different problems pertaining to various specialties from SCCM, thus FCCM doctors would be able to take care of patients suffering from derangements of specific organs. SCCM members also need to learn from FCCM for strengthening the concept of overall treatment, optimizing various treatment resources, and improving treatment effects. Members of FCCM and SCCM need to learn from each other, in order to integrate and improve treatment strategies together, so as to complement each other. This will broaden the knowledge of SCCM and deepen that of FCCM. The integration of knowledge and skill will enrich the connotation of the CCM.

  12. Use of integral experiments to improve neutron propagation and gamma heating calculations

    International Nuclear Information System (INIS)

    Oceraies, Y.; Caumette, P.; Devillers, C.; Bussac, J.

    1979-01-01

    1) The studies to define and improve the accuracies of neutron propagation and gamma heating calculations from integral experiments are encompassed in the field of the fast reactor physics program at CEA. 2) A systematic analysis of neutron propagation in Fe-Na clean media, with variable volumic composition between 0 and 100% in sodium, has been performed on the HARMONIE source reactor. Gamma heating traverses in the core, the blankets and several control rods, have been measured in the R Z core program at MASURCA. The experimental techniques, the accuracies and the results obtained are given. The approximations of the calculational methods used to analyse these experiments and to predict the corresponding design parameters are also described. 3) Particular emphasis is given to the methods planned to improve fundamental data used in neutron propagation calculations, using the discrepancies observed between measured and calculated results in clean integral experiments. One of these approaches, similar to the techniques used in core physics, relies upon sensitivity studies and eventually on adjustment techniques applied to neutron propagation. (author)

  13. Integration

    DEFF Research Database (Denmark)

    Emerek, Ruth

    2004-01-01

    Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration......Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration...

  14. Integrated Practice Improvement Solutions-Practical Steps to Operating Room Management.

    Science.gov (United States)

    Chernov, Mikhail; Pullockaran, Janet; Vick, Angela; Leyvi, Galina; Delphin, Ellise

    2016-10-01

    Perioperative productivity is a vital concern for surgeons, anesthesiologists, and administrators as the OR is a major source of hospital elective admissions and revenue. Based on elements of existing Practice Improvement Methodologies (PIMs), "Integrated Practice Improvement Solutions" (IPIS) is a practical and simple solution incorporating aspects of multiple management approaches into a single open source framework to increase OR efficiency and productivity by better utilization of existing resources. OR efficiency was measured both before and after IPIS implementation using the total number of cases versus room utilization, OR/anesthesia revenue and staff overtime (OT) costs. Other parameters of efficiency, such as the first case on-time start and the turnover time (TOT) were measured in parallel. IPIS implementation resulted in increased numbers of surgical procedures performed by an average of 10.7%, and OR and anesthesia revenue increases of 18.5% and 6.9%, respectively, with a simultaneous decrease in TOT (15%) and OT for anesthesia staff (26%). The number of perioperative adverse events was stable during the two-year study period which involved a total of 20,378 patients. IPIS, an effective and flexible practice improvement model, was designed to quickly, significantly, and sustainably improve OR efficiency by better utilization of existing resources. Success of its implementation directly correlates with the involvement of and acceptance by the entire OR team and hospital administration.

  15. Moderate-intensity endurance training improves endothelial glycocalyx layer integrity in healthy young men.

    Science.gov (United States)

    Majerczak, Joanna; Grandys, Marcin; Duda, Krzysztof; Zakrzewska, Agnieszka; Balcerczyk, Aneta; Kolodziejski, Leszek; Szymoniak-Chochol, Dorota; Smolenski, Ryszard T; Bartosz, Grzegorz; Chlopicki, Stefan; Zoladz, Jerzy A

    2017-01-01

    What is the central question of this study? The main aim of the present study was to determine the effect of prolonged moderate-intensity endurance training on the endothelial glycocalyx layer integrity in relationship to the training-induced changes in oxidative stress and antioxidant defence in humans. What is the main finding and its importance? We have shown, for the first time, a protective effect of prolonged moderate-intensity endurance training on endothelial glycocalyx layer integrity, as judged by significantly lower basal and end-exercise serum concentrations of glycocalyx damage markers, i.e. syndecan-1 and heparan sulfate, accompanied by attenuation of oxidative stress and enhancement of antioxidant defence after training in previously untrained healthy young men. In this study, we evaluated the effect of 20 weeks of moderate-intensity endurance training (ET) on the endothelial glycocalyx layer integrity in relationship to the training-induced changes in antioxidant defence. Eleven healthy young, untrained men performed an incremental cycling exercise bout until exhaustion before and after 20 weeks of ET. Endurance training consisted of 40 min sessions, mainly of moderate intensity (∼50% of maximal oxygen uptake), performed four times per week. Venous blood samples were taken at rest and at the end of the maximal exercise test. Muscle biopsies from vastus lateralis were taken before and after the training. Endurance training resulted in a significant increase in physical capacity (P  0.05). Moderate-intensity ET exerts a pronounced protective effect on endothelial glycocalyx integrity at rest and during exercise, probably through an improvement of antioxidant defence that may represent the vasoprotective mechanisms highly responsive to moderate-intensity endurance training. © 2016 The Authors. Experimental Physiology © 2016 The Physiological Society.

  16. MetaMeta: integrating metagenome analysis tools to improve taxonomic profiling.

    Science.gov (United States)

    Piro, Vitor C; Matschkowski, Marcel; Renard, Bernhard Y

    2017-08-14

    Many metagenome analysis tools are presently available to classify sequences and profile environmental samples. In particular, taxonomic profiling and binning methods are commonly used for such tasks. Tools available among these two categories make use of several techniques, e.g., read mapping, k-mer alignment, and composition analysis. Variations on the construction of the corresponding reference sequence databases are also common. In addition, different tools provide good results in different datasets and configurations. All this variation creates a complicated scenario to researchers to decide which methods to use. Installation, configuration and execution can also be difficult especially when dealing with multiple datasets and tools. We propose MetaMeta: a pipeline to execute and integrate results from metagenome analysis tools. MetaMeta provides an easy workflow to run multiple tools with multiple samples, producing a single enhanced output profile for each sample. MetaMeta includes a database generation, pre-processing, execution, and integration steps, allowing easy execution and parallelization. The integration relies on the co-occurrence of organisms from different methods as the main feature to improve community profiling while accounting for differences in their databases. In a controlled case with simulated and real data, we show that the integrated profiles of MetaMeta overcome the best single profile. Using the same input data, it provides more sensitive and reliable results with the presence of each organism being supported by several methods. MetaMeta uses Snakemake and has six pre-configured tools, all available at BioConda channel for easy installation (conda install -c bioconda metameta). The MetaMeta pipeline is open-source and can be downloaded at: https://gitlab.com/rki_bioinformatics .

  17. Integration of social media with healthcare big data for improved service delivery

    Directory of Open Access Journals (Sweden)

    Sibulela Mgudlwa

    2018-04-01

    Full Text Available Background: In the last decade, social media users across the world have crossed 1 billion, making it one of the fastest growing sources of big data. Also, people needing healthcare continue to increase in every society. Through accessibility, communication and interaction between health practitioners and patients, this type of ever-growing, social media subscriber–based platform can be of significant use in improving healthcare delivery to society. However, users encounter serious challenges in their attempts to make use of social media and big data for health-related services. The challenges are primarily caused by factors such as integration, complexity, security and privacy. The challenges are mainly owing to the sensitive nature of the healthcare environment, as a result of personalisation and privacy of information.   Objectives: The objectives of the study were to examine and gain a better understanding of the complexities that are associated with the use of social media and healthcare big data, through influencing factors, and to develop a framework that can be used to improve health-related services to the patients.   Methods: The interpretivist approach was employed, within which qualitative data were collected. This included documents and existing literature in the areas of social media and healthcare big data. To have a good spread of both previous and current state of events within the phenomena being studied, literature published between 2006 and 2016 were gathered. The data were interpretively analysed.   Results: Based on the analysis of the data, factors of influence were found, which were used to develop a model. The model illustrates how the factors of influence can enable and at the same time constrain the use of social media for healthcare services. The factors were interpreted from which a framework was developed. The framework is intended to guide integration of social media with healthcare big data through which

  18. Measuring medical students' attitudes and knowledge about geriatrics and gerontology in Brazilian medical students: A comparison of instruments.

    Science.gov (United States)

    Lucchetti, Alessandra Lg; da S Ezequiel, Oscarina; Moreira-Almeida, Alexander; Lucchetti, Giancarlo

    2018-04-14

    To compare instruments available for evaluating attitudes and knowledge about geriatrics and gerontology. This cross-sectional study investigated 83 third-year Brazilian medical students (with exposure to geriatrics and gerontology) and 75 incoming students (with no exposure to this content). We used the University of California at Los Angeles Geriatrics Attitudes Scale, Palmore's Facts on Aging Quiz, modified Maxwell-Sullivan Attitude Survey, Aging Semantic Differential Scale and an instrument assessing their cognitive knowledge in geriatrics. The instruments investigated had moderate-to-high correlations when evaluating similar constructs, had satisfactory or borderline internal consistency for the most part (Cronbach's α: 0.62-0.94) and were capable of discriminating between students exposed or not to practical and theoretical content. Our findings reinforce previous studies that these scales are capable of differentiating students who have or have not had exposure/intervention and, in general, seem to be assessing different constructs. © 2018 AJA Inc.

  19. 78 FR 10181 - Global Quality Systems-An Integrated Approach To Improving Medical Product Safety; Public Workshop

    Science.gov (United States)

    2013-02-13

    ...] Global Quality Systems--An Integrated Approach To Improving Medical Product Safety; Public Workshop... (AFDO), is announcing a public workshop entitled ``Global Quality Systems--An Integrated Approach to... topics concerning FDA requirements related to the production and marketing of drugs and/or devices...

  20. Performance improvement based on integrated quality management models: What evidence do we have? A systematic literature review

    NARCIS (Netherlands)

    M.M.N. Minkman (Mirella); C.T.B. Ahaus (Kees); R. Huijsman (Robbert)

    2007-01-01

    textabstractPurpose. Health care organizations have to improve their performance for multiple stakeholders and organize integrated care. To facilitate this, various integrated quality management models can be used. This article reviews the literature on the Malcolm Baldrige Quality Award (MBQA)

  1. Performance improvement based on integrated quality management models : What evidence do we have? A systematic literature review

    NARCIS (Netherlands)

    Minkman, Mirella; Ahaus, Kees; Huijsman, Robbert

    Purpose. Health care organizations have to improve their performance for multiple stakeholders and organize integrated care. To facilitate this, various integrated quality management models can be used. This article reviews the literature on the Malcolm Baldrige Quality Award (MBQA) criteria, the

  2. Integrating clinical performance improvement across physician organizations: the PhyCor experience.

    Science.gov (United States)

    Loeppke, R; Howell, J W

    1999-02-01

    There is a paucity of literature describing the implementation of clinical performance improvement (CPI) efforts across geographically dispersed multispecialty group practices and independent practice associations. PhyCor, a physician management company based in Nashville, Tennessee, has integrated CPI initiatives into its operating infrastructure. PhyCor CPI INITIATIVES: The strategic framework guiding PhyCor's CPI initiatives is built around a physician-driven, patient-centered model. Physician/administrator leadership teams develop and implement a clinical and financial strategic plan for performance improvement; adopt local clinical and operational performance indicators; and agree on and gain consensus with local physician champions to engage in CPI initiatives. The area/regional leadership councils integrate and coordinate regional medical management and CPI initiatives among local groups and independent practice associations. In addition to these councils and a national leadership council, condition-specific care management councils have also been established. These councils develop condition-specific protocols and outcome measures and lead the implementation of CPI initiatives at their own clinics. Key resources supporting CPI initiatives include information/knowledge management, education and training, and patient education and consumer decision support. Localized efforts in both the asthma care and diabetes management initiatives have led to some preliminary improvements in quality of care indicators. Physician leadership and strategic vision, CPI-oriented organizational infrastructure, broad-based physician involvement in CPI, providing access to performance data, parallel incentives, and creating a sense of urgency for accelerated change are all critical success factors to the implementation of CPI strategies at the local, regional, and national levels.

  3. Integrating Morbidity and Mortality Core Competencies and Quality Improvement in Otolaryngology.

    Science.gov (United States)

    Laury, Adrienne M; Bowe, Sarah N; Lospinoso, Joshua

    2017-02-01

    To date, an otolaryngology-specific morbidity and mortality (M&M) conference has never been reported or evaluated. To propose a novel otolaryngology-specific M&M format and to assess its success using a validated assessment tool. Preintervention and postintervention cohort study spanning 14 months (September 2014 to November 2015), with 32 faculty, residents, and medical students attending the department of otolaryngology M&M conference, conducted at the the San Antonio Uniformed Services Health Education Consortium. A novel quality assurance conference was implemented in the department of otolaryngology at the San Antonio Uniformed Services Health Education Consortium. This conference incorporates patient safety reports, otolaryngology-specific quality metrics, and individual case presentations. The revised format integrates the Accreditation Council for Graduate Medical Education (ACGME) core competencies and Quality Improvement and Patient Safety (QI/PS) system. This format was evaluated by faculty, residents, and medical students every other month for 14 months to assess changes in attitudes regarding the M&M conference as well as changes in presentation quality. Overall, 13 faculty, 12 residents, and 7 medical students completed 232 evaluations. Summary statistics of both resident and faculty attitudes about the success of the M&M format seem to improve over the 14 months between the prequestionnaires and postquestionnaires. General attitudes for both residents and faculty significantly improved from the pretest to posttest (odds ratio, 0.32 per month; 95% CI, 0.29-0.35). In the pretest period, "established presentation format" was considered the most necessary improvement, whereas in the posttest period this changed to "incorporate more QI." For resident presentations evaluated using the situation, background, assessment, and review/recommendations (SBAR) tool, all evaluations, from all participants, improved over time. The M&M conference is an essential

  4. Numerical integration methods and layout improvements in the context of dynamic RNA visualization.

    Science.gov (United States)

    Shabash, Boris; Wiese, Kay C

    2017-05-30

    RNA visualization software tools have traditionally presented a static visualization of RNA molecules with limited ability for users to interact with the resulting image once it is complete. Only a few tools allowed for dynamic structures. One such tool is jViz.RNA. Currently, jViz.RNA employs a unique method for the creation of the RNA molecule layout by mapping the RNA nucleotides into vertexes in a graph, which we call the detailed graph, and then utilizes a Newtonian mechanics inspired system of forces to calculate a layout for the RNA molecule. The work presented here focuses on improvements to jViz.RNA that allow the drawing of RNA secondary structures according to common drawing conventions, as well as dramatic run-time performance improvements. This is done first by presenting an alternative method for mapping the RNA molecule into a graph, which we call the compressed graph, and then employing advanced numerical integration methods for the compressed graph representation. Comparing the compressed graph and detailed graph implementations, we find that the compressed graph produces results more consistent with RNA drawing conventions. However, we also find that employing the compressed graph method requires a more sophisticated initial layout to produce visualizations that would require minimal user interference. Comparing the two numerical integration methods demonstrates the higher stability of the Backward Euler method, and its resulting ability to handle much larger time steps, a high priority feature for any software which entails user interaction. The work in this manuscript presents the preferred use of compressed graphs to detailed ones, as well as the advantages of employing the Backward Euler method over the Forward Euler method. These improvements produce more stable as well as visually aesthetic representations of the RNA secondary structures. The results presented demonstrate that both the compressed graph representation, as well as the Backward

  5. Old-age stereotypes related to the gerontology education: an intergenerational study Estereotipos sobre la vejez y su relación con la formación en gerontología: un estudio intergeneracional.

    Directory of Open Access Journals (Sweden)

    José J. Gázquez

    2009-10-01

    Full Text Available

    The aim of this paper is to determine the level of agreement with a series of stereotypes present in our society. These stereotypes are related to sexuality, personality, and cognitive aspects in old people. A sample of 806 people was divided into four groups: youths and older people who had some gerontology education and youths and older people without gerontology education. The analysis carried out shows that gerontology education is extremely relevant to avoid erroneous beliefs about old people. The results reveal the low degree of agreement with the statements: Impotence is usually psychological, but in old men, it is due to age; Old people do not benefit much from education due to their cognitive deficits; Intelligence peaks around the age of 30 and then declines gradually; Sooner or later, old people become senile; Senile people cannot be helped by psychotherapy; Personality is relatively stable in adulthood; and Menopause causes nervous breakdowns.


    Key words: Beliefs, youths, elderly, gerontology education.

    El objetivo de este estudio es conocer el grado de aceptación o de acuerdo, hacia una serie de estereotipos que se encuentran presentes en la sociedad. Dichos estereotipos guardan relación con aspectos, tales como: la sexualidad, la personalidad y los aspectos cognitivos de las personas mayores. Para ello, se seleccionó a una muestra de 806 sujetos, divididos en cuatro grupos: jóvenes y mayores con formación gerontológica, y jóvenes y mayores sin formación gerontológica. De los análisis realizados se desprende, que la educación, en este supuesto, en gerontología, es sumamente relevante para evitar las creencias erróneas hacia las personas mayores, así observamos cómo muestran menor acuerdo con afirmaciones como que la impotencia suele ser psicológica, pero en los viejos es por la edad; por sus muchas carencias, los viejos no pueden servirse de la educación; a los 30 años la

  6. [Integrity].

    Science.gov (United States)

    Gómez Rodríguez, Rafael Ángel

    2014-01-01

    To say that someone possesses integrity is to claim that that person is almost predictable about responses to specific situations, that he or she can prudentially judge and to act correctly. There is a closed interrelationship between integrity and autonomy, and the autonomy rests on the deeper moral claim of all humans to integrity of the person. Integrity has two senses of significance for medical ethic: one sense refers to the integrity of the person in the bodily, psychosocial and intellectual elements; and in the second sense, the integrity is the virtue. Another facet of integrity of the person is la integrity of values we cherish and espouse. The physician must be a person of integrity if the integrity of the patient is to be safeguarded. The autonomy has reduced the violations in the past, but the character and virtues of the physician are the ultimate safeguard of autonomy of patient. A field very important in medicine is the scientific research. It is the character of the investigator that determines the moral quality of research. The problem arises when legitimate self-interests are replaced by selfish, particularly when human subjects are involved. The final safeguard of moral quality of research is the character and conscience of the investigator. Teaching must be relevant in the scientific field, but the most effective way to teach virtue ethics is through the example of the a respected scientist.

  7. Integrating Participatory Design and Health Literacy to Improve Research and Interventions.

    Science.gov (United States)

    Neuhauser, Linda

    2017-01-01

    Health communication is an essential health promotion strategy to convert scientific findings into actionable, empowering information for the public. Health communication interventions have shown positive outcomes, but many efforts have been disappointing. A key weakness is that expert-designed health communication is often overly generic and not adequately aligned with the abilities, preferences and life situations of specific audiences. The emergence of the field of health literacy is providing powerful theoretical guidance and practice strategies. Health literacy, in concert with other determinants of health, has greatly advanced understanding of factors that facilitate or hinder health promotion at individual, organizational and community settings. However, health literacy models are incomplete and interventions have shown only modest success to date. A challenge is to move beyond the current focus on individual comprehension and address deeper factors of motivation, self-efficacy and empowerment, as well as socio-environmental influences, and their impact to improve health outcomes and reduce health disparities. Integrating participatory design theory and methods drawn from social sciences and design sciences can significantly improve health literacy models and interventions. Likewise, researchers and practitioners using participatory design can greatly benefit from incorporating health literacy principles into their efforts. Such interventions at multiple levels are showing positive health outcomes and reduction of health disparities, but this approach is complex and not yet widespread. This chapter focuses on research findings about health literacy and participatory design to improve health promotion, and practical guidance and case examples for researchers, practitioners and policymakers.

  8. Improving integrated waste management at the regional level: the case of Lombardia.

    Science.gov (United States)

    Rigamonti, Lucia; Falbo, Alida; Grosso, Mario

    2013-09-01

    The article summarises the main results of the 'Gestione Rifiuti in Lombardia: Analisi del ciclo di vita' (Waste management in Lombardia region: Life cycle assessment; GERLA) project. Life cycle assessment (LCA) has been selected by Regione Lombardia as a strategic decision support tool in the drafting of its new waste management programme. The goal was to use the life cycle thinking approach to assess the current regional situation and thus to give useful strategic indications for the future waste management. The first phase of the study consisted of the LCA of the current management of municipal waste in the Lombardia region (reference year: 2009). The interpretation of such results has allowed the definition of four possible waste management scenarios for the year 2020, with the final goal being to improve the environmental performance of the regional system. The results showed that the current integrated waste management of Lombardia region is already characterised by good energy and environmental performances. However, there is still room for further improvement: actions based, on the one hand, on a further increase in recycling rates and, on the other hand, on a series of technological modifications, especially in food waste and residual waste management, can be undertaken to improve the overall system.

  9. Multimodal user interfaces to improve social integration of elderly and mobility impaired.

    Science.gov (United States)

    Dias, Miguel Sales; Pires, Carlos Galinho; Pinto, Fernando Miguel; Teixeira, Vítor Duarte; Freitas, João

    2012-01-01

    Technologies for Human-Computer Interaction (HCI) and Communication have evolved tremendously over the past decades. However, citizens such as mobility impaired or elderly or others, still face many difficulties interacting with communication services, either due to HCI issues or intrinsic design problems with the services. In this paper we start by presenting the results of two user studies, the first one conducted with a group of mobility impaired users, comprising paraplegic and quadriplegic individuals; and the second one with elderly. The study participants carried out a set of tasks with a multimodal (speech, touch, gesture, keyboard and mouse) and multi-platform (mobile, desktop) system, offering an integrated access to communication and entertainment services, such as email, agenda, conferencing, instant messaging and social media, referred to as LHC - Living Home Center. The system was designed to take into account the requirements captured from these users, with the objective of evaluating if the adoption of multimodal interfaces for audio-visual communication and social media services, could improve the interaction with such services. Our study revealed that a multimodal prototype system, offering natural interaction modalities, especially supporting speech and touch, can in fact improve access to the presented services, contributing to the reduction of social isolation of mobility impaired, as well as elderly, and improving their digital inclusion.

  10. An integrated approach for developing a technology strategy framework for small- to medium-sized furniture manufacturers to improve competitiveness

    Directory of Open Access Journals (Sweden)

    Lourens, A.S.

    2013-05-01

    Full Text Available Low-technology firms, such as those found within the furniture manufacturing industry, have no framework or methodology to guide them successfully to acquire and integrate technology that enables them to operate more competitively. The aim of this article is to illustrate the development of a technology strategy framework for small- to medium-sized furniture manufacturers to assist them to improve their competitiveness. More specifically, this article presents an integrated technology strategy framework that enables management to integrate their business strategy with their technology requirements successfully, thus improving competitiveness.

  11. The Work Compatibility Improvement Framework: an integrated perspective of the human-at-work system.

    Science.gov (United States)

    Genaidy, Ash; Salem, Sam; Karwowski, Waldemar; Paez, Omar; Tuncel, Setenay

    2007-01-15

    The industrial revolution demonstrated the limitations of a pure mechanistic approach towards work design. Human work is now seen as a complex entity that involves different scientific branches and blurs the line between mental and physical activities. Job design has been a traditional concern of applied psychology, which has provided insight into the interaction between the individual and the work environment. The goal of this paper is to introduce the human-at-work system as a holistic approach to organizational design. It postulates that the well-being of workers and work outcomes are issues that need to be addressed jointly, moving beyond traditional concepts of job satisfaction and work stress. The work compatibility model (WCM) is introduced as an engineering approach that seeks to integrate previous constructs of job and organizational design. The WCM seeks a balance between energy expenditure and replenishment. The implementation of the WCM in industrial settings is described within the context of the Work Compatibility Improvement Framework. A sample review of six models (motivation-hygiene theory; job characteristics theory; person-environment fit; demand-control model; and balance theory) provides the foundation for the interaction between the individual and the work environment. A review of three workload assessment methods (position analysis questionnaire, job task analysis and NASA task load index) gives an example of the foundation for the taxonomy of work environment domains. Previous models have sought to identify a balance state for the human-at-work system. They differentiated between the objective and subjective effects of the environment and the worker. An imbalance between the person and the environment has been proven to increase health risks. The WCM works with a taxonomy of 12 work domains classified in terms of the direct (acting) or indirect (experienced) effect on the worker. In terms of measurement, two quantitative methods are proposed

  12. Towards Integrated Health Technology Assessment for Improving Decision Making in Selected Countries.

    Science.gov (United States)

    Oortwijn, Wija; Determann, Domino; Schiffers, Krijn; Tan, Siok Swan; van der Tuin, Jeroen

    2017-09-01

    To assess the level of comprehensiveness of health technology assessment (HTA) practices around the globe and to formulate recommendations for enhancing legitimacy and fairness of related decision-making processes. To identify best practices, we developed an evaluation framework consisting of 13 criteria on the basis of the INTEGRATE-HTA model (integrative perspective on assessing health technologies) and the Accountability for Reasonableness framework (deliberative appraisal process). We examined different HTA systems in middle-income countries (Argentina, Brazil, and Thailand) and high-income countries (Australia, Canada, England, France, Germany, Scotland, and South Korea). For this purpose, desk research and structured interviews with relevant key stakeholders (N = 32) in the selected countries were conducted. HTA systems in Canada, England, and Scotland appear relatively well aligned with our framework, followed by Australia, Germany, and France. Argentina and South Korea are at an early stage, whereas Brazil and Thailand are at an intermediate level. Both desk research and interviews revealed that scoping is often not part of the HTA process. In contrast, providing evidence reports for assessment is well established. Indirect and unintended outcomes are increasingly considered, but there is room for improvement. Monitoring and evaluation of the HTA process is not well established across countries. Finally, adopting transparent and robust processes, including stakeholder consultation, takes time. This study presents a framework for assessing the level of comprehensiveness of the HTA process in a country. On the basis of applying the framework, we formulate recommendations on how the HTA community can move toward a more integrated decision-making process using HTA. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  13. Who would most benefit from improved integrated care? Implementing an analytical strategy in South Somerset

    Directory of Open Access Journals (Sweden)

    Panagiotis Kasteridis

    2015-01-01

    Full Text Available Aims: The Symphony Project is designed to identify which groups of the South Somerset population in England would most benefit from greater integration across primary, community, acute and social care settings.Methods: We analysed linked health and social care data for the entire South Somerset population for the financial year 2012/2013. The data captured acute, primary, community, mental health and social care utilisation and costs; demographic characteristics; and indicators of morbidity for each individual. We employed generalized linear models to analyse variation in annual health and social care costs for all 114,874 members of the South Somerset population and for 1458 individuals with three or more selected chronic conditions.Results: We found that multi-morbidity, not age, was the key driver of health and social care costs. Moreover, the number of chronic conditions is as useful as information about specific conditions at predicting costs. We are able to explain 7% of the variation in total annual costs for population as a whole, and 14% of the variation for those with three or more conditions. We are best able to explain primary care costs, but explanatory power is poor for mental health and social care costs.Conclusions: The linked dataset makes it possible to understand existing patterns of health and social care utilisation and to analyse variation in annual costs, for the whole population and for sub-groups, in total and by setting. This has made it possible to identify who would most benefit from improved integrated care and to calculate capitated budgets to support financial integration.

  14. Integrated respiratory and palliative care may improve outcomes in advanced lung disease

    Directory of Open Access Journals (Sweden)

    Natasha Smallwood

    2018-02-01

    Full Text Available The unaddressed palliative care needs of patients with advanced, nonmalignant, lung disease highlight the urgent requirement for new models of care. This study describes a new integrated respiratory and palliative care service and examines outcomes from this service. The Advanced Lung Disease Service (ALDS is a long-term, multidisciplinary, integrated service. In this single-group cohort study, demographic and prospective outcome data were collected over 4 years, with retrospective evaluation of unscheduled healthcare usage. Of 171 patients included, 97 (56.7% were male with mean age 75.9 years and 142 (83.0% had chronic obstructive pulmonary disease. ALDS patients had severely reduced pulmonary function (median (interquartile range (IQR forced expiratory volume in 1 s 0.8 (0.6–1.1 L and diffusing capacity of the lung for carbon monoxide 37.5 (29.0–48.0 % pred and severe breathlessness. All patients received nonpharmacological breathlessness management education and 74 (43.3% were prescribed morphine for breathlessness (median dose 9 mg·day−1. There was a 52.4% reduction in the mean number of emergency department respiratory presentations in the year after ALDS care commenced (p=0.007. 145 patients (84.8% discussed and/or completed an advance care plan. 61 patients died, of whom only 15 (24.6% died in an acute hospital bed. While this was a single-group cohort study, integrated respiratory and palliative care was associated with improved end-of-life care and reduced unscheduled healthcare usage.

  15. An Integrated Gate Turnaround Management Concept Leveraging Big Data/Analytics for NAS Performance Improvements

    Science.gov (United States)

    Chung, William; Chachad, Girish; Hochstetler, Ronald

    2016-01-01

    The Integrated Gate Turnaround Management (IGTM) concept was developed to improve the gate turnaround performance at the airport by leveraging relevant historical data to support optimization of airport gate operations, which include: taxi to the gate, gate services, push back, taxi to the runway, and takeoff, based on available resources, constraints, and uncertainties. By analyzing events of gate operations, primary performance dependent attributes of these events were identified for the historical data analysis such that performance models can be developed based on uncertainties to support descriptive, predictive, and prescriptive functions. A system architecture was developed to examine system requirements in support of such a concept. An IGTM prototype was developed to demonstrate the concept using a distributed network and collaborative decision tools for stakeholders to meet on time pushback performance under uncertainties.

  16. [IHE (Integrating the Healthcare Enterprise): a new approach for the improvement of digital communication in healthcare].

    Science.gov (United States)

    Wein, B B

    2003-02-01

    Parallel to the introduction of diagnosis related groups (DRGs) for the reimbursement of hospitals, a marked reduction of financial means within the healthcare system is taking place. Healthcare enterprise information systems will play an increasing role to accommodate the new working conditions by developing reliable and efficient workflow solutions. Interfacing the systems currently in use can meet considerable obstacles. By offering high connectivity, IHE (Integrating the Healthcare Enterprise), which was initiated by concerted actions of users and vendors, ensures improved health care delivery and, furthermore, assists in acquiring new information systems in the future. IHE is not a standard but makes extensive use of existing international standards, such as HL7 and DICOM. National IHE demonstrations confirmed the power of this approach and presented its mission to large groups of users and vendors. The concept continues to grow and for the first time provides groups of various interests cooperative solutions to the problems encountered in collecting and distributing information.

  17. An Integrated Mobile Application to Improve the Watershed Management in Taiwan

    Science.gov (United States)

    Chou, T. Y.; Chen, M. H.; Lee, C. Y.

    2015-12-01

    This study aims to focus on the application of information technology on the reservoir watershed management. For the civil and commercial water usage, reservoirs and its upstream plays a significant role due to water scarcity and inequality, especially in Taiwan. Due to the progress of information technology, apply it can improve the efficiency and accuracy of daily affairs significantly which already proved by previous researches. Taipei Water Resource District (TWRD) is selected as study area for this study, it is the first reservoir watershed which authorized as special protection district by urban planning act. This study has designed a framework of mobile application, which addressed three types of public affairs relate to watershed management, includes building management, illegal land-use investigation, and a dashboard of real time stream information. This mobile application integrated a dis-connected map and interactive interface to collect, record and calculate field information which helps the authority manage the public affairs more efficiency.

  18. Engineering the heart: Evaluation of conductive nanomaterials for improving implant integration and cardiac function

    Science.gov (United States)

    Zhou, Jin; Chen, Jun; Sun, Hongyu; Qiu, Xiaozhong; Mou, Yongchao; Liu, Zhiqiang; Zhao, Yuwei; Li, Xia; Han, Yao; Duan, Cuimi; Tang, Rongyu; Wang, Chunlan; Zhong, Wen; Liu, Jie; Luo, Ying; (Mengqiu) Xing, Malcolm; Wang, Changyong

    2014-01-01

    Recently, carbon nanotubes together with other types of conductive materials have been used to enhance the viability and function of cardiomyocytes in vitro. Here we demonstrated a paradigm to construct ECTs for cardiac repair using conductive nanomaterials. Single walled carbon nanotubes (SWNTs) were incorporated into gelatin hydrogel scaffolds to construct three-dimensional ECTs. We found that SWNTs could provide cellular microenvironment in vitro favorable for cardiac contraction and the expression of electrochemical associated proteins. Upon implantation into the infarct hearts in rats, ECTs structurally integrated with the host myocardium, with different types of cells observed to mutually invade into implants and host tissues. The functional measurements showed that SWNTs were essential to improve the performance of ECTs in inhibiting pathological deterioration of myocardium. This work suggested that conductive nanomaterials hold therapeutic potential in engineering cardiac tissues to repair myocardial infarction. PMID:24429673

  19. Further Improvement and System Integration of High Temperature Polymer Electrolyte Membrane Fuel Cells

    DEFF Research Database (Denmark)

    Li, Qingfeng; Jensen, Jens Oluf

    The strategic developments of the FURIM are in three steps: (1) further improvement of the high temperature polymer membranes and related materials; (2) development of technological units including fuel cell stack, hydrocarbon reformer and afterburner, that are compatible with the HT-PEMFC; and (3......) integration of the HT-PEMFC stack with these compatible subunits. The main goal of the project is a 2kWel HT-PEMFC stack operating in a temperature range of 150-200°C, with a single cell performance target of 0.7 A/cm² at a cell voltage around 0.6 V. The target durability is more than 5,000 hours...

  20. Integration of an iterative methodology for exergoeconomic improvement of thermal systems with a process simulator

    International Nuclear Information System (INIS)

    Vieira, Leonardo S.; Donatelli, Joao L.; Cruz, Manuel E.

    2004-01-01

    In this paper, we present the development and automated implementation of an iterative methodology for exergoeconomic improvement of thermal systems integrated with a process simulator, so as to be applicable to real, complex plants. The methodology combines recent available exergoeconomic techniques with new qualitative and quantitative criteria for the following tasks: (i) identification of decision variables that affect system total cost and exergetic efficiency; (ii) hierarchical classification of components; (iii) identification of predominant terms in the component total cost; and (iv) choice of main decision variables in the iterative process. To show the strengths and potential advantages of the proposed methodology, it is here applied to the benchmark CGAM cogeneration system. The results obtained are presented and discussed in detail and are compared to those reached using a mathematical optimization procedure

  1. Technical integrity and continuous improvement: Key to survival beyond the nineties

    International Nuclear Information System (INIS)

    Thorogood, J.L.

    1994-01-01

    Drilling decisions made before a rig reaches location make a significant contribution to an oil company's financial success. Of value to the company is not the ability to drill wells, but the ability to plan with confidence in the knowledge of what is possible. In spite of this, operators have tended to over-work day to day decisions about drilling out of proportion to their significance. Recognition of this fact has resulted in the present wave of contracting initiatives. A major challenge for the industry is to achieve the necessary transfer of responsibility without compromising the operator's license to operate. These changes will compel the service sector to develop a new culture of technical integrity and continuous improvement. To operate safely, measure performance and manage drilling risk, the transformation will oblige the service sector to adopt many technologies presently owned by oil companies

  2. Decision Support For Digester Algae Integration For Improved Environmental And Economic Sustainability

    Energy Technology Data Exchange (ETDEWEB)

    2017-06-28

    The Idaho National Laboratory (INL) has teamed with University of Idaho and Boise State University to make the use of ADs more attractive by implementing a two-stage AD and coupling additional processes to the system. The addition of a polyhydroxyalkanoate (PHA) reactor, algae cultivation system, and a biomass treatment system such as fast-pyrolysis or hydrothermal liquefaction (HTL) would further sequester carbon and nutrients, as well as add valuable products that can be sold or used on-site to mitigate costs. The Decision-support for Digester-Algae IntegRation for Improved Environmental and Economic Sustainability (DAIRIEES) technoeconomic model will play a key role in evaluating the effectiveness and viability of this system to achieve economic and environmental sustainability by the dairy industry.

  3. Geothermal electricity generation and desalination: an integrated process design to conserve latent heat with operational improvements

    KAUST Repository

    Missimer, Thomas M.

    2016-02-05

    A new process combination is proposed to link geothermal electricity generation with desalination. The concept involves maximizing the utilization of harvested latent heat by passing the turbine exhaust steam into a multiple effect distillation system and then into an adsorption desalination system. Processes are fully integrated to produce electricity, desalted water for consumer consumption, and make-up water for the geothermal extraction system. Further improvements in operational efficiency are achieved by adding a seawater reverse osmosis system to the site to utilize some of the generated electricity and using on-site aquifer storage and recovery to maximize water production with tailoring of seasonal capacity requirements and to meet facility maintenance requirements. The concept proposed conserves geothermally harvested latent heat and maximizes the economics of geothermal energy development. Development of a fully renewable energy electric generation-desalination-aquifer storage campus is introduced within the framework of geothermal energy development. © 2016 The Author(s). Published by Taylor & Francis

  4. Geothermal electricity generation and desalination: an integrated process design to conserve latent heat with operational improvements

    KAUST Repository

    Missimer, Thomas M.; Ng, Kim Choon; Thuw, Kyaw; Wakil Shahzad, Muhammad

    2016-01-01

    A new process combination is proposed to link geothermal electricity generation with desalination. The concept involves maximizing the utilization of harvested latent heat by passing the turbine exhaust steam into a multiple effect distillation system and then into an adsorption desalination system. Processes are fully integrated to produce electricity, desalted water for consumer consumption, and make-up water for the geothermal extraction system. Further improvements in operational efficiency are achieved by adding a seawater reverse osmosis system to the site to utilize some of the generated electricity and using on-site aquifer storage and recovery to maximize water production with tailoring of seasonal capacity requirements and to meet facility maintenance requirements. The concept proposed conserves geothermally harvested latent heat and maximizes the economics of geothermal energy development. Development of a fully renewable energy electric generation-desalination-aquifer storage campus is introduced within the framework of geothermal energy development. © 2016 The Author(s). Published by Taylor & Francis

  5. Integrating geophysics and hydrology for reducing the uncertainty of groundwater model predictions and improved prediction performance

    DEFF Research Database (Denmark)

    Christensen, Nikolaj Kruse; Christensen, Steen; Ferre, Ty

    the integration of geophysical data in the construction of a groundwater model increases the prediction performance. We suggest that modelers should perform a hydrogeophysical “test-bench” analysis of the likely value of geophysics data for improving groundwater model prediction performance before actually...... and the resulting predictions can be compared with predictions from the ‘true’ model. By performing this analysis we expect to give the modeler insight into how the uncertainty of model-based prediction can be reduced.......A major purpose of groundwater modeling is to help decision-makers in efforts to manage the natural environment. Increasingly, it is recognized that both the predictions of interest and their associated uncertainties should be quantified to support robust decision making. In particular, decision...

  6. IHE (Integrating the Healthcare Enterprise): A new approach for the improvement of digital communication in healthcare

    International Nuclear Information System (INIS)

    Wein, B.B.

    2003-01-01

    Parallel to the introduction of diagnosis related groups (DRGs) for the reimbursement of hospitals, a marked reduction of financial means within the healthcare system is taking place. Healthcare enterprise information systems will play an increasing role to accommodate the new working conditions by developing reliable and efficient workflow solutions. Interfacing the systems currently in use can meet considerable obstacles. By offering high connectivity, IHE (Integrating the Healthcare Enterprise), which was initiated by concerted actions of users and vendors, ensures improved health care delivery and, furthermore, assists in acquiring new information systems in the future. IHE is not a standard but makes extensive use of existing international standards, such as HL7 and DICOM. National IHE demonstrations confirmed the power of this approach and presented its mission to large groups of users and vendors. The concept continues to grow and for the first time provides groups of various interests cooperative solutions to the problems encountered in collecting and distributing information. (orig.) [de

  7. Improving the variational path integral approach to the quantum double-well potential

    International Nuclear Information System (INIS)

    Bao Jingdong; Wang Hongyu

    2002-01-01

    An improved variational path integral approach is developed and applied to the quantum double-well potential, in which part of the quartic term of the potential is included in the trial action. The expression of the effective classical potential (ECP) under a non-Gaussian expectation is obtained. Here the frequency and fourth-order derivative of the potential are treated as two variational parameters, determined by the minimization of the ECP at each point. We calculate the ECP, the free energy and the level splitting of a symmetrical double-well potential. It is shown that the present results are better than those of the Feynman-Kleinert Gaussian variational method. (author)

  8. Oral antioxidant treatment partly improves integrity of human sperm DNA in infertile grade I varicocele patients.

    Science.gov (United States)

    Gual-Frau, Josep; Abad, Carlos; Amengual, María J; Hannaoui, Naim; Checa, Miguel A; Ribas-Maynou, Jordi; Lozano, Iris; Nikolaou, Alexandros; Benet, Jordi; García-Peiró, Agustín; Prats, Juan

    2015-09-01

    Infertile males with varicocele have the highest percentage of sperm cells with damaged DNA, compared to other infertile groups. Antioxidant treatment is known to enhance the integrity of sperm DNA; however, there are no data on the effects in varicocele patients. We thus investigated the potential benefits of antioxidant treatment specifically in grade I varicocele males. Twenty infertile patients with grade I varicocele were given multivitamins (1500 mg L-Carnitine, 60 mg vitamin C, 20 mg coenzyme Q10, 10 mg vitamin E, 200 μg vitamin B9, 1 μg vitamin B12, 10 mg zinc, 50 μg selenium) daily for three months. Semen parameters including total sperm count, concentration, progressive motility, vitality, and morphology were determined before and after treatment. In addition, sperm DNA fragmentation and the amount of highly degraded sperm cells were analyzed by Sperm Chromatin Dispersion. After treatment, patients showed an average relative reduction of 22.1% in sperm DNA fragmentation (p = 0.02) and had 31.3% fewer highly degraded sperm cells (p = 0.07). Total numbers of sperm cells were increased (p = 0.04), but other semen parameters were unaffected. These data suggest that sperm DNA integrity in grade I varicocele patients may be improved by oral antioxidant treatment.

  9. Improving integrative searching of systems chemical biology data using semantic annotation.

    Science.gov (United States)

    Chen, Bin; Ding, Ying; Wild, David J

    2012-03-08

    Systems chemical biology and chemogenomics are considered critical, integrative disciplines in modern biomedical research, but require data mining of large, integrated, heterogeneous datasets from chemistry and biology. We previously developed an RDF-based resource called Chem2Bio2RDF that enabled querying of such data using the SPARQL query language. Whilst this work has proved useful in its own right as one of the first major resources in these disciplines, its utility could be greatly improved by the application of an ontology for annotation of the nodes and edges in the RDF graph, enabling a much richer range of semantic queries to be issued. We developed a generalized chemogenomics and systems chemical biology OWL ontology called Chem2Bio2OWL that describes the semantics of chemical compounds, drugs, protein targets, pathways, genes, diseases and side-effects, and the relationships between them. The ontology also includes data provenance. We used it to annotate our Chem2Bio2RDF dataset, making it a rich semantic resource. Through a series of scientific case studies we demonstrate how this (i) simplifies the process of building SPARQL queries, (ii) enables useful new kinds of queries on the data and (iii) makes possible intelligent reasoning and semantic graph mining in chemogenomics and systems chemical biology. Chem2Bio2OWL is available at http://chem2bio2rdf.org/owl. The document is available at http://chem2bio2owl.wikispaces.com.

  10. France's Financial (Eco)system. Improving the integration of sustainability factors

    International Nuclear Information System (INIS)

    Morel, Romain; Cochran, Ian; Robins, Nick

    2015-11-01

    In the run-up of the COP21, much international attention is focused on France. While mainly related to climate change negotiations, this creates an opportunity to take a broader look at French domestic policies and practices on sustainability. This report presents the French financial system and draws lessons from the French ongoing experience in improving the integration of sustainability issues that could be shared with other countries. The present report summarizes and analyses the key initiatives and dynamics at stake in France. It focuses on both the climate-related issues that have recently received significant attention and the development of broader Environmental, Social and Governance (ESG) issues over the past twenty years. The dynamics that have shaped the last two decades have both led to and been influenced by the emergence of an 'ecosystem' of commercial, public and non-profit actors and experts involved in the appropriation and integration of sustainability issues across the sector. Using the framework of analysis presented in the UNEP Inquiry global report, this case study examines the landscape of actors, private initiatives and public policy that has driven the emergence of this ecosystem and helped foster capacity building and the acquisition of expertise among sectoral actors. (authors)

  11. Improved Genetic Algorithm-Based Unit Commitment Considering Uncertainty Integration Method

    Directory of Open Access Journals (Sweden)

    Kyu-Hyung Jo

    2018-05-01

    Full Text Available In light of the dissemination of renewable energy connected to the power grid, it has become necessary to consider the uncertainty in the generation of renewable energy as a unit commitment (UC problem. A methodology for solving the UC problem is presented by considering various uncertainties, which are assumed to have a normal distribution, by using a Monte Carlo simulation. Based on the constructed scenarios for load, wind, solar, and generator outages, a combination of scenarios is found that meets the reserve requirement to secure the power balance of the power grid. In those scenarios, the uncertainty integration method (UIM identifies the best combination by minimizing the additional reserve requirements caused by the uncertainty of power sources. An integration process for uncertainties is formulated for stochastic unit commitment (SUC problems and optimized by the improved genetic algorithm (IGA. The IGA is composed of five procedures and finds the optimal combination of unit status at the scheduled time, based on the determined source data. According to the number of unit systems, the IGA demonstrates better performance than the other optimization methods by applying reserve repairing and an approximation process. To account for the result of the proposed method, various UC strategies are tested with a modified 24-h UC test system and compared.

  12. Further Improvement and System Integration of High Temperature Polymer Electrolyte Membrane Fuel Cells

    DEFF Research Database (Denmark)

    Jensen, Jens Oluf; Li, Qingfeng

    Polymer electrolyte membrane fuel cell (PEMFC) technology based on Nafion membranes can operate at temperatures around 80°C. The new development in the field is high temperature PEMFC for operation above 100°C, which has been successfully demonstrated through the previous EC Joule III and the 5th......, and system integration of the high temperature PEMFC. The strategic developments of the FURIM are in three steps: (1) further improvement of the high temperature polymer membranes and related materials; (2) development of technological units including fuel cell stack, hydrocarbon reformer, afterburner...... and power management system, that are compatible with the HT-PEMFC; and (3) integration of the HT-PEMFC stack with these compatible subunits. The main goal of the project is a 2kWel HT-PEMFC stack operating in a temperature range of 120-220°C, with a single cell performance target of 0.7 A/cm² at a cell...

  13. National Options for a Sustainable Nuclear Energy System: MCDM Evaluation Using an Improved Integrated Weighting Approach

    Directory of Open Access Journals (Sweden)

    Ruxing Gao

    2017-12-01

    Full Text Available While the prospects look bright for nuclear energy development in China, no consensus about an optimum transitional path towards sustainability of the nuclear fuel cycle has been achieved. Herein, we present a preliminary study of decision making for China’s future nuclear energy systems, combined with a dynamic analysis model. In terms of sustainability assessment based on environmental, economic, and social considerations, we compared and ranked the four candidate options of nuclear fuel cycles combined with an integrated evaluation analysis using the Multi-Criteria Decision Making (MCDM method. An improved integrated weighting method was first applied in the nuclear fuel cycle evaluation study. This method synthesizes diverse subjective/objective weighting methods to evaluate conflicting criteria among the competing decision makers at different levels of expertise and experience. The results suggest that the fuel cycle option of direct recycling of spent fuel through fast reactors is the most competitive candidate, while the fuel cycle option of direct disposal of all spent fuel without recycling is the least attractive for China, from a sustainability perspective. In summary, this study provided a well-informed decision-making tool to support the development of national nuclear energy strategies.

  14. Improving integrity of on-line grammage measurement with traceable basic calibration.

    Science.gov (United States)

    Kangasrääsiö, Juha

    2010-07-01

    The automatic control of grammage (basis weight) in paper and board production is based upon on-line grammage measurement. Furthermore, the automatic control of other quality variables such as moisture, ash content and coat weight, may rely on the grammage measurement. The integrity of Kr-85 based on-line grammage measurement systems was studied, by performing basic calibrations with traceably calibrated plastic reference standards. The calibrations were performed according to the EN ISO/IEC 17025 standard, which is a requirement for calibration laboratories. The observed relative measurement errors were 3.3% in the first time calibrations at the 95% confidence level. With the traceable basic calibration method, however, these errors can be reduced to under 0.5%, thus improving the integrity of on-line grammage measurements. Also a standardised algorithm, based on the experience from the performed calibrations, is proposed to ease the adjustment of the different grammage measurement systems. The calibration technique can basically be applied to all beta-radiation based grammage measurements. 2010 ISA. Published by Elsevier Ltd. All rights reserved.

  15. Improving bioethanol production from sugarcane: evaluation of distillation, thermal integration and cogeneration systems

    International Nuclear Information System (INIS)

    Dias, Marina O.S.; Modesto, Marcelo; Ensinas, Adriano V.; Nebra, Silvia A.; Filho, Rubens Maciel; Rossell, Carlos E.V.

    2011-01-01

    Demand for bioethanol has grown considerably over the last years. Even though Brazil has been producing ethanol from sugarcane on a large scale for decades, this industry is characterized by low energy efficiency, using a large fraction of the bagasse produced as fuel in the cogeneration system to supply the process energy requirements. The possibility of selling surplus electricity to the grid or using surplus bagasse as raw material of other processes has motivated investments on more efficient cogeneration systems and process thermal integration. In this work simulations of an autonomous distillery were carried out, along with utilities demand optimization using Pinch Analysis concepts. Different cogeneration systems were analyzed: a traditional Rankine Cycle, with steam of high temperature and pressure (80 bar, 510 o C) and back pressure and condensing steam turbines configuration, and a BIGCC (Biomass Integrated Gasification Combined Cycle), comprised by a gas turbine set operating with biomass gas produced in a gasifier that uses sugarcane bagasse as raw material. Thermoeconomic analyses determining exergy-based costs of electricity and ethanol for both cases were carried out. The main objective is to show the impact that these process improvements can produce in industrial systems, compared to the current situation.

  16. Towards an Improved Integration of Sustainability in Finance - The French (eco)system. Executive summary

    International Nuclear Information System (INIS)

    Morel, Romain; Cochran, Ian; Robins, Nick

    2015-11-01

    In the run-up of the COP21, much international attention is focused on France. While mainly related to climate change negotiations, this creates an opportunity to take a broader look at French domestic policies and practices on sustainability. This report presents the French financial system and draws lessons from the French ongoing experience in improving the integration of sustainability issues that could be shared with other countries. The present report summarizes and analyses the key initiatives and dynamics at stake in France. It focuses on both the climate-related issues that have recently received significant attention and the development of broader Environmental, Social and Governance (ESG) issues over the past twenty years. The dynamics that have shaped the last two decades have both led to and been influenced by the emergence of an 'ecosystem' of commercial, public and non-profit actors and experts involved in the appropriation and integration of sustainability issues across the sector. Using the framework of analysis presented in the UNEP Inquiry global report, this case study examines the landscape of actors, private initiatives and public policy that has driven the emergence of this ecosystem and helped foster capacity building and the acquisition of expertise among sectoral actors. (authors)

  17. Improving safety through an integrated approach for advanced control room development

    International Nuclear Information System (INIS)

    Haugset, K.; Berg, O.; Foerdestroemmen, N.T.; Kvalem, J.; Nelson, W.R.

    1990-01-01

    With the fast development of computer technology, the potential exists for improving operational safety of nuclear plants by using advanced operator tools in the control room. Specific systems are being introduced, such as systems for alarm handling, failure detection, disturbance diagnosis, procedural advice and others, often based on process modeling techniques or expert system technology. To ensure a maximum benefit from the new technology, a careful integration of the various systems must, however, take place, resulting in a well coordinated interface between the operator and the process. The OECD Halden Reactor Project has started the development of an Integrated Surveillance And Control System (ISACS). The basis for the activity is the experience at Halden in developing specific Computerized Operator Support Systems (COSSs), and the activity around the experimental control room HAMMLAB where detailed validations of operator tools have been performed for a number of years. The first goal in the ISACS project is to have a first, limited prototype in operation at the end of 1990. Validation experiments will follow

  18. Improving safety through an integrated approach for advanced control room development

    International Nuclear Information System (INIS)

    Haugset, K.; Berg, O.; Bologna, S.; Foerdestroemmen, N.T.; Kvalem, J.; Nelson, W.R.; Yamane, N.

    1992-01-01

    With the fast development of computer technology, the potential exists for improving operational safety of nuclear plants by using advanced operator tools in the control room. Specific systems are being introduced, such as systems for alarm handling, failure detection, disturbance diagnosis, procedural advice and others, often based on process modeling techniques or expert system technology. To ensure a maximum benefit from the new technology, a careful integration of the various systems must, however, take place, resulting in a well coordinated interface between the operator and the process. The OECD Halden Reactor Project has started the development of an Integrated Surveillance And Control System (ISACS). The basis for the activity is the experience at Halden in developing specific Computerized Operator Support Systems (COSSs), and the activity around the experimental control room HAMMLAB where detailed validations of operator tools have been performed for a number of years. The first goal in the ISACS project is to have a first, limited prototype in operation at the end of 1990. Validation experiments will follow. (orig.)

  19. Improving integrative searching of systems chemical biology data using semantic annotation

    Directory of Open Access Journals (Sweden)

    Chen Bin

    2012-03-01

    Full Text Available Abstract Background Systems chemical biology and chemogenomics are considered critical, integrative disciplines in modern biomedical research, but require data mining of large, integrated, heterogeneous datasets from chemistry and biology. We previously developed an RDF-based resource called Chem2Bio2RDF that enabled querying of such data using the SPARQL query language. Whilst this work has proved useful in its own right as one of the first major resources in these disciplines, its utility could be greatly improved by the application of an ontology for annotation of the nodes and edges in the RDF graph, enabling a much richer range of semantic queries to be issued. Results We developed a generalized chemogenomics and systems chemical biology OWL ontology called Chem2Bio2OWL that describes the semantics of chemical compounds, drugs, protein targets, pathways, genes, diseases and side-effects, and the relationships between them. The ontology also includes data provenance. We used it to annotate our Chem2Bio2RDF dataset, making it a rich semantic resource. Through a series of scientific case studies we demonstrate how this (i simplifies the process of building SPARQL queries, (ii enables useful new kinds of queries on the data and (iii makes possible intelligent reasoning and semantic graph mining in chemogenomics and systems chemical biology. Availability Chem2Bio2OWL is available at http://chem2bio2rdf.org/owl. The document is available at http://chem2bio2owl.wikispaces.com.

  20. Improved Mapping of Human Population and Settlements through Integration of Remote Sensing and Socioeconomic Data

    Science.gov (United States)

    de Sherbinin, A. M.; Yetman, G.; MacManus, K.; Vinay, S.

    2017-12-01

    The diversity of data on human settlements, infrastructure, and population continues to grow rapidly, with recent releases of data products based on a range of different remote sensing data sources as well as census and administrative data. We report here on recent improvements in data from the NASA Socioeconomic Data and Applications Center (SEDAC) and partner organizations, aimed at supporting both interdisciplinary research and real-world applications. The fourth version of SEDAC's Gridded Population of the World (GPWv4) now includes variables for age categories, gender, and urban/rural location, and has also been integrated with the Global Human Settlements (GHS) data developed by the Joint Research Centre of the European Commission to produce a GHS-POP grid for the years 1975, 1990, 2000 and 2015. Through a collaboration between Facebook's Connectivity Lab and the Center for International Earth Science Information Network (CIESIN), High Resolution Settlement Layer (HRSL) data derived from 50-cm DigitalGlobe imagery are now available for selected developing countries at 30-m resolution. SEDAC is also developing interactive mapping and analysis tools to facilitate visualization and access to these often large and complex data products. For example, SEDAC has collaborated with scientists from NASA's Goddard Space Flight Center to release the Global Man-made Impervious Surfaces & Settlement Extents from Landsat data at 30-m resolution through an innovative map interface. We also summarize recent progress in developing an international data collective that is bringing together both data developers and data users from the public and private sectors to collaborate on expanding data access and use, improving data quality and documentation, facilitating data intercomparison and integration, and sharing of resources and capabilities.

  1. Epidermal growth factor treatment decreases mortality and is associated with improved gut integrity in sepsis.

    Science.gov (United States)

    Clark, Jessica A; Clark, Andrew T; Hotchkiss, Richard S; Buchman, Timothy G; Coopersmith, Craig M

    2008-07-01

    Epidermal growth factor (EGF) is a cytoprotective peptide that has healing effects on the intestinal mucosa. We sought to determine whether systemic administration of EGF after the onset of sepsis improved intestinal integrity and decreased mortality. FVB/N mice were subjected to either sham laparotomy or 2 x 23 cecal ligation and puncture (CLP). Septic mice were further randomized to receive injection of either 150 microg kg(-1) d(-1) (i.p.) EGF or 0.9% saline (i.p.). Circulating EGF levels were decreased after CLP compared with sham animals but were unaffected by giving exogenous EGF treatment. In contrast, intestinal EGF levels increased after CLP and were further augmented by exogenous EGF treatment. Intestinal EGF receptor was increased after CLP, whether assayed by immunohistochemistry, real-time polymerase chain reaction, or Western blot, and exogenous EGF treatment decreased intestinal EGF receptor. Villus length decreased 2-fold between sham and septic animals, and EGF treatment resulted in near total restitution of villus length. Sepsis decreased intestinal proliferation and increased intestinal apoptosis. This was accompanied by increased expression of the proapoptotic proteins Bid and Fas-associated death domain, as well as the cyclin-dependent kinase inhibitor p21 cip1/waf Epidermal growth factor treatment after the onset of sepsis restored both proliferation and apoptosis to levels seen in sham animals and normalized expression of Bid, Fas-associated death domain, and p21 cip1/waf . To determine whether improvements in gut homeostasis were associated with a decrease in sepsis-induced mortality, septic mice with or without EGF treatment after CLP were followed 7 days for survival. Mortality decreased from 60% to 30% in mice treated with EGF after the onset of sepsis (P < 0.05). Thus, EGF may be a potential therapeutic agent for the treatment of sepsis in part due to its ability to protect intestinal integrity.

  2. Integrated double mulching practices optimizes soil temperature and improves soil water utilization in arid environments

    Science.gov (United States)

    Yin, Wen; Feng, Fuxue; Zhao, Cai; Yu, Aizhong; Hu, Falong; Chai, Qiang; Gan, Yantai; Guo, Yao

    2016-09-01

    Water shortage threatens agricultural sustainability in many arid and semiarid areas of the world. It is unknown whether improved water conservation practices can be developed to alleviate this issue while increasing crop productivity. In this study, we developed a "double mulching" system, i.e., plastic film coupled with straw mulch, integrated together with intensified strip intercropping. We determined (i) the responses of soil evaporation and moisture conservation to the integrated double mulching system and (ii) the change of soil temperature during key plant growth stages under the integrated systems. Experiments were carried out in northwest China in 2009 to 2011. Results show that wheat-maize strip intercropping in combination with plastic film and straw covering on the soil surface increased soil moisture (mm) by an average of 3.8 % before sowing, 5.3 % during the wheat and maize co-growth period, 4.4 % after wheat harvest, and 4.9 % after maize harvest, compared to conventional practice (control). The double mulching decreased total evapotranspiration of the two intercrops by an average of 4.6 % ( P < 0.05), compared to control. An added feature was that the double mulching system decreased soil temperature in the top 10-cm depth by 1.26 to 1.31 °C in the strips of the cool-season wheat, and by 1.31 to 1.51 °C in the strips of the warm-season maize through the 2 years. Soil temperature of maize strips higher as 1.25 to 1.94 °C than that of wheat strips in the top 10-cm soil depth under intercropping with the double mulching system; especially higher as 1.58 to 2.11 °C under intercropping with the conventional tillage; this allows the two intercrops to grow in a well "collaborative" status under the double mulching system during their co-growth period. The improvement of soil moisture and the optimization of soil temperature for the two intercrops allow us to conclude that wheat-maize intensification with the double mulching system can be used as an

  3. Human-Nature Relationship in Mediterranean Streams: Integrating Different Types of Knowledge to Improve Water Management

    Directory of Open Access Journals (Sweden)

    Carla Gonzalez

    2009-12-01

    Full Text Available The social and ecological systems of Mediterranean streams are intrinsically linked as a result of long human occupation. In this region, these links vary greatly across small distances due to geomorphology, resulting in great diversity across space, which poses particular challenges for understanding and managing these systems. This demands (i interdisciplinary integration of knowledge that focuses on the social-ecological interactions, while according due consideration to the whole; and also (ii transdisciplinary integration, integrating lay and expert knowledge to understand local specificities. To address these needs - a focus on interactions and local knowledge - the research presented here studies the human-nature relationship in Mediterranean streams. Its main objective is to improve understanding of Mediterranean streams, but it also provides practical inputs to enhance local-level management. The study adopts an applied approach from the perspective of natural resources management. A case study was developed conducting field work on streams within the Natura 2000 site of Monfurado, Portugal - a mainly privately owned area with conflicting land uses between conservation and farming. Rivers and streams in Portugal are considered to be in very bad condition, particularly with regard to water quality. The experimental design was based, from a critical realism perspective of inter- and trans-disciplinarity, on the complementarities between methodologies from (i the social sciences: value survey and analysis of discourse; and (ii the natural sciences: biomonitoring and integrity biotic indexes. Results characterized the connected systems from both ecological and social points of view. They also characterized the relationship between both dimensions. We concluded that well-established riparian vegetation cover of streams is a key structural element of the human-nature relationship in the Mediterranean streams of Monfurado at several levels

  4. An experimental approach to improve the basin type solar still using an integrated natural circulation loop

    International Nuclear Information System (INIS)

    Rahmani, Ahmed; Boutriaa, Abdelouahab; Hadef, Amar

    2015-01-01

    Highlights: • A new experimental approach to improve the conventional solar still performances is proposed. • A passive natural circulation loop is integrated to the conventional solar still. • Natural circulation of humid-air in a closed loop is studied by the present study. • Natural circulation capability in driving air convection in the still was demonstrated. • Air convection created inside the still increase the evaporation heat and mass transfer. - Abstract: In this paper, a new experimental approach is proposed to enhance the performances of the conventional solar still using the natural circulation effect inside the still. The idea consists in generating air flow by a rectangular natural circulation loop appended to the rear side of the still. The proposed still was tested during summer period and the experimental data presented in this paper concerns four typical days. The convective heat transfer coefficient is evaluated and compared with Dunkle’s model. The comparison shows that convective heat transfer is considerably improved by the air convection created inside the still. The natural circulation phenomenon in the still is studied and a good agreement between the experimental data and Vijajan’s laminar correlation is found. Therefore, natural circulation phenomenon is found to have a good effect on the still performances where the still daily productivity is of 3.72 kg/m 2 and the maximum efficiency is of 45.15%

  5. Point-of-care technology: integration for improved delivery of care.

    Science.gov (United States)

    Gregory, Debbie; Buckner, Martha

    2014-01-01

    The growing complexity of technology, equipment, and devices involved in patient care delivery can be staggering and overwhelming. Technology is intended to be a tool to help clinicians, but it can also be a frustrating hindrance if not thoughtfully planned and strategically aligned. Critical care nurses are key partners in the collaborations needed to improve safety and quality through health information technology (IT). Nurses must advocate for systems that are interoperable and adapted to the context of care experiences. The involvement and collaboration between clinicians, information technology specialists, biomedical engineers, and vendors has never been more relevant and applicable. Working together strategically with a shared vision can effectively provide a seamless clinical workflow, maximize technology investments, and ultimately improve patient care delivery and outcomes. Developing a strategic integrated clinical and IT roadmap is a critical component of today's health care environment. How can technology strategy be aligned from the executive suite to the bedside caregiver? What is the model for using clinical workflows to drive technology adoption? How can the voice of the critical care nurse strengthen this process? How can success be assured from the initial assessment and selection of technology to a sustainable support model? What is the vendor's role as a strategic partner and "co-caregiver"?

  6. Interventions to improve the compliance of health care professionals to hand washing: an integrative review

    Directory of Open Access Journals (Sweden)

    Adriana Cristina de Oliveira

    2013-12-01

    Full Text Available The objective of this study was to identify the main strategies used to improve the compliance of health care professionals to hand washing. This is an integrative literature review, which search included journals in English, Spanish and Portuguese. Twenty—three articles were included. An electronic tool was developed on Microsoft Office Excel and the main results were submitted to descriptive analysis. Of the total studies, 87.1% had before and after designs and several methods were used to monitor compliance rate (direct observation, supply use and self-reported rates. Multimodal interventions were used in 87.0%, and the most often employed were: education, feedback, alcohol being available and posters. The largest challenge identified was not only improving the compliance rates to hand washing, but, most of all, keeping them high. It was observed there is a need to use multimodal strategies that contribute to behavior change considering the local setting. Descriptors: Hand Disinfection; Health Personnel; Cross Infection; Nursing.

  7. Improved prediction of drug-target interactions using regularized least squares integrating with kernel fusion technique

    Energy Technology Data Exchange (ETDEWEB)

    Hao, Ming; Wang, Yanli, E-mail: ywang@ncbi.nlm.nih.gov; Bryant, Stephen H., E-mail: bryant@ncbi.nlm.nih.gov

    2016-02-25

    Identification of drug-target interactions (DTI) is a central task in drug discovery processes. In this work, a simple but effective regularized least squares integrating with nonlinear kernel fusion (RLS-KF) algorithm is proposed to perform DTI predictions. Using benchmark DTI datasets, our proposed algorithm achieves the state-of-the-art results with area under precision–recall curve (AUPR) of 0.915, 0.925, 0.853 and 0.909 for enzymes, ion channels (IC), G protein-coupled receptors (GPCR) and nuclear receptors (NR) based on 10 fold cross-validation. The performance can further be improved by using a recalculated kernel matrix, especially for the small set of nuclear receptors with AUPR of 0.945. Importantly, most of the top ranked interaction predictions can be validated by experimental data reported in the literature, bioassay results in the PubChem BioAssay database, as well as other previous studies. Our analysis suggests that the proposed RLS-KF is helpful for studying DTI, drug repositioning as well as polypharmacology, and may help to accelerate drug discovery by identifying novel drug targets. - Graphical abstract: Flowchart of the proposed RLS-KF algorithm for drug-target interaction predictions. - Highlights: • A nonlinear kernel fusion algorithm is proposed to perform drug-target interaction predictions. • Performance can further be improved by using the recalculated kernel. • Top predictions can be validated by experimental data.

  8. Participative mental health consumer research for improving physical health care: An integrative review.

    Science.gov (United States)

    Happell, Brenda; Ewart, Stephanie B; Platania-Phung, Chris; Stanton, Robert

    2016-10-01

    People with mental illness have a significantly lower life expectancy and higher rates of chronic physical illnesses than the general population. Health care system reform to improve access and quality is greatly needed to address this inequity. The inclusion of consumers of mental health services as co-investigators in research is likely to enhance service reform. In light of this, the current paper reviews mental health consumer focussed research conducted to date, addressing the neglect of physical health in mental health care and initiatives with the aim of improving physical health care. The international literature on physical healthcare in the context of mental health services was searched for articles, including mental health consumers in research roles, via Medline, CINAHL and Google Scholar, in October 2015. Four studies where mental health consumers participated as researchers were identified. Three studies involved qualitative research on barriers and facilitators to physical health care access, and a fourth study on developing technologies for more effective communication between GPs and patients. This review found that participatory mental health consumer research in physical health care reform has only become visible in the academic literature in 2015. Heightened consideration of mental health consumer participation in research is required by health care providers and researchers. Mental health nurses can provide leadership in increasing mental health consumer research on integrated care directed towards reducing the health gap between people with and without mental illness. © 2016 Australian College of Mental Health Nurses Inc.

  9. Integrating utilization-focused evaluation with business process modeling for clinical research improvement.

    Science.gov (United States)

    Kagan, Jonathan M; Rosas, Scott; Trochim, William M K

    2010-10-01

    New discoveries in basic science are creating extraordinary opportunities to design novel biomedical preventions and therapeutics for human disease. But the clinical evaluation of these new interventions is, in many instances, being hindered by a variety of legal, regulatory, policy and operational factors, few of which enhance research quality, the safety of study participants or research ethics. With the goal of helping increase the efficiency and effectiveness of clinical research, we have examined how the integration of utilization-focused evaluation with elements of business process modeling can reveal opportunities for systematic improvements in clinical research. Using data from the NIH global HIV/AIDS clinical trials networks, we analyzed the absolute and relative times required to traverse defined phases associated with specific activities within the clinical protocol lifecycle. Using simple median duration and Kaplan-Meyer survival analysis, we show how such time-based analyses can provide a rationale for the prioritization of research process analysis and re-engineering, as well as a means for statistically assessing the impact of policy modifications, resource utilization, re-engineered processes and best practices. Successfully applied, this approach can help researchers be more efficient in capitalizing on new science to speed the development of improved interventions for human disease.

  10. Recommendations and Improvements for the Evaluation of Integrated Community-Wide Interventions Approaches

    Directory of Open Access Journals (Sweden)

    Tessa M. van Koperen

    2016-01-01

    Full Text Available Background. Integrated community-wide intervention approaches (ICIAs are implemented to prevent childhood obesity. Programme evaluation improves these ICIAs, but professionals involved often struggle with performance. Evaluation tools have been developed to support Dutch professionals involved in ICIAs. It is unclear how useful these tools are to intended users. We therefore researched the facilitators of and barriers to ICIA programme evaluation as perceived by professionals and their experiences of the evaluation tools. Methods. Focus groups and interviews with 33 public health professionals. Data were analysed using a thematic content approach. Findings. Evaluation is hampered by insufficient time, budget, and experience with ICIAs, lack of leadership, and limited advocacy for evaluation. Epidemiologists are regarded as responsible for evaluation but feel incompetent to perform evaluation or advocate its need in a political environment. Managers did not prioritise process evaluations, involvement of stakeholders, and capacity building. The evaluation tools are perceived as valuable but too comprehensive considering limited resources. Conclusion. Evaluating ICIAs is important but most professionals are unfamiliar with it and management does not prioritise process evaluation nor incentivize professionals to evaluate. To optimise programme evaluation, more resources and coaching are required to improve professionals’ evaluation capabilities and specifically the use of evaluation.

  11. Improved prediction of drug-target interactions using regularized least squares integrating with kernel fusion technique

    International Nuclear Information System (INIS)

    Hao, Ming; Wang, Yanli; Bryant, Stephen H.

    2016-01-01

    Identification of drug-target interactions (DTI) is a central task in drug discovery processes. In this work, a simple but effective regularized least squares integrating with nonlinear kernel fusion (RLS-KF) algorithm is proposed to perform DTI predictions. Using benchmark DTI datasets, our proposed algorithm achieves the state-of-the-art results with area under precision–recall curve (AUPR) of 0.915, 0.925, 0.853 and 0.909 for enzymes, ion channels (IC), G protein-coupled receptors (GPCR) and nuclear receptors (NR) based on 10 fold cross-validation. The performance can further be improved by using a recalculated kernel matrix, especially for the small set of nuclear receptors with AUPR of 0.945. Importantly, most of the top ranked interaction predictions can be validated by experimental data reported in the literature, bioassay results in the PubChem BioAssay database, as well as other previous studies. Our analysis suggests that the proposed RLS-KF is helpful for studying DTI, drug repositioning as well as polypharmacology, and may help to accelerate drug discovery by identifying novel drug targets. - Graphical abstract: Flowchart of the proposed RLS-KF algorithm for drug-target interaction predictions. - Highlights: • A nonlinear kernel fusion algorithm is proposed to perform drug-target interaction predictions. • Performance can further be improved by using the recalculated kernel. • Top predictions can be validated by experimental data.

  12. Algorithm integration using ADL (Algorithm Development Library) for improving CrIMSS EDR science product quality

    Science.gov (United States)

    Das, B.; Wilson, M.; Divakarla, M. G.; Chen, W.; Barnet, C.; Wolf, W.

    2013-05-01

    Algorithm Development Library (ADL) is a framework that mimics the operational system IDPS (Interface Data Processing Segment) that is currently being used to process data from instruments aboard Suomi National Polar-orbiting Partnership (S-NPP) satellite. The satellite was launched successfully in October 2011. The Cross-track Infrared and Microwave Sounder Suite (CrIMSS) consists of the Advanced Technology Microwave Sounder (ATMS) and Cross-track Infrared Sounder (CrIS) instruments that are on-board of S-NPP. These instruments will also be on-board of JPSS (Joint Polar Satellite System) that will be launched in early 2017. The primary products of the CrIMSS Environmental Data Record (EDR) include global atmospheric vertical temperature, moisture, and pressure profiles (AVTP, AVMP and AVPP) and Ozone IP (Intermediate Product from CrIS radiances). Several algorithm updates have recently been proposed by CrIMSS scientists that include fixes to the handling of forward modeling errors, a more conservative identification of clear scenes, indexing corrections for daytime products, and relaxed constraints between surface temperature and air temperature for daytime land scenes. We have integrated these improvements into the ADL framework. This work compares the results from ADL emulation of future IDPS system incorporating all the suggested algorithm updates with the current official processing results by qualitative and quantitative evaluations. The results prove these algorithm updates improve science product quality.

  13. Improving power for rare-variant tests by integrating external controls.

    Science.gov (United States)

    Lee, Seunggeun; Kim, Sehee; Fuchsberger, Christian

    2017-11-01

    Due to the drop in sequencing cost, the number of sequenced genomes is increasing rapidly. To improve power of rare-variant tests, these sequenced samples could be used as external control samples in addition to control samples from the study itself. However, when using external controls, possible batch effects due to the use of different sequencing platforms or genotype calling pipelines can dramatically increase type I error rates. To address this, we propose novel summary statistics based single and gene- or region-based rare-variant tests that allow the integration of external controls while controlling for type I error. Our approach is based on the insight that batch effects on a given variant can be assessed by comparing odds ratio estimates using internal controls only vs. using combined control samples of internal and external controls. From simulation experiments and the analysis of data from age-related macular degeneration and type 2 diabetes studies, we demonstrate that our method can substantially improve power while controlling for type I error rate. © 2017 WILEY PERIODICALS, INC.

  14. A Hyaluronan-Based Injectable Hydrogel Improves the Survival and Integration of Stem Cell Progeny following Transplantation

    Directory of Open Access Journals (Sweden)

    Brian G. Ballios

    2015-06-01

    Full Text Available The utility of stem cells and their progeny in adult transplantation models has been limited by poor survival and integration. We designed an injectable and bioresorbable hydrogel blend of hyaluronan and methylcellulose (HAMC and tested it with two cell types in two animal models, thereby gaining an understanding of its general applicability for enhanced cell distribution, survival, integration, and functional repair relative to conventional cell delivery in saline. HAMC improves cell survival and integration of retinal stem cell (RSC-derived rods in the retina. The pro-survival mechanism of HAMC is ascribed to the interaction of the CD44 receptor with HA. Transient disruption of the retinal outer limiting membrane, combined with HAMC delivery, results in significantly improved rod survival and visual function. HAMC also improves the distribution, viability, and functional repair of neural stem and progenitor cells (NSCs. The HAMC delivery system improves cell transplantation efficacy in two CNS models, suggesting broad applicability.

  15. Diagnoses, Intervention Strategies, and Rates of Functional Improvement in Integrated Behavioral Health Care Patients

    Science.gov (United States)

    Bridges, Ana J.; Gregus, Samantha J.; Rodriguez, Juventino Hernandez; Andrews, Arthur R.; Villalobos, Bianca T.; Pastrana, Freddie A.; Cavell, Timothy A.

    2016-01-01

    Objective Compared with more traditional mental health care, integrated behavioral health care (IBHC) offers greater access to services and earlier identification and intervention of behavioral and mental health difficulties. The current study examined demographic, diagnostic, and intervention factors that predict positive changes for IBHC patients. Method Participants were 1,150 consecutive patients (mean age = 30.10 years, 66.6% female, 60.1% Hispanic, 47.9% uninsured) seen for IBHC services at 2 primary care clinics over a 34-month period. Patients presented with depressive (23.2%), anxiety (18.6%), adjustment (11.3%), and childhood externalizing (7.6%) disorders, with 25.7% of patients receiving no diagnosis. Results The most commonly delivered interventions included behavioral activation (26.1%), behavioral medicine-specific consultation (14.6%), relaxation training (10.3%), and parent-management training (8.5%). There was high concordance between diagnoses and evidence-based intervention selection. We used latent growth curve modeling to explore predictors of baseline global assessment of functioning (GAF) and improvements in GAF across sessions, utilizing data from a subset of 117 patients who attended at least 3 behavioral health visits. Hispanic ethnicity and being insured predicted higher baseline GAF, while patients with an anxiety disorder had lower baseline GAF than patients with other diagnoses. Controlling for primary diagnosis, patients receiving behavioral activation or exposure therapy improved at faster rates than patients receiving other interventions. Demographic variables did not relate to rates of improvement. Conclusion Results suggest even brief IBHC interventions can be focused, targeting specific patient concerns with evidence-based treatment components. PMID:25774786

  16. Integrated risk reduction framework to improve railway hazardous materials transportation safety

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Xiang, E-mail: liu94@illinois.edu; Saat, M. Rapik, E-mail: mohdsaat@illinois.edu; Barkan, Christopher P.L., E-mail: cbarkan@illinois.edu

    2013-09-15

    Highlights: • An integrated framework is developed to optimize risk reduction. • A negative binomial regression model is developed to analyze accident-cause-specific railcar derailment probability. • A Pareto-optimality technique is applied to determine the lowest risk given any level of resource. • A multi-attribute decision model is developed to determine the optimal amount of investment for risk reduction. • The models could aid the government and rail industry in developing cost-efficient risk reduction policy and practice. -- Abstract: Rail transportation plays a critical role to safely and efficiently transport hazardous materials. A number of strategies have been implemented or are being developed to reduce the risk of hazardous materials release from train accidents. Each of these risk reduction strategies has its safety benefit and corresponding implementation cost. However, the cost effectiveness of the integration of different risk reduction strategies is not well understood. Meanwhile, there has been growing interest in the U.S. rail industry and government to best allocate resources for improving hazardous materials transportation safety. This paper presents an optimization model that considers the combination of two types of risk reduction strategies, broken rail prevention and tank car safety design enhancement. A Pareto-optimality technique is used to maximize risk reduction at a given level of investment. The framework presented in this paper can be adapted to address a broader set of risk reduction strategies and is intended to assist decision makers for local, regional and system-wide risk management of rail hazardous materials transportation.

  17. INTEGRATION BETWEEN MRI AND PHYSICAL THERAPY TO IMPROVE TREATMENT OF PATIENTS WITH SHOULDER PAIN

    Directory of Open Access Journals (Sweden)

    Awad Mohamed Elkhadir

    2016-08-01

    Full Text Available Background: Shoulder pain is the second most common musculoskeletal disorder treated by physical therapists. The cause for the shoulder pain is multifactorial. However, a specific diagnosis is crucial in the right management of shoulder dysfunction. Therefore, the aim of this study was to find out the efficacy of integrating the MRI for the accurate diagnosis and impact of this on rendering the effective physical therapy interventions in shoulder dysfunction patients. Methods: A retrospective study conducted on 14 patients who undergone an MRI with a 1.5 T unit MAGNETOM Symphony (Siemens, for their shoulder pain, where the diagnosis might be Muscle tears like, subscapularis, infraspinatus,supraspinatus and teres minor muscles; subacromial or subdeltoid bursitis and labral tears were included. All the subjects were then continued with usual physical therapy treatments for four weeks depending on their diagnosis which includes; advice, stretching, mobilization and strengthening exercises, manual therapy, massage, strapping, and electrotherapy . The outcome measures documented from the case sheet were; Visual Analogue Scale grade and passive range of motion of shoulder external / internal rotation and abduction. Results: Paired t test was used to compare the PROM between pre rehabilitation and post rehabilitation testing and the non parametric test, Mann Whitney U test was used for the comparison of VAS. All patients showed a significant improvement in VAS and PROM of abduction, internal and external rotation following physical therapy (P≤ 0.05. Conclusion: MRI is found to be a reliable method of diagnostic procedure for the shoulder pain and the integration of MRI and physical therapy to treat shoulder dysfunction leads to a better outcome.

  18. Integrating real-time subsurface hydrologic monitoring with empirical rainfall thresholds to improve landslide early warning

    Science.gov (United States)

    Mirus, Benjamin B.; Becker, Rachel E.; Baum, Rex L.; Smith, Joel B.

    2018-01-01

    Early warning for rainfall-induced shallow landsliding can help reduce fatalities and economic losses. Although these commonly occurring landslides are typically triggered by subsurface hydrological processes, most early warning criteria rely exclusively on empirical rainfall thresholds and other indirect proxies for subsurface wetness. We explore the utility of explicitly accounting for antecedent wetness by integrating real-time subsurface hydrologic measurements into landslide early warning criteria. Our efforts build on previous progress with rainfall thresholds, monitoring, and numerical modeling along the landslide-prone railway corridor between Everett and Seattle, Washington, USA. We propose a modification to a previously established recent versus antecedent (RA) cumulative rainfall thresholds by replacing the antecedent 15-day rainfall component with an average saturation observed over the same timeframe. We calculate this antecedent saturation with real-time telemetered measurements from five volumetric water content probes installed in the shallow subsurface within a steep vegetated hillslope. Our hybrid rainfall versus saturation (RS) threshold still relies on the same recent 3-day rainfall component as the existing RA thresholds, to facilitate ready integration with quantitative precipitation forecasts. During the 2015–2017 monitoring period, this RS hybrid approach has an increase of true positives and a decrease of false positives and false negatives relative to the previous RA rainfall-only thresholds. We also demonstrate that alternative hybrid threshold formats could be even more accurate, which suggests that further development and testing during future landslide seasons is needed. The positive results confirm that accounting for antecedent wetness conditions with direct subsurface hydrologic measurements can improve thresholds for alert systems and early warning of rainfall-induced shallow landsliding.

  19. A gerontologia e a interdisciplinaridade: aspectos relevantes para a enfermagem La gerontología e interdisciplinaridade: los aspectos relevantes para la enfermería Gerontology and interdisciplinarity: relevant aspects to nursing

    Directory of Open Access Journals (Sweden)

    Alessandra Conceição Leite Funchal Camacho

    2002-04-01

    Full Text Available Este artigo retrata a Gerontologia como área rica e cheia de lacunas a serem preenchidas pelas disciplinas que a compõem, indo além das abordagens convencionais à clientela idosa, visando a caminhos renovados para a Enfermagem, que, dentre tantas disciplinas, também está no processo construtivo de conhecimento. Tem como objetivo destacar a importância da Gerontologia para a atuação interdisciplinar, principalmente para Enfermagem, ressaltando o cliente idoso no contexto social. A interdisciplinaridade é instrumento condutor para Gerontologia em busca de mudanças que venham a somar conhecimentos e redundar em esforços no processo de desenvolvimento da área da saúde em relação ao cliente idoso e às diversas disciplinas que contemplam uma atuação relevante que, sem dúvida, permitem avanços para a Enfermagem.Este artículo retrata la Gerontología como área rica y llena de lagunas para ser resueltas por las disciplinas que la componen, yendo más allá de los abordajes convencionales a la población anciana, buscando caminos renovados para enfermería, que dentro de tantas disciplinas, también está en el proceso constructivo del conocimiento. Tiene como objetivo destacar la importancia de la gerontología para la actuación interdisciplinaria, principalmente para enfermería, resaltando al paciente anciano en el contexto social. La interdisciplinariedad La interdisciplinariedad es instrumento conductor para la Gerontología en busca de cambios que vengan a agregar conocimientos que redunden en esfuerzos para el proceso de desarrollo del área de la salud en relación con el cliente anciano, y las diversas disciplinas que contemplan una actuación relevante que, sin duda, permitan avances para enfermería.This article shows Gerontology as a rich area and full of gaps to be filled by the disciplines that form it, going beyond the conventional approaches to the elderly client and aiming at finding new Nursing paths as, among

  20. Studies on improved integrated membrane-based chromatographic process for bioseparation

    Science.gov (United States)

    Xu, Yanke

    To improve protein separation and purification directly from a fermentation broth, a novel membrane filtration-cum-chromatography device configuration having a relatively impermeable coated zone near the hollow fiber module outlet has been developed. The integrated membrane filtration-cum-chromatography unit packed with chromatographic beads on the shell side of the hollow fiber unit enjoys the advantages of both membrane filtration and chromatography; it allows one to load the chromatographic media directly from the fermentation broth or lysate and separate the adsorbed proteins through the subsequent elution step in a cyclic process. Interfacial polymerization was carried out to coat the bottom section of the hollow fiber membrane while leaving the rest of the hollow fiber membrane unaffected. Myoglobin (Mb), bovine serum albumin (BSA) and a-lactalbumin (a-LA) were used as model proteins in binary mixtures. Separation behaviors of binary protein mixtures were studied in devices using either an ultrafiltration (UF) membrane or a microfiltration (MF) membrane. Experimental results show that the breakthrough time and the protein loading capacities were dramatically improved after coating in both UF and MF modules. For a synthetic yeast fermentation broth feed, the Mb and a-LA elution profiles for the four consecutive cyclic runs were almost superimposable. Due to the lower transmembrane flux in this device plus the periodical washing-elution during the chromatographic separation, fouling was not a problem as it is in conventional microfiltration. A mathematical model describing the hydrodynamic and protein loading behaviors of the integrated device using UF membrane with a coated zone was developed. The simulation results for the breakthrough agree well with the experimental breakthrough curves. The optimal length of the coated zone was obtained from the simulation. A theoretical analysis of the protein mass transfer was performed using a diffusion-convection model

  1. Inertial sensors as measurement tools of elbow range of motion in gerontology

    Directory of Open Access Journals (Sweden)

    Sacco G

    2015-02-01

    Full Text Available G Sacco,1–3,* JM Turpin,3,4,* A Marteu,5 C Sakarovitch,6 B Teboul,2 L Boscher,4,5 P Brocker,4 P Robert,1–3 O Guerin2,3,7 1Memory Center, Claude Pompidou Institut, Department of Geriatrics, University Hospital of Nice, Nice, France; 2Centre d’Innovation et d’Usages en Santé (CIU-S, University Hospital of Nice, Cimiez Hospital, Nice, France; 3CoBTeK Cognition Behaviour Technology EA 7276, Research Center Edmond and Lily Safra, Nice Sophia-Antipolis University, Nice, France; 4Rehabilitation Unit, Department of Geriatrics, University Hospital of Nice, Cimiez Hospital, Nice, France; 5Rehabilitation Unit, Department of Neurosciences, University Hospital of Nice, L’Archet Hospital, Nice, France; 6Department of Clinical Research and Innovation, University Hospital of Nice, Cimiez Hospital, Nice, France; 7Acute Geriatrics Unit, Department of Geriatrics, University Hospital of Nice, Cimiez Hospital, Nice, France *These authors contributed equally to this work Background and purpose: Musculoskeletal system deterioration among the aging is a major reason for loss of autonomy and directly affects the quality of life of the elderly. Articular evaluation is part of physiotherapeutic assessment and helps in establishing a precise diagnosis and deciding appropriate therapy. Reference instruments are valid but not easy to use for some joints. The main goal of our study was to determine reliability and intertester reproducibility of the MP-BV, an inertial sensor (the MotionPod® [MP] combined with specific software (BioVal [BV], for elbow passive range-of-motion measurements in geriatrics. Methods: This open, monocentric, randomized study compared inertial sensor to inclinometer in patients hospitalized in an acute, post-acute, and long-term-care gerontology unit. Results: Seventy-seven patients (mean age 83.5±6.4 years, sex ratio 1.08 [male/female] were analyzed. The MP-BV was reliable for each of the three measurements (flexion, pronation, and

  2. Perceived control in the lives of older adults: the influence of Langer and Rodin's work on gerontological theory, policy, and practice.

    Science.gov (United States)

    Mallers, Melanie H; Claver, Maria; Lares, Lisa A

    2014-02-01

    A key concept driving the field of both clinical and applied gerontology is that of personal control. Seminal work conducted in the late 1970s to early 1980s by Ellen Langer and Judith Rodin, who examined the effect of choice and enhanced responsibility on older adults, not only contributed to the discussion of the relevance of control in contemporary theories and practices of aging but also aided in the development of today's philosophy of how to serve and care for older adults in ways that are passionate, humanistic, and empowering. In their early research, residents at a nursing home were randomly assigned to 2 groups: 1 group was told they could arrange their furniture as they wanted, go where they wanted, spend time with whom they wanted, and so forth and were given a plant to care for; the other group was told that the staff was there to take care of and help them, including watering a plant given to each of them. During this study, and 18 months later, residents who were given control and personal responsibility had improved health; among those for whom control had not changed, a greater proportion had died. Since these original studies, research has continued to support the need for personal control as we age. This paper presents a brief overview of literature informed by Langer and Rodin's seminal findings, as well as the role of control to theory, policy, and practice.

  3. Promoting employee health by integrating health protection, health promotion, and continuous improvement: a longitudinal quasi-experimental intervention study.

    Science.gov (United States)

    von Thiele Schwarz, Ulrica; Augustsson, Hanna; Hasson, Henna; Stenfors-Hayes, Terese

    2015-02-01

    To test the effects of integrating health protection and health promotion with a continuous improvement system (Kaizen) on proximal employee outcomes (health promotion, integration, and Kaizen) and distal outcomes (workability, productivity, self-rated health and self-rated sickness absence). Twelve units in a county hospital in Sweden were randomized to control or intervention groups using a quasiexperimental study design. All staff (approximately 500) provided self-ratings in questionnaires at baseline, and a 12- and 24-month follow-up (response rate, 79% to 87.5%). There was a significant increase in the proximal outcomes over time in the intervention group compared with the control group, and a trend toward improvement in the distal outcomes workability and productivity. Integration seems to promote staff engagement in health protection and promotion, as well as to improve their understanding of the link between work and health.

  4. IMPROVEMENT OF BUS OPERATIONAL CHARACTERISTICS WHILE USING INTEGRATED CONTROL OF SUSPENSION AND TRANSMISSION

    Directory of Open Access Journals (Sweden)

    V. V. Mikhailau

    2016-01-01

    Full Text Available Semi-natural tests for active pneumatic suspension of a 18-tonne tourist bus with the system of automatic body stabilization of the mobile machine and feed-back coupling according to kinematics parameter. The test have been executed in the cases when the bus is stocked with an automatic hydro-mechanical transmission in the process of speed picking up, gear-changing or road braking which is assigned by accidental road humps. A computer simulation of dynamic structures in combination with virtual devices and real objects (HIL – Hardware-in-the-Loop Simulation has been carried in the paper. Personal computers, software, programmed logic controller, frequency generator, solenoid-operated valve have been used for the investigation process. The paper proposes an unconventional method for improvement operational characteristics which is based on integrated control of a suspension and automatic hydro-mechanical transmission. A mathematical model includes systems of automatic transmission, suspension and module for generation of accidental road humps. The model has been considered as a basis for semi-natural laboratory bench with industrially-manufactured controller, other components of automatic systems and standard control organs. The most efficient method for body stabilization is control of the suspension according to the parameter of angular rate during vertical turn of an automobile’s center line with a turning point in the center of mass. The developed algorithm and stabilization system according to angular rate of body’s center line turning have made it possible to improve dynamics of the bus while making gear-changing and to reduce fuel consumption during starting-up and speed picking-up processes. During the braking process such system simultaneously decreases oscillation amplitude of some parameters more than two-fold.

  5. A Three-Year Field Validation Study to Improve the Integrated Pest Management of Hot Pepper

    Directory of Open Access Journals (Sweden)

    Ji-Hoon Kim

    2013-09-01

    Full Text Available To improve the integrated pest management (IPM of hot pepper, field study was conducted in Hwasung from 2010 to 2012 and an IPM system was developed to help growers decide when to apply pesticides to control anthracnose, tobacco budworm, Phytophthora blight, bacterial wilt, and bacterial leaf spot. The three field treatments consisted of IPM sprays following the forecast model advisory, a periodic spray at 7-to-10-day intervals, and no spray (control. The number of annual pesticide applications for the IPM treatment ranged from six to eight, whereas the plots subjected to the periodic treatment received pesticide 11 or 12 times annually for three years. Compared to the former strategy, our improved IPM strategy features more intense pest management, with frequent spraying for anthracnose and mixed spraying for tobacco budworm or Phytophthora blight. The incidences for no pesticide control in 2010, 2011, and 2012 were 91, 97.6, and 41.4%, respectively. Conversely, the incidences for the IPM treatment for those years were 7.6, 62.6, and 2%, and the yields from IPM-treated plots were 48.6 kg, 12.1 kg, and 48.8 kg. The incidence and yield in the IPM-treated plots were almost the same as those of the periodic treatment except in 2011, in which no unnecessary sprays were given, meaning that the IPM control was quite successful. From reviewing eight years of field work, sophisticated forecasts that optimize pesticide spray timing reveal that reliance on pesticides can be reduced without compromising yield. Eco-friendly strategies can be implemented in the pest management of hot pepper.

  6. Effectiveness of integrated science instructional material on pressure in daily life theme to improve digital age literacy of students

    Science.gov (United States)

    Asrizal; Amran, A.; Ananda, A.; Festiyed; Khairani, S.

    2018-04-01

    Integrated science learning and literacy skills are relevant issues in Indonesian’s education. However, the use of the integrated science learning and the integration of literacy in learning cannot be implemented well. An alternative solution of this problem is to develop integrated science instructional material on pressure in daily life theme by integrating digital age literacy. Purpose of research is to investigate the effectiveness of the use of integrated science instructional material on pressure in daily life theme to improve knowledge competence, attitudes competence and literacy skills of students. This research was a part of development research which has been conducted. In the product testing stage of this research and development was used before and after design of treatment for one sample group. Instruments to collect the data consist of learning outcomes test sheet, attitude observation sheet, and performance assessment sheet of students. Data analysis techniques include descriptive statistics analysis, normality test, homogeneity test, and paired comparison test. Therefore, the important result of research is the use of integrated science instructional material on pressure in daily life theme is effective in scientific approach to improve knowledge competence, attitudes competence, and digital age literacy skills of grade VIII students at 95% confidence level.

  7. A data-model integration approach toward improved understanding on wetland functions and hydrological benefits at the catchment scale

    Science.gov (United States)

    Yeo, I. Y.; Lang, M.; Lee, S.; Huang, C.; Jin, H.; McCarty, G.; Sadeghi, A.

    2017-12-01

    The wetland ecosystem plays crucial roles in improving hydrological function and ecological integrity for the downstream water and the surrounding landscape. However, changing behaviours and functioning of wetland ecosystems are poorly understood and extremely difficult to characterize. Improved understanding on hydrological behaviours of wetlands, considering their interaction with surrounding landscapes and impacts on downstream waters, is an essential first step toward closing the knowledge gap. We present an integrated wetland-catchment modelling study that capitalizes on recently developed inundation maps and other geospatial data. The aim of the data-model integration is to improve spatial prediction of wetland inundation and evaluate cumulative hydrological benefits at the catchment scale. In this paper, we highlight problems arising from data preparation, parameterization, and process representation in simulating wetlands within a distributed catchment model, and report the recent progress on mapping of wetland dynamics (i.e., inundation) using multiple remotely sensed data. We demonstrate the value of spatially explicit inundation information to develop site-specific wetland parameters and to evaluate model prediction at multi-spatial and temporal scales. This spatial data-model integrated framework is tested using Soil and Water Assessment Tool (SWAT) with improved wetland extension, and applied for an agricultural watershed in the Mid-Atlantic Coastal Plain, USA. This study illustrates necessity of spatially distributed information and a data integrated modelling approach to predict inundation of wetlands and hydrologic function at the local landscape scale, where monitoring and conservation decision making take place.

  8. Improved Adaptive Droop Control Design for Optimal Power Sharing in VSC-MTDC Integrating Wind Farms

    Directory of Open Access Journals (Sweden)

    Xiaohong Ran

    2015-07-01

    Full Text Available With the advance of insulated gate bipolar transistor (IGBT converters, Multi-Terminal DC (MTDC based on the voltage-source converter (VSC has developed rapidly in renewable and electric power systems. To reduce the copper loss of large capacity and long distance DC transmission line, an improved droop control design based on optimal power sharing in VSC-MTDC integrating offshore wind farm is proposed. The proposed approach provided a calculation method for power-voltage droop coefficients under two different scenarios either considering local load or not. The available headroom of each converter station was considered as a converter outage, to participate in the power adjustment according to their ability. A four-terminal MTDC model system including two large scale wind farms was set up in PSCAD/EMTDC. Then, the proposed control strategy was verified through simulation under the various conditions, including wind speed variation, rectifier outage and inverter outage, and a three-phase short-circuit of the converter.

  9. Integrated risk reduction framework to improve railway hazardous materials transportation safety.

    Science.gov (United States)

    Liu, Xiang; Saat, M Rapik; Barkan, Christopher P L

    2013-09-15

    Rail transportation plays a critical role to safely and efficiently transport hazardous materials. A number of strategies have been implemented or are being developed to reduce the risk of hazardous materials release from train accidents. Each of these risk reduction strategies has its safety benefit and corresponding implementation cost. However, the cost effectiveness of the integration of different risk reduction strategies is not well understood. Meanwhile, there has been growing interest in the U.S. rail industry and government to best allocate resources for improving hazardous materials transportation safety. This paper presents an optimization model that considers the combination of two types of risk reduction strategies, broken rail prevention and tank car safety design enhancement. A Pareto-optimality technique is used to maximize risk reduction at a given level of investment. The framework presented in this paper can be adapted to address a broader set of risk reduction strategies and is intended to assist decision makers for local, regional and system-wide risk management of rail hazardous materials transportation. Copyright © 2013 Elsevier B.V. All rights reserved.

  10. Probabilistic evaluation of integrating resource recovery into wastewater treatment to improve environmental sustainability.

    Science.gov (United States)

    Wang, Xu; McCarty, Perry L; Liu, Junxin; Ren, Nan-Qi; Lee, Duu-Jong; Yu, Han-Qing; Qian, Yi; Qu, Jiuhui

    2015-02-03

    Global expectations for wastewater service infrastructure have evolved over time, and the standard treatment methods used by wastewater treatment plants (WWTPs) are facing issues related to problem shifting due to the current emphasis on sustainability. A transition in WWTPs toward reuse of wastewater-derived resources is recognized as a promising solution for overcoming these obstacles. However, it remains uncertain whether this approach can reduce the environmental footprint of WWTPs. To test this hypothesis, we conducted a net environmental benefit calculation for several scenarios for more than 50 individual countries over a 20-y time frame. For developed countries, the resource recovery approach resulted in ∼154% net increase in the environmental performance of WWTPs compared with the traditional substance elimination approach, whereas this value decreased to ∼60% for developing countries. Subsequently, we conducted a probabilistic analysis integrating these estimates with national values and determined that, if this transition was attempted for WWTPs in developed countries, it would have a ∼65% probability of attaining net environmental benefits. However, this estimate decreased greatly to ∼10% for developing countries, implying a substantial risk of failure. These results suggest that implementation of this transition for WWTPs should be studied carefully in different temporal and spatial contexts. Developing countries should customize their approach to realizing more sustainable WWTPs, rather than attempting to simply replicate the successful models of developed countries. Results derived from the model forecasting highlight the role of bioenergy generation and reduced use of chemicals in improving the sustainability of WWTPs in developing countries.

  11. Improvement of Bioactive Compound Classification through Integration of Orthogonal Cell-Based Biosensing Methods

    Directory of Open Access Journals (Sweden)

    Goran N. Jovanovic

    2007-01-01

    Full Text Available Lack of specificity for different classes of chemical and biological agents, and false positives and negatives, can limit the range of applications for cell-based biosensors. This study suggests that the integration of results from algal cells (Mesotaenium caldariorum and fish chromatophores (Betta splendens improves classification efficiency and detection reliability. Cells were challenged with paraquat, mercuric chloride, sodium arsenite and clonidine. The two detection systems were independently investigated for classification of the toxin set by performing discriminant analysis. The algal system correctly classified 72% of the bioactive compounds, whereas the fish chromatophore system correctly classified 68%. The combined classification efficiency was 95%. The algal sensor readout is based on fluorescence measurements of changes in the energy producing pathways of photosynthetic cells, whereas the response from fish chromatophores was quantified using optical density. Change in optical density reflects interference with the functioning of cellular signal transduction networks. Thus, algal cells and fish chromatophores respond to the challenge agents through sufficiently different mechanisms of action to be considered orthogonal.

  12. Costing improvement of remanufacturing crankshaft by integrating Mahalanobis-Taguchi System and Activity based Costing

    Science.gov (United States)

    Abu, M. Y.; Nor, E. E. Mohd; Rahman, M. S. Abd

    2018-04-01

    Integration between quality and costing system is very crucial in order to achieve an accurate product cost and profit. Current practice by most of remanufacturers, there are still lacking on optimization during the remanufacturing process which contributed to incorrect variables consideration to the costing system. Meanwhile, traditional costing accounting being practice has distortion in the cost unit which lead to inaccurate cost of product. The aim of this work is to identify the critical and non-critical variables during remanufacturing process using Mahalanobis-Taguchi System and simultaneously estimate the cost using Activity Based Costing method. The orthogonal array was applied to indicate the contribution of variables in the factorial effect graph and the critical variables were considered with overhead costs that are actually demanding the activities. This work improved the quality inspection together with costing system to produce an accurate profitability information. As a result, the cost per unit of remanufactured crankshaft of MAN engine model with 5 critical crankpins is MYR609.50 while Detroit engine model with 4 critical crankpins is MYR1254.80. The significant of output demonstrated through promoting green by reducing re-melting process of damaged parts to ensure consistent benefit of return cores.

  13. Transboundary Water: Improving Methodologies and Developing Integrated Tools to Support Water Security

    Science.gov (United States)

    Hakimdavar, Raha; Wood, Danielle; Eylander, John; Peters-Lidard, Christa; Smith, Jane; Doorn, Brad; Green, David; Hummel, Corey; Moore, Thomas C.

    2018-01-01

    River basins for which transboundary coordination and governance is a factor are of concern to US national security, yet there is often a lack of sufficient data-driven information available at the needed time horizons to inform transboundary water decision-making for the intelligence, defense, and foreign policy communities. To address this need, a two-day workshop entitled Transboundary Water: Improving Methodologies and Developing Integrated Tools to Support Global Water Security was held in August 2017 in Maryland. The committee that organized and convened the workshop (the Organizing Committee) included representatives from the National Aeronautics and Space Administration (NASA), the US Army Corps of Engineers Engineer Research and Development Center (ERDC), and the US Air Force. The primary goal of the workshop was to advance knowledge on the current US Government and partners' technical information needs and gaps to support national security interests in relation to transboundary water. The workshop also aimed to identify avenues for greater communication and collaboration among the scientific, intelligence, defense, and foreign policy communities. The discussion around transboundary water was considered in the context of the greater global water challenges facing US national security.

  14. Integrated care for patients with a stroke in the Netherlands: results and experiences from a national Breakthrough Collaborative Improvement project

    Directory of Open Access Journals (Sweden)

    M.M.N. Minkman

    2005-03-01

    Full Text Available Purpose: This article considers the question if measurable improvements are achieved in the quality of care in stroke services by using a Breakthrough collaborative quality improvement model. Context of case: Despite the availability of explicit criteria, evidence based guidelines, national protocols and examples of best practices; stroke care in the Netherlands did not improve substantially yet. For that reason a national collaborative started in 2002 to improve integrated stroke care in 23 self selected stroke services. Data sources: Characteristics of sites, teams, aims and changes were assessed by using a questionnaire and monthly self-reports of teams. Progress in achieving significant quality improvement has been assessed on a five point Likert scale (IHI score. Case description: The stroke services (n=23 formed multidisciplinary teams, which worked together in a collaborative based on the IHI Breakthrough Series Model. Teams received instruction in quality improvement, reviewed self reported performance data, identified bottlenecks and improvement goals, and implemented “potentially better practices” based on criteria from the Edisse study, evidence based guidelines, own ideas and expert opinion. Conclusion and discussion: Quality of care has been improved in most participating stroke services. Eighty-seven percent of the teams have improved their care significantly on at least one topic. About 34% of the teams have achieved significant improvement on all aims within the time frame of the project. The project has contributed to the further development and spread of integrated stroke care in the Netherlands.

  15. The improved heat integration of cement production under limited process conditions: A case study for Croatia

    International Nuclear Information System (INIS)

    Boldyryev, Stanislav; Mikulčić, Hrvoje; Mohorović, Zoran; Vujanović, Milan; Krajačić, Goran; Duić, Neven

    2016-01-01

    Given that cement is the most widely used material for housing and modern infrastructure needs, this paper analyses the energy efficiency of the cement manufacturing processes for a particular cement plant. The cement industry is one of the largest consumers of carbon-containing primary energy sources and one of the primary polluters of the environment, emitting approximately 5% of global pollution. Energy consumption represents the largest part of the production cost for cement factories and has a significant influence on product prices. Given that it is realised in modern society that infrastructural projects lead to a higher level of economy and sustainability for countries, reducing the production cost in the cement industry is a very important problem. The authors analysed the energy consumption of a particular cement factory in Croatia to determine the minimum energy targets of production and proposed pathways to improve energy efficiency. The Process Integration approach was used in this study. Nevertheless, the features of the cement factory forced the research to update its methodological steps to propose real pathways for a retrofit project with the aim of achieving the optimal minimum temperature difference between process streams. There are various streams, including those that contain solid particles, gas and air streams, and streams, that should be cooled down rapidly; these facts become more complicated by the special construction of the process equipment, which causes heat transfer between some streams to be impossible. The main objective of this paper is to determine the potential of real energy savings and propose a solution for a new concept of heat exchanger network (HEN) that avoids the process traps and provides a feasible retrofit. The maximum heat recovery of that production of a particular type of cement was determined and improved when a HEN was built. The authors conclude that the energy consumption of the cement factory can be reduced by

  16. Use of games as a learner-centered strategy in gerontology, geriatrics, and aging-related courses.

    Science.gov (United States)

    Schmall, Vicki; Grabinski, C Joanne; Bowman, Sally

    2008-01-01

    Based on their experience as designers and/or users of games as a learner-centered strategy in gerontology, geriatric, and aging-related courses and training programs, the authors note multiple advantages of using games as a learning tool, list six relevant games (including order information), and suggest a variety of ways games can be used. They offer guidelines to apply in selecting appropriate games and discuss key aspects of the instructor or facilitator's role in preparing learners for game playing, monitoring game play, and debriefing students once game play has ended. Outcomes for learners and course instructors are shared.

  17. A review of research on religious and spiritual variables in two primary gerontological nursing journals: 1991 to 1997.

    Science.gov (United States)

    Weaver, A J; Flannelly, L T; Flannelly, K J

    2001-09-01

    All articles published between 1991 and 1997 in the Journal of Gerontological Nursing and Geriatric Nursing were classified as qualitative research, quantitative research, or non-research. Of the 784 articles reviewed, 5.1% mentioned religion or spirituality. Research articles (7.7%) were more likely than non-research articles (2.8%) to address religion and spirituality. No statistical difference was found between the percentage of qualitative (10.7%) and quantitative (6.8%) studies addressing religious and spiritual factors. The percentage of quantitative studies including religious and spiritual variables was found to be higher than that found by systematic reviews of the research literature in various health professions.

  18. Improved 1-year mortality in elderly patients with a hip fracture following integrated orthogeriatric treatment.

    Science.gov (United States)

    Folbert, E C; Hegeman, J H; Vermeer, M; Regtuijt, E M; van der Velde, D; Ten Duis, H J; Slaets, J P

    2017-01-01

    To improve the quality of care and reduce the healthcare costs of elderly patients with a hip fracture, surgeons and geriatricians collaborated intensively due to the special needs of these patients. After treatment at the Centre for Geriatric Traumatology (CvGT), we found a significant decrease in the 1-year mortality rate in frail elderly patients compared to the historical control patients who were treated with standard care. The study aimed to evaluate the effect of an orthogeriatric treatment model on elderly patients with a hip fracture on the 1-year mortality rate and identify associated risk factors. This study included patients, aged 70 years and older, who were admitted with a hip fracture and treated in accordance with the integrated orthogeriatric treatment model of the CvGT at the Hospital Group Twente (ZGT) between April 2008 and October 2013. Data registration was carried out by several disciplines using the clinical pathways of the CvGT database. A multivariate logistic regression analysis was used to identify independent risk factors for 1-year mortality. The outcome measures for the 850 patients were compared with those of 535 historical control patients who were managed under standard care between October 2002 and March 2008. The analysis demonstrated that the 1-year mortality rate was 23.2 % (n = 197) in the CvGT group compared to 35.1 % (n = 188) in the historical control group (p malnutrition (OR 2.01), physical limitations in activities of daily living (OR 2.35), and decreasing Barthel Index (BI) (OR 0.96). After integrated orthogeriatric treatment, a significant decrease was seen in the 1-year mortality rate in the frail elderly patients with a hip fracture compared to the historical control patients who were treated with standard care. The most important risk factors for 1-year mortality were male gender, increasing age, malnutrition, physical limitations, increasing BI, and medical conditions. Awareness of risk factors that

  19. A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency.

    Science.gov (United States)

    O'Heron, Colette T; Jarman, Benjamin T

    2014-01-01

    To outline a structured approach for general surgery resident integration into institutional quality improvement and patient safety education and development. A strategic plan to address Accreditation Council for Graduate Medical Education (ACGME) Clinical Learning Environment Review assessments for resident integration into Quality Improvement and Patient Safety initiatives is described. Gundersen Lutheran Medical Foundation is an independent academic medical center graduating three categorical residents per year within an integrated multi-specialty health system serving 19 counties over 3 states. The quality improvement and patient safety education program includes a formal lecture series, online didactic sessions, mandatory quality improvement or patient safety projects, institutional committee membership, an opportunity to serve as a designated American College of Surgeons National Surgical Quality Improvement Project and Quality in Training representative, mandatory morbidity and mortality conference attendance and clinical electives in rural surgery and international settings. Structured education regarding and participation in quality improvement and patient safety programs are able to be accomplished during general surgery residency. The long-term outcomes and benefits of these strategies are unknown at this time and will be difficult to measure with objective data. © 2013 Published by Association of Program Directors in Surgery on behalf of Association of Program Directors in Surgery.

  20. Integrating scientific argumentation to improve undergraduate writing and learning in a global environmental change course

    Science.gov (United States)

    Kreutz, K. J.; Koffman, B. G.; Trenbath, K. L.

    2013-12-01

    What makes a good scientific argument? We began ERS201: Global Environmental Change by asking students to reflect on the mechanics of a strong scientific argument. At the same time, we asked them to evaluate global CO2 and sea level data from different time periods in Earth's history to answer the question, 'Is there a relationship between atmospheric CO2 and sea level, and if so, why?' This question formed the theme for the course, a mid-level, inquiry-based class of about 20 students. Each week, students target specific aspects of the climate system through problem sets, which include experimental and laboratory work, basic statistical analyses of paleoclimate datasets, and the development of simple systems models using STELLA software. Every 2-4 weeks, we challenge students to write short (1500 word) data-driven scientific arguments, which require a synthesis of information from their problem sets and from the scientific literature. Students have to develop a clear, testable hypothesis related to each writing prompt, and then make their case using figures they have generated during the weekly problem sets. We evaluate student writing using a rubric that focuses on the structure and clarity of the argument, relevance of the data included, and integration and quality of the graphics, with a lesser emphasis placed on voice and style. In 2013, student scores improved from a median value of 86 × 9% to 94 × 8% over the course of the semester. More importantly, we found that incorporation of scientific argumentation served to increase student understanding of important and sometimes abstract scientific concepts. For example, on pre- and post-course assessments we asked the question, 'What would happen if a significant portion of the sea ice floating in the Arctic Ocean were to melt?' On the pre-assessment, 80% of students said that it would lead to more coastal flooding, while only 20% correctly stated that a decrease in the reflection of solar energy would lead to

  1. Improving Rangeland Monitoring and Assessment: Integrating Remote Sensing, GIS, and Unmanned Aerial Vehicle Systems

    Energy Technology Data Exchange (ETDEWEB)

    Robert Paul Breckenridge

    2007-05-01

    Creeping environmental changes are impacting some of the largest remaining intact parcels of sagebrush steppe ecosystems in the western United States, creating major problems for land managers. The Idaho National Laboratory (INL), located in southeastern Idaho, is part of the sagebrush steppe ecosystem, one of the largest ecosystems on the continent. Scientists at the INL and the University of Idaho have integrated existing field and remotely sensed data with geographic information systems technology to analyze how recent fires on the INL have influenced the current distribution of terrestrial vegetation. Three vegetation mapping and classification systems were used to evaluate the changes in vegetation caused by fires between 1994 and 2003. Approximately 24% of the sagebrush steppe community on the INL was altered by fire, mostly over a 5-year period. There were notable differences between methods, especially for juniper woodland and grasslands. The Anderson system (Anderson et al. 1996) was superior for representing the landscape because it includes playa/bare ground/disturbed area and sagebrush steppe on lava as vegetation categories. This study found that assessing existing data sets is useful for quantifying fire impacts and should be helpful in future fire and land use planning. The evaluation identified that data from remote sensing technologies is not currently of sufficient quality to assess the percentage of cover. To fill this need, an approach was designed using both helicopter and fixed wing unmanned aerial vehicles (UAVs) and image processing software to evaluate six cover types on field plots located on the INL. The helicopter UAV provided the best system compared against field sampling, but is more dangerous and has spatial coverage limitations. It was reasonably accurate for dead shrubs and was very good in assessing percentage of bare ground, litter and grasses; accuracy for litter and shrubs is questionable. The fixed wing system proved to be

  2. Integration of social perception in flash flood risk management for resilience improvement

    Science.gov (United States)

    Diez-Herrero, Andres; Amerigo, Maria; Bodoque, Jose Maria; Garcia, Juan Antonio; Olcina-Cantos, Jorge

    2015-04-01

    Spain is, behind Switzerland, the second most mountainous country in Europe, which determines that after the occurrence of heavy or intense rainfall events, a fast hydrological response takes place due to steep slopes and strong hydrological connectivity. As a result, flash floods are, among natural hazards, the main social risk in Spain. In fact, they have provoked some of the greatest natural disasters in recent history of the country (e.g. Yebra and Almoguera in 1995, Biescas in 1996 or Badajoz in 1997, which totalized more than 200 deceased in the last decades). This work is focused on the village of Navaluenga (Central Spain), in which we have been studying flash floods, under the consideration of different perspectives and using different approaches, for the past 20 years; and in which the regional government has recently approved the Civil Protection Plan.In this research, we examine social perception of flash floodsthrough surveys and interviews; one turn previous to the communication plan and other one after this dissemination activities to population. To this end, the individual and groupal differences were explored, by taking into account socio-demographic variables. In addition, we have considered psychological and material dimensions of vulnerability associated to flood risk, as well as to the emotional dimension through the consideration of psyco-environmental variables.Thus, this research aims to identify what aspects of the social perception differs from scientific/technical knowledge acquired which, in turn, may decrease the efficiency of a risk mitigation plan or even determine its failure. To minimize this lack of harmony, and at the same time to increase awareness of population, we propose a risk communication plan to improve preparedness of the community. To this end, we propose an approach in which messages reach the population quickly and in an understandable way. In this regard, risk communication is based on the integration of suitable

  3. An AgMIP framework for improved agricultural representation in integrated assessment models

    Science.gov (United States)

    Ruane, Alex C.; Rosenzweig, Cynthia; Asseng, Senthold; Boote, Kenneth J.; Elliott, Joshua; Ewert, Frank; Jones, James W.; Martre, Pierre; McDermid, Sonali P.; Müller, Christoph; Snyder, Abigail; Thorburn, Peter J.

    2017-12-01

    Integrated assessment models (IAMs) hold great potential to assess how future agricultural systems will be shaped by socioeconomic development, technological innovation, and changing climate conditions. By coupling with climate and crop model emulators, IAMs have the potential to resolve important agricultural feedback loops and identify unintended consequences of socioeconomic development for agricultural systems. Here we propose a framework to develop robust representation of agricultural system responses within IAMs, linking downstream applications with model development and the coordinated evaluation of key climate responses from local to global scales. We survey the strengths and weaknesses of protocol-based assessments linked to the Agricultural Model Intercomparison and Improvement Project (AgMIP), each utilizing multiple sites and models to evaluate crop response to core climate changes including shifts in carbon dioxide concentration, temperature, and water availability, with some studies further exploring how climate responses are affected by nitrogen levels and adaptation in farm systems. Site-based studies with carefully calibrated models encompass the largest number of activities; however they are limited in their ability to capture the full range of global agricultural system diversity. Representative site networks provide more targeted response information than broadly-sampled networks, with limitations stemming from difficulties in covering the diversity of farming systems. Global gridded crop models provide comprehensive coverage, although with large challenges for calibration and quality control of inputs. Diversity in climate responses underscores that crop model emulators must distinguish between regions and farming system while recognizing model uncertainty. Finally, to bridge the gap between bottom-up and top-down approaches we recommend the deployment of a hybrid climate response system employing a representative network of sites to bias

  4. Catalogue of Interactive Learning Objectives to improve an Integrated Medical and Dental Curriculum.

    Science.gov (United States)

    Mahmoodi, Benjamin; Sagheb, K; Sagheb, Ka; Schulz, P; Willershausen, B; Al-Nawas, B; Walter, C

    2016-12-01

    Online learning media are increasingly being incorporated into medical and dental education. However, the coordination between obligatory and facultative teaching domains still remains unsatisfying. The Catalogue of Interactive Learning Objectives of the University Clinic of Mainz (ILKUM), aims to offer knowledge transfer for students while being mindful of their individual qualifications. Its hierarchical structure is designed according to the Association for Dental Education in Europe (ADEE) levels of competence. The ILKUM was designed to establish a stronger interconnection between already existing and prospective learning strategies. All contents are linked to the current lectures as well as to e-learning modules, e.g., clinical case studies and OR videos. Students can conduct self-examinations regarding specific learning objectives. Since 2007, ILKUM has been developed and analyzed regarding its acceptance among dental students. These improved e-learning techniques foster time and location-independent access to study materials and allow an estimation of the knowledge achieved by students. Surveys of our students clearly show a large demand for upgrading ILKUM content (89%; n = 172) with integrated self-testing (89%; n = 174). In parallel to the advancement of our e-learning offering, a portion of internet-based learning is constantly rising among students. The broad acceptance and demand for the development of ILKUM show its potential. Moreover, ILKUM grants fast, topic-oriented querying of learning content without time and locale limitations as well as direct determination of the individually needed knowledge conditions. The long-term goal of the ILKUM project is to be a sustainable, important additional modality of teaching and training for dental and medical students.

  5. An Improved Global Wind Resource Estimate for Integrated Assessment Models: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Eurek, Kelly [National Renewable Energy Lab. (NREL), Golden, CO (United States); Sullivan, Patrick [National Renewable Energy Lab. (NREL), Golden, CO (United States); Gleason, Michael [National Renewable Energy Lab. (NREL), Golden, CO (United States); Hettinger, Dylan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Heimiller, Donna [National Renewable Energy Lab. (NREL), Golden, CO (United States); Lopez, Anthony [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2017-02-01

    This paper summarizes initial steps to improving the robustness and accuracy of global renewable resource and techno-economic assessments for use in integrated assessment models. We outline a method to construct country-level wind resource supply curves, delineated by resource quality and other parameters. Using mesoscale reanalysis data, we generate estimates for wind quality, both terrestrial and offshore, across the globe. Because not all land or water area is suitable for development, appropriate database layers provide exclusions to reduce the total resource to its technical potential. We expand upon estimates from related studies by: using a globally consistent data source of uniquely detailed wind speed characterizations; assuming a non-constant coefficient of performance for adjusting power curves for altitude; categorizing the distance from resource sites to the electric power grid; and characterizing offshore exclusions on the basis of sea ice concentrations. The product, then, is technical potential by country, classified by resource quality as determined by net capacity factor. Additional classifications dimensions are available, including distance to transmission networks for terrestrial wind and distance to shore and water depth for offshore. We estimate the total global wind generation potential of 560 PWh for terrestrial wind with 90% of resource classified as low-to-mid quality, and 315 PWh for offshore wind with 67% classified as mid-to-high quality. These estimates are based on 3.5 MW composite wind turbines with 90 m hub heights, 0.95 availability, 90% array efficiency, and 5 MW/km2 deployment density in non-excluded areas. We compare the underlying technical assumption and results with other global assessments.

  6. Integrating lateral contributions along river reaches to improve SWOT discharge estimates

    Science.gov (United States)

    Beighley, E.; Zhao, Y.; Feng, D.; Fisher, C. K.; Raoufi, R.; Durand, M. T.; David, C. H.; Lee, H.; Boone, A. A.; Cretaux, J. F.

    2016-12-01

    Understanding the potential impacts of climate and land cover change at continental to global scales with a sufficient resolution for community scale planning and management requires an improved representation of the hydrologic cycle that is possible based on existing measurement networks and current Earth system models. The Surface Water and Ocean Topography (SWOT) mission, scheduled to launch in 2021, has the potential to address this challenge by providing measurements of water surface elevation, slope and extent for rivers wider than roughly 50-100 meters at a temporal sampling frequency ranging from days to weeks. The global uniformity and space/time resolution of the proposed SWOT measurements will enable hydrologic discovery, model advancements and new applications addressing the above challenges that are not currently possible or likely even conceivable. One derived data product planned for the SWOT mission is river discharge. Although there are several discharge algorithms that perform well for a range of conditions, this effort is focused on the MetroMan discharge algorithm. For example, in MetroMan, lateral inflow assumptions have been shown to impact performance. Here, the role of lateral inflows on discharge estimate performance is investigated. Preliminary results are presented for the Ohio River Basin. Lateral inflows are quantified for SWOT-observable river reaches using surface and subsurface runoff from North American Land Data Assimilation System (NLDAS) and lateral routing in the Hillslope River Routing (HRR) model. Frequency distributions for the fraction of reach-averaged discharge resulting from lateral inflow are presented. Future efforts will integrate lateral inflow characteristics into the MetroMan discharge algorithm and quantify the potential value of SWOT measurement in flood insurance applications.

  7. Improving lactic acid productivity from wheat straw hydrolysates by membrane integrated repeated batch fermentation under non-sterilized conditions

    DEFF Research Database (Denmark)

    Zhang, Yuming; Chen, Xiangrong; Qi, Benkun

    2014-01-01

    to eliminate the sequential utilization of mixed sugar and feedback inhibition during batch fermentation, membrane integrated repeated batch fermentation (MIRB) was used to improve LA productivity. With MIRB, a high cell density was obtained and the simultaneous fermentation of glucose, xylose and arabinose...

  8. Improving the integration of recreation management with management of other natural resources by applying concepts of scale from ecology

    Science.gov (United States)

    Wayde c. Morse; Troy E. Hall; Linda E. Kruger

    2008-01-01

    In this article, we examine how issues of scale affect the integration of recreation management with the management of other natural resources on public lands. We present two theories used to address scale issues in ecology and explore how they can improve the two most widely applied recreation-planning frameworks. The theory of patch dynamics and hierarchy theory are...

  9. Integrating Mindfulness Practices into the Elementary Curriculum to Improve Attention-to-Task Behaviors and Social Relations

    Science.gov (United States)

    Kanagy-Borofka, Lori

    2013-01-01

    This study examined effects of integrating mindfulness practices into the 5th grade curriculum to improve attention-to-task, including inattention and executive functioning, hyperactivity/impulsivity, and social relations. As academic requirements become more rigorous, students have been expected to demonstrate increased skills in…

  10. Fellowship Program in Health System Improvement: A novel approach integrating leadership development and patient-centred health system transformation.

    Science.gov (United States)

    Philippon, Donald J; Montesanti, Stephanie; Stafinski, Tania

    2018-03-01

    This article highlights a novel approach to professional development, integrating leadership, development and patient-centred health system transformation in the new Fellowship Program in Health System Improvement offered by the School of Public Health at the University of Alberta. Early assessment of the program is also provided.

  11. Self-reported Improvement in Side Effects and Quality of Life With Integrative Medicine in Breast Cancer Patients.

    Science.gov (United States)

    Hack, Carolin C; Hackl, Janina; Hüttner, Nina B M; Langemann, Hanna; Schwitulla, Judith; Dietzel-Drentwett, Svenja; Fasching, Peter A; Beckmann, Matthias W; Theuser, Anna-Katharin

    2018-05-01

    Although the demand from patients for integrative medicine is increasing, complementary medicine services are still quite heterogeneous and have not been incorporated into clinical routine. The aim of this study was to systematically evaluate improvements in side effects and quality of life associated with a hospital-based integrative medicine program in the modern breast cancer patient care setting. In a cross-sectional study, integrative health counseling and treatment were evaluated in women with breast cancer. Over a 15-month period, data for 75 patients from an integrative medicine consultancy service with standardized operating procedures were collected at the University Breast Center for Franconia. At baseline, the patients answered a questionnaire on their medical history, symptoms, and the treatment goals they were hoping to achieve with integrative medicine. In the follow-up, patient-reported outcomes related to side effects of conventional cancer treatment and patients' quality of life were analyzed. Among 60 patients with the therapy goal of reducing the side effects of conventional treatment, 46 (76.7%) were successful. Among 57 patients hoping to improve disease-related quality of life, 46 (82%) reported success. Whereas patients with metastatic disease achieved a reduction in the side effects of conventional therapy, quality-of-life improvements were predominantly achieved by patients with a good treatment prognosis. Breast cancer patients benefit from the counseling and treatment provided with integrative medicine in all phases of tumor disease. Integrative treatment services should be included as part of patient care in clinical routine work to offer patients the maximum quality of care and safety with complementary therapies.

  12. A Cooperative Learning Group Procedure for Improving CTE and Science Integration

    Science.gov (United States)

    Spindler, Matt

    2016-01-01

    The purpose of this case study was to create information about the employment of Cooperative Learning Groups (CLG) to enhance the science integrating learning objectives utilized in secondary CTE courses. The objectives of the study were to determine if CLGs were an effective means for increasing the number of: a) science integrating learning…

  13. Integration of TB and ART services fails to improve TB treatment ...

    African Journals Online (AJOL)

    The median CD4+ count of HIV-positive patients was 152 cells/μl (interquartile range (IQR) 71 - 277) for integrated facilities and 148 cells/μl (IQR 67 - 260) for single-service facilities. There was no statistical difference in the TB treatment outcome profile between integrated and single-service facilities for all TB patients (p=0.

  14. [Report: an analysis of publications by members of the Spanish Geriatrics and Gerontology Society from 2006 to 2011].

    Science.gov (United States)

    Salvà, Antoni; Domingo, Àlex; Roqué i Figuls, Marta; Serra-Rexach, José Antonio

    2013-01-01

    Data is presented from the survey conducted by the Sociedad Española de Geriatría y Gerontología (SEGG) (Spanish Society of Geriatrics and Gerontology) among its members in order to assess their scientific production between 2006 and 2011, specifically articles in journals that are indexed in the Science Citation Index. The scientific quality of the publications was quantified using the number of times every article was cited and the journal's impact factor. A total of 162 out of the 2450 members responded (6.6%), reporting a total of 903 individual articles, 335 (37%) of them in geriatrics-specific journals, and 568 (63%) in other journals of other specialties. The number of publications increased yearly from 128 in 2006 to 201 in 2010. The scientific quality could be calculated for 530 articles. On average, publications have been cited 8.2 times (median: 2), with the range of citations being from 0 to 242. The average impact factor was 3.1 (median 2.4), ranging from 0 to 53.5. A number of articles have been published in some of the largest impact factor journals, in those of general-interest, as well as geriatrics-specific and basic science journals. Copyright © 2012 SEGG. Published by Elsevier Espana. All rights reserved.

  15. The paradoxes of gerotranscendence: The theory of gerotranscendence in a cultural gerontological and post-modernist perspective

    Directory of Open Access Journals (Sweden)

    Kirsten Thorsen

    2009-10-01

    Full Text Available  ABSTRACTThis article presents a theoretical analysis and discussion of the theory of gerotranscendence, formulatedby Lars Tornstam (University of Uppsala, Sweden. The theory is presented as a meta-theory ofageing, as a theory of universal and general ageing processes. Ageing is seen as an urge (a drivetowards a less engaged posititon in the wordly life, moving towards a higher degree of transcendence,with a more cosmic outlook and another definition of reality. In this article the theory is discussed fromanother theoretical position; Ageing seen in a cultural gerontological perspective, as a varied culturallyand historically situated phenomenon – differing in different times and different cultures. The theoreticalperspective underlines that ageing is complex dialectical processes, an intertwined interplay betweenindividual development and cultural change. The varied individual ageing processes are not seenas the result of «drives». In Western post-modern cultures the ageing processes are becoming manifold,often contradictory. Elderly present versions of the selves that are becoming complex, multiplied (multipleselves, acting at different scenes, stamped by varied cultural values, presenting mixed versions ofactivity and passivity, engagement and retractment, wordliness and transcendence.Key words:  Ageing theories; gerotranscendence; cultural gerontology; postmodernism

  16. 'Integration'

    DEFF Research Database (Denmark)

    Olwig, Karen Fog

    2011-01-01

    , while the countries have adopted disparate policies and ideologies, differences in the actual treatment and attitudes towards immigrants and refugees in everyday life are less clear, due to parallel integration programmes based on strong similarities in the welfare systems and in cultural notions...... of equality in the three societies. Finally, it shows that family relations play a central role in immigrants’ and refugees’ establishment of a new life in the receiving societies, even though the welfare society takes on many of the social and economic functions of the family....

  17. Alternative Procedure of Heat Integration Tehnique Election between Two Unit Processes to Improve Energy Saving

    Science.gov (United States)

    Santi, S. S.; Renanto; Altway, A.

    2018-01-01

    The energy use system in a production process, in this case heat exchangers networks (HENs), is one element that plays a role in the smoothness and sustainability of the industry itself. Optimizing Heat Exchanger Networks (HENs) from process streams can have a major effect on the economic value of an industry as a whole. So the solving of design problems with heat integration becomes an important requirement. In a plant, heat integration can be carried out internally or in combination between process units. However, steps in the determination of suitable heat integration techniques require long calculations and require a long time. In this paper, we propose an alternative step in determining heat integration technique by investigating 6 hypothetical units using Pinch Analysis approach with objective function energy target and total annual cost target. The six hypothetical units consist of units A, B, C, D, E, and F, where each unit has the location of different process streams to the temperature pinch. The result is a potential heat integration (ΔH’) formula that can trim conventional steps from 7 steps to just 3 steps. While the determination of the preferred heat integration technique is to calculate the potential of heat integration (ΔH’) between the hypothetical process units. Completion of calculation using matlab language programming.

  18. Radiation safety infrastructure in developing countries: a proactive approach for integrated and continuous improvement

    International Nuclear Information System (INIS)

    Mrabit, Khammar

    2008-01-01

    The International Atomic Energy Agency (the Agency) is authorized, by its statute, to establish or adopt safety standards for the protection of health and minimization of danger to life and property, and to provide for their application to its own operations as well as to operations under its control or supervision. The Agency has been assisting, since the mid 1960 's, its Member States through mainly its Technical Cooperation Programme (TCP) to improve their national radiation safety infrastructures. However up to the early nineties, assistance was specific and mostly ad hoc and did not systematically utilize an integrated and harmonized approach to achieving effective and sustainable national radiation safety infrastructures in Member States. An unprecedented and integrated international cooperative effort was launched by the Agency in 1994 to establish and/or upgrade the national radiation safety infrastructure in more than 90 countries within the framework of its TCP through the so-called Model project on upgrading radiation protection infrastructure. In this project proactive co-operation with Member States was used in striving towards achieving an effective and sustainable radiation safety infrastructure, compatible with the International basic safety standards for protection against ionizing radiation and for the safety of radiation sources (the BSS) and related standards. Extension to include compatibility with the guidance of the Code of Conduct on the Safety and Security of Radioactive Sources occurred towards the end of the Model Project in December 2004, and with the more recent ensuing follow up projects that started in 2005. The Model Project started with 5 countries in 1994 and finished with 91 countries in 2004. Up to the end of 2007 more than one hundred Member States had been participating in follow up projects covering six themes - namely: legislative and regulatory infrastructure; occupational radiation protection; radiation protection in

  19. Integration and Improvement of Geophysical Root Biomass Measurements for Determining Carbon Credits

    Science.gov (United States)

    Boitet, J. I.

    2013-12-01

    Carbon trading schemes fundamentally rely on accurate subsurface carbon quantification in order for governing bodies to grant carbon credits inclusive of root biomass (What is Carbon Credit. 2013). Root biomass makes up a large chunk of the subsurface carbon and is difficult, labor intensive, and costly to measure. This paper stitches together the latest geophysical root measurement techniques into site-dependent recommendations for technique combinations and modifications that maximize large-scale root biomass measurement accuracy and efficiency. "Accuracy" is maximized when actual root biomass is closest to measured root biomass. "Efficiency" is maximized when time, labor, and cost of measurement is minimized. Several combinations have emerged which satisfy both criteria under different site conditions. Use of ground penetrating radar (GPR) and/or electrical resistivity tomography (ERT) allow for large tracts of land to be surveyed under appropriate conditions. Among other characteristics, GPR does best with detecting coarse roots in dry soil. ERT does best in detecting roots in moist soils, but is especially limited by electrode configuration (Mancuso, S. 2012). Integration of these two technologies into a baseline protocol based on site-specific characteristics, especially soil moisture and plants species heterogeneity, will drastically theoretically increase efficiency and accuracy of root biomass measurements. Modifications of current measurement protocols using these existing techniques will also theoretically lead to drastic improvements in both accuracy and efficiency. These modifications, such as efficient 3D imaging by adding an identical electrode array perpendicular to the first array used in the Pulled Array Continuous Electrical Profiling (PACEP) technique for ERT, should allow for more widespread application of these techniques for understanding root biomass. Where whole-site measurement is not feasible either due to financial, equipment, or

  20. Improving cross-sector policy integration and co-operation in support of freshwater conservation

    CSIR Research Space (South Africa)

    Roux, DJ

    2008-01-01

    Full Text Available agricultural resources), and integrated development planning (MacKay & Ashton 2004). Of special importance is the coordination between land-related and water-related sectors because freshwater ecosystems are affected by activities that happen throughout...

  1. Integrated Reconfigurable Aero and Propulsion Control for Improved Flight Safety of Commercial Aircraft, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — The main objective of this project is to develop and test a novel innovative Integrated Reconfigurable Aero (i) Adaptive control design for the case of aero-only...

  2. Metropolitan ITS integration : a cross-cutting study : working together to improve transportation

    Science.gov (United States)

    2002-08-01

    The purpose of this report is to inform transportation managers and decision-makers of the value of Intelligent Transportation Systems (ITS) integration. The report is intended for operations and planning departments of transportation-related agencie...

  3. Integrating Educational, Environmental, and Behavioral Economic Strategies May Improve the Effectiveness of Obesity Interventions

    OpenAIRE

    Joel Gittelsohn; Katherine Lee

    2013-01-01

    Interventions that change the food environment, provide nutrition education, and employ behavioral economics strategies can potentially contribute to healthier diets and reduce the risk of chronic disease, but no attempt has been made to integrate these into the same conceptual framework. We present case studies of three multilevel, integrated interventions implemented by Johns Hopkins University between 2004–2011. We develop a conceptual model based on these case studies. Interventions and p...

  4. Organizational Context and Capabilities for Integrating Care: A Framework for Improvement

    Directory of Open Access Journals (Sweden)

    Jenna M. Evans

    2016-08-01

    Full Text Available Background: Interventions aimed at integrating care have become widespread in healthcare; however, there is significant variability in their success. Differences in organizational contexts and associated capabilities may be responsible for some of this variability. Purpose: This study develops and validates a conceptual framework of organizational capabilities for integrating care, identifies which of these capabilities may be most important, and explores the mechanisms by which they influence integrated care efforts.  Methods: The Context and Capabilities for Integrating Care (CCIC Framework was developed through a literature review, and revised and validated through interviews with leaders and care providers engaged in integrated care networks in Ontario, Canada. Interviews involved open-ended questions and graphic elicitation. Quantitative content analysis was used to summarize the data.  Results: The CCIC Framework consists of eighteen organizational factors in three categories: Basic Structures, People and Values, and Key Processes. The three most important capabilities shaping the capacity of organizations to implement integrated care interventions include Leadership Approach, Clinician Engagement and Leadership, and Readiness for Change. The majority of hypothesized relationships among organizational capabilities involved Readiness for Change and Partnering, emphasizing the complexity, interrelatedness and importance of these two factors to integrated care efforts.  Conclusions: Organizational leaders can use the framework to determine readiness to integrate care, develop targeted change management strategies, and select appropriate partners with overlapping or complementary profiles on key capabilities. Researchers may use the results to test and refine the proposed framework, with a focus on the hypothesized relationships among organizational capabilities and between organizational capabilities and performance outcomes.

  5. Organizational Context and Capabilities for Integrating Care: A Framework for Improvement

    Science.gov (United States)

    Grudniewicz, Agnes; Baker, G. Ross; Wodchis, Walter P.

    2016-01-01

    Background: Interventions aimed at integrating care have become widespread in healthcare; however, there is significant variability in their success. Differences in organizational contexts and associated capabilities may be responsible for some of this variability. Purpose: This study develops and validates a conceptual framework of organizational capabilities for integrating care, identifies which of these capabilities may be most important, and explores the mechanisms by which they influence integrated care efforts. Methods: The Context and Capabilities for Integrating Care (CCIC) Framework was developed through a literature review, and revised and validated through interviews with leaders and care providers engaged in integrated care networks in Ontario, Canada. Interviews involved open-ended questions and graphic elicitation. Quantitative content analysis was used to summarize the data. Results: The CCIC Framework consists of eighteen organizational factors in three categories: Basic Structures, People and Values, and Key Processes. The three most important capabilities shaping the capacity of organizations to implement integrated care interventions include Leadership Approach, Clinician Engagement and Leadership, and Readiness for Change. The majority of hypothesized relationships among organizational capabilities involved Readiness for Change and Partnering, emphasizing the complexity, interrelatedness and importance of these two factors to integrated care efforts. Conclusions: Organizational leaders can use the framework to determine readiness to integrate care, develop targeted change management strategies, and select appropriate partners with overlapping or complementary profiles on key capabilities. Researchers may use the results to test and refine the proposed framework, with a focus on the hypothesized relationships among organizational capabilities and between organizational capabilities and performance outcomes. PMID:28413366

  6. Integrated Metrics for Improving the Life Cycle Approach to Assessing Product System Sustainability

    Directory of Open Access Journals (Sweden)

    Wesley Ingwersen

    2014-03-01

    Full Text Available Life cycle approaches are critical for identifying and reducing environmental burdens of products. While these methods can indicate potential environmental impacts of a product, current Life Cycle Assessment (LCA methods fail to integrate the multiple impacts of a system into unified measures of social, economic or environmental performance related to sustainability. Integrated metrics that combine multiple aspects of system performance based on a common scientific or economic principle have proven to be valuable for sustainability evaluation. In this work, we propose methods of adapting four integrated metrics for use with LCAs of product systems: ecological footprint, emergy, green net value added, and Fisher information. These metrics provide information on the full product system in land, energy, monetary equivalents, and as a unitless information index; each bundled with one or more indicators for reporting. When used together and for relative comparison, integrated metrics provide a broader coverage of sustainability aspects from multiple theoretical perspectives that is more likely to illuminate potential issues than individual impact indicators. These integrated metrics are recommended for use in combination with traditional indicators used in LCA. Future work will test and demonstrate the value of using these integrated metrics and combinations to assess product system sustainability.

  7. Improving the quality of pork and pork products for the consumer : development of innovative, integrated, and sustainable food production chains of high quality pork products matching consumer demands

    NARCIS (Netherlands)

    Heimann, B.; Christensen, M.; Rosendal Rasmussen, S.; Bonneau, M.; Grunert, K.G.; Arnau, J.; Trienekens, J.H.; Oksbjerg, N.; Greef, de K.H.; Petersen, B.

    2012-01-01

    Improving the quality of pork and pork products for the consumer: development of innovative, integrated, and sustainable food production chains of high quality pork products matching consumer demands.

  8. Integration of research and practice to improve public health and healthcare delivery through a collaborative 'Health Integration Team' model - a qualitative investigation.

    Science.gov (United States)

    Redwood, Sabi; Brangan, Emer; Leach, Verity; Horwood, Jeremy; Donovan, Jenny L

    2016-06-22

    Economic considerations and the requirement to ensure the quality, safety and integration of research with health and social care provision have given rise to local developments of collaborative organisational forms and strategies to span the translational gaps. One such model - the Health Integration Team (HIT) model in Bristol in the United Kingdom (UK) - brings together National Health Service (NHS) organisations, universities, local authorities, patients and the public to facilitate the systematic application of evidence to promote integration across healthcare pathways. This study aimed to (1) provide empirical evidence documenting the evolution of the model; (2) to identify the social and organisational processes and theory of change underlying healthcare knowledge and practice; and (3) elucidate the key aspects of the HIT model for future development and translation to other localities. Contemporaneous documents were analysed, using procedures associated with Framework Analysis to produce summarised data for descriptive accounts. In-depth interviews were undertaken with key informants and analysed thematically. Comparative methods were applied to further analyse the two data sets. One hundred forty documents were analysed and 10 interviews conducted with individuals in leadership positions in the universities, NHS commissioning and provider organisations involved in the design and implementation of the HIT model. Data coalesced around four overarching themes: 'Whole system' engagement, requiring the active recruitment of all those who have a stake in the area of practice being considered, and 'collaboration' to enable coproduction were identified as 'process' themes. System-level integration and innovation were identified as potential 'outcomes' with far-reaching impacts on population health and service delivery. The HIT model emerged as a particular response to the perceived need for integration of research and practice to improve public health and

  9. Improving Demographic Components of Integrated Assessment Models: The Effect of Changes in Population Composition by Household Characteristics

    Energy Technology Data Exchange (ETDEWEB)

    Brian C. O' Neill

    2006-08-09

    This report describes results of the research project on "Improving Demographic Components of Integrated Assessment Models: The Effect of Changes in Population Composition by Household Characteristics". The overall objective of this project was to improve projections of energy demand and associated greenhouse gas emissions by taking into account demographic factors currently not incorporated in Integrated Assessment Models (IAMs) of global climate change. We proposed to examine the potential magnitude of effects on energy demand of changes in the composition of populations by household characteristics for three countries: the U.S., China, and Indonesia. For each country, we planned to analyze household energy use survey data to estimate relationships between household characteristics and energy use; develop a new set of detailed household projections for each country; and combine these analyses to produce new projections of energy demand illustrating the potential importance of consideration of households.

  10. Corticospinal tract integrity and lesion volume play different roles in chronic hemiparesis and its improvement through motor practice.

    Science.gov (United States)

    Sterr, Annette; Dean, Phil J A; Szameitat, Andre J; Conforto, Adriana Bastos; Shen, Shan

    2014-05-01

    Initial evidence suggests that the integrity of the ipsilesional corticospinal tract (CST) after stroke is strongly related to motor function in the chronic state but not the treatment gain induced by motor rehabilitation. We examined the association of motor status and treatment benefit by testing patients with a wide range of severity of hemiparesis of the left and right upper extremity. Diffusion tensor imaging was performed in 22 patients beyond 12 months after onset of stroke with severe to moderate hemiparesis. Motor function was tested before and after 2 weeks of modified constraint-induced movement therapy. CST integrity, but not lesion volume, correlated with the motor ability measures of the Wolf Motor Function Test and the Motor Activity Log. No differences were found between left and right hemiparesis. Motor performance improved significantly with the treatment regime, and did so equally for patients with left and right arm paresis. However, treatment benefit was not associated with either CST integrity or lesion volume. CST integrity correlated best in this small trial with chronic long-term status but not treatment-induced improvements. The CST may play a different role in the mechanisms mediating long-term outcome compared to those underlying practice-induced gains after a chronic plateau in motor function.

  11. Direct integration of intensity-level data from Affymetrix and Illumina microarrays improves statistical power for robust reanalysis

    Directory of Open Access Journals (Sweden)

    Turnbull Arran K

    2012-08-01

    Full Text Available Abstract Background Affymetrix GeneChips and Illumina BeadArrays are the most widely used commercial single channel gene expression microarrays. Public data repositories are an extremely valuable resource, providing array-derived gene expression measurements from many thousands of experiments. Unfortunately many of these studies are underpowered and it is desirable to improve power by combining data from more than one study; we sought to determine whether platform-specific bias precludes direct integration of probe intensity signals for combined reanalysis. Results Using Affymetrix and Illumina data from the microarray quality control project, from our own clinical samples, and from additional publicly available datasets we evaluated several approaches to directly integrate intensity level expression data from the two platforms. After mapping probe sequences to Ensembl genes we demonstrate that, ComBat and cross platform normalisation (XPN, significantly outperform mean-centering and distance-weighted discrimination (DWD in terms of minimising inter-platform variance. In particular we observed that DWD, a popular method used in a number of previous studies, removed systematic bias at the expense of genuine biological variability, potentially reducing legitimate biological differences from integrated datasets. Conclusion Normalised and batch-corrected intensity-level data from Affymetrix and Illumina microarrays can be directly combined to generate biologically meaningful results with improved statistical power for robust, integrated reanalysis.

  12. Educational system factors that engage resident physicians in an integrated quality improvement curriculum at a VA hospital: a realist evaluation.

    Science.gov (United States)

    Ogrinc, Greg; Ercolano, Ellyn; Cohen, Emily S; Harwood, Beth; Baum, Karyn; van Aalst, Robertus; Jones, Anne C; Davies, Louise

    2014-10-01

    Learning about quality improvement (QI) in resident physician training is often relegated to elective or noncore clinical activities. The authors integrated teaching, learning, and doing QI into the routine clinical work of inpatient internal medicine teams at a Veterans Affairs (VA) hospital. This study describes the design factors that facilitated and inhibited the integration of a QI curriculum-including real QI work-into the routine work of inpatient internal medicine teams. A realist evaluation framework used three data sources: field notes from QI faculty; semistructured interviews with resident physicians; and a group interview with QI faculty and staff. From April 2011 to July 2012, resident physician teams at the White River Junction VA Medical Center used the Model for Improvement for their QI work and analyzed data using statistical process control charts. Three domains affected the delivery of the QI curriculum and engagement of residents in QI work: setting, learner, and teacher. The constant presence of the QI material on a public space in the team workroom was a facilitating mechanism in the setting. Explicit sign-out of QI work to the next resident team formalized the handoff in the learner domain. QI teachers who were respected clinical leaders with QI expertise provided role modeling and local system knowledge. Integrating QI teaching into the routine clinical and educational systems of an inpatient service is challenging. Identifiable, concrete strategies in the setting, learner, and teacher domains helped integrate QI into the clinical and educational systems.

  13. Integrated traction control strategy for distributed drive electric vehicles with improvement of economy and longitudinal driving stability

    OpenAIRE

    Zhang, Xudong; Göhlich, Dietmar

    2017-01-01

    This paper presents an integrated traction control strategy (ITCS) for distributed drive electric vehicles. The purpose of the proposed strategy is to improve vehicle economy and longitudinal driving stability. On high adhesion roads, economy optimization algorithm is applied to maximize motors efficiency by means of the optimized torque distribution. On low adhesion roads, a sliding mode control (SMC) algorithm is implemented to guarantee the wheel slip ratio around the optimal slip ratio po...

  14. Smart Microgrid Energy Management Controls for Improved Energy Efficiency and Renewables Integration at DoD Installations

    Science.gov (United States)

    2013-05-01

    reduced greenhouse gas (GHG) emissions; 2. Increased energy efficiency; and 3. Increased energy surety. This demonstration will also directly impact ...megawatt (MW), as well as a gas-fired cogeneration plant in excess of 7 MW. In the future, additional solar PV, fuel cells and advanced energy storage... Energy Management Controls for Improved Energy Efficiency and Renewables Integration at DoD Installations May 2013 Report Documentation Page Form

  15. Integrated system of Supervision of Centrals (SISC): results, anticipated self-evaluation and improvements, cross-sectional subjects

    International Nuclear Information System (INIS)

    Zarzuela, J.

    2008-01-01

    The integrated System for Plan Oversight was already implemented in 2007 in full scope i.e., including public information of its results. At the moment, the first self-assessment if the system is being implemented and, consequently, it is expected to trigger changes for improvement. Specifically, the management of cross cutting issues will be reviewed in depth, so that the causes of inspection findings will be analysed deeper and closer attention devoted to their correction. (Author)

  16. A NEW FAMILY OF MULTISTEP METHODS WITH IMPROVED PHASE-LAG CHARACTERISTICS FOR THE INTEGRATION OF ORBITAL PROBLEMS

    International Nuclear Information System (INIS)

    Vlachos, D. S.; Anastassi, Z. A.; Simos, T. E.

    2009-01-01

    In this paper, we introduce a new family of 10-step linear multistep methods for the integration of orbital problems. The new methods are constructed by adopting a new methodology which improves the phase-lag characteristics by vanishing both the phase-lag function and its first derivatives at a specific frequency. The efficiency of the new family of methods is proved via error analysis and numerical applications.

  17. Integrating enzyme immobilization and protein engineering: An alternative path for the development of novel and improved industrial biocatalysts.

    Science.gov (United States)

    Bernal, Claudia; Rodríguez, Karen; Martínez, Ronny

    2018-06-09

    Enzyme immobilization often achieves reusable biocatalysts with improved operational stability and solvent resistance. However, these modifications are generally associated with a decrease in activity or detrimental modifications in catalytic properties. On the other hand, protein engineering aims to generate enzymes with increased performance at specific conditions by means of genetic manipulation, directed evolution and rational design. However, the achieved biocatalysts are generally generated as soluble enzymes, -thus not reusable- and their performance under real operational conditions is uncertain. Combined protein engineering and enzyme immobilization approaches have been employed as parallel or consecutive strategies for improving an enzyme of interest. Recent reports show efforts on simultaneously improving both enzymatic and immobilization components through genetic modification of enzymes and optimizing binding chemistry for site-specific and oriented immobilization. Nonetheless, enzyme engineering and immobilization are usually performed as separate workflows to achieve improved biocatalysts. In this review, we summarize and discuss recent research aiming to integrate enzyme immobilization and protein engineering and propose strategies to further converge protein engineering and enzyme immobilization efforts into a novel "immobilized biocatalyst engineering" research field. We believe that through the integration of both enzyme engineering and enzyme immobilization strategies, novel biocatalysts can be obtained, not only as the sum of independently improved intrinsic and operational properties of enzymes, but ultimately tailored specifically for increased performance as immobilized biocatalysts, potentially paving the way for a qualitative jump in the development of efficient, stable biocatalysts with greater real-world potential in challenging bioprocess applications. Copyright © 2018. Published by Elsevier Inc.

  18. Building an integrated methodology of learning that can optimally support improvements in healthcare.

    Science.gov (United States)

    Lynn, Joanne

    2011-04-01

    The methods for healthcare reform are strikingly underdeveloped, with much reliance on political power. A methodology that combined methods from sources such as clinical trials, experience-based wisdom, and improvement science could be among the aims of the upcoming work in the USA on comparative effectiveness and on the agenda of the Center for Medicare and Medicaid Innovation in the Centers for Medicare and Medicaid Services. Those working in quality improvement have an unusual opportunity to generate substantial input into these processes through professional organisations such as the Academy for Healthcare Improvement and dominant leadership organisations such as the Institute for Healthcare Improvement.

  19. INTEGRATED PRACTICE LEARNING MODEL TO IMPROVE WAITER/S’ COMPETENCY ON HOSPITALITY STUDY PROGRAM, POLITEKNIK NEGERI BALI

    Directory of Open Access Journals (Sweden)

    I Made Darma Oka

    2017-12-01

    Full Text Available Hospitality Study Program, Politeknik Negeri Bali (PNB, hadn’t implemented integrated learning practice optimally. The aim of this research was improving the learning process method as an integrated practice learning model involving three courses (Food Production, FB Service, English for Restaurant in the same topic. This study was conducted on the forth semester of Hotel Study Program as the sample used in this research. After the random sampling was selected two classes as research samples, those were IVA class as an experiment group and IVB class as a control. Thus the samples could be determined according to the number of students in each class as many as 26 people. The application of integrated practice learning had an effect on the achievement of student competency in waiter/s occupation at Hotel Studies Program. The result of statistical test showed that there was a significant difference of competency achievement between integrated learning practices with partial practice learning students groups. It’s suggested to the management Hospitality Study Program to encourage and to facilitate the lecturers especially of core subjects to apply integrated learning practices in order to achieve the competency.

  20. Comparison and improvements of different Bayesian procedures to integrate external information into genetic evaluations

    NARCIS (Netherlands)

    Vandenplas, J.; Gengler, N.

    2012-01-01

    The aim of this research was to compare different Bayesian procedures to integrate information from outside a given evaluation system, hereafter called external information, and in this context estimated breeding values (EBV), into this genetic evaluation, hereafter called internal evaluation, and