WorldWideScience

Sample records for intensively managed southern

  1. Diagnosis & Correction of Soil Nutrient Limitations in Intensively managed southern pine forests

    Energy Technology Data Exchange (ETDEWEB)

    University of Florida

    2002-10-25

    Forest productivity is one manner to sequester carbon and it is a renewable energy source. Likewise, efficient use of fertilization can be a significant energy savings. To date, site-specific use of fertilization for the purpose of maximizing forest productivity has not been well developed. Site evaluation of nutrient deficiencies is primarily based on empirical approaches to soil testing and plot fertilizer tests with little consideration for soil water regimes and contributing site factors. This project uses mass flow diffusion theory in a modeling context, combined with process level knowledge of soil chemistry, to evaluate nutrient bioavailability to fast-growing juvenile forest stands growing on coastal plain Spodosols of the southeastern U.S. The model is not soil or site specific and should be useful for a wide range of soil management/nutrient management conditions. In order to use the model, field data of fast-growing southern pine needed to be measured and used in the validation of the model. The field aspect of the study was mainly to provide data that could be used to verify the model. However, we learned much about the growth and development of fast growing loblolly. Carbon allocation patterns, root shoot relationships and leaf area root relationships proved to be new, important information. The Project Objectives were to: (1) Develop a mechanistic nutrient management model based on the COMP8 uptake model. (2) Collect field data that could be used to verify and test the model. (3) Model testing.

  2. Effect of Intensive Forest Management Practices on Wood Properties and Pulp Yield of Young, Fast Growing Southern Pine

    Science.gov (United States)

    Timothy D. Faust; Alexander Clark; Charles E. Courchene; Barry D. Shiver; Monique L. Belli

    1999-01-01

    The demand for southern pine fiber is increasing. However, the land resources to produce wood fiber are decreasing. The wood industry is now using intensive cultural treatments, such as competition control, fertilization, and short rotations, to increase fiber production. The impact of these intensive environmental treatments on increased growth is positive and...

  3. Intensity of plant collecting in southern Africa

    Directory of Open Access Journals (Sweden)

    G. E. Gibbs Russell

    1984-12-01

    Full Text Available The intensity of plant collecting in southern Africa is mapped using records from the Pretoria National Herbarium Computerized Information System (PRECIS, For the entire area, over 85% of the quarter degree grid squares have fewer than 100 specimens recorded. Collecting intensities are compared for different countries, biomes and climatic zones. Future field work from the National Herbarium will be concentrated in areas most seriously under-collected.

  4. Rapid Assessment of Logging-Associated Sediment-Delivery Pathways in an Intensively-Managed Forested Watershed in the Southern Cascades, Northern California

    Science.gov (United States)

    Coe, D. B.; Wopat, M. A.; Lindsay, D.; Stanish, S.; Boone, M.; Beck, B.; Wyman, A.; Bull, J.

    2012-12-01

    The potential for water-quality impacts in intensively-managed forested watersheds depends partly upon the frequency of overland flow paths linking logging-related hillslope sediment sources to the channel network, as well as the volume of sediment delivered along these flow paths. In response to public concerns over perceived water-quality impacts from clearcut timber harvesting, the Battle Creek Task Force, composed of subject-matter experts from 4 different state agencies, performed a rapid assessment for visible evidence of sediment delivery pathways from multiple logging-associated features in the upper Battle Creek watershed - an area underlain predominantly by Holocene- and Late Pleistocene-aged volcanic rock types, with highly permeable soils, and relatively few streams. Logging-associated features were selected for assessment based on erosion potential and proximity to stream channels. Identified sediment-delivery pathways were then characterized by dominant erosion process and the relative magnitude of sediment delivery (i.e., low, moderate, and high) was estimated. Approximately 26 km of stream buffers adjacent to 55 clearcut harvest units were assessed, and the single detected instance of sediment delivery was found to be of low magnitude and the result of illegal encroachment by logging equipment into a 5-m wide stream-adjacent equipment-limitation zone. The proportion of sampled sites delivering sediment was found to be highest for tractor-stream crossings, followed by road-stream crossings, stream-adjacent road segments, stream-adjacent landings, and clearcut harvest units, respectively. All 5 tractor-stream crossings delivered sediment, but were generally delivering a low magnitude of sediment derived from sheetwash and rilling. Road-stream crossings (n=39) and stream-adjacent road segments (n=24) delivered observable sediment 69 and 67 percent of the time, respectively. The highest magnitudes of sediment delivery from roads were associated with

  5. Use intensity of social networks in southern Brazil

    Directory of Open Access Journals (Sweden)

    Rafaele Matte Wojahn

    2017-08-01

    Full Text Available A social network implies in connect people. This article aims to identify the use intensity of social network in Southern Brazil. The research was characterized by quantitative approach, descriptive, cross-sectional and survey, with a sample of 372 respondents. To data analysis was used descriptive analysis to characterize the sample, verify the access frequency of social networks and the daily access time, and Pearson’s Correlation to identify the daily access time and the social networks. The results indicated the social network used in more intensity is the Facebook and then Whatsapp, and the access occurs at home. However, all the social networks promote interactions toward users.

  6. sustainable management of rainforest in southern nigeria

    African Journals Online (AJOL)

    BARTH

    2012-07-23

    Jul 23, 2012 ... predict the stand structures of the most complex tropical rainforest ecosystem in Southern ... matrix R was 0.977, which is the intrinsic rate of natural increase with less than zero. ..... management of renewable resources with.

  7. Intensive photometry of southern Wolf-Rayet stars

    International Nuclear Information System (INIS)

    Balona, L.A.; Egan, J.; Marang, F.

    1989-01-01

    Results are presented of an intensive photometric campaign on 17 of the brightest southern Wolf-Rayet stars. We report the detection of multi-periodicity in two stars: HD 50896 and HD 96548. It is likely that these periodicities are not coherent but are manifestations of the quasi-periodic variations seen in a few WR stars. A good example of these variations is given by HD 86161. A new eclipsing binary, HD 92740 has been discovered; other stars show periodic variations which can be explained by phase-dependent scattering of the secondary light as it traverses the Wolf-Rayet wind. An important conclusion of this study is that not a single example was found of short-period variations which can be attributed to pulsation. (author)

  8. Community management of coastal resources, southern Thailand

    OpenAIRE

    Chansnoh, P.

    1993-01-01

    The involvement of communities with the assistance and support of government and non government organizations on the management of the coastal resources in Southern Thailand are discussed. The 3 most important resources, mangrove, seagrass and coral, create a complex coastal ecology. Several man-made activities causing the deterioration of this resources are also presented.

  9. [Quality management in intensive care medicine].

    Science.gov (United States)

    Martin, J; Braun, J-P

    2013-09-01

    Treatment of critical ill patients in the intensive care unit is tantamount to well-designed risk or quality management. Several tools of quality management and quality assurance have been developed in intensive care medicine. In addition to extern quality assurance by benchmarking with regard to the intensive care medicine, peer review procedures have been established for external quality assurance in recent years. In the process of peer review of an intensive care unit (ICU), external physicians and nurses visit the ICU, evaluate on-site proceedings, and discuss with the managing team of the ICU possibilities for optimization. Furthermore, internal quality management in the ICU is possible based on the 10 quality indicators of the German Interdisciplinary Society for Intensive Care Medicine (DIVI, "Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin"). Thereby every ICU has numerous possibilities to improve their quality management system.

  10. Intensive Care Management of Patients with Cirrhosis.

    Science.gov (United States)

    Olson, Jody C

    2018-06-01

    Cirrhosis is a major worldwide health problem which results in a high level of morbidity and mortality. Patients with cirrhosis who require intensive care support have high mortality rates of near 50%. The goal of this review is to address the management of common complications of cirrhosis in the ICU. Recent epidemiological studies have shown an increase in hospitalizations due to advanced liver disease with an associated increase in intensive care utilization. Given an increasing burden on the healthcare system, it is imperative that we strive to improve our management cirrhotic patients in the intensive care unit. Large studies evaluating the management of patients in the intensive care setting are lacking. To date, most recommendations are based on extrapolation of data from studies in cirrhosis outside of the ICU or by applying general critical care principles which may or may not be appropriate for the critically ill cirrhotic patient. Future research is required to answer important management questions.

  11. Intensive Care Nursing And Time Management

    OpenAIRE

    ÖZCANLI, Derya; İLGÜN, Seda

    2008-01-01

    Time is not like other resources, because it can not be bought, sold, stolen, borrowed, stored, saved, multiplied or changed. All it can be done is spent. Time management means the effective use of resources, including time, in such a way that indi- viduals are effective in achieving important personal goals. With the increasing emphasis on efficiency in health care, how a nurse manages her time is an important consideration. Since intensive care nurs- ing is focused on the care and tr...

  12. Strategies to address management challenges in larger intensive care units.

    Science.gov (United States)

    Matlakala, M C; Bezuidenhout, M C; Botha, A D H

    2015-10-01

    To illustrate the need for and suggest strategies that will enhance sustainable management of a large intensive care unit (ICU). The challenges faced by intensive care nursing in South Africa are well documented. However, there appear to be no strategies available to assist nurses to manage large ICUs or for ICU managers to deal with problems as they arise. Data sources to illustrate the need for strategies were challenges described by ICU managers in the management of large ICUs. A purposive sample of managers was included in individual interviews during compilation of evidence regarding the challenges experienced in the management of large ICUs. The challenges were presented at the Critical Care Society of Southern Africa Congress held on 28 August to 2 September 2012 in Sun City North-West province, South Africa. Five strategies are suggested for the challenges identified: divide the units into sections; develop a highly skilled and effective nursing workforce to ensure delivery of quality nursing care; create a culture to retain an effective ICU nursing team; manage assets; and determine the needs of ICU nurses. ICUs need measures to drive the desired strategies into actions to continuously improve the management of the unit. Future research should be aimed at investigating the effectiveness of the strategies identified. This research highlights issues relating to large ICUs and the strategies will assist ICU managers to deal with problems related to large unit sizes, shortage of trained ICU nurses, use of agency nurses, shortage of equipment and supplies and stressors in the ICU. The article will make a contribution to the body of nursing literature on management of ICUs. © 2014 John Wiley & Sons Ltd.

  13. Lion (Panthera leo) populations are declining rapidly across Africa, except in intensively managed areas

    OpenAIRE

    Bauer, Hans; Chapron, Guillaume; Nowell, Kristin; Henschel, Philipp; Funston, Paul; Hunter, Luke T. B.; Macdonald, David W.; Packer, Craig

    2015-01-01

    At a regional scale, lion populations in West, Central, and East Africa are likely to suffer a projected 50% decline over the next two decades, whereas lion populations are only increasing in southern Africa. Many lion populations are either now gone or expected to disappear within the next few decades to the extent that the intensively managed populations in southern Africa may soon supersede the iconic savannah landscapes in East Africa as the most successful sites for lion conservation. Th...

  14. Intelligent ventilation in the intensive care unit | Sviri | Southern ...

    African Journals Online (AJOL)

    Objectives. Automated, microprocessor-controlled, closed-loop mechanical ventilation has been used in our Medical Intensive Care Unit (MICU) at the Hadassah Hebrew-University Medical Center for the past 15 years; for 10 years it has been the primary (preferred) ventilator modality. Design and setting. We describe our ...

  15. Southern forest resource conditions and management practices from 1950-2000: Benefits of research

    Science.gov (United States)

    Jacek P. Siry

    2004-01-01

    Over the past five decades, research progress and implementation have been the leading factors supporting the rapid development of southern forestry. The South has become the leading timber-supplying region in the United States, taking advantage of a large accumulation of growing stock and a substantial investment in intensive, research-based management treatments....

  16. Silvicultural Considerations in Managing Southern Pine Stands in the Context of Southern Pine Beetle

    Science.gov (United States)

    James M. Guldin

    2011-01-01

    Roughly 30 percent of the 200 million acres of forest land in the South supports stands dominated by southern pines. These are among the most productive forests in the nation. Adapted to disturbance, southern pines are relatively easy to manage with even-aged methods such as clearcutting and planting, or the seed tree and shelterwood methods with natural regeneration....

  17. Book review: Southern Forested Wetlands: Ecology and Management

    Science.gov (United States)

    Carl C. Trettin

    2000-01-01

    The southern region has the largest proportion of wetlands in the conterminous US. The majority of that wetland resource is forested by diverse vegetation communities reflecting differences in soil, hydrology, geomorphology, climatic conditions and past management. Wetland resources in the southern US are very important to the economy providing both commodity and non-...

  18. Strategically oriented management and controlling of resource intensive projects

    International Nuclear Information System (INIS)

    Kemmeter, Sascha

    2015-01-01

    The book on strategically oriented management and controlling of resource intensive projects covers the following issues: frame of project management and project controlling, classification of the decommissioning of nuclear facilities as resource intensive projects, research design for case studies, results of the study of project management specific characteristics of decommissioning, reference model for the project management of nuclear facility decommissioning.

  19. science and fisheries management in southern africa and europe

    African Journals Online (AJOL)

    The comparison shows that, in Europe, despite comprehensive institutional arrangements for fisheries management based on a long history of fisheries research, management of stocks has not been particularly successful, and this contrasts with the rather more successful regime in southern Africa. The failure in Europe ...

  20. Fire history, effects and management in southern Nevada [Chapter 5

    Science.gov (United States)

    Mathew L. Brooks; Jeanne C. Chambers; Randy A. McKinley

    2013-01-01

    Fire can be both an ecosystem stressor (Chapter 2) and a critical ecosystem process, depending on when, where, and under what conditions it occurs on the southern Nevada landscape. Fire can also pose hazards to human life and property, particularly in the wildland/urban interface (WUI). The challenge faced by land managers is to prevent fires from occurring where they...

  1. A management guide for invasive plants in southern forests

    Science.gov (United States)

    James H. Miller; Steven T. Manning; Stephen F. Enloe

    2013-01-01

    Invasions of nonnative plants into forests of the Southern United States continue to spread and include new species, increasingly eroding forest productivity, hindering forest use and management activities, and degrading diversity and wildlife habitat. This book provides the latest information on how to organize and enact prevention programs, build strategies,...

  2. Salinity management in southern Italy irrigation areas

    Directory of Open Access Journals (Sweden)

    Massimo Monteleone

    Full Text Available After a synthetic review of the most worrisome pressures applied over soils and waters, general criterions and normative principles that have to lead the technical intervention on soil and water protection are accounted, both with respect to farm activity and land planning. The salinity problem is faced, then, through the analysis of the nature and origin of saline soil and of the complex quantitative relationships able to interpret the accumulation and leaching of soil salts. Having specified the theoretical bases of salinity, the related technical features are then considered in order to define a proper management of soil and waters. Particular relevance is assigned to the irrigation and leaching techniques as well as, more briefly, to other agronomic interventions in order to guarantee the most effective salinity control. Another relevant technical facet of salinity control, although quite often neglected or retained of secondary importance in comparison to irrigation, is the drainage and disposal of leached water. The increased sensibility on the environmental impacts that the disposal of these waters can produce has raised today the level of attention on these procedures that are disciplined by norms of law and, therefore, require appropriate techniques of intervention. Finally, after the different scale orders involved in the management of salinity are defined (from the field and farm level up to the land and basin, the fundamental elements in order to work out a risk analysis and an action program are illustrated; some indications about the most up to date salinity monitoring and mapping methods are also provided, considering their great importance to continuously check the possible broadening of salinization and to carefully maintain its control.

  3. Managing the overflow of intensive care patients

    NARCIS (Netherlands)

    van Rijsbergen, M.; Boucherie, Richardus J.; van Houdenhoven, M.; Litvak, Nelli

    2005-01-01

    Many hospitals in the Netherlands are confronted with capacity problems at their Intensive Care Units (ICUs) resulting in cancelling operations, overloading the staff with extra patients, or rejecting emergency patients. In practice, the last option is a common choice because juridically, as well as

  4. Determining Nutrient Requirements For Intensively Managed Loblolly Pine Stands Using the SSAND (Soil Supply and Nutrient Demand) Model

    Science.gov (United States)

    Hector G. Adegbidi; Nicholas B. Comerford; Hua Li; Eric J. Jokela; Nairam F. Barros

    2002-01-01

    Nutrient management represents a central component of intensive silvicultural systems that are designed to increase forest productivity in southern pine stands. Forest soils throughout the South are generally infertile, and fertilizers may be applied one or more times over the course of a rotation. Diagnostic techniques, such as foliar analysis and soil testing are...

  5. Management intensity alters decomposition via biological pathways

    Science.gov (United States)

    Wickings, Kyle; Grandy, A. Stuart; Reed, Sasha; Cleveland, Cory

    2011-01-01

    Current conceptual models predict that changes in plant litter chemistry during decomposition are primarily regulated by both initial litter chemistry and the stage-or extent-of mass loss. Far less is known about how variations in decomposer community structure (e.g., resulting from different ecosystem management types) could influence litter chemistry during decomposition. Given the recent agricultural intensification occurring globally and the importance of litter chemistry in regulating soil organic matter storage, our objectives were to determine the potential effects of agricultural management on plant litter chemistry and decomposition rates, and to investigate possible links between ecosystem management, litter chemistry and decomposition, and decomposer community composition and activity. We measured decomposition rates, changes in litter chemistry, extracellular enzyme activity, microarthropod communities, and bacterial versus fungal relative abundance in replicated conventional-till, no-till, and old field agricultural sites for both corn and grass litter. After one growing season, litter decomposition under conventional-till was 20% greater than in old field communities. However, decomposition rates in no-till were not significantly different from those in old field or conventional-till sites. After decomposition, grass residue in both conventional- and no-till systems was enriched in total polysaccharides relative to initial litter, while grass litter decomposed in old fields was enriched in nitrogen-bearing compounds and lipids. These differences corresponded with differences in decomposer communities, which also exhibited strong responses to both litter and management type. Overall, our results indicate that agricultural intensification can increase litter decomposition rates, alter decomposer communities, and influence litter chemistry in ways that could have important and long-term effects on soil organic matter dynamics. We suggest that future

  6. haematological profiles of pigs raised under intensive management

    African Journals Online (AJOL)

    EZE J I

    values obtained could be used as reference values for pigs in South-eastern Nigeria. The clinical importance of the ... Key words: haematology, pigs, intensive management, south-eastern Nigeria ..... Medicine: A textbook of Diseases of Cattle ...

  7. Intensive care management of severe tetanus at the university of ...

    African Journals Online (AJOL)

    Intensive care management of severe tetanus at the university of Benin teaching ... Journal Home > Vol 14, No 1 (2015) > ... Open Access DOWNLOAD FULL TEXT ... protocol in the centre, in line with evidence-based medical principles.

  8. Cost-effectiveness of Intensive Blood Pressure Management

    DEFF Research Database (Denmark)

    Richman, Ilana B; Fairley, Michael; Jørgensen, Mads Emil

    2016-01-01

    Importance: Among high-risk patients with hypertension, targeting a systolic blood pressure of 120 mm Hg reduces cardiovascular morbidity and mortality compared with a higher target. However, intensive blood pressure management incurs additional costs from treatment and from adverse events......-effectiveness of intensive blood pressure management among 68-year-old high-risk adults with hypertension but not diabetes. We used the Systolic Blood Pressure Intervention Trial (SPRINT) to estimate treatment effects and adverse event rates. We used Centers for Disease Control and Prevention Life Tables to project age...... and accrued $155 261 in lifetime costs, while intensive management yielded 10.5 QALYs and accrued $176 584 in costs. Intensive blood pressure management cost $23 777 per QALY gained. In a sensitivity analysis, serious adverse events would need to occur at 3 times the rate observed in SPRINT and be 3 times...

  9. Lion (Panthera leo) populations are declining rapidly across Africa, except in intensively managed areas.

    Science.gov (United States)

    Bauer, Hans; Chapron, Guillaume; Nowell, Kristin; Henschel, Philipp; Funston, Paul; Hunter, Luke T B; Macdonald, David W; Packer, Craig

    2015-12-01

    We compiled all credible repeated lion surveys and present time series data for 47 lion (Panthera leo) populations. We used a Bayesian state space model to estimate growth rate-λ for each population and summed these into three regional sets to provide conservation-relevant estimates of trends since 1990. We found a striking geographical pattern: African lion populations are declining everywhere, except in four southern countries (Botswana, Namibia, South Africa, and Zimbabwe). Population models indicate a 67% chance that lions in West and Central Africa decline by one-half, while estimating a 37% chance that lions in East Africa also decline by one-half over two decades. We recommend separate regional assessments of the lion in the World Conservation Union (IUCN) Red List of Threatened Species: already recognized as critically endangered in West Africa, our analysis supports listing as regionally endangered in Central and East Africa and least concern in southern Africa. Almost all lion populations that historically exceeded ∼ 500 individuals are declining, but lion conservation is successful in southern Africa, in part because of the proliferation of reintroduced lions in small, fenced, intensively managed, and funded reserves. If management budgets for wild lands cannot keep pace with mounting levels of threat, the species may rely increasingly on these southern African areas and may no longer be a flagship species of the once vast natural ecosystems across the rest of the continent.

  10. extensive and semi-intensive management systems in northern ghana

    African Journals Online (AJOL)

    management systems was positive and linearly correlated with eggs/oocysts of all the three intestinal parasites and became ... respectively was also positive but not significant under the semi-intensive system of management. Younger animals in the extensive ..... ruminants in Malaysia: Resistance to anthelmintics and the ...

  11. Waste management system optimisation for Southern Italy with MARKAL model

    Energy Technology Data Exchange (ETDEWEB)

    Salvia, M.; Cosmi, C. [Istituto di Metodologie Avanzate di Analisi Ambientale, Consiglio Nazionale delle Ricerche, C. da S. Loja, 85050 (PZ) Tito Scalo (Italy); Macchiato, M. [Dipartimento di Scienze Fisiche, Universita Federico II, Via Cintia, 80126 Napoli (Italy); Mangiamele, L. [Dipartimento di Ingegneria e Fisica dell' Ambiente, Universita degli Studi della Basilicata, C. da Macchia Romana, 85100 Potenza (Italy)

    2002-01-01

    The MARKAL models generator was utilised to build up a comprehensive model of the anthropogenic activities system which points out the linkages between productive processes and waste disposal technologies. The aim of such a study is to determine the optimal configuration of the waste management system for the Basilicata region (Southern Italy), in order to support the definition of the regional waste management plan in compliance with the Italian laws. A sensitivity analysis was performed to evaluate the influence of landfilling fees on the choice of waste processing technologies, in order to foster waste management strategies which are environmentally sustainable, economically affordable and highly efficient. The results show the key role of separate collection and mechanical pre-treatments in the achievement of the legislative targets.

  12. Management effectiveness evaluation in protected areas of southern Ecuador.

    Science.gov (United States)

    López-Rodríguez, Fausto; Rosado, Daniel

    2017-04-01

    Protected areas are home to biodiversity, habitats and ecosystem as well as a critical component of human well-being and a generator of leisure-related revenues. However, management is sometimes unsatisfactory and requires new ways of evaluation. Management effectiveness of 36 protected areas in southern Ecuador have been assessed. The protected areas belong to three categories: Heritage of Natural Areas of the Ecuadorian State (PANE), created and funded by the State, Areas of Forest and Protective Vegetation (ABVP), created but no funded by the State, and private reserves, declared and funded by private entities. Management effectiveness was evaluated by answers of managers of the protected areas to questionnaires adapted to the socio-economic and environmental characteristics of the region. Questions were classified into six elements of evaluation: context, planning, inputs, processes, outputs and outcomes as recommended by IUCN. Results were classified into four levels: unsatisfactory, slightly satisfactory, satisfactory and very satisfactory. The PANE areas and private reserves showed higher management effectiveness levels (satisfactory and very satisfactory) than ABVP areas, where slightly satisfactory and unsatisfactory levels prevailed. Resources availability was found as the main reason behind this difference. The extension, age and province of location were found irrelevant. Outputs, inputs and processes require main efforts to improve management effectiveness. Improving planning and input in the PANE areas and inputs and outcomes on ABVP areas is necessary to obtain a similar result in all areas. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. Myasthenic crisis patients who require intensive care unit management.

    Science.gov (United States)

    Sakaguchi, Hideya; Yamashita, Satoshi; Hirano, Teruyuki; Nakajima, Makoto; Kimura, En; Maeda, Yasushi; Uchino, Makoto

    2012-09-01

    The purpose of this report was to investigate predictive factors that necessitate intensive care in myasthenic crisis (MC). We retrospectively reviewed MC patients at our institution and compared ICU and ward management groups. Higher MG-ADL scale scores, non-ocular initial symptoms, infection-triggered findings, and higher MGFA classification were observed more frequently in the ICU group. In patients with these prognostic factors, better outcomes may be obtained with early institution of intensive care. Copyright © 2012 Wiley Periodicals, Inc.

  14. Takotsubo Cardiomyopathy in Intensive Care Unit: Prevention, Diagnosis and Management

    Directory of Open Access Journals (Sweden)

    Hannah Masoud

    2016-01-01

    Full Text Available Accurate diagnosis of Takotsubo Cardiomyopathy has substantial prognostic implications in an intensive care unit, given its increased mortality risk and association with life-threatening complications. This report seeks to discuss diagnostic modalities that can be useful in accurately differentiating Takotsubo Cardiomyopathy from Acute Coronary Syndrome, and also briefly discuss prevention and management of this cardiomyopathy in an intensive care unit. For critically ill Takotsubo patients, intensive clinicians can consider establishment of diagnosis by specific electrocardiograph changes, distinctive marked release of cardiac enzymes, characteristic echocardiograph findings, as well as invasive coronary angiography or noninvasive cardiac magnetic imaging.

  15. How Do Managers Control Technology-Intensive Work?

    OpenAIRE

    Angelo Bernard Pinheiro

    2010-01-01

    Technology pervades every aspect of the modern business enterprise and demands new strategies for work management. Advances in internet and computing technologies, the emergence of the “knowledge worker”, globalization, resource scarcity, and intense competition have led corporations to accomplish their strategic goals and objectives through the implementation of projects. Project success is assured by the effective use of financial and human resources, a project management (PM) framework bac...

  16. Nursing management and organizational ethics in the intensive care unit.

    Science.gov (United States)

    Wlody, Ginger Schafer

    2007-02-01

    This article describes organizational ethics issues involved in nursing management of an intensive care unit. The intensive care team and medical center management have the dual responsibility to create an ethical environment in which to provide optimum patient care. Addressing organizational ethics is key to creating that ethical environment in the intensive care unit. During the past 15-20 yrs, increasing costs in health care, competitive markets, the effect of high technology, and global business changes have set the stage for business and healthcare organizational conflicts that affect the ethical environment. Studies show that critical care nurses experience moral distress and are affected by the ethical climate of both the intensive care unit and the larger organization. Thus, nursing moral distress may result in problems related to recruitment and retention of staff. Other issues with organizational ethics ramifications that may occur in the intensive care unit include patient safety issues (including those related to disruptive behavior), intensive care unit leadership style, research ethics, allocation of resources, triage, and other economic issues. Current organizational ethics conflicts are discussed, a professional practice model is described, and multidisciplinary recommendations are put forth.

  17. China's numerical management system for reducing national energy intensity

    International Nuclear Information System (INIS)

    Li, Huimin; Zhao, Xiaofan; Yu, Yuqing; Wu, Tong; Qi, Ye

    2016-01-01

    In China, the national target for energy intensity reduction, when integrated with target disaggregation and information feedback systems, constitutes a numerical management system, which is a hallmark of modern governance. This paper points out the technical weaknesses of China's current numerical management system. In the process of target disaggregation, the national target cannot be fully disaggregated to local governments, sectors and enterprises without omissions. At the same time, governments at lower levels face pressure for reducing energy intensity that exceeds their respective jurisdictions. In the process of information feedback, information failure is inevitable due to statistical inaccuracy. Furthermore, the monitoring system is unable to correct all errors, and data verification plays a limited role in the examination system. To address these problems, we recommend that the government: use total energy consumption as the primary indicator of energy management; reform the accounting and reporting of energy statistics toward greater consistency, timeliness and transparency; clearly define the responsibility of the higher levels of government. - Highlights: •We assess drawbacks of China's numerical management system for energy intensity. •The national energy intensity target cannot be fully disaggregated without omissions. •Data distortion is due to failures in statistics, monitoring and examination system. •Lower-level governments’ ability to meet energy target is weaker than their pressure. •We provide three policy recommendations for China's policy-makers.

  18. Management of Tracheostomy: A Survey of Dutch Intensive Care Units

    NARCIS (Netherlands)

    Veelo, Denise P.; Schultz, Marcus J.; Phoa, Kai Y. N.; Dongelmans, Dave A.; Binnekade, Jan M.; Spronk, Peter E.

    2008-01-01

    OBJECTIVE: To determine tracheostomy-management practices in Dutch intensive care units (ICUs) and post-ICU step-down facilities. METHODS: We surveyed the physician medical directors of all Dutch nonpediatric ICUs that have : 5 beds suitable for mechanical ventilation. The survey asked for

  19. A retrospective review of intensive care management of ...

    African Journals Online (AJOL)

    Background: Organophosphate (OP) compounds are used as insecticides. Given the widespread availability and use of these chemicals, OP poisoning is quite common following either accidental or intentional exposures. Immediate intensive care management can save lives in these patients. We aimed to investigate ...

  20. How Do Managers Control Technology-Intensive Work?

    Directory of Open Access Journals (Sweden)

    Angelo Bernard Pinheiro

    2010-08-01

    Full Text Available Technology pervades every aspect of the modern business enterprise and demands new strategies for work management. Advances in internet and computing technologies, the emergence of the “knowledge worker”, globalization, resource scarcity, and intense competition have led corporations to accomplish their strategic goals and objectives through the implementation of projects. Project success is assured by the effective use of financial and human resources, a project management (PM framework backed by senior management, and controls spanning the PM spectrum of initiation; planning; implementation; monitoring, measurement, and control; and closing. As an essential function of management, ‘control’ may be accomplished through a PM Plan, a project-matrix organization, competent and motivated people, and appropriate management tools and techniques. A PM Plan conforming to the Project Management Body of Knowledge (PMBOK framework incorporates controls for the key PM elements and, implemented properly, can assure project success

  1. Control of carbapenem-resistant Acinetobacter baumannii outbreak in an intensive care unit of a teaching hospital in Southern Italy.

    Science.gov (United States)

    Bianco, Aida; Quirino, Angela; Giordano, Mariavalentina; Marano, Vito; Rizzo, Claudia; Liberto, Maria Carla; Focà, Alfredo; Pavia, Maria

    2016-12-12

    Acinetobacter baumannii is an opportunistic pathogen that has become a major cause of concern, since it is a frequent cause of healthcare-associated infections (HAIs). The aim of the study was to describe the occurrence, the management and the control of an outbreak that occurred in an intensive care unit (ICU) of a teaching hospital in Southern Italy caused by multiple strains of extensively drug-resistant A. baumannii (XDRAB). Case-patient was defined as a patient with an healthcare-associated infection caused by an XDRAB isolate identified in a clinically significant culture. Environmental samples were collected from different surfaces. The isolates were identified by typical Gram stain morphology, using the Vitek 2 system (bioMérieux, France) and by MALDI-TOF MS mass spectrometry (bioMèrieux, France). Genotyping was performed through rep-PCR analysis. A patient presented an XDRAB ventilator-associated pneumonia at admission and was managed with strict isolation precautions until discharge. Five patients had a ventilator-associated pneumonia and two had a central line-associated bloodstream infection. Of the environmental samples, 1 sample obtained from the side of the bed of an infected patient yielded growth of XDRAB. Infection control measures were adopted. Rep-PCR analysis identified four patterns. The integration of epidemiological and microbiological data and the application of infection control measures were crucial to bring such an outbreak to a rapid halt. The distinctive characteristic of this study was the complex molecular pattern of the outbreak, which subsided in a short period of time due to adherence to infection-control measures, confirming the fundamental role of molecular typing in the comprehension of outbreaks dynamics and of integrated control interventions for the interruption of epidemic events.

  2. Forest Management Intensity Affects Aquatic Communities in Artificial Tree Holes.

    Science.gov (United States)

    Petermann, Jana S; Rohland, Anja; Sichardt, Nora; Lade, Peggy; Guidetti, Brenda; Weisser, Wolfgang W; Gossner, Martin M

    2016-01-01

    Forest management could potentially affect organisms in all forest habitats. However, aquatic communities in water-filled tree-holes may be especially sensitive because of small population sizes, the risk of drought and potential dispersal limitation. We set up artificial tree holes in forest stands subject to different management intensities in two regions in Germany and assessed the influence of local environmental properties (tree-hole opening type, tree diameter, water volume and water temperature) as well as regional drivers (forest management intensity, tree-hole density) on tree-hole insect communities (not considering other organisms such as nematodes or rotifers), detritus content, oxygen and nutrient concentrations. In addition, we compared data from artificial tree holes with data from natural tree holes in the same area to evaluate the methodological approach of using tree-hole analogues. We found that forest management had strong effects on communities in artificial tree holes in both regions and across the season. Abundance and species richness declined, community composition shifted and detritus content declined with increasing forest management intensity. Environmental variables, such as tree-hole density and tree diameter partly explained these changes. However, dispersal limitation, indicated by effects of tree-hole density, generally showed rather weak impacts on communities. Artificial tree holes had higher water temperatures (on average 2°C higher) and oxygen concentrations (on average 25% higher) than natural tree holes. The abundance of organisms was higher but species richness was lower in artificial tree holes. Community composition differed between artificial and natural tree holes. Negative management effects were detectable in both tree-hole systems, despite their abiotic and biotic differences. Our results indicate that forest management has substantial and pervasive effects on tree-hole communities and may alter their structure and

  3. Influences of management of Southern forests on water quantity and quality

    Science.gov (United States)

    Ge Sun; Mark Riedel; Rhett Jackson; Randy Kolka; Devendra Amatya; Jim Shepard

    2004-01-01

    Water is a key output of southern forests and is critical to other processes, functions, and values of forest ecosystems. This chapter synthesizes published literature about the effects of forest management practices on water quantity and water quality across the Southern United States region. We evaluate the influences of forest management at different temporal and...

  4. Adaptation of intensive mental health intensive case management to rural communities in the Veterans Health Administration.

    Science.gov (United States)

    Mohamed, Somaia

    2013-03-01

    There has been increasing concern in recent years about the availability of mental health services for people with serious mental illness in rural areas. To meet these needs the Department of Veterans Affairs (VA) implemented the Rural Access Networks for Growth Enhancement (RANGE) program, in 2007, modeled on the Assertive Community Treatment (ACT) model. This study uses VA administrative data from the RANGE program (N = 343) to compare client characteristics at program entry, patterns of service delivery, and outcomes with those of Veterans who received services from the general VA ACT-like program (Mental Health Intensive Case Management (MHICM) (N = 3,077). Veterans in the rural program entered treatment with similar symptom severity, less likelihood of being diagnosed with schizophrenia and having had long-term hospitalization, but significantly higher suicidality index scores and greater likelihood of being dually diagnosed compared with those in the general program. RANGE Veterans live further away from their treatment teams but did not differ significantly in measures of face-to-face treatment intensity. Similar proportions of RANGE and MHICM Veterans were reported to have received rehabilitation services, crisis intervention and substance abuse treatment. The rural programs had higher scores on overall satisfaction with VA mental health care than general programs, slightly poorer outcomes on quality of life and on the suicidality index but no significant difference on other outcomes. These data demonstrate the clinical need, practical feasibility and potential effectiveness of providing intensive case management through small specialized case management teams in rural areas.

  5. Noise distribution of an incubator with nebulizer at a neonatal intensive care unit in southern Taiwan.

    Science.gov (United States)

    Chen, H F; Chang, Y J

    2001-06-01

    The purpose of this study was to investigate the noise distribution and sources of peak noise inside an incubator with a nebulizer at a neonatal intensive care unit of a medical center in Southern Taiwan. Sound levels were monitored continuously with an electronic sound-meter for 24 hours daily over a one-week period. Three working hours (day, evening, and night hours) in the weekday and weekend (total 48 hours) were selected randomly from the one-week period of noise survey to observe peak noise at levels > or = 65 dBA. Results revealed that 24.8% of the total monitoring period had sound levels at or = 70 dBA. Furthermore, a total of 947 peak noises > or = 65 dBA were found within the 48 hours, of which 61.5% were in a range of 65-69 dBA, 24% of 70-74 dBA, 9.8% of 75-79 dBA, and 4.8% > or = 80 dBA. Human-related sources, equaling 79%, were the dominant peak noises. These noises included opening and closing doors, banging the incubator hood, conversation among staff, nursing activity inside the incubator, tearing and opening paper or bags, opening and closing trash can lids, and bumping metal carts or other apparatus. Nonhuman-related sources were 21% including alarms of monitors and running of the incubator motor. Results of this study showed that the noise distribution in the incubator with nebulizer was far above a protective limitation of 58 dBA, suggested by the American Academy of Pediatrics in 1974. However, most peak noises could be reduced by modification of staff behavior. Therefore, determinations of noise distribution and sources of peak noise in this study are useful for further noise reduction programs.

  6. A comprehensive approach to quality management of intensive care services.

    Science.gov (United States)

    Hariharan, Seetharaman; Dey, Prasanta Kumar

    2010-01-01

    The purpose of this paper is to develop a comprehensive framework for improving intensive care unit performance. The study introduces a quality management framework by combining cause and effect diagram and logical framework. An intensive care unit was identified for the study on the basis of its performance. The reasons for not achieving the desired performance were identified using a cause and effect diagram with the stakeholder involvement. A logical framework was developed using information from the cause and effect diagram and a detailed project plan was developed. The improvement projects were implemented and evaluated. Stakeholders identified various intensive care unit issues. Managerial performance, organizational processes and insufficient staff were considered major issues. A logical framework was developed to plan an improvement project to resolve issues raised by clinicians and patients. Improved infrastructure, state-of-the-art equipment, well maintained facilities, IT-based communication, motivated doctors, nurses and support staff, improved patient care and improved drug availability were considered the main project outputs for improving performance. The proposed framework is currently being used as a continuous quality improvement tool, providing a planning, implementing, monitoring and evaluating framework for the quality improvement measures on a sustainable basis. The combined cause and effect diagram and logical framework analysis is a novel and effective approach to improving intensive care performance. Similar approaches could be adopted in any intensive care unit. The paper focuses on a uniform model that can be applied to most intensive care units.

  7. Management of Poisonous Snake Bites in Southern Taiwan

    Directory of Open Access Journals (Sweden)

    Kao-Ping Chang

    2007-10-01

    Full Text Available Snake bite envenomation is not uncommon in Taiwan. This study focuses on the pattern of poisonous snake bites and their management in southern Taiwan over a 5-year period. The case histories of 37 patients with poisonous snake bites admitted to the Kaohsiung Medical University Hospital between June 2001 and July 2005 were analyzed retrospectively. Three patients, bitten by unknown species of venomous snakes, were excluded from this study. The frequency of snake bites from each species of snake, the local and systemic manifestations of snake bite, treatment of complications and final outcomes were analyzed. Of the remaining 34 patients, 11 (32.4% were bitten by bamboo vipers, 10 (29.4% by Russell's pit vipers, 8 (23.5% by Taiwan cobras and 5 (14.7% by Taiwan Habu. The majority of snake bites (28 occurred between May and November. Those affected were mainly outdoor hikers (14 and workers (9. The antivenin requirements for treatment in the emergency room were in accordance with standard procedures. No mortality was noted among those envenomed by poisonous snakes. Although poisonous snake bite is not a common life-threatening emergency in the study area, we observed both an environmental risk and a seasonal incidence of snake bite. Keeping the varied clinical manifestations of snake bite in mind is important for effective management. Ready availability and appropriate use of antivenin, close monitoring of patients, institution of ventilatory support and early referral to a larger hospital when required, all help reduce mortality.

  8. [Interest of psychiatric guidelines in managing agitation in intensive care].

    Science.gov (United States)

    Lazignac, Coralie; Ricou, Bara; Dan, Liviu; Virgillito, Salvatore; Adam, Eric; Seyedi, Majid; Cicotti, Andrei; Azi, Amine; Damsa, Cristian

    2007-02-14

    This paper discusses the importance of psychiatric guidelines and the position of the psychiatrist in the management of agitation in the intensive care unit. The use of psychiatric validated scales to assess agitation seems to ameliorate the quality of care in psychiatry, but also in intensive care. Psychiatric experts' recommendations for managing agitation are given, which is useful to create an open discussion with the intensivists. The use of sedative medication to protect the patient, staff and to prevent an escalation of violence remains a personal choice for each practitioner, depending on individual patient needs and context. In the treatment of agitated patients, an equilibrium needs to be found between the subjective dimension and the available data from evidence based medicine.

  9. Energy resource management for energy-intensive manufacturing industries

    Energy Technology Data Exchange (ETDEWEB)

    Brenner, C.W.; Levangie, J.

    1981-10-01

    A program to introduce energy resource management into an energy-intensive manufacturing industry is presented. The food industry (SIC No. 20) was chosen and 20 companies were selected for interviews, but thirteen were actually visited. The methodology for this program is detailed. Reasons for choosing the food industry are described. The substance of the information gained and the principal conclusions drawn from the interviews are given. Results of the model Energy Resource Management Plan applied to three companies are compiled at length. Strategies for dissemination of the information gained are described. (MCW)

  10. Enhancing the Biodiversity of Ditches in Intensively Managed UK Farmland.

    Directory of Open Access Journals (Sweden)

    Rosalind F Shaw

    Full Text Available Drainage ditches, either seasonally flooded or permanent, are commonly found on intensively managed lowland farmland in the UK. They are potentially important for wetland biodiversity but, despite their ubiquity, information on their biodiversity and management in the wider countryside is scarce. We surveyed 175 ditches for their physical and chemical characteristics, spatial connectivity, plant communities and aquatic invertebrates in an area of intensively managed farmland in Oxfordshire, UK and collected information on ditch management from farmer interviews. Water depth and shade had a small impact on the diversity of plant and invertebrate communities in ditches. Increased shade over the ditch channel resulted in reduced taxonomic richness of both channel vegetation and aquatic invertebrates and channel vegetation cover was lower at shaded sites. Invertebrate taxonomic richness was higher when water was deeper. Spatial connectivity had no detectable impact on the aquatic invertebrate or plant communities found in ditches. The number of families within the orders Ephemeroptera, Plecoptera and Trichoptera (EPT, which contain many pollution-sensitive species, declined with decreasing pH of ditch water. As time since dredging increased, the number of EPT families increased in permanent ditches but decreased in temporary ditches. Whether or not a ditch was in an agri-environment scheme had little impact on the reported management regime or biodiversity value of the ditch. Measures for increasing the amount of water in ditches, by increasing the water depth or promoting retention of water in ditches, could increase the biodiversity value of ditches in agricultural land. Some temporary ditches for specialised species should be retained. Reducing the amount of shade over narrow ditches by managing adjacent hedgerows is also likely to increase the species diversity of plant and invertebrate communities within the ditch. We recommend that to preserve

  11. Enhancing the Biodiversity of Ditches in Intensively Managed UK Farmland.

    Science.gov (United States)

    Shaw, Rosalind F; Johnson, Paul J; Macdonald, David W; Feber, Ruth E

    2015-01-01

    Drainage ditches, either seasonally flooded or permanent, are commonly found on intensively managed lowland farmland in the UK. They are potentially important for wetland biodiversity but, despite their ubiquity, information on their biodiversity and management in the wider countryside is scarce. We surveyed 175 ditches for their physical and chemical characteristics, spatial connectivity, plant communities and aquatic invertebrates in an area of intensively managed farmland in Oxfordshire, UK and collected information on ditch management from farmer interviews. Water depth and shade had a small impact on the diversity of plant and invertebrate communities in ditches. Increased shade over the ditch channel resulted in reduced taxonomic richness of both channel vegetation and aquatic invertebrates and channel vegetation cover was lower at shaded sites. Invertebrate taxonomic richness was higher when water was deeper. Spatial connectivity had no detectable impact on the aquatic invertebrate or plant communities found in ditches. The number of families within the orders Ephemeroptera, Plecoptera and Trichoptera (EPT), which contain many pollution-sensitive species, declined with decreasing pH of ditch water. As time since dredging increased, the number of EPT families increased in permanent ditches but decreased in temporary ditches. Whether or not a ditch was in an agri-environment scheme had little impact on the reported management regime or biodiversity value of the ditch. Measures for increasing the amount of water in ditches, by increasing the water depth or promoting retention of water in ditches, could increase the biodiversity value of ditches in agricultural land. Some temporary ditches for specialised species should be retained. Reducing the amount of shade over narrow ditches by managing adjacent hedgerows is also likely to increase the species diversity of plant and invertebrate communities within the ditch. We recommend that to preserve or enhance the

  12. Intensive Care Unit Nurses' Beliefs About Delirium Assessment and Management.

    Science.gov (United States)

    Oosterhouse, Kimberly J; Vincent, Catherine; Foreman, Marquis D; Gruss, Valerie A; Corte, Colleen; Berger, Barbara

    2016-10-01

    Delirium, the most frequent complication of hospitalized older adults, particularly in intensive care units (ICUs), can result in increased mortality rates and length of stay. Nurses are neither consistently identifying nor managing delirium in these patients. The purpose of this study was to explore ICU nurses' identification of delirium, actions they would take for patients with signs or symptoms of delirium, and beliefs about delirium assessment and management. In this cross-sectional study using qualitative descriptive methods guided by the theory of planned behavior, 30 ICU nurses' responses to patient vignettes depicting different delirium subtypes were explored. Descriptive and content analyses revealed that nurses did not consistently identify delirium; their actions varied in different vignettes. Nurses believed that they needed adequate staffing, balanced workload, interprofessional collaboration, and established policy and protocols to identify and manage delirium successfully. Research is needed to determine if implementing these changes increases recognition and decreases consequences of delirium. ©2016 American Association of Critical-Care Nurses.

  13. Large, high-intensity fire events in Southern California shrublands: Debunking the fine-grain age patch model

    Science.gov (United States)

    Keeley, J.E.; Zedler, P.H.

    2009-01-01

    We evaluate the fine-grain age patch model of fire regimes in southern California shrublands. Proponents contend that the historical condition was characterized by frequent small to moderate size, slow-moving smoldering fires, and that this regime has been disrupted by fire suppression activities that have caused unnatural fuel accumulation and anomalously large and catastrophic wildfires. A review of more than 100 19th-century newspaper reports reveals that large, high-intensity wildfires predate modern fire suppression policy, and extensive newspaper coverage plus first-hand accounts support the conclusion that the 1889 Santiago Canyon Fire was the largest fire in California history. Proponents of the fine-grain age patch model contend that even the very earliest 20th-century fires were the result of fire suppression disrupting natural fuel structure. We tested that hypothesis and found that, within the fire perimeters of two of the largest early fire events in 1919 and 1932, prior fire suppression activities were insufficient to have altered the natural fuel structure. Over the last 130 years there has been no significant change in the incidence of large fires greater than 10000 ha, consistent with the conclusion that fire suppression activities are not the cause of these fire events. Eight megafires (???50 000 ha) are recorded for the region, and half have occurred in the last five years. These burned through a mosaic of age classes, which raises doubts that accumulation of old age classes explains these events. Extreme drought is a plausible explanation for this recent rash of such events, and it is hypothesized that these are due to droughts that led to increased dead fine fuels that promoted the incidence of firebrands and spot fires. A major shortcoming of the fine-grain age patch model is that it requires age-dependent flammability of shrubland fuels, but seral stage chaparral is dominated by short-lived species that create a dense surface layer of fine

  14. RESOURCE MANAGEMENT AMONG INTENSIVE CARE NURSES: AN ETHNOGRAPHIC STUDY.

    Science.gov (United States)

    Heydari, Abbas; Najar, Ali Vafaee; Bakhshi, Mahmoud

    2015-12-01

    Nurses are the main users of supplies and equipment applied in the Intensive Care Units (ICUs) which are high-priced and costly. Therefore, understanding ICU nurses' experiences about resource management contributes to the better control of the costs. This study aimed to investigate the culture of nurses' working environment regarding the resource management in the ICUs in Iran. In this study, a focused ethnographic method was used. Twenty-eight informants among ICU nurses and other professional individuals were purposively selected and interviewed. As well, 400 hours of ethnographic observations as a participant observer was used for data gathering. Data analysis was performed using the methods described by Miles and Huberman (1994). Two main themes describing the culture of ICU nurses regarding resource management included (a) consumption monitoring and auditing, and (b) prudent use. The results revealed that the efforts for resource management are conducted in the conditions of scarcity and uncertainty in supply. ICU nurses had a sense of futurism in the supply and use of resources in the unit and do the planning through taking the rules and guidelines as well as the available resources and their values into account. Improper storage of some supplies and equipment was a reaction to this uncertain condition among nurses. To manage the resources effectively, improvement of supply chain management in hospital seems essential. It is also necessary to hold educational classes in order to enhance the nurses' awareness on effective supply chain and storage of the items in the unit stock.

  15. [Quality assurance and quality management in intensive care].

    Science.gov (United States)

    Notz, K; Dubb, R; Kaltwasser, A; Hermes, C; Pfeffer, S

    2015-11-01

    Treatment success in hospitals, particularly in intensive care units, is directly tied to quality of structure, process, and outcomes. Technological and medical advancements lead to ever more complex treatment situations with highly specialized tasks in intensive care nursing. Quality criteria that can be used to describe and correctly measure those highly complex multiprofessional situations have only been recently developed and put into practice.In this article, it will be shown how quality in multiprofessional teams can be definded and assessed in daily clinical practice. Core aspects are the choice of a nursing theory, quality assurance measures, and quality management. One possible option of quality assurance is the use of standard operating procedures (SOPs). Quality can ultimately only be achieved if professional groups think beyond their boundaries, minimize errors, and establish and live out instructions and SOPs.

  16. The encyclopedia of southern Appalachian forest ecosystems: A prototype of an online scientific knowledge management system

    Science.gov (United States)

    Deborah K. Kennard; H. Michael Rauscher; Patricia A. Flebbe; Daniel L. Schmoldt; William G. Hubbard; J. Bryan Jordin; William Milnor

    2003-01-01

    The Encyclopedia of Southern Appalachian Forest Ecosystems (ESAFE), a hyperdocument-based encyclopedia system available on the Internet, provides an organized synthesis of existing research on the management and ecology of Southern Appalachian forests ecosystems. The encyclopedia is dynamic, so that new or revised content can be submitted directly through the Internet...

  17. Growth performance, carcass yield and gait score of Marshal broiler chicken reared on intensive and semi intensive management systems

    Directory of Open Access Journals (Sweden)

    Oluwadiya, B. O.

    2017-06-01

    Full Text Available The rearing system used in highly productive farms is often subjected to harsh criticism, one of the reasons being its failure to provide adequate welfare. A number of attempts have been made to introduce new technologies in rearing poultry for meat production aiming at improving rearing conditions, protecting the environment and enhancing the quality of poultry products. Given the above, one hundred and sixty eight unsexed 14-day old Marshall broiler chicks were used in a completely randomized design study to compare the effect of management systems (intensive and semi intensive on the growth performance, carcass characteristics and gait score of broiler chickens. The experiment lasted for 42 d. Data were collected on weight gain, feed intake, feed conversion ratio, carcass yield and gait score. Result showed that birds on the intensive management system recorded higher weight gain (P 0.05; 66.94%, 11.44% than those in semi-intensive system (54.55%, 10.92%, respectively. For the gait score broiler birds on semi intensive management system recorded reduced number of cases of severe and slight leg problems (P < 0.05, 25.76% vs 49.3%. It was concluded that broiler birds should be reared on intensive management system for better growth performance and carcass yield. However, birds reared on semi intensive management system had fewer leg problems compared to birds reared on intensive management system. The fewer severe leg problems observed in birds on semi intensive management system will help improve their market value thereby making birds more profitable to rear on semi intensive management system.

  18. The decline of cisco Coregonus artedi at its southern range extent: Stock biology and management implications

    OpenAIRE

    Honsey, Andrew E.

    2014-01-01

    The cisco Coregonus artedi is distributed throughout northern North America and is relegated to coldwater, oligotrophic systems. Populations of cisco located at the species' southern range extent, including northern Indiana and southern Michigan, have drastically declined over the past century, seemingly due to a combination of climate warming and exacerbation of hypolimnetic hypoxic conditions via intensive land-use and resulting increases in nutrient loading. Apart from their decline, infor...

  19. Dynamics of intense rainfalls in the southern half of European Russia for the period 1960-2015

    Science.gov (United States)

    Chizhikova, N.

    2018-01-01

    Two time periods (1960-1986 and 1986-2015) were compared in terms of mean annual frequency and mean annual sum of warm season rainfalls to quantify general trends in the changing regime of heavy precipitation over the southern part of European Russia, which is the area of the most intensive agricultural activity. The identified trends were compared with the published assessment of the intensity trends of soil erosion processes. The prevalence of the increasing tendency in the frequency and amount of precipitation is demonstrated, which undergoes against a decrease in the rate of eroded sediment accumulation and against a decrease of linear growth rate of gullies. This result rather proves the crucial contribution of the snowmelt to the soil erosion over the studied area.

  20. An Isotopic view of water and nitrogen transport through the vadose zone in Oregon's southern Willamette Valley's Groundwater Management Area

    Science.gov (United States)

    Background/Question/MethodsGroundwater nitrate contamination affects thousands of households in Oregon's southern Willamette Valley and many more across the Pacific Northwest. The southern Willamette Valley Groundwater Management Area (SWV GWMA) was established in 2004 due to nit...

  1. The nexus between integrated natural resources management and integrated water resources management in southern Africa

    Science.gov (United States)

    Twomlow, Stephen; Love, David; Walker, Sue

    The low productivity of smallholder farming systems and enterprises in the drier areas of the developing world can be attributed mainly to the limited resources of farming households and the application of inappropriate skills and practices that can lead to the degradation of the natural resource base. This lack of development, particularly in southern Africa, is of growing concern from both an agricultural and environmental perspective. To address this lack of progress, two development paradigms that improve land and water productivity have evolved, somewhat independently, from different scientific constituencies. One championed by the International Agricultural Research constituency is Integrated Natural Resource Management (INRM), whilst the second championed predominantly by Environmental and Civil Engineering constituencies is Integrated Water Resources Management (IWRM). As a result of similar objectives of working towards the millennium development goals of improved food security and environmental sustainability, there exists a nexus between the constituencies of the two paradigms, particularly in terms of appreciating the lessons learned. In this paper lessons are drawn from past INRM research that may have particular relevance to IWRM scientists as they re-direct their focus from blue water issues to green water issues, and vice-versa. Case studies are drawn from the management of water quality for irrigation, green water productivity and a convergence of INRM and IWRM in the management of gold panning in southern Zimbabwe. One point that is abundantly clear from both constituencies is that ‘one-size-fits-all’ or silver bullet solutions that are generally applicable for the enhancement of blue water management/formal irrigation simply do not exist for the smallholder rainfed systems.

  2. Fuels management in the southern Appalachian Mountains, hot continental division

    Science.gov (United States)

    Matthew J. Reilly; Thomas A. Waldrop; Joseph J. O’Brien

    2012-01-01

    The Southern Appalachian Mountains, Hot Continental Mountains Division, M220 (McNab and others 2007) are a topographically and biologically complex area with over 10 million ha of forested land, where complex environmental gradients have resulted in a great diversity of forest types. Abundant moisture and a long, warm growing season support high levels of productivity...

  3. A history of southern forest science, management, and sustainability issues

    Science.gov (United States)

    H. Michael Rauscher

    2004-01-01

    The 13 Southern States from Virginia to Texas have a combined area of approximately 500 million acres. Our understanding of the complex cultural and ecological history of this large region is still evolving. It may be fair to say that until recently, our view of the native peoples of the South and the landscape in which they lived derived chiefly from reports provided...

  4. Restoring southern Ontario forests by managing succession in conifer plantations

    Science.gov (United States)

    William C. Parker; Ken A. Elliott; Daniel C. Dey; Eric Boysen

    2008-01-01

    Thinning and underplanting of conifer plantations to promote natural succession in southern Ontario's forests for restoration purposes was examined in a young red pine (Pinus resinosa Ait.) plantation. Eleven years after application of five thinning treatments, seedling diameter, height, and stem volume of planted white ash (Fraxinus...

  5. Biomass and nutrients of Pinus massoniana plantations in southern China: simulations for different management practices.

    Science.gov (United States)

    Huixia Yang; Silong Wang; Jianwei Zhang; Bing Fan; Weidong Zhang

    2011-01-01

    We measured the dynamics of both biomass and nutrient pools on 7-, 17-, 31- and 51-year-old Pinus massoniana plantations in southern China. Using a chronosequence approach, we found that biomass of each component increased with aging while its proportion decreased except stem-wood. Nutrient pools varied with biomass pools except for foliage. For all harvest intensities...

  6. Using hyperdocuments to manage scientific knowledge: the prototype Encyclopedia of Southern Appalachian Forest Ecosystems

    Science.gov (United States)

    Deborah K. Kennard; H. Michael Rauscher; Patricia A. Flebbe; Daniel L. Schmoldt; William G. Hubbard; J. Bryan Jordin; William Milnor

    2005-01-01

    Despite the overwhelming body of research available on the ecology and management of Southern Appalachian forests, a gap exists between what scientists know and what the management community is able to apply on the ground. Most research knowledge still resides in highly technical, narrowly focused research publications housed in libraries. The internet, combined with...

  7. Advances in the control and management of the southern pine bark beetles

    Science.gov (United States)

    T. Evan Nebeker

    2004-01-01

    Management of members of the southern pine bark beetle guild, which consists of five species, is a continually evolving process. A number of management strategies and tactics have remained fairly constant over time as new ones are being added. These basic practices include doing nothing, direct control, and indirect control. This chapter focuses primarily on the latter...

  8. Using hyperdocuments for knowledge management: an encyclopedia of southern appalachian forest ecosystems

    Science.gov (United States)

    Deborah K. Kennard; H. Michael Rauscher; Daniel L. Schmoldt; Patricia A. Flebbe; J.B. Jordin; W.G. Hubbard; M.C. Covington; N. Rushton

    2001-01-01

    Land managers increasingly need improved access to research knowledge that is thoroughly organized, condensed, and presented in a form that is useful for problem solving. In this paper, we describe the application of hyperdocuments for knowledge management, using an example of a newly developed hypertext encyclopedia on the southern Appalachians. The Encyclopedia of...

  9. 76 FR 71604 - Kamal Tiwari, M.D.; Pain Management and Surgery Center of Southern Indiana; Decision and Order

    Science.gov (United States)

    2011-11-18

    ..., and his principal place of business, the Pain Management and Surgery Center (Respondent PMSC), holder... Certificate of Registration, BP4917413, issued to Respondent Pain Management and Surgery Center of Southern..., M.D. and Pain Management and Surgery Center of Southern Indiana, to renew or modify such...

  10. Reduced connection between the East Asian Summer Monsoon and Southern Hemisphere Circulation on interannual timescales under intense global warming

    Science.gov (United States)

    Yu, Tianlei; Guo, Pinwen; Cheng, Jun; Hu, Aixue; Lin, Pengfei; Yu, Yongqiang

    2018-03-01

    Previous studies show a close relationship between the East Asian Summer Monsoon (EASM) and Southern Hemisphere (SH) circulation on interannual timescales. In this study, we investigate whether this close relationship will change under intensive greenhouse-gas effect by analyzing simulations under two different climate background states: preindustrial era and Representative Concentration Pathway (RCP) 8.5 stabilization from the Community Climate System Model Version 4 (CCSM4). Results show a significantly reduced relationship under stabilized RCP8.5 climate state, such a less correlated EASM with the sea level pressure in the southern Indian Ocean and the SH branch of local Hadley Cell. Further analysis suggests that the collapse of the Atlantic Meridional Overturning Circulation (AMOC) due to this warming leads to a less vigorous northward meridional heat transport, a decreased intertropical temperature contrast in boreal summer, which produces a weaker cross-equatorial Hadley Cell in the monsoonal region and a reduced Interhemispheric Mass Exchange (IME). Since the monsoonal IME acts as a bridge connecting EASM and SH circulation, the reduced IME weakens this connection. By performing freshwater hosing experiment using the Flexible Global Ocean—Atmosphere—Land System model, Grid-point Version 2 (FGOALS-g2), we show a weakened relationship between the EASM and SH circulation as in CCSM4 when AMOC collapses. Our results suggest that a substantially weakened AMOC is the main driver leading to the EASM, which is less affected by SH circulation in the future warmer climate.

  11. Downy mildew intensity in tolerant grapes varieties in highlands of southern Brazil

    Directory of Open Access Journals (Sweden)

    de Bem Betina

    2016-01-01

    Full Text Available The aim of this study was to evaluate the different degrees of tolerance to infection by P. viticolaamong three genotypes with constitutive resistance in comparison to susceptible varieties Vitis vinifera. For this purpose two experiments was conducted at EPAGRI Experimental Station, located in the city of São Joaquim, Santa Catarina State, at 2015/16 cycle. In the first experiment on the field, were quantified the incidence and severity and downy mildew intensity was compared by epidemiological variables, on the tolerant varieties Bronner, Regent, Cabernet Cortis and the susceptible Sangiovese. On the second experiment forty leaf discs for the same tolerant genotypes and the susceptible variety Chardonnay were artificially infected with P. viticola sporangia suspension and after seven days of incubation the discs were examined and the degree of infection was estimated based on the intensity of sporangiophore formation. Sangiovese showed highest downy mildew intensity in comparison to the tolerant varieties Cabernet Carbon, Regent and Bronner. Under controlled conditions, the susceptible variety Chardonnay showed higher sporangiophore formation on discs leafs in comparison to the tolerant varieties. All the downy mildew tolerant varieties evaluated showed lower disease development in comparison with V. vinifera varieties.

  12. Public perceptions of snakes and snakebite management: implications for conservation and human health in southern Nepal.

    Science.gov (United States)

    Pandey, Deb Prasad; Subedi Pandey, Gita; Devkota, Kamal; Goode, Matt

    2016-06-02

    Venomous snakebite and its effects are a source of fear for people living in southern Nepal. As a result, people have developed a negative attitude towards snakes, which can lead to human-snake conflicts that result in killing of snakes. Attempting to kill snakes increases the risk of snakebite, and actual killing of snakes contributes to loss of biodiversity. Currently, snake populations in southern Nepal are thought to be declining, but more research is needed to evaluate the conservation status of snakes. Therefore, we assessed attitudes, knowledge, and awareness of snakes and snakebite by Chitwan National Park's (CNP) buffer zone (BZ) inhabitants in an effort to better understand challenges to snake conservation and snakebite management. The results of this study have the potential to promote biodiversity conservation and increase human health in southern Nepal and beyond. We carried out face-to-face interviews of 150 randomly selected CNP BZ inhabitants, adopting a cross-sectional mixed research design and structured and semi-structured questionnaires from January-February 2013. Results indicated that 43 % of respondents disliked snakes, 49 % would exterminate all venomous snakes, and 86 % feared snakes. Farmers were the most negative and teachers were the most ambivalent towards snakes. Respondents were generally unable to identify different snake species, and were almost completely unaware of the need of conserve snakes and how to prevent snakebites. Belief in a snake god, and the ability of snakes to absorb poisonous gases from the atmosphere were among many superstitions that appeared to predispose negativity towards snakes of BZ residents. People with predisposed negativity towards snakes were not proponents of snake conservation. Fear, negativity, ambivalence towards, and ignorance about, snakes and the need for snake conservation were strong indicators of the propensity to harm or kill snakes. It seems that if wanton killing of snakes continues

  13. Marketing of meat sheep with intensive finishing in southern state of Mexico.

    Science.gov (United States)

    Mondragón-Ancelmo, Jaime; Hernández-Martínez, Juvencio; Rebollar-Rebollar, Samuel; Salem, Abdelfattah Zeidan Mohamed; Rojo-Rubio, Rolando; Domínguez-Vara, Ignacio Arturo; García-Martínez, Anastacio

    2014-12-01

    The objective of the present study was to quantify the marketing margins of cold sheep carcass and barbacoa meat in the southern state of Mexico. Data were obtained from the production chain links (production, industrialization, and marketing) where the marketing margins were calculated along with the benefit/cost (B/C) ratio. In the absolute marketing margin of the final consumer price per kilogram of carcass meat, the producer obtained US$2.7/kg (47 %) of the utilities, while the intermediaries obtained US$3.1/kg (53 %). Considering the final cooked product in barbacoa (typical dish), the margin was US$6.3/kg (29 %) for the producer and US$15.2/kg (71 %) for the intermediaries. The B/C ratio was 1.0, 1.1, 2, and 1.3 for the producer, stocker, butcher, and barbacoa seller, respectively. It is concluded that the best marketing channel for the producer was the producer-stocker-processor (butcher and barbacoa seller). The highest marketing margin was for the intermediaries followed by the producer. The order of importance of the B/C kilogram ratio of meat was for the butcher first, then barbacoa seller, and lastly stocker and producer.

  14. Anthropogenic Reorganization of Critical Zone in Intensively Managed Landscapes

    Science.gov (United States)

    Kumar, P.; Anders, A. M.; Bettis, E. A., III; Blair, N. E.; Filley, T. R.; Grimley, D. A.; Le, P. V.; Lin, H.; Lin, Y. F. F.; Keefer, D. A.; Keefer, L. L.; Muste, M.; Packman, A. I.; Papanicolaou, T.; Rhoads, B. L.; Richardson, M.; Schnoebelen, D. J.; Stumpf, A.; Ward, A. S.; Wilson, C. G.; Woo, D.; Yan, Q.; Goodwell, A. E.

    2016-12-01

    Intensification of industrial agricultural practices has resulted in some of the most profound global impacts in the Anthropocene. These include eutrophication of lakes, rivers, and oceans from nutrient loading, degradation of arable land from the loss of fertile organic soils through erosion, and loss and degradation of soil organic matter from mechanical impacts on the soil, among others. As we prepare to feed additional 2 billion people by 2050 along with the emerging practices of farming for bioenergy production, these practices will intensify further whose goal is to overcome bio-geo-physical rate limitations and rate limiting states to enhance agricultural productivity. These rate-enhancing efforts generally target the fast response production processes, creating an imbalance with the slower assimilative processes in the Critical Zone that cascade through complex inter-dependencies across carbon, soil, water, nutrient and ecological systems. These imbalances modify stores and create gradients for flux, which over time reorganize the landscape, both in structure and function. In this presentation we show how these reorganizations are occurring in the Critical Zone of intensively managed landscapes, and argue that an integrated understanding of such profound changes are necessary for developing sustainable solutions for maintaining agricultural productivity and mitigating agriculture based environmental impacts.

  15. High-intensity interval training vs. moderate-intensity continuous training in the prevention/management of cardiovascular disease

    OpenAIRE

    Hussain, S; Macaluso, A; Pearson, S

    2016-01-01

    Moderate-intensity continuous training (MICT) has long been considered the most effective exercise treatment modality for the prevention and management of cardiovascular disease, but more recently high-intensity interval training (HIIT) has emerged into the clinical environment has been viewed as a potential alternative to MICT in accruing such benefits. HIIT was initially found to induce significant improvements in numerous physiological and health-related indices, to a similar if not superi...

  16. Effects of intensive forest management practices on insect infestation levels and loblolly pine growth

    Science.gov (United States)

    John T. Nowak; C. Wayne Berisford

    2000-01-01

    Intensive forest management practices have been shown to increase tree growth and shorten rotation time. However, they may also lead to an increased need for insect pest management because of higher infestation levels and lower action thresholds. To investigate the relationship between intensive management practices arid insect infestation, maximum growth potential...

  17. Toxocara nematodes in stray cats from shiraz, southern iran: intensity of infection and molecular identification of the isolates.

    Directory of Open Access Journals (Sweden)

    Fattaneh Mikaeili

    2013-12-01

    Full Text Available Toxocara is a common nematode of cats in different parts of Iran. Despite the close association of cats with human, no attempt has been done so far for molecular identification of this nematode in the country. Therefore, current study was performed on identification of some isolates of Toxocara from stray cats in Shiraz, Fars Province, Southern Iran, based on morphological and molecular approaches, and also determination of intensity of infection.This cross-sectional study was carried out on 30 stray cats trapped from different geographical areas of Shiraz in 2011. Adult male and female worms were recovered from digestive tract after dissection of cats. Morphological features using existing keys and PCR-sequencing of ITS-rDNA region and pcox1 mitochondrial l gene were applied for the delineating the species of the parasites.Eight out of 30 cats (26.7% were found infected with Toxocara nematodes. All the isolates were confirmed as Toxocara cati based on morphological features and the sequence of ribosomal and mitochondrial targets. Intensity of infection ranged from one to a maximum of 39 worms per cat, with a mean of 10.25±12.36, and higher abundance of female nematodes.The most prevalent ascaridoid nematode of stray cats in the study area was T. cati and female nematodes were more abundant than that of males. This issue has important role in spreading of eggs in the environment and impact on human toxocariasis.

  18. Veterans Affairs Intensive Case Management for older veterans.

    Science.gov (United States)

    Mohamed, Somaia; Neale, Michael S; Rosenheck, Robert

    2009-08-01

    There is a growing need for information on evidence-based practices that may potentially address needs of elderly people with severe mental illness (SMI), and more specifically on community-based services such as assertive community treatment (ACT). This study examines national evaluation data from fiscal year 2001-2005 from Veterans Affairs Mental Health Intensive Case Management (MHICM) program (N = 5,222), an ACT-based service model, to characterize the age distribution of participants and the distinctive needs, patterns of service delivery, and treatment outcomes for elderly veterans. Altogether, 24.8% of participants were 55-64 years; 7.4% 65-74 years; and 2.8% were older than 75. Veterans over 75 formed a distinct subgroup that had a later age of onset of primarily nonpsychotic illnesses without comorbid substance abuse and had experienced more limited lifetime hospital treatment than younger participants. Older veterans were less symptomatic and more satisfied with their social relationships than younger clients. They mostly live independently or in minimally restrictive housing, but they received less recovery-focused services and more crisis intervention and medical services. They thus do not appear to be young patients with SMI who have aged but rather constitute a distinct group with serious late-onset problems. It is possible that MHICM services keep them in the community and avoid costly nursing home placement while providing a respite service that reduces family burden. These data highlight the unique characteristics of older veterans receiving ACT-like services and the need to focus greater attention on recovery-oriented services as well as community support for this subgroup.

  19. Managing smoke from wildfires and prescribed burning in southern Australia

    Science.gov (United States)

    Alan Wain; Graham Mills; Lachlan McCaw; Timothy Brown

    2009-01-01

    In Australia the responsibility for management of forests and other public lands rests largely with state governments, and multiple government agencies may be involved in fire management. Whether resulting from wildfire, fuel reduction, or silvicultural operations, biomass burning often stimulates community concerns about hazards from fine particulates and chemical...

  20. Oak woodland conservation management planning in southern CA - lessons learned

    Science.gov (United States)

    Rosi Dagit

    2015-01-01

    The California Oak Woodlands Conservation Act (AB 242 2001) established requirements for the preservation and protection of oak woodlands and trees, and allocated funding managed by the Wildlife Conservation Board. In order to qualify to use these funds, counties and cities need to adopt an oak conservation management plan. Between 2008 and 2011, a team of concerned...

  1. Knowledge intensive organisations: on the frontiers of knowledge management: Guest editorial

    NARCIS (Netherlands)

    Millar-Schijf, Carla C.J.M.; Lockett, Martin; Mahon, John F.

    2016-01-01

    Purpose This paper aims to further research on leadership and knowledge management through formal knowledge strategies in knowledge-intensive organizations (KIOs), and analyse knowledge management challenges and approaches within KIOs, especially tacit knowledge. Design/methodology/approach This

  2. Waste Management Problems in Jimma, Southern Ethiopia *Filaba ...

    African Journals Online (AJOL)

    Choice-Academy

    Ethiopian Journal of Environmental Studies and Management Vol.1 No.2 June. 2008. * Faculty of .... Methodology. First of all .... been the dominant method of keeping Jimma clean. ... sensitization with production and distribution .... Handbook.

  3. Effects of timber management on the hydrology of wetland forests in the Southern United States

    Science.gov (United States)

    Ge Sun; Steven G. McNulty; James P. Shepard; Devendra M. Amatya; Hans Riekerk; Nicholas B. Comerford; Wayne Skaggs; Lloyd Swift

    2001-01-01

    The objectives of this paper are to review the hydrologic impacts of various common forest management practices that include harvesting, site preparation, and drainage. Field hydrological data collected during the past 5±10 years from ten forested wetland sites across the southern US are synthesized using various methods including hydrologic simulation models and...

  4. Climate change and maize yield in southern Africa: what can farm management do?

    NARCIS (Netherlands)

    Rurinda, J.; Wijk, van M.T.; Mapfumo, P.; Descheemaeker, K.K.E.; Supit, I.; Giller, K.E.

    2015-01-01

    There is concern that food insecurity will increase in southern Africa due to climate change. We quantified the response of maize yield to projected climate change and to three key management options – planting date, fertilizer use and cultivar choice – using the crop simulation model, agricultural

  5. Fire history, effects, and management in southern Nevada [Chapter 5] (Executive Summary)

    Science.gov (United States)

    Matthew L. Brooks; Jeanne C. Chambers; Randy A. McKinley

    2013-01-01

    Fire can be both an ecosystem stressor and a critical ecosystem process, depending on when, where, and under what conditions it occurs on the southern Nevada landscape. Fire can also pose hazards to human life and property, particularly in the wildland/ urban interface (WUI). The challenge faced by land managers is to prevent fires from occurring where they are likely...

  6. Conjoint analysis: a pragmatic approach for the accounting of multiple benefits in southern forest management

    Science.gov (United States)

    F. Christian Zinkhan; Thomas P. Holmes; D. Evan Mercer

    1994-01-01

    With conjoint analysis as its foundation, a practical approach for measuring the utility and dollar value of non-market outputs from southern forests is described and analyzed. The approach can be used in the process of evaluating alternative silvicultural and broader natural resource management plans when non-market as well as market outputs are recognized. When...

  7. Silvicultural and integrated pest management strategies for restoring eastern hemlock to degraded southern Appalachian mountain ecosystems.

    Science.gov (United States)

    W.A. Whittier; A.E. Mayfield III; R.M. Jetton

    2017-01-01

    The ecologically foundational species eastern hemlock, Tsuga canadensis, is being functionally eliminated from southern Appalachian forests by the hemlock woolly adelgid (HWA, Adelges tsugae). The management of HWA has focused on chemical and biological control, conservation of hemlock genetic resources, and host resistance...

  8. [Economic impact of AFId management with modern management system in Intensive Care patients: comparison between ICUs].

    Science.gov (United States)

    Fuoco, Giovanni; Di Giulio, Paola

    2016-01-01

    . Economic impact of AFId management with modern management systems in Intensive Care patients: comparison between ICUs. Acute fecal incontinence associated with diarrhea (AFId) affects up to 40% of intensive care unit (ICU) patients and may be responsible for pressure ulcers (PU). The FMS (Fecal Management System) though improving the management of these patients is not often provided due to its cost. To measure the costs of the use of FMS compared to routine care in three intensive care units (ICU) of Piedmont (Italy). All patients admitted from January to June 2016, > 18 years with at least three AFId episodes in the previous 24 hours were included. The costs for hygiene, medications and nursing time spent were calculated on 10 patients without FMS, accounting for the mean number of diarrhea attacks (3.04 per day), and mean days of FMS use. The FMS generated savings compared to routine care in nursing time, equipments for hygiene and pressure sores medications in patients with sacral sores. Savings depended on length of use (LoU) of the device: ICU with 10 patients (7 with PUs), mean LoU FMS 11.9 days, savings 1.210 euros; ICU with 10 patients (2 with PUs), mean LoU FMS 17.3 days, savings 5.317 euros; ICU with 45 patients (11 with PUs) mean LoU FMS 9.3 days, cost increase 1.057 euros. The cost of FMS is quickly amortised in patients with PUs. No FMS patients developed a new PUs. The FMS gives rise to savings when used in patients with PUs or for more than 10 days. The savings related to the prevention of PUs should be also added.

  9. Intensive management – can the South really live without it?

    Science.gov (United States)

    James M. Guldin; T. Bently Wigley

    1998-01-01

    Over the past five years, the public and private sectors have debated the future of forest management and its implications for the next century. In the public sector, resource managers have debated the meaning and significance of "ecosystem management," a term coined in 1992 by then-Forest Service Chief F. Dale Robertson; he suggested that this approach to...

  10. Influence of intense scavenging on Pa-Th fractionation in the wake of Kerguelen Island (Southern Ocean)

    International Nuclear Information System (INIS)

    Venchiarutti, C.; Roy-Barman, M.; Freydier, R.; Van Beek, P.; Souhaut, M.; Jeandel, C.

    2011-01-01

    Dissolved and particulate excess 230 Th and 231 Pa concentrations (noted 230 Th xs and 231 Pa xs respectively) and 231 Pa xs / 230 Th xs activity ratios were investigated on and out of the Kerguelen plateau (Southern Ocean) in the framework of the Kerguelen Ocean and Plateau compared Study project in order to better understand the influence of particle flux and particle chemistry and advection on the scavenging of 231 Pa. In the wake of Kerguelen, particulate 231 Pa xs is relatively abundant compared to its content in the dissolved phase. This, together with the low fractionation observed between 230 Th and 231 Pa (F Th/Pa ranging from 0.06 ± 0.01 to 1.6 ± 0.2) reflects the domination of the biogenic silica in the particle pool. Along the eastern escarpment of the Kerguelen plateau, the strong 231 Pa xs horizontal gradient in the deep waters highlights the intense removal of 231 Pa at depth, as already observed for 230 Th xs . This local boundary scavenging was attributed to re-suspension of opal-rich particles by nepheloid layers, resulting in fractionation factors F Th/Pa ≤ 1 along the Kerguelen plateau slope. Therefore, both the composition (biogenic opal) and the flux (intense along the margin) of particles control the scavenging of the two radionuclides in the Kerguelen wake. The modelling of 231 Pa distribution with an advection-scavenging model demonstrates that lateral advection of open ocean water on the Kerguelen plateau could supply most of the 231 Pa, which is then efficiently scavenged on the highly productive plateau, as previously proposed for 230 Th xs . It stresses that lateral advection can play a significant role in the overall budget of particle reactive trace elements in a coastal-open ocean system. (authors)

  11. Obstetric airway management | Bishop | Southern African Journal of ...

    African Journals Online (AJOL)

    Obstetric airway management continues to provide a challenge to anaesthetists. The incidence of difficult and failed intubations has either remained static, or improved slightly, in specific settings in recent years. Established dogma is being challenged and practice continues to evolve and adapt to new evidence.

  12. Integrated Pest Management of the Southern Pine Beetle

    Science.gov (United States)

    Robert N. Coulson; Hannu Saarenmaa

    2011-01-01

    Integrated pest management (IPM) is the maintenance of destructive agents, including insects, at tolerable levels by the planned use of a variety of preventive, suppressive, or regulatory tactics and strategies that are ecologically and economically efficient and socially and politically acceptable. It is explicit that the actions taken are fully integrated into the...

  13. Medical Waste Management Practices in a Southern African Hospital

    African Journals Online (AJOL)

    Offsite transportation of the hospital waste is undertaken by a private waste management company. Small pickups are mainly used to transport waste daily to an off-site area for treatment and disposal. The main treatment method used in the final disposal of infectious waste is incineration. Noninfectious waste is disposed off ...

  14. The Southern Nevada Agency Partnership Science and Research Synthesis: Science to support land management in Southern Nevada

    Science.gov (United States)

    Jeanne C. Chambers; Matthew L. Brooks; Burton K. Pendleton; Carol B. Raish

    2013-01-01

    This synthesis provides information related to the Southern Nevada Agency Partnership (SNAP) Science and Research Strategy Goal 1 - to restore, sustain and enhance southern Nevada’s ecosystems - and Goal 2 - to provide for responsible use of southern Nevada’s lands in a manner that preserves heritage resources and promotes an understanding of human interaction with the...

  15. The Southern Nevada Agency Partnership Science and Research Synthesis: Science to support land management in Southern Nevada - Executive Summary

    Science.gov (United States)

    Jeanne C. Chambers; Matthew L. Brooks; Burton K. Pendleton; Carol B. Raish

    2013-01-01

    This synthesis provides information related to the Southern Nevada Agency Partnership (SNAP) Science and Research Strategy Goal 1 - to restore, sustain and enhance southern Nevada’s ecosystems - and Goal 2 - to provide for responsible use of southern Nevada’s lands in a manner that preserves heritage resources and promotes an understanding of human interaction with the...

  16. Analysis of energy poverty intensity from the perspective of the regional administration: Empirical evidence from households in southern Europe

    International Nuclear Information System (INIS)

    Scarpellini, Sabina; Rivera-Torres, Pilar; Suárez-Perales, Inés; Aranda-Usón, Alfonso

    2015-01-01

    The current economic situation has increased the number of households in Europe experiencing restrictions and/or limitations of affordability of energy services, demonstrating the urgent need to intervene in those extreme cases in which households suffer the daily consequences of what is internationally defined as energy poverty. In such a context, this paper presents the results obtained in a case study characterising a sample of 615 households with demonstrated energy poverty in the region of Aragón (Spain). In parallel, the intensity of energy poverty in the studied cases is examined by measuring the percentage of energy expenditures with respect to income in the households that suffer it, and a descriptive analysis of the main determinants of energy poverty in the homes studied is presented as well as the policy implication at regional level. - Highlights: • New approach to energy poverty through the collaboration with social services. • Regular data collection systems on energy poverty are needed at the regional level. • Household's conditions in accredited energy poverty have been measured. • A comprehensive analysis of the energy poverty at Regional level in the Southern Europe.

  17. Nurses' knowledge and barriers regarding pain management in intensive care units.

    Science.gov (United States)

    Wang, Hsiang-Ling; Tsai, Yun-Fang

    2010-11-01

    To explore nurses' knowledge and barriers regarding pain management in intensive care units. Pain is a common and treatable condition among intensive care patients. Quality care of these patients depends on the pain knowledge and pain management skills of critical care nurses. However, no single study has explored these nurses' knowledge of and perceived barriers to pain management in Taiwan. A cross-sectional study. Intensive care unit nurses (n = 370) were recruited from 16 hospitals chosen by stratified sampling across Taipei County in Taiwan. Data were collected on nurses' knowledge of pain management using the Nurses' Knowledge and Attitudes Survey-Taiwanese version, on perceived barriers to pain management using a researcher-developed scale and on background information. The overall average correct response rate for the knowledge scale was 53.4%, indicating poor knowledge of pain management. The top barrier to managing pain identified by these nurses was 'giving proper pain prescription needs doctor's approval; can't depend on me'. Knowledge of pain management was significantly and negatively related to perceived barriers to pain management. In addition, scores for knowledge and perceived barriers differed significantly by specific intensive care unit. Knowledge also differed significantly by nurses' education level, clinical competence level (nursing ladder) and hospital accreditation category. Our results indicate an urgent need to strengthen pain education by including case analysis for intensive care nurses in Taiwan. Pain education should target knowledge deficits and barriers to changing pain management approaches for Taiwanese nurses in intensive care units. © 2010 Blackwell Publishing Ltd.

  18. Maximizing Conservation and Production with Intensive Forest Management: It's All About Location

    Science.gov (United States)

    Tittler, Rebecca; Filotas, Élise; Kroese, Jasmin; Messier, Christian

    2015-11-01

    Functional zoning has been suggested as a way to balance the needs of a viable forest industry with those of healthy ecosystems. Under this system, part of the forest is set aside for protected areas, counterbalanced by intensive and extensive management of the rest of the forest. Studies indicate this may provide adequate timber while minimizing road construction and favoring the development of large mature and old stands. However, it is unclear how the spatial arrangement of intensive management areas may affect the success of this zoning. Should these areas be agglomerated or dispersed throughout the forest landscape? Should managers prioritize (a) proximity to existing roads, (b) distance from protected areas, or (c) site-specific productivity? We use a spatially explicit landscape simulation model to examine the effects of different spatial scenarios on landscape structure, connectivity for native forest wildlife, stand diversity, harvest volume, and road construction: (1) random placement of intensive management areas, and (2-8) all possible combinations of rules (a)-(c). Results favor the agglomeration of intensive management areas. For most wildlife species, connectivity was the highest when intensive management was far from the protected areas. This scenario also resulted in relatively high harvest volumes. Maximizing distance of intensive management areas from protected areas may therefore be the best way to maximize the benefits of intensive management areas while minimizing their potentially negative effects on forest structure and biodiversity.

  19. Intensive Care Management of Myasthenia Gravis After Thymectomy ...

    African Journals Online (AJOL)

    Aim:To evaluate the management of post thymectomy myasthenia gravis (MG) patient in our centre; to highlight those aspects of patient care that could improve outcome and to serve as a bench mark for developing a standardized protocol for management. Method: A retrospective study of 5 cases of post thymectomy MG ...

  20. Management intensity and genetics affect loblolly pine seedling performance

    Science.gov (United States)

    Scott D. Roberts; Randall J. Rousseau; B. Landis Herrin

    2012-01-01

    Capturing potential genetic gains from tree improvement programs requires selection of the appropriate genetic stock and application of appropriate silvicultural management techniques. Limited information is available on how specific loblolly pine varietal genotypes perform under differing growing environments and management approaches. This study was established in...

  1. Effects of genetics, management intensity, and seedling density on early stocking in loblolly pine

    Science.gov (United States)

    Scott D. Roberts; Randall J. Rousseau; B. Landis Herrin

    2015-01-01

    Rapid establishment and early tree growth can be key factors in successful plantation management. This generally entails planting good quality planting stock at a seedling density appropriate for the management objectives and then managing at an appropriate intensity with a goal of fully occupying the site as quickly as possible within the context of those objectives....

  2. Influence of intense scavenging on Pa-Th fractionation in the wake of Kerguelen Island (Southern Ocean

    Directory of Open Access Journals (Sweden)

    C. Venchiarutti

    2011-11-01

    Full Text Available Dissolved and particulate excess 230Th and 231Pa concentrations (noted 230Thxs and 231Paxs respectively and 231Paxs/230Thxs activity ratios were investigated on and out of the Kerguelen plateau (Southern Ocean in the framework of the Kerguelen Ocean and Plateau compared Study project in order to better understand the influence of particle flux and particle chemistry and advection on the scavenging of 231Pa.

    In the wake of Kerguelen, particulate 231Paxs is relatively abundant compared to its content in the dissolved phase. This, together with the low fractionation observed between 230Th and 231Pa (FTh/Pa ranging from 0.06 ± 0.01 to 1.6 ± 0.2 reflects the domination of the biogenic silica in the particle pool.

    Along the eastern escarpment of the Kerguelen plateau, the strong 231Paxs horizontal gradient in the deep waters highlights the intense removal of 231Pa at depth, as already observed for 230Thxs. This local boundary scavenging was attributed to re-suspension of opal-rich particles by nepheloid layers, resulting in fractionation factors FTh/Pa ≤ 1 along the Kerguelen plateau slope. Therefore, both the composition (biogenic opal and the flux (intense along the margin of particles control the scavenging of the two radionuclides in the Kerguelen wake.

    The modelling of 231Pa distribution with an advection-scavenging model demonstrates that lateral advection of open ocean water on the Kerguelen plateau could supply most of the 231Pa, which is then efficiently scavenged on the highly productive plateau, as previously proposed for 230Thxs. It stresses that lateral advection can play a significant role in the overall

  3. Science-based management of public lands in southern Nevada [Chapter 11] (Executive Summary)

    Science.gov (United States)

    Matthew L. Brooks; Jeanne C. Chambers

    2013-01-01

    Landmark legislation provides guiding principles for land management planning in southern Nevada and the rest of the United States. Such legislation includes, but is not limited to, the Forest Service Organic Administration Act of 1897 (16 U.S.C. 473-478, 479-482 and 551), National Park Service Organic Act of 1916 (U.S.C. Title 16, Secs. 1-4), Wilderness Act 1964 (P.L....

  4. Anaesthetic and Intensive Care Management of Traumatic Cervical Spine Injury

    Directory of Open Access Journals (Sweden)

    G S Umamaheswara Rao

    2008-01-01

    Full Text Available Trauma to the cervical spine may have devastating consequences. Timely interventions are essential to prevent avoidable neurological deterioration. In the initial stabilization of patients with acute cervical spine injuries, physiological disturbances, especially those involving cardiac and respiratory function require careful attention. Early surgery, which facilitates rapid mobi-lization of the patient, is fraught with important management considerations in the intraopoerative period and the subsequent critical care. Airway management poses a crucial challenge at this stage. Those patients who survive the injury with quadriplegia or quadriparesis may present themselves for incidental surgical procedures. Chronic systemic manifestations in these patients require attention in providing anaesthesia and postoperative care at this stage. The current review provides an insight into the physiological disturbances and the management issues in both acute and chronic phases of traumatic cervical spine injury.

  5. Biology and management of insect pests in North American intensively managed hardwood forest systems.

    Energy Technology Data Exchange (ETDEWEB)

    Coyle, David R.; Nebeker, T., E.; Hart, E., R.; Mattson, W., J.

    2005-01-01

    Annu. Rev. Entomol. 50:1-29. Abstract Increasing demand for wood and wood products is putting stress on traditional forest production areas, leading to long-term economic and environmental concerns. Intensively managed hardwood forest systems (IMHFS), grown using conventional agricultural as well as forestry methods, can help alleviate potential problems in natural forest production areas. Although IMHFS can produce more biomass per hectare per year than natural forests, the ecologically simplified, monocultural systems may greatly increase the crops susceptibility to pests. Species in the genera Populus and Salix comprise the greatest acreage in IMHFS in North America, but other species, including Liquidambar styracifua and Platanus occidentalis, are also important. We discuss life histories, realized and potential damage, and management options for the most economically infuential pests that affect these hardwood species. The substantial inherent challenges associated with pest management in the monocultural environments created by IMHFS are reviewed. Finally, we discuss ways to design IMHFS that may reduce their susceptibility to pests, increase their growth and productivity potential, and create a more sustainable environment.

  6. IDESSA: An Integrative Decision Support System for Sustainable Rangeland Management in Southern African Savannas

    Science.gov (United States)

    Meyer, Hanna; Authmann, Christian; Dreber, Niels; Hess, Bastian; Kellner, Klaus; Morgenthal, Theunis; Nauss, Thomas; Seeger, Bernhard; Tsvuura, Zivanai; Wiegand, Kerstin

    2017-04-01

    Bush encroachment is a syndrome of land degradation that occurs in many savannas including those of southern Africa. The increase in density, cover or biomass of woody vegetation often has negative effects on a range of ecosystem functions and services, which are hardly reversible. However, despite its importance, neither the causes of bush encroachment, nor the consequences of different resource management strategies to combat or mitigate related shifts in savanna states are fully understood. The project "IDESSA" (An Integrative Decision Support System for Sustainable Rangeland Management in Southern African Savannas) aims to improve the understanding of the complex interplays between land use, climate patterns and vegetation dynamics and to implement an integrative monitoring and decision-support system for the sustainable management of different savanna types. For this purpose, IDESSA follows an innovative approach that integrates local knowledge, botanical surveys, remote-sensing and machine-learning based time-series of atmospheric and land-cover dynamics, spatially explicit simulation modeling and analytical database management. The integration of the heterogeneous data will be implemented in a user oriented database infrastructure and scientific workflow system. Accessible via web-based interfaces, this database and analysis system will allow scientists to manage and analyze monitoring data and scenario computations, as well as allow stakeholders (e. g. land users, policy makers) to retrieve current ecosystem information and seasonal outlooks. We present the concept of the project and show preliminary results of the realization steps towards the integrative savanna management and decision-support system.

  7. Disparate stakeholder management: the case of elk and bison feeding in southern Greater Yellowstone

    Science.gov (United States)

    Koontz, Lynne; Hoag, Dana; DeLong, Don

    2012-01-01

    For resource decisions to make the most possible progress toward achieving agency mandates, managers must work with stakeholders and may need to at least partially accommodate some of their key underlying interests. To accommodate stakeholder interests, while also substantively working toward fulfilling legal mandates, managers must understand the sociopolitical factors that influence the decision-making process. We coin the phrase disparate stakeholder management (DSM) to describe situations with disparate stakeholders and disparate management solutions. A DSM approach (DSMA) requires decision makers to combine concepts from many sciences, thus releasing them from disciplinary bonds that often constrain innovation and effectiveness. We combined three distinct approaches to develop a DSMA that assisted in developing a comprehensive range of elk and bison management alternatives in the Southern Greater Yellowstone Area. The DSMA illustrated the extent of compromise between meeting legal agency mandates and accommodating the preferences of certain stakeholder groups.

  8. The Experience of Intense Pain: Nursing Management and Interventions.

    Science.gov (United States)

    Kiser-Larson, Norma

    Personal stories of illness give depth to otherwise clinical descriptions of diagnoses. This article offers an autobiographical narrative of complications after total knee replacement surgery. Diagnosis and nursing management of acute compartment syndrome, nociceptive and neuropathic origins of pain, pharmacologic and nursing interventions for pain, the use of prayer in illness, and compassionate caring from a Christian perspective are discussed.

  9. The geographical conditions of intensity of salty waters intrusions to coastal lakes on Polish Southern Baltic coast

    Science.gov (United States)

    Cieslinski, R.

    2009-04-01

    geographical conditions, especially on hydrographical and hydrological ones, which determine their variability and distribution. The objects of research have been chosen to be the two largest coastal lakes in the Polish section of the southern Baltic shore, i.e. Łebsko and Gardno. References: Ataie-Ashtiani, B., Volkerand, R.E., Lockington, D.A. (1999) Tidal effects on sea water intrusion in unconfined aquifers, Journal of Hydrology, 216 (1-2), 17-31. Cieśliński R., Drwal J. (2005) Quasi - estuary processes and consequences for human activity, South Baltic, Estuarine, Coastal and Shelf Science, 62, 477 - 485. De Louw, P., Oude Essink, G. (2001) Salinisation of the northern coastel area of the netherlands due to land subsidence and sea level rise. In: Vijay P. Singh (eds), Coastal Environment and Water Quality (ed. by Y. Jun Xu & V. P. Singh), 424 - 434. Water Resources Publications. Demirel, Z. (2004) The history and evaluation of saltwater intrusion into a coastal aquifer in Mersin, Turkey, Journal of Environmental Management, 70 (3), 275-282. Drwal, J., Cieśliński, R. (2007) Coastal lakes and marine intrusions on the southern Baltic coast, Oceanological and Hydrobiological Studies, XXXVI (2), 61 - 75. Grassi, S., Netti, R. (2000) Sea water intrusion and mercury pollution of some coastal aquifers in the province of Grosseto (Southern Tuscany — Italy), Journal of Hydrology, 237 (3-4), 198-211. Hsing-Juh, L., Xiao-Xun, D., Kwang-Tsao, S., Huei-Meei, S., Wen-Tseng, L., Hwey-Lian, H., Lee-Shing, F., Jia-Jang, H. (2006) Trophic structure and functioning in a eutrophic and poorly flushed lagoon in southwestern Taiwan, Marine environmental research, 62 (1), 61-82. Ishitobi, Y., Kamiya, H., Yokoyama, K., Kumagai, M., Okuda, S. (1999) Physical Conditions of Saline Water Intrusion into a Coastal Lagoon, Lake Shinji, Japanese Journal of Limnology, 4, 439-452. Uncles, R. J. , Stephens, J. A., Smith, R. E. (2002) The dependence of estuarine turbidity on tidal intrusion length

  10. Intensive management modifies soil CO2 efflux in 6-year-old Pinus taeda L. stands

    Science.gov (United States)

    Lisa J. Samuelson; Kurt Johnsen; Tom Stokes; Weinlang Lu

    2004-01-01

    Intensive forestry may reduce net CO2 emission into atmosphere by storing carbon in living biomass, dead organic matter and soil, and durable wood products. Because quantification of belowground carbon dynamics is important for reliable estimation of the carbon sequestered by intensively managed plantations, we examined soil CO2...

  11. Managing conflicts arising from fisheries enhancements based on non-native fishes in southern Africa.

    Science.gov (United States)

    Ellender, B R; Woodford, D J; Weyl, O L F; Cowx, I G

    2014-12-01

    Southern Africa has a long history of non-native fish introductions for the enhancement of recreational and commercial fisheries, due to a perceived lack of suitable native species. This has resulted in some important inland fisheries being based on non-native fishes. Regionally, these introductions are predominantly not benign, and non-native fishes are considered one of the main threats to aquatic biodiversity because they affect native biota through predation, competition, habitat alteration, disease transfer and hybridization. To achieve national policy objectives of economic development, food security and poverty eradication, countries are increasingly looking towards inland fisheries as vehicles for development. As a result, conflicts have developed between economic and conservation objectives. In South Africa, as is the case for other invasive biota, the control and management of non-native fishes is included in the National Environmental Management: Biodiversity Act. Implementation measures include import and movement controls and, more recently, non-native fish eradication in conservation priority areas. Management actions are, however, complicated because many non-native fishes are important components in recreational and subsistence fisheries that contribute towards regional economies and food security. In other southern African countries, little attention has focussed on issues and management of non-native fishes, and this is cause for concern. This paper provides an overview of introductions, impacts and fisheries in southern Africa with emphasis on existing and evolving legislation, conflicts, implementation strategies and the sometimes innovative approaches that have been used to prioritize conservation areas and manage non-native fishes. © 2014 The Fisheries Society of the British Isles.

  12. Wetlands Management and risk for West Nile Virus Circulation in Camargue, Southern France

    Science.gov (United States)

    Leblond, Agnes; Pradier, Sophie; Paul, Mathilde; Lecollinet, Sylvie; Sandoz, Alain

    2016-04-01

    West Nile Virus (WNV) is a flavivirus transmitted between mosquitoes (mainly the genus Culex) and wild birds. Horses and humans are incidental hosts and can develop severe neurological disorders. During last decades, the number of WNV cases reported in Europe has increased dramatically. Large outbreaks of increased clinical severity have been reported in parts of Russia, Southern and Eastern Europe. In the Camargue area, WNV outbreaks have been reported in 2000, 2004 and more recently in 2015. We hypothesize that the management of Camargue wetlands could play a key role in the emergence of outbreaks in this area during recent years. WNV transmission requires competent vectors, receptive hosts, and environmental parameters which allow contact between the vectors and the different hosts. The Rhône Delta is known for its landscape of wetlands and its wealth of different bird species. It is also a region where mosquito populations are very abundant. Recent observations have shown that environmental changes, mainly resulting from anthropogenic practices, have had an impact on inter-annual variations in the wetlands and consequently on the abundance of mosquitoes. Water is provided either by rainfall or by a very tight canal network diverted from the river Rhone. Water management is under the control of individual field owners and dependent on its various uses (grazing, rice culture, hunting reserves). This specific management of water resources could play a role in the circulation of WNV in the area. Non-vaccinated horses (n = 1159 from 134 stables) were sampled in 2007 and 2008 in the Camargue area and a serological test was performed to identify a possible contact with the WNV. Environmental variables related to water resources and management were collected through fifteen Landsat images. Areas with open water and flooded vegetation and their variations within a year and between years (2007-08) were quantified for buffers of 2 km radius around the stables. Mean

  13. Impact of grazing intensity on seasonal variations in soil organic carbon and soil CO2 efflux in two semiarid grasslands in southern Botswana

    Science.gov (United States)

    Thomas, Andrew D.

    2012-01-01

    Biological soil crusts (BSCs) are an important source of organic carbon, and affect a range of ecosystem functions in arid and semiarid environments. Yet the impact of grazing disturbance on crust properties and soil CO2 efflux remain poorly studied, particularly in African ecosystems. The effects of burial under wind-blown sand, disaggregation and removal of BSCs on seasonal variations in soil CO2 efflux, soil organic carbon, chlorophyll a and scytonemin were investigated at two sites in the Kalahari of southern Botswana. Field experiments were employed to isolate CO2 efflux originating from BSCs in order to estimate the C exchange within the crust. Organic carbon was not evenly distributed through the soil profile but concentrated in the BSC. Soil CO2 efflux was higher in Kalahari Sand than in calcrete soils, but rates varied significantly with seasonal changes in moisture and temperature. BSCs at both sites were a small net sink of C to the soil. Soil CO2 efflux was significantly higher in sand soils where the BSC was removed, and on calcrete where the BSC was buried under sand. The BSC removal and burial under sand also significantly reduced chlorophyll a, organic carbon and scytonemin. Disaggregation of the soil crust, however, led to increases in chlorophyll a and organic carbon. The data confirm the importance of BSCs for C cycling in drylands and indicate intensive grazing, which destroys BSCs through trampling and burial, will adversely affect C sequestration and storage. Managed grazing, where soil surfaces are only lightly disturbed, would help maintain a positive carbon balance in African drylands. PMID:23045706

  14. The impact of leadership, management and power in an international knowledge-intensive organization

    Directory of Open Access Journals (Sweden)

    Senni Kirjavainen

    Full Text Available The shift to knowledge economies and the boom of knowledge-intensive organizations with their expert employees pose new challenges for leadership and management of development work. What is the appropriate amount and form of managerial control that is needed in knowledge-intensive development work? This paper focuses on illuminating the kind of leadership and management efforts that either support or hinder advancing development projects. The results highlight the paradoxical role of power and control, and reveal that employees need freedom and yet strong guidance and managerial commitment to develop work in order to stay motivated. Implications for leading knowledge-intensive development are discussed.

  15. Root Zone Sensors for Irrigation Management in Intensive Agriculture

    Directory of Open Access Journals (Sweden)

    Jochen Hemming

    2009-04-01

    Full Text Available Crop irrigation uses more than 70% of the world’s water, and thus, improving irrigation efficiency is decisive to sustain the food demand from a fast-growing world population. This objective may be accomplished by cultivating more water-efficient crop species and/or through the application of efficient irrigation systems, which includes the implementation of a suitable method for precise scheduling. At the farm level, irrigation is generally scheduled based on the grower’s experience or on the determination of soil water balance (weather-based method. An alternative approach entails the measurement of soil water status. Expensive and sophisticated root zone sensors (RZS, such as neutron probes, are available for the use of soil and plant scientists, while cheap and practical devices are needed for irrigation management in commercial crops. The paper illustrates the main features of RZS’ (for both soil moisture and salinity marketed for the irrigation industry and discusses how such sensors may be integrated in a wireless network for computer-controlled irrigation and used for innovative irrigation strategies, such as deficit or dual-water irrigation. The paper also consider the main results of recent or current research works conducted by the authors in Tuscany (Italy on the irrigation management of container-grown ornamental plants, which is an important agricultural sector in Italy.

  16. An Isotopic View of Water and Nitrate Transport Through the Vadose Zone in Oregon’s Southern Willamette Valley’s Groundwater Management Area (S-GWMA)

    Science.gov (United States)

    Groundwater nitrate contamination affects thousands of households in Oregon’s southern Willamette Valley and many more across the USA. The southern Willamette Valley Groundwater Management Area (GWMA) was established in 2004 due to nitrate levels in the groundwater exceedi...

  17. A method of forest management for the planned introduction of intensive husbandry in virgin forest stands

    Science.gov (United States)

    B. Dolezal

    1978-01-01

    The method proposed is derived from long experience of intensive management in forest stands of Central Europe and from our proposal for management in virgin Iranian forests of the Caspian Region. The method establishes the need for systematic planning of stand conversion to insure both sustained yield and the harvesting of sufficient timber to sustain economic...

  18. High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in the Prevention/Management of Cardiovascular Disease.

    Science.gov (United States)

    Hussain, Syed R; Macaluso, Andrea; Pearson, Stephen J

    Moderate-intensity continuous training (MICT) has long been considered the most effective exercise treatment modality for the prevention and management of cardiovascular disease (CVD), but more recently high-intensity interval training (HIIT) has been viewed as a potential alternative to MICT in accruing such benefits. HIIT was initially found to induce significant improvements in numerous physiological and health-related indices, to a similar if not superior extent to MICT. Since then, many studies have attempted to explore the potential clinical utility of HIIT, relative to MICT, with respect to treating numerous cardiovascular conditions, such as coronary artery disease, heart failure, stroke, and hypertension. Despite this, however, the efficacy of HIIT in reversing the specific symptoms and risk factors of these cardiovascular pathologies is not well understood. HIIT is often perceived as very strenuous, which could render it unsafe for those at risk of or afflicted with CVD, but these issues are also yet to be reviewed. Furthermore, the optimal HIIT protocol for each of the CVD cohorts has not been established. Thus, the purpose of this review article is to (1) evaluate the efficacy of HIIT relative to MICT in the prevention and management of cardiovascular conditions, and (2) explore any potential safety issues surrounding the suitability and/or tolerability of HIIT for patients with CVD, and the potential optimal prescriptive variables of HIIT for application in the clinical environment.

  19. Modeling critical zone processes in intensively managed environments

    Science.gov (United States)

    Kumar, Praveen; Le, Phong; Woo, Dong; Yan, Qina

    2017-04-01

    Processes in the Critical Zone (CZ), which sustain terrestrial life, are tightly coupled across hydrological, physical, biochemical, and many other domains over both short and long timescales. In addition, vegetation acclimation resulting from elevated atmospheric CO2 concentration, along with response to increased temperature and altered rainfall pattern, is expected to result in emergent behaviors in ecologic and hydrologic functions, subsequently controlling CZ processes. We hypothesize that the interplay between micro-topographic variability and these emergent behaviors will shape complex responses of a range of ecosystem dynamics within the CZ. Here, we develop a modeling framework ('Dhara') that explicitly incorporates micro-topographic variability based on lidar topographic data with coupling of multi-layer modeling of the soil-vegetation continuum and 3-D surface-subsurface transport processes to study ecological and biogeochemical dynamics. We further couple a C-N model with a physically based hydro-geomorphologic model to quantify (i) how topographic variability controls the spatial distribution of soil moisture, temperature, and biogeochemical processes, and (ii) how farming activities modify the interaction between soil erosion and soil organic carbon (SOC) dynamics. To address the intensive computational demand from high-resolution modeling at lidar data scale, we use a hybrid CPU-GPU parallel computing architecture run over large supercomputing systems for simulations. Our findings indicate that rising CO2 concentration and air temperature have opposing effects on soil moisture, surface water and ponding in topographic depressions. Further, the relatively higher soil moisture and lower soil temperature contribute to decreased soil microbial activities in the low-lying areas due to anaerobic conditions and reduced temperatures. The decreased microbial relevant processes cause the reduction of nitrification rates, resulting in relatively lower nitrate

  20. An overview of the Southern Nevada Agency Partnership science and research synthesis: Chapter 1 in The Southern Nevada Agency Partnership science and research synthesis: science to support land management in southern Nevada

    Science.gov (United States)

    Chambers, Jeanne C.; Brooks, Matthew L.; Turner, Kent; Raish, Carol B.; Ostoja, Steven M.

    2013-01-01

    Maintaining and restoring the diverse ecosystems and resources that occur in southern Nevada in the face of rapid socio-economic and ecological change presents numerous challenged to Federal land managers. Rapid population growth since the 1980s, the land uses associated with that growth, and the interactions of those uses with the generally dry and highly variable climate result in numerous stresses to ecosystems, species, and cultural resource. In addition, climate models predict that the rate of temperature increase and, thus, changes in ecological processes, will be highest for ecosystems like the Mojave Desert. The Southern Nevada Agency Partnership (SNAP; http:www.SNAP.gov) was established in 1999 to address common issues pertaining to public lands in southern Nevada. Partners include the Bureau of Land Management, National Park Service, U.S. Fish and Wildlife Service, and USDA Forest Service and they work with each other, the local community, and other partners. SNAP agencies manage more than seven million acres of public lands in southern Nevada (95% of the land area). Federal land includes two national recreation areas, two national conservation area, four national wildlife refuges, 18 congressionally designated wilderness areas, five wilderness study areas, and 22 areas of critical environmental concern. The partnership's activities are mainly centered in Southern Nevada's Clark County (fig. 1.1), but lands managed by SNAP partner agencies also include portions of Lake Mead National Recreation Area in Mohave County, Arizona, U.S. Fish and Wildlife Service, and USDA Forest Service-managed lands in Lincoln and Nye Counties, Nevada, and all lands and activities managed by the Southern Nevada District Office of the Bureau of Land Management. These lands encompass nine distinct ecosystem types (fig. 1.2), support multiple species of management concern an 17 listed species, and are rich in cultural and historic resource. This introductory executive summary

  1. Sleep quality and fatigue after a stress management intervention for women with early-stage breast cancer in southern Florida.

    Science.gov (United States)

    Vargas, Sara; Antoni, Michael H; Carver, Charles S; Lechner, Suzanne C; Wohlgemuth, William; Llabre, Maria; Blomberg, Bonnie B; Glück, Stefan; DerHagopian, Robert P

    2014-12-01

    Sleep disruption and fatigue are ubiquitous among cancer patients and are sources of stress that may compromise treatment outcomes. Previously, we showed that a cognitive behavioral stress management (CBSM) intervention reduced anxiety and other stress-related processes in women undergoing primary treatment for breast cancer. This study examined secondary outcomes from a CBSM intervention trial for women with early-stage breast cancer to test if CBSM would improve sleep quality and fatigue among these patients at a single site in southern Florida. CBSM-related effects have already been demonstrated for indicators of psychosocial adaptation (e.g., general and cancer-related anxiety). Patients were randomized to CBSM (n= 120) or a 1-day psychoeducation control group (n= 120). The Pittsburgh Sleep Quality Index (PSQI) and Fatigue Symptom Inventory were completed prior to randomization and 6 and 12 months after the baseline assignment. In latent growth analyses, women in CBSM reported greater improvements in PSQI sleep quality scores than controls, although there were no significant differences between conditions on PSQI total scores. Women in CBSM also reported greater reductions in fatigue-related daytime interference than controls, though there were no significant differences in changes in fatigue intensity. Changes in sleep quality were associated with changes in fatigue. Future work may consider integrating sleep and fatigue content into stress management interventions for women with early-stage breast cancer.

  2. Geophysical approach for emergency management of landslide: the experience of Basilicata Civil Protection (southern Italy)

    Science.gov (United States)

    Colangelo, G.; Lapenna, V.; Perrone, A.; Loperte, A.

    2009-04-01

    The Basilicata region (Southern Italy), being dissected by numerous and often significant rivers and characterized by the outcrop of terrains with bad mechanical properties, is one of the more exposed regions of the southern Apennine chain to hydrogeologic hazard and shows a complete panorama of mass movements. During the last years, after strong precipitations, this region has been affected by the reactivation of many quiescent landslides that involved buildings and infrastructures constructed on the slopes. The risk for people and assets needed the intervention of the end users involved in the risk management and, in particular, the inspection of Regional Department of Infrastructure and Civil Protection (RDICP). In many involved areas and for many families evacuation decrees have been issued in order to allow the damage valuation. An important contribution has been provided by the geophysical data and, in particular, by the 2D electrical resistivity tomographies (ERTs) that have been carried out in the areas some days after the event by IMAA-CNR. In this work we present the results regarding the application of unconventional geoelectrical techniques used for the emergency management of landslide in Basilicata Region (southern Italy). The information obtained by the application of indirect surveys appeared to be particularly useful for the end users involved in the risks management. In particular, taking into account the cycle of landslides emergency, the obtained data could give a valid contribution during the post-event phase which mainly regards the damage valuation. Indeed, only a corrected assessment of the damage and a precise geometric reconstruction of the landslide body, can direct the intervention actions of the end users. The results represent a valid cognitive support to choose the most appropriate technical solution for strengthening of the slopes and an example of best practice for the cooperation between the research activity (IMAA-CNR) and field

  3. Climate change and maize yield in southern Africa: what can farm management do?

    Science.gov (United States)

    Rurinda, Jairos; van Wijk, Mark T; Mapfumo, Paul; Descheemaeker, Katrien; Supit, Iwan; Giller, Ken E

    2015-12-01

    There is concern that food insecurity will increase in southern Africa due to climate change. We quantified the response of maize yield to projected climate change and to three key management options - planting date, fertilizer use and cultivar choice - using the crop simulation model, agricultural production systems simulator (APSIM), at two contrasting sites in Zimbabwe. Three climate periods up to 2100 were selected to cover both near- and long-term climates. Future climate data under two radiative forcing scenarios were generated from five global circulation models. The temperature is projected to increase significantly in Zimbabwe by 2100 with no significant change in mean annual total rainfall. When planting before mid-December with a high fertilizer rate, the simulated average grain yield for all three maize cultivars declined by 13% for the periods 2010-2039 and 2040-2069 and by 20% for 2070-2099 compared with the baseline climate, under low radiative forcing. Larger declines in yield of up to 32% were predicted for 2070-2099 with high radiative forcing. Despite differences in annual rainfall, similar trends in yield changes were observed for the two sites studied, Hwedza and Makoni. The yield response to delay in planting was nonlinear. Fertilizer increased yield significantly under both baseline and future climates. The response of maize to mineral nitrogen decreased with progressing climate change, implying a decrease in the optimal fertilizer rate in the future. Our results suggest that in the near future, improved crop and soil fertility management will remain important for enhanced maize yield. Towards the end of the 21st century, however, none of the farm management options tested in the study can avoid large yield losses in southern Africa due to climate change. There is a need to transform the current cropping systems of southern Africa to offset the negative impacts of climate change. © 2015 John Wiley & Sons Ltd.

  4. Management of Pediatric Delirium in Pediatric Cardiac Intensive Care Patients: An International Survey of Current Practices.

    Science.gov (United States)

    Staveski, Sandra L; Pickler, Rita H; Lin, Li; Shaw, Richard J; Meinzen-Derr, Jareen; Redington, Andrew; Curley, Martha A Q

    2018-06-01

    The purpose of this study was to describe how pediatric cardiac intensive care clinicians assess and manage delirium in patients following cardiac surgery. Descriptive self-report survey. A web-based survey of pediatric cardiac intensive care clinicians who are members of the Pediatric Cardiac Intensive Care Society. Pediatric cardiac intensive care clinicians (physicians and nurses). None. One-hundred seventy-three clinicians practicing in 71 different institutions located in 13 countries completed the survey. Respondents described their clinical impression of the occurrence of delirium to be approximately 25%. Most respondents (75%) reported that their ICU does not routinely screen for delirium. Over half of the respondents (61%) have never attended a lecture on delirium. The majority of respondents (86%) were not satisfied with current delirium screening, diagnosis, and management practices. Promotion of day/night cycle, exposure to natural light, deintensification of care, sleep hygiene, and reorientation to prevent or manage delirium were among nonpharmacologic interventions reported along with the use of anxiolytic, antipsychotic, and medications for insomnia. Clinicians responding to the survey reported a range of delirium assessment and management practices in postoperative pediatric cardiac surgery patients. Study results highlight the need for improvement in delirium education for pediatric cardiac intensive care clinicians as well as the need for systematic evaluation of current delirium assessment and management practices.

  5. Integral Management of Irrigation Water in Intensive Horticultural Systems of Almería

    OpenAIRE

    Pedro Garcia-Caparros; Juana Isabel Contreras; Rafael Baeza; Maria Luz Segura; Maria Teresa Lao

    2017-01-01

    The development of intensive horticulture in Almería, with a huge increase in greenhouse surface area, is related to three essential factors: climatic characteristics, groundwater use and mulching sandy soil. The purpose of the present paper is to draw a picture of the integral management of water irrigation in the intensive horticultural systems in the region, by identifying the most significant water resource contributions and alternative water resources. Results indicate that the use of gr...

  6. Incorporating economic valuation into fire prevention planning and management in Southern European countries

    Directory of Open Access Journals (Sweden)

    Elsa Varela

    2015-08-01

    Full Text Available Aim of study: This article describes and analyzes the links between the fire-based scientific knowledge, the social perception of fire prevention and forest fires and the economic valuation requirements to assess social preferences for fire prevention measures. Area of study: Southern European countries. Material and Methods: For that purpose, we develop a critical revision of the existing literature on economic valuation of social preferences for fire risk reduction and fire prevention in terms of its links with fire science and social perceptions and the applicability of these results in fire management policies. Research highlights: The assessment of social preferences for fire related issues is challenging due to the difficulty of setting sound valuation scenarios that can simultaneously be relevant for the respondents and derive conclusions useful for fire management. Most of the revised studies set up valuation scenarios focused on the final management outcome e.g. number of burnt hectares, what is easier for the respondents to evaluate but weakens the scientific relationship with fire management, making difficult reaching conclusions for sound management advice. A more recent set of valuation studies has been developed where risk perception of homeowners is further assessed as a key variable determining their preferences in valuation scenarios. These studies are relevant for mangers setting fire prevention programs in wildland urban interface areas as understanding the factors that may promote or hinder the enrolment of these homeowners in fire prevention activities may have direct implication in addressing communication programs to promote fire prevention management.

  7. Strategically oriented management and controlling of resource intensive projects; Strategieorientiertes Management und Controlling ressourcenintensiver Projekte. Fallstudienanalyse und Konzeption eines Referenzmodells zum Projektmanagement der Stilllegung kerntechnischer Anlagen

    Energy Technology Data Exchange (ETDEWEB)

    Kemmeter, Sascha

    2015-07-01

    The book on strategically oriented management and controlling of resource intensive projects covers the following issues: frame of project management and project controlling, classification of the decommissioning of nuclear facilities as resource intensive projects, research design for case studies, results of the study of project management specific characteristics of decommissioning, reference model for the project management of nuclear facility decommissioning.

  8. Small mammal distributions relative to corridor edges within intensively managed southern pine plantations.

    Science.gov (United States)

    Nicole L. Constantine; Tyler A. Campbell; William M. Baughman; Timothy B. Harrington; Brian R. Chapman; Karl V. Miller

    2005-01-01

    We characterized small mammal communities in three loblolly pine (Pinus taeda) stands in the Lower Coastal Plain of South Carolina during June 1998-Aug. 2000 to investigate influence of corridor edges on small mammal distribution. We live-trapped small mammals in three regenerating stands following clearcutting. Harvested stands were bisected by...

  9. Environmental Management as a Strategic Capability: a Study on the Furniture Manufacturing Cluster of Southern Brazil

    Directory of Open Access Journals (Sweden)

    Janielen Pissolatto Deliberal

    2016-01-01

    Full Text Available The incorporation of company programs aimed at sustainability strategies contributes to a balance between economic growth and the use of natural resources. This issue is not exclusive for companies from developed markets. Companies from emerging markets also need to find a way to achieve sustainable practices and organizational performance at the same time. In this context, the aim of this study was to analyze whether environmental management can be considered as a strategic capability, contributing positively to the performance of the manufacturing companies belonging to the Furniture Manufacturing Cluster of Southern Brazil (FMCSB. In order to achieve our objective, we performed a quantitative study through a survey. The sample collected data from 162 companies. Based on univariate and multivariate analysis the results suggest that environmental management can be considered as a strategic capability for the FMCSB since environmental practices are significantly related to organizational performance.

  10. Does management intensity in inter rows effect soil physical properties in Austrian and Romanian vineyards?

    Science.gov (United States)

    Bauer, Thomas; Strauss, Peter; Stiper, Katrin; Klipa, Vladimir; Popescu, Daniela; Winter, Silvia; Zaller, Johann G.

    2016-04-01

    Successful viticulture is mainly influenced by soil and climate. The availability of water during the growing season highly influences wine quality and quantity. To protect soil from being eroded most of the winegrowers keep the inter row zones of the vineyards green. Greening also helps to provide water-stress to the grapes for harvesting high quality wines. However, these greening strategies concerning the intensity of inter row management differ from farm to farm and are mainly based on personal experience of the winegrowers. However to what extent different inter row management practices affect soil physical properties are not clearly understood yet. To measure possible effects of inter row management in vineyards on soil physical parameters we selected paired vineyards with different inter row management in Austria and Romania. In total more than 7000 soil analysis were conducted for saturated and unsaturated hydraulic conductivity, soil water retention, water stable aggregates, total organic carbon, cation exchange capacity, potassium, phosphorous, soil texture, bulk density and water infiltration. The comparison between high intensity management with at least one soil disturbance per year, medium intensity with one soil disturbance every second inter row per year and low intensity management with no soil disturbance since at least 5 years indicates that investigated soil physical properties did not improve for the upper soil layer (3-8cm). This is in contrast to general perceptions of improved soil physical properties due to low intensity of inter row management, i.e. permanent vegetated inter rows. This may be attributed to long term and high frequency mechanical stress by agricultural machinery in inter rows.

  11. Contingency management for patients with dual disorders in intensive outpatient treatment for addiction.

    Science.gov (United States)

    Kelly, Thomas M; Daley, Dennis C; Douaihy, Antoine B

    2014-01-01

    This quality improvement program evaluation investigated the effectiveness of contingency management for improving retention in treatment and positive outcomes among patients with dual disorders in intensive outpatient treatment for addiction. The effect of contingency management was explored among a group of 160 patients exposed to contingency management (n = 88) and not exposed to contingency management (no contingency management, n = 72) in a six-week partial hospitalization program. Patients referred to the partial hospitalization program for treatment of substance use and comorbid psychiatric disorders received diagnoses from psychiatrists and specialist clinicians according to the Diagnostic and Statistical Manual of the American Psychiatric Association. A unique application of the contingency management "fishbowl" method was used to improve the consistency of attendance at treatment sessions, which patients attended 5 days a week. Days attending treatment and drug-free days were the main outcome variables. Other outcomes of interest were depression, anxiety and psychological stress, coping ability, and intensity of drug cravings. Patients in the contingency management group attended more treatment days compared to patients in the no contingency management group; M = 16.2 days (SD = 10.0) versus M = 9.9 days (SD = 8.5), respectively; t = 4.2, df = 158, p contingency management and self-reported drug-free days. Contingency management is a valuable adjunct for increasing retention in treatment among patients with dual disorders in partial hospitalization treatment. Exposure to contingency management increases retention in treatment, which in turn contributes to increased drug-free days. Interventions for coping with psychological stress and drug cravings should be emphasized in intensive dual diagnosis group therapy.

  12. Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model.

    Science.gov (United States)

    Dodek, Peter M; Wong, Hubert; Jaswal, Danny; Heyland, Daren K; Cook, Deborah J; Rocker, Graeme M; Kutsogiannis, Demetrios J; Dale, Craig; Fowler, Robert; Ayas, Najib T

    2012-02-01

    The objectives of this study are to describe organizational and safety culture in Canadian intensive care units (ICUs), to correlate culture with the number of beds and physician management model in each ICU, and to correlate organizational culture and safety culture. In this cross-sectional study, surveys of organizational and safety culture were administered to 2374 clinical staff in 23 Canadian tertiary care and community ICUs. For the 1285 completed surveys, scores were calculated for each of 34 domains. Average domain scores for each ICU were correlated with number of ICU beds and with intensivist vs nonintensivist management model. Domain scores for organizational culture were correlated with domain scores for safety culture. Culture domain scores were generally favorable in all ICUs. There were moderately strong positive correlations between number of ICU beds and perceived effectiveness at recruiting/retaining physicians (r = 0.58; P organizational and safety culture. Differences in perceptions between staff in larger and smaller ICUs highlight the importance of teamwork across units in larger ICUs. Copyright © 2012 Elsevier Inc. All rights reserved.

  13. The Effects of Tax Avoidance, Accrual Earnings Management, Real Earnings Management, and Capital Intensity on the Cost of Equity

    OpenAIRE

    Amrie Firmansyah; Ahmad Sigid Febriyanto

    2018-01-01

    This study aims to examine the effects of tax avoidance, accrual profit management, real profit management, and capital intensity on equity costs. The population of this study is a manufacturing company listed on the Indonesia Stock Exchange which amounted to 146 companies. The sampling technique used was purposive sampling and resulted in 420 units of analysis. This type of research is quantitative causality by performing hypothesis testing analysis is done by using multiple linear regressio...

  14. Managing social awkwardness when caring for morbidly obese patients in intensive care: A focused ethnography.

    Science.gov (United States)

    Hales, Caz; de Vries, Kay; Coombs, Maureen

    2016-06-01

    Critically ill morbidly obese patients pose considerable healthcare delivery and resource utilisation challenges in the intensive care setting. These are resultant from specific physiological responses to critical illness in this population and the nature of the interventional therapies used in the intensive care environment. An additional challenge arises for this population when considering the social stigma that is attached to being obese. Intensive care staff therefore not only attend to the physical and care needs of the critically ill morbidly obese patient but also navigate, both personally and professionally, the social terrain of stigma when providing care. To explore the culture and influences on doctors and nurses within the intensive care setting when caring for critically ill morbidly obese patients. A focused ethnographic approach was adopted to elicit the 'situated' experiences of caring for critically ill morbidly obese patients from the perspectives of intensive care staff. Participant observation of care practices and interviews with intensive care staff were undertaken over a four month period. Analysis was conducted using constant comparison technique to compare incidents applicable to each theme. An 18 bedded tertiary intensive care unit in New Zealand. Sixty-seven intensive care nurses and 13 intensive care doctors involved with the care and management of seven critically ill patients with a body mass index ≥40kg/m(2). Interactions between intensive care staff and morbidly obese patients were challenging due to the social stigma surrounding obesity. Social awkwardness and managing socially awkward moments were evident when caring for morbidly obese patients. Intensive care staff used strategies of face-work and mutual pretence to alleviate feelings of discomfort when engaged in aspects of care and caring. This was a strategy used to prevent embarrassment and distress for both the patients and staff. This study has brought new understandings

  15. Social Relation between Businessman and Community in Management of Intensive Shrimp Pond

    Science.gov (United States)

    Gumay Febryano, Indra; Sinurat, James; Lovinia Salampessy, Messalina

    2017-02-01

    Expansion of aquaculture, especially shrimp culture, is the primary cause of deforestation of mangrove along coastal zone. This phenomenon is pretty much related to social relation between businessman of intensive shrimp pond and community around coastal zone. The objective of this research is to explain social relation between businessman and community in managing intensive shrimp pond. This research is a kind of qualitative research and the method used is a case study. The result of this research shows that the behaviour of the majority of businessman of intensive shrimp pond is not accordingly with environmental concerns as they compelled conversion of mangrove and they disposed waste of shrimp pond into the sea. Such kind of behaviour caused degradation of water ecosystem and marginalizing local community. Corporate Social Responsibility (CSR) which was implemented by businessman of intensive shrimp pond in the area of social, religion, and education can downgrade the coming up of social turbulence. Otherwise, CSR in enabling economic community and environmental management was not conducted yet. CSR in environmental management can be conducted by businessman of intensive shrimp pond by considering the existence of mangrove and pond management and waste in a better way, so that environment around ponds is not polluted and the sustainability of shrimp pond business as well as income of community can be guaranteed. Accordingly with the result of this research, CSR is not only involving businessman of intensive shrimp pond and community, but also involving local government in terms of right and responsibility of citizen as well as management and development of community.

  16. Deforestation and forest management in southern Ethiopia: investigations in the Chencha and Arbaminch areas.

    Science.gov (United States)

    Assefa, Engdawork; Bork, Hans-Rudolf

    2014-02-01

    Long-term human impacts are considered to be the prime cause of unsustainable forest exploitation in Ethiopia. Yet there exist well-established systems and a wealth of local experience in maintaining and managing forests. This study explores the trends and driving forces of deforestation plus traditional practices regarding sustainable forest use and management in the Chencha and Arbaminch areas, Southern Ethiopia. Satellite image analysis (images from 1972, 1984 and 2006) combined with field surveys were used to detect and map changes in forest cover. Household interviews and group discussions with experienced and knowledgeable persons were also employed. The results show a 23 % decline in forest cover between 1972 and 2006 with the most significant change from 1986 to 2006. Change was greatest in the lowlands and remarkable episodic forest changes also occurred, suggesting nonlinear spatial and temporal forest cover dynamics. According to farmers, the main driver of deforestation is agricultural land expansion in response to local population increases and a decline in agricultural production. Growing local and regional fuel wood demand is another chief cause. Despite these issues, remarkable relicts of natural forests remain and trees on farmland, around homesteads and on fields in every village are basic elements of farm activities and social systems. This demonstrates the effect of cumulative traditional knowledge and long-term local experience with forest management and preservation. Therefore, these practices should be promoted and advanced through the integration of local knowledge and forest management practices in the design and implementation of sustainable environmental planning and management.

  17. The Effects of Tax Avoidance, Accrual Earnings Management, Real Earnings Management, and Capital Intensity on the Cost of Equity

    Directory of Open Access Journals (Sweden)

    Amrie Firmansyah

    2018-03-01

    Full Text Available This study aims to examine the effects of tax avoidance, accrual profit management, real profit management, and capital intensity on equity costs. The population of this study is a manufacturing company listed on the Indonesia Stock Exchange which amounted to 146 companies. The sampling technique used was purposive sampling and resulted in 420 units of analysis. This type of research is quantitative causality by performing hypothesis testing analysis is done by using multiple linear regression model. The findings of this research are tax avoidance will add to the risks that must be borne by investors thus increasing uncertainty over their investment. Investors consider that accrual profit management actions are opportunistic as risk-taking actions as well as real profit management actions. While on Capital Intensity, investors assume the information on the company’s fixed assets is not useful in making investment decisions. The conclusions that can be taken are tax avoidance, accrual profit management, and earnings management real positive to the cost of equity. However, capital intensity has a negative effect.

  18. Reimbursement for pediatric diabetes intensive case management: a model for chronic diseases?

    Science.gov (United States)

    Beck, Joni K; Logan, Kathy J; Hamm, Robert M; Sproat, Scott M; Musser, Kathleen M; Everhart, Patricia D; McDermott, Harrold M; Copeland, Kenneth C

    2004-01-01

    Current reimbursement policies serve as potent disincentives for physicians who provide evaluation and management services exclusively. Such policies threaten nationwide availability of care for personnel-intensive services such as pediatric diabetes. This report describes an approach to improving reimbursement for highly specialized, comprehensive pediatric diabetes management through prospective contracting for services. The objective of this study was to determine whether pediatric diabetes intensive case management services are cost-effective to the payer, the patient, and a pediatric diabetes program. A contract with a third-party payer was created to reimburse for 3 key pediatric diabetes intensive case management components: specialty education, 24/7 telephone access to an educator (and board-certified pediatric endocrinologist as needed), and quarterly educator assessments of self-management skills. Data were collected and analyzed for 15 months after signing the contract. Within the first 15 months after the contract was signed, 22 hospital admissions for diabetic ketoacidosis (DKA) occurred in 16 different patients. After hospitalizations for DKA, all 16 patients were offered participation in the program. All were followed during the subsequent 1 to 15 months of observation. Ten patients elected to participate, and 6 refused participation. Frequency of rehospitalization, emergency department visits, and costs were compared between the 2 groups. Among the 10 participating patients, there was only 1 subsequent DKA admission, whereas among the 6 who refused participation, 5 were rehospitalized for DKA on at least 1 occasion. The 10 patients who participated in the program had greater telephone contact with the team compared with those who did not (16 crisis-management calls vs 0). Costs (education, hospitalization, and emergency department visits) per participating patient were approximately 1350 dollars less than those for nonparticipating patients

  19. Evaluation of best management practices under intensive irrigation using SWAT model

    OpenAIRE

    Dechmi, Farida; Skhiri, Ahmed

    2013-01-01

    Land management practices such as conservation tillage and optimum irrigation are routinely used to reduce non-point source pollution and improve water quality. The calibrated and validated SWAT-IRRIG model is the first modified SWAT version that reproduces well the irrigation return flows (IRF) when the irrigation source is outside of the watershed. The application of this SWAT version in intensive irrigated systems permits to better evaluate the best management practices (BMPs) in such syst...

  20. Challenges in participatory primary stress management interventions in knowledge intensive SMEs

    DEFF Research Database (Denmark)

    Gish, Liv; Ipsen, Christine

    2013-01-01

    relevant change processes. This paper presents the outline of our research and development project on participatory primary stress management interventions in knowledge intensive SMEs, as well as the preliminary results and related implications. The research and development project is conducted in order...... to develop an operational model which SMEs can use when they want to initiate participatory primary stress management interventions in their company. The development project builds on a process model for participatory primary interventions in larger knowledge intensive companies and the premises behind......While knowledge intensive SMEs have recognized the need for change with respect to productivity and wellbeing, and to some extend have access to tools and methods for enabling this, they still lack process competences and are uncertain about how to approach primary stress interventions and initiate...

  1. Roadless area-intensive management tradeoffs on the Sierra National Forest, California

    Science.gov (United States)

    Robert J. Hrubes; Kent P. Connaughton; Robert W. Sassaman

    1979-01-01

    This hypothesis was tested by a linear programing model: Roadless areas on the Sierra National Forest precluded from planned future development would be candidates for wilderness designation, and the associated loss in present and future timber harvests could be offset by investing in more intensive management. The results of this simulation test suggest that levels of...

  2. An Analysis of Intensive Mode Pedagogy in Management Education in India

    Science.gov (United States)

    Mishra, Sita; Nargundkar, Rajendra

    2015-01-01

    Purpose: Management education is at its peak in India. But pedagogy and modes of delivery are not always innovative compared to top international Business Schools. It is through experimentation that the paper may be able to discover what works best in our context. The purpose of this paper is to determine the effectiveness of intensive mode of…

  3. Crew resource management training in the intensive care unit. A multisite controlled before–after study

    NARCIS (Netherlands)

    Kemper, Peter F.; de Bruijne, Martine; van Dyck, C.; Wagner, Cordula

    Introduction There is a growing awareness today that adverse events in the intensive care unit (ICU) are more often caused by problems related to non-technical skills than by a lack of technical, or clinical, expertise. Team training, such as crew resource management (CRM), aims to improve these

  4. Crew resource management training in the intensive care unit: a multisite controlled before-after study.

    NARCIS (Netherlands)

    Kemper, P.F.; Bruijne, M. de; Dyck, C. van; So, R.L.; Tangkau, P.; Wagner, C.

    2016-01-01

    Introduction There is a growing awareness today that adverse events in the intensive care unit (ICU) are more often caused by problems related to non-technical skills than by a lack of technical, or clinical, expertise. Team training, such as crew resource management (CRM), aims to improve these

  5. Management of infections in critically ill returning travellers in the intensive care unit-II

    DEFF Research Database (Denmark)

    Rello, Jordi; Manuel, Oriol; Eggimann, Philippe

    2016-01-01

    This position paper is the second ESCMID Consensus Document on this subject and aims to provide intensivists, infectious disease specialists, and emergency physicians with a standardized approach to the management of serious travel-related infections in the intensive care unit (ICU) or the emerge...

  6. Effects of ecological compensation meadows on arthropod diversity in adjacent intensively managed grassland

    NARCIS (Netherlands)

    Albrecht, M.; Duelli, P.; Obrist, M.K.; Müller, C.; Schüpbach, B.; Kleijn, D.; Schmid, B.

    2010-01-01

    An important goal of ecological compensation areas (ECAs) is to increase biodiversity in adjacent intensively managed farmland and the agricultural landscape at large. We tested whether this goal can be achieved in the case of the agri-environmental restoration scheme implemented for Swiss grassland

  7. Effects of taxation on the planning and implementation of intensive timber management

    Science.gov (United States)

    David B. Field

    1977-01-01

    Taxes on forest properties and on income from timber disposal impose one of the most significant kinds of cost burden faced by owners of interests in forest lands. Local property taxes impose annual charges regardless of the level of management, and may even be increased by intensive practices. Federal and state income taxes are usually second in impact only to...

  8. Innovative solutions: sample financial management business plan: neurosurgical intensive care unit.

    Science.gov (United States)

    Villanueva-Baldonado, Analiza; Barrett-Sheridan, Shirley E

    2010-01-01

    This article describes one institution's intention to implement a financial management business plan for a neurosurgical intensive care unit in a level I trauma center. The financial objective of this proposed business plan includes a service increase in the patient population requiring critical care in a way that will help control costs.

  9. Hydrological and Oceanographic Considerations for Integrated Coastal Zone Management in Southern Belize.

    Science.gov (United States)

    Heyman; Kjerfve

    1999-09-01

    / The objectives of this study are to: (1) characterize the meteorology and hydrology of the Maya Mountain-Marine Area Transect in southern Belize, (2) employ a simple water balance model to examine the discharge rates of seven watersheds to Port Honduras, (3) test the validity of the hydrological model, (4) explore the implications of potential landscape and hydrological alterations, and (5) examine the value of protected areas. The southern coastal portion of the study area is classified as wet tropical forest and the remainder as moist tropical forest. Rainfall is 3000-4000 mm annually. Resulting annual freshwater discharge directly into Port Honduras is calculated at 2.5 x 10(9) m3, a volume equal to the basin. During the rainy season, June-September, 84% of the annual discharge occurs, which causes the bay to become brackish. Port Honduras serves as an important nursery ground for many species of commercially important fish and shellfish. The removal of forest cover in the uplands, as a result of agriculture, aquaculture, and village development, is likely to significantly accelerate erosion. Increased erosion would reduce soil fertility in the uplands and negatively affect mangrove, seagrass, and coral reef productivity in the receiving coastal embayment. Alternatively, the conservation of an existing protected areas corridor, linking the Maya Mountains to the Caribbean Sea, is likely to enhance regional sustainable economic development. This study aims to support environmental management at the scale of the "ecoscape"-a sensible ecological unit of linked watersheds and coastal and marine environments.KEY WORDS: Ecosystem management; Coastal zone management; Belize; Hydrologyhttp://link.springer-ny.com/link/service/journals/00267/bibs/24n2p229.html

  10. Water resources management in southern Europe: clues for a research and innovation based regional hypercluster.

    Science.gov (United States)

    Martins, G; Brito, A G; Nogueira, R; Ureña, M; Fernández, D; Luque, F J; Alcácer, C

    2013-04-15

    European countries are facing increasing pressures on their water resources despite stringent regulations and systematic efforts on environmental protection. In this context, research and innovation play a strategic role reinforcing the efficiency of water policies. The present study provides a multilevel assessment of research and innovation practices in the field of water resource management in southern European countries and regions (more specifically; Cyprus, Albania, Poitou-Charentes in France, Andalusia in Spain and the North of Portugal). The analysis was based on a strategic framework aimed at gaining an insight of the current constraints, as well as of the existing and future technological solutions for a better water resource management. The triple helix model proved to be a useful analytical framework for assessing the efforts of different groups towards a common goal. The analysis proved the existence of a significant evolution in the use of technological tools to assist decision-making processes in integrated river basin management in all regions. Nevertheless, the absence of formal channels for knowledge and data exchange between researchers and water resource managers complicates the formers involvement in the decision-making process regarding water allocation. Both researchers and consultants emphasize the low availability of data, together with the need to advance on water resource economics as relevant constraints in the field. The SWOT analysis showed similar concerns among the participating regions and provided a battery of effective projects that resulted in the preparation of a Joint Action Plan. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. Effect of rainfall intensity and slope steepness on the development of soil erosion in the Southern Cis-Ural region (A model experiment)

    Science.gov (United States)

    Sobol, N. V.; Gabbasova, I. M.; Komissarov, M. A.

    2017-09-01

    The effect of rainfall intensity on the erosion of residual calcareous agrogray soils and clay-illuvial agrochernozems in the Southern Cis-Ural region on slopes of different inclination and vegetation type has been studied by simulating with a small-size sprinkler. It has been shown that soil loss linearly depends on rainfall intensity (2, 4, and 6 mm/min) and slope inclination (3° and 7°). When the rainfall intensity and duration, and the slope inclination increase, soil loss by erosion from agrogray soils increases higher than from agrochernozems. On the plowland with a slope of 3°, runoff begins 12, 10, and 5 min, on the average, after the beginning of rains at these intensities. When the slope increases to 7°, runoff begins earlier by 7, 6, and 4 min, respectively. After the beginning of runoff and with its increase by 1 mm, the soil loss from slopes of 3° and 7° reaches 4.2 and 25.7 t/ha on agrogray soils and 1.4 and 4.7 t/ha on agrochernozems, respectively. Fallow soils have higher erosion resistance, and the soil loss little depends on the slope gradient: it gradually increases to 0.3-1.0 t/ha per 1 mm of runoff with increasing rainfall intensity and duration. The content of physical clay in eroded material is higher than in the original soils. Fine fractions prevail in this material, which increases their humus content. The increase in rainfall intensity and duration to 4 and 6 mm/min results in the entrapment of coarse silt and sand by runoff.

  12. Bench-to-bedside review: leadership and conflict management in the intensive care unit.

    Science.gov (United States)

    Strack van Schijndel, Rob J M; Burchardi, Hilmar

    2007-01-01

    In the management of critical care units, leadership and conflict management are vital areas for the successful performance of the unit. In this article a practical approach to define competencies for leadership and principles and practices of conflict management are offered. This article is, by lack of relevant intensive care unit (ICU) literature, not evidence based, but it is the result of personal experience and a study of literature on leadership as well on conflicts and negotiations in non-medical areas. From this, information was selected that was recognisable to the authors and, thus, also seems to be useful knowledge for medical doctors in the ICU environment.

  13. Managing fall armyworm, Spodoptera frugiperda (Lepidoptera: Noctuidae), with Bt maize and insecticides in southern Brazil.

    Science.gov (United States)

    Burtet, Leonardo M; Bernardi, Oderlei; Melo, Adriano A; Pes, Maiquel P; Strahl, Thiago T; Guedes, Jerson Vc

    2017-12-01

    Maize plants expressing insecticidal proteins of Bacillus thuringiensis are valuable options for managing fall armyworm (FAW), Spodoptera frugiperda, in Brazil. However, control failures were reported, and therefore insecticides have been used to control this species. Based on these, we evaluated the use of Bt maize and its integration with insecticides against FAW in southern Brazil. Early-planted Agrisure TL, Herculex, Optimum Intrasect and non-Bt maize plants were severely damaged by FAW and required up to three insecticidal sprays. In contrast, YieldGard VT Pro, YieldGard VT Pro 3, PowerCore, Agrisure Viptera and Agrisure Viptera 3 showed little damage and did not require insecticides. Late-planted Bt maize plants showed significant damage by FAW and required up to four sprays, with the exceptions of Agrisure Viptera and Agrisure Viptera 3. Exalt (first and second sprays); Lannate + Premio (first spray) and Avatar (second spray); and Karate + Match (first spray) and Ampligo (second spray) were the most effective insecticides against FAW larvae in Bt and non-Bt maize. Maize plants expressing Cry proteins exhibited FAW control failures in southern Brazil, necessitating insecticidal sprays. In contrast, Bt maize containing the Vip3Aa20 protein remained effective against FAW. However, regardless of the insecticide used against FAW surviving on Bt maize, grain yields were similar. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

  14. Supply chain management best practices: A case of humanitarian aid in southern Africa

    Directory of Open Access Journals (Sweden)

    Ngonidzahe K. Ngwenya

    2016-09-01

    Full Text Available Background: A key contemporary issue in the southern African region is the increased frequency of the number of natural disaster occurrences. Because of the extent of the damage as a result of these disasters, beneficiary needs have to be met to mitigate against consequent hardships and the loss of lives in the affected communities. Objectives: This article reports on a study that investigated supply chain management best practices that are employed by the United Nations World Food Programme’s (UNWFP when dealing with disasters. Method: This exploratory study consisted of five in-depth interviews with voluntary participants at the UNWFP regional office in Johannesburg to determine the various initiatives adopted by the UNWFP that ensure successful disaster relief operations. Thematic analyses were used to analyse the collected data. Results: Based on the themes generated from the in-depth interviews, supply chain best practices were mainly linked to the concepts of agility, responsiveness and flexibility. Conclusion: The main findings revealed that the strategic planning, implementation and controlling of agile, flexible and responsive supply chain practices can contribute to the success of logistical operations supporting humanitarian efforts in southern Africa.

  15. The status of water demand management in selected cities of southern Africa

    Science.gov (United States)

    Gumbo, Bekithemba

    As a result of the rapid rate of urbanisation throughout Africa, many African cities face mounting challenges of providing their increasing populations with adequate and sustainable water services. Water demand management (WDM) offers a sustainable solution to water woes experienced in most cities in the southern Africa region. The region is characterised by frequent droughts, floods and erratic, unevenly distributed rainfall. Meanwhile nearly half of the southern Africa’s 200 million inhabitants do not have access to safe water and sanitation. This paper makes an assessment of the status of WDM in eight cities in the region based on published data and reports. It provides a basis of benchmarking the progress and success in WDM programmes by using selected key performance indicators. Gross unaccounted-for-water (UAW) is used as a crude measure of WDM good practice. From the eight selected case studies, Windhoek, Bulawayo and Hermanus have achieved considerable success in water use efficiency, implementing WDM programmes and recording UAW values of less than 20%, whilst Johannesburg; Maputo; Maseru; Lusaka and Mutare cannot account for about 40-60% of the water introduced into the distribution system. WDM projects require some key performance indicators which need to be recorded systematically by water supply agencies to enable a consistent monitoring and evaluation of programme. Finally for WDM to succeed, a new breed of professionals with multi-disciplinary skills is required as well as training of operatives, i.e. technicians, plumbers and meter readers.

  16. Determinants of managerial competencies for primary care managers in Southern Thailand.

    Science.gov (United States)

    Mohd-Shamsudin, Faridahwati; Chuttipattana, Nirachon

    2012-01-01

    The purpose of this paper is first, to identify the critical managerial competencies of primary care managers; and second, to determine the relationship between personality and motivation, and managerial competency. A survey was conducted involving distribution of questionnaires to 358 rural primary care managers in Southern Thailand. The survey found six critical managerial competencies: visionary leadership; assessment, planning, and evaluation; promotion of health and prevention of disease; information management; partnership and collaboration; and communication. Both personality and motivation are found to significantly influence primary care managers' managerial competency. In particular, conscientiousness (i.e. perseveres until the task is finished, does a thorough job, full of energy, does things efficiently, and a lot of enthusiasm) is related to all managerial competencies. It is clear that extrinsic and intrinsic factors (i.e. quality of supervision and leadership, organizational policy and administration, interpersonal relationship, working conditions, work itself, amount of responsibility, and job recognition) are influential in primary care manager motivation that can significantly improve morale. The short version of the personality instrument may limit the generalization of some of the findings. Future research is needed to assess the relationship between managerial competency and performance. Further research could be done in other countries to see if this conclusion is in fact correct. It would also be useful to research if the findings apply to other health and social areas. Personality and motivation are able to co-predict managerial competency whereby motivation tends to have a stronger influence than personality. These findings will be useful to policy makers and to those responsible for the human development in the preparation of management training and development programs. Moreover, top management should not overlook the motivational system

  17. Current status of high-intensity focused ultrasound for the management of uterine adenomyosis

    International Nuclear Information System (INIS)

    Cheng, Vincent Y. T.

    2017-01-01

    While high-intensity focused ultrasound has been used for some time in the management of uterine fibroids, its effectiveness and safety in managing adenomyosis is less well established. A literature review was performed of all eligible reports using this modality as a treatment for adenomyosis. Relevant publications were obtained from the PubMed electronic database from inception through March 2016. Eleven articles, including information from 1,150 treatments and follow-up data from 990 patients, were reviewed. High-intensity focused ultrasound appears to be effective and safe in the management of symptomatic adenomyosis, and can be considered as an alternative uterine-sparing option for women with this condition

  18. Current status of high-intensity focused ultrasound for the management of uterine adenomyosis

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, Vincent Y. T. [Dept. of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Hong Kong (China)

    2017-04-15

    While high-intensity focused ultrasound has been used for some time in the management of uterine fibroids, its effectiveness and safety in managing adenomyosis is less well established. A literature review was performed of all eligible reports using this modality as a treatment for adenomyosis. Relevant publications were obtained from the PubMed electronic database from inception through March 2016. Eleven articles, including information from 1,150 treatments and follow-up data from 990 patients, were reviewed. High-intensity focused ultrasound appears to be effective and safe in the management of symptomatic adenomyosis, and can be considered as an alternative uterine-sparing option for women with this condition.

  19. Evaluation of corporate energy management practices of energy intensive industries in Turkey

    International Nuclear Information System (INIS)

    Ates, Seyithan Ahmet; Durakbasa, Numan M.

    2012-01-01

    Turkey is one of a number of countries who still lack a national management standard for energy. Industrial energy consumption accounts for 42% of Turkey's total energy consumption. With the help of a questionnaire and analytical framework, this paper investigates Industrial Energy Management Practice in Turkey and highlights significant bottlenecks and shortcomings of energy intensive industries in terms of energy management application. The survey was carried out as a multiple case study of the Turkish iron, steel, cement, paper, ceramics and textile industries. Outcomes of the questionnaire are evaluated according to the analytical framework which covers company characteristics, regulations, external relations of the companies and internal organizational conditions. After analyzing these elements on the basis of a minimum requirement list, it was found that only 22% of the surveyed companies actually practice corporate energy management in Turkey. The main barriers to proper energy management implementation were identified as lack of synergy between the stakeholders, the extent and scope of energy manager courses, and inadequate awareness of and lack of financial support for energy management activities. As a guideline to overcome present obstacles, a set of policy options are offered: strengthening and restructuring of legal and institutional frameworks, promotion of energy efficiency, education, training and capacity building and facilitating implementation of the international energy management standard ISO 50001. -- Highlights: ► Developing an analytical scheme to assess degree of Energy Management Application. ► Investigation of Energy Management Practices in Turkish Energy Intensive Industries. ► Analysis of challenges which hinder full implementation of energy management in Turkey. ► Presenting a set of essential policy options thought for all stakeholders.

  20. Municipal solid waste management in the Southern Province of Sri Lanka: Problems, issues and challenges

    International Nuclear Information System (INIS)

    Vidanaarachchi, Chandana K.; Yuen, Samuel T.S.; Pilapitiya, Sumith

    2006-01-01

    This paper describes the problems, issues and challenges faced by Sri Lanka based on the outcome of a recent study conducted in the country's Southern Province. The study consists of a public survey, discussions with local authority staff involved in waste management, discussions with Provincial Council and Government officials, dialogue with local politicians, review of documents and field observations. The study revealed that only 24% of the households have access to waste collection and that in rural areas it was less than 2%. A substantial number of households in areas without waste collection expect local authorities to collect their waste. The study also showed that most sites in the province are under capacity to handle any increased demand. Urgent and immediate improvement of the waste disposal sites is necessary to meet the current demand for improved waste collection. The study also revealed that there is a high willingness of people for home composting

  1. [Investigation of doctors' and nurses' perceptions and implementation of delirium management in intensive care unit].

    Science.gov (United States)

    Luo, H B; Wang, X T; Tang, B; Zhu, Z N; Guo, H L; Li, Z Z; Sun, J H; Liu, D W

    2017-12-01

    Objective: To investigate doctors' and nurses' perceptions and implementation of delirium management in intensive care unit. Methods: A total of 197 doctors and nurses in 2 general ICUs and 3 special ICUs at Peking Union Medical College Hospital finished a self-designed questionnaire of delirium management. Results: There were 47 males and 150 females, 43 doctors and 154 nurses who participated in the survey.One hundred and twenty five participators were from general ICU and the others from special ICU. The ICU staff had a significant difference on the perceptions and implementation of delirium management( P delirium assessment" ( P delirium management,especially in special ICUs. Delirium management should be included as a routine care in ICU to improve patients' outcome.

  2. The mapping competences of the nurse Case/Care Manager in the context of Intensive Care.

    Science.gov (United States)

    Alfieri, Emanuela; Ferrini, Anna Chiara; Gianfrancesco, Francesca; Lise, Gianluca; Messana, Giovanni; Tirelli, Lorenzo; Lorenzo, Ana; Sarli, Leopoldo

    2017-03-15

    Since the recent introduction of the Case/Care Manager's professional figure, it is quite difficult to identify properly his/her own particular features, which could be mainly be found revising mainly in American studies. Therefore, the present study intended to identify the Case/Care Manager's skills and professional profile in an Intensive Care Unit experience, taking into consideration the staff's activities, perception and expectations towards the Case/Care Manager. In particular, it has been compared the experience of an Intensive Care Units where the Case/Care Manager's profile is operational to a different Unit where a Case/Care Manager is not yet in force. a Levati's model was used to map the Case/Care Manager's skills, involving each unit whole working staff, executives and caregivers through semi-structured interviews. It has been taken into consideration the Anaesthesia Unit and Emergency Unit of Cesena's healthcare organisation (AUSL of Romagna) and a Cardiology Intensive Care Unit of Piacenza's healthcare organisation, where the Case/Care Manager's profile has not been experimented yet. Firstly, it a data collection in each healthcare organization has been organised. Subsequently, semi-structured interviews to doctors, unit nurses, caregivers, nurses' coordinators and medical staff have been used to compare each healthcare system. The interviewees' described their expectations in relation to the Case/Care Manager working in a critical area. Then, every data collected during interviews has been organised to map a Case/Care Manager's essential professional profile to work in a critical area together with medical staff. Piacenza's O.U. critical area experience reported a major demand for patients' and patient's families' assistance. On the other hand, the very same aspects seem to have been better achieved in Cesena's O.U., where a Case/Care Manager's recent introduction has actually helped to overcome the void in organising systems. a Case/Care Manager

  3. Managing Indigenous Minority Groups in the Tourism Industry: An Exploratory Case Study in Southern Laos

    Directory of Open Access Journals (Sweden)

    Kuwahara Hiroshi

    2014-01-01

    Full Text Available Tourism-based employment has been promoted for reducing poverty in the least developed countries (LDCs. However, for employing the poor sustainably, particularly, indigenous minority groups, management has to cope with the socioeconomic disadvantages in these environments. This study aims to explore the challenges and practical strategies for human resource management (HRM of indigenous minority groups in the tourism sectors of LDCs; specifically, those identified as “best practice” in southern Laos. Semi-structured interviews were conducted with the managing director of the project regarding training, compatibility with family life, benefits and incentives, and leadership and teamwork. A qualitative analysis was applied to the interview data and hypothetical HRM strategies were derived. Then, to examine the validity of these strategies within the project, semi-structured interviews were conducted with a half of the employees. The results suggest significance for the following HRM strategies: a social orientation toward tourism industry hygiene standards; a flexible leave system that allows employees to participate in family events and family-operated farming; and nonfinancial benefits such as food, clothing, and housing.

  4. Integrated climate and land change research to improve decision-making and resource management in Southern Africa: The SASSCAL approach

    Science.gov (United States)

    Helmschrot, J.; Olwoch, J. M.

    2017-12-01

    The ability of countries in southern Africa to jointly respond to climate challenges with scientifically informed and evidence-based actions and policy decisions remains low due to limited scientific research capacity and infrastructure. The Southern African Science Service Centre for Climate Change and Adaptive Land Management (SASSCAL; www.sasscal.org) addresses this gap by implementing a high-level framework to guide research and innovation investments in climate change and adaptive land management interventions in Southern Africa. With a strong climate service component as cross-cutting topic, SASSCAL's focus is to improve the understanding of climate and land management change impacts on the natural and socio-economic environment in Southern Africa. The paper presents a variety of SASSCAL driven activities which contribute to better understand climate and long-term environmental change dynamics at various temporal and spatial scales in Southern Afrika and how these activities are linked to support research and decision-making to optimize agricultural practices as well as sustainable environmental and water resources management. To provide consistent and reliable climate information for Southern Africa, SASSCAL offers various climate services ranging from real-time climate observation across the region utilizing the SASSCAL WeatherNet to regional climate change analysis and modelling efforts at seasonal-to-decadal timescales using climate data from various sources. SASSCAL also offers the current state of the environment in terms of recent data on changes in the environment that are necessary for setting appropriate adaptation strategies . The paper will further demonstrate how these services are utilized for interdisciplinary research on the impact of climate change on natural resources and socio-economic development in the SASSCAL countries and how this knowledge can be effectively used to mitigate and adapt to climate change by informed decision-making from

  5. Two-year outcome of team-based intensive case management for patients with schizophrenia.

    Science.gov (United States)

    Aberg-Wistedt, A; Cressell, T; Lidberg, Y; Liljenberg, B; Osby, U

    1995-12-01

    Two-year outcomes of patients with schizophrenic disorders who were assigned to an intensive, team-based case management program and patients who received standard psychiatric services were assessed. The case management model featured increased staff contact time with patients, rehabilitation plans based on patients' expressed needs, and patients' attendance at team meetings where their rehabilitation plan was discussed. Forty patients were randomly assigned to either the case management group or the control group that received standard services. Patients' use of emergency and inpatient services, their quality of life, the size of their social networks, and their relatives' burden of care were assessed at assignment to the study groups and at two-year follow-up. Patients in the case management group had significantly fewer emergency visits compared with the two years before the study, and their relatives reported significantly reduced burden of care associated with relationships with psychiatric services over the two-year period. The size of patients' social networks increased for the case management group and decreased for the control group. A team-based intensive case management model is an effective intervention in the rehabilitation of patients with chronic schizophrenia.

  6. Intensive gestational glycemic management and childhood obesity: a systematic review and meta-analysis.

    Science.gov (United States)

    Guillemette, L; Durksen, A; Rabbani, R; Zarychanski, R; Abou-Setta, A M; Duhamel, T A; McGavock, J M; Wicklow, B

    2017-07-01

    Hyperglycemia in pregnancy is associated with increased risk of offspring childhood obesity. Treatment reduces macrosomia; however, it is unclear if this effect translates into a reduced risk of childhood obesity. We performed a systematic review and meta-analysis of randomized controlled trials to evaluate the efficacy and safety of intensive glycemic management in pregnancy in preventing childhood obesity. We searched MEDLINE, EMBASE, CENTRAL and ClinicalTrials.gov up to February 2016 and conference abstracts from 2010 to 2015. Two reviewers independently identified randomized controlled trials evaluating intensive glycemic management interventions for hyperglycemia in pregnancy and included four of the 383 citations initially identified. Two reviewers independently extracted study data and evaluated internal validity of the studies using the Cochrane Collaboration's Risk of Bias tool. Data were pooled using random-effects models. Statistical heterogeneity was quantified using the I 2 test. The primary outcome was age- and sex-adjusted childhood obesity. Secondary outcomes included childhood weight and waist circumference and maternal hypoglycemia during the trial (safety outcome). The four eligible trials (n=767 children) similarly used lifestyle and insulin to manage gestational hyperglycemia, but only two measured offspring obesity and waist circumference and could be pooled for these outcomes. We found no association between intensive gestational glucose management and childhood obesity at 7-10 years of age (relative risk 0.89, 95% confidence interval (CI) 0.65 to 1.22; two trials; n=568 children). Waist circumference also did not differ between treatment and control arms (mean difference, -2.68 cm; 95% CI, -8.17 to 2.81 cm; two trials; n=568 children). Intensive gestational glycemic management is not associated with reduced childhood obesity in offspring, but randomized data is scarce. Long-term follow-up of trials should be prioritized and comprehensive

  7. Knowledge Management without Management -- Shadow IT in Knowledge-intensive Manufacturing Practices

    DEFF Research Database (Denmark)

    Steinhueser, Melanie; Waizenegger, Lena; Vodanovich, Shahper

    2017-01-01

    The voluntary use of private device by employees without formal approval of the IT department, commonly termed Shadow IT, is an increasingly widespread phenomenon. In this paper, we study the role of private smartphones (and related applications like WhatsApp) in knowledge-intensive practices...

  8. Ethnomedicinal survey of medicinal plants used in the management of sickle cell disorder in Southern Nigeria.

    Science.gov (United States)

    Amujoyegbe, O O; Idu, M; Agbedahunsi, J M; Erhabor, J O

    2016-06-05

    The present study entails the medicinal plant species used to manage sickle cell disorder in Southern States of Nigeria. The ethnomedicinal information was gathered through multistage approach from three geopolitical zones of Southern Nigeria, which were purposively selected. Semi-structured questionnaires were administered on 500 respondents in 125 locations. The ethnomedicinal data collected were analyzed using quantitative value indices such as fidelity level (percentage) and use value. The information got was cross checked using literature search and other related materials. Five hundred respondents comprising 53.12% females and 46.88% males were observed. It was noted that 26.70% were illiterate while 73.30% had formal education. Seventy-nine percent is traditional healers, 27% herb traders and the other 4% are those who have awareness of sickle cell disease . One hundred and seventy five plant species belonging to 70 families, of which Fabaceae made up 26.76% and Euphorbiaceae 16.90% forming the highest occurrence. It was observed that leaves were the most common plant part used (69.10%) followed by root (15%) and stem bark (14%) in the preparation for sickle cell management. Majority (48.57%) of these plants were harvested from wild with 38.86% being trees. Citrus aurantifolia and Newbouldia laevis had highest use values of 0.69 and 0.64 respectively. Plants with the least use value (0.001) include Abrus canescens, Acacia xanthophloea, Aerva lanata and Axonopus compressus. The result of fidelity level values of the plant species for the management of Sickle Cell Disorder (SCD) revealed that Citrus aurantifolia had the highest value of 70.2% while Angraecum distichum and Axonopus compressus had the lowest Fidelity Level value of 0.18%. The study revealed that people in the studied areas were well grounded in the medicinal plants used to manage sickle cell disease. This study reported for the first time 102 plant species having anti-sickling potentials with

  9. Regeneration response to midstory control following long-term single tree selection management of Southern Appalachian hardwoods

    Science.gov (United States)

    Jason R. Lewis; John W. Groninger; David L. Loftis

    2006-01-01

    Sustainability of the single tree selection system in the mixed hardwood forests of the southern Appalachians is compromised by insufficient recruitment of oak species. In 1986, portions of a stand at Bent Creek Experimental Forest that have been under single tree selection management since 1945 were subjected to a midstory herbicide treatment in an effort to improve...

  10. Conjoint Analysis: A Preference-Based Approach for the Accounting of Multiple Benefits in Southern Forest Management

    Science.gov (United States)

    F. Christian Zinkhan; Thomas P. Holmes; D. Evan Mercer

    1997-01-01

    Conjoint analysis, which enables a manager to measure the relative importance of a forest's multidimensional attributes, is critically reviewed and assessed. Special attention is given to the feasibility of using conjoint analysis for measuring the utility of market and nonmarket outputs from southern forests. Also, an application to a case of designing a nature...

  11. Predicting the Trajectories of Perceived Pain Intensity in Southern Community-Dwelling Older Adults: The Role of Religiousness.

    Science.gov (United States)

    Sun, Fei; Park, Nan Sook; Wardian, Jana; Lee, Beom S; Roff, Lucinda L; Klemmack, David L; Parker, Michael W; Koenig, Harold G; Sawyer, Patricia L; Allman, Richard M

    2013-11-01

    This study focuses on the identification of multiple latent trajectories of pain intensity, and it examines how religiousness is related to different classes of pain trajectory. Participants were 720 community-dwelling older adults who were interviewed at four time points over a 3-year period. Overall, intensity of pain decreased over 3 years. Analysis using latent growth mixture modeling (GMM) identified three classes of pain: (1) increasing ( n = 47); (2) consistently unchanging ( n = 292); and (3) decreasing ( n = 381). Higher levels of intrinsic religiousness (IR) at baseline were associated with higher levels of pain at baseline, although it attenuated the slope of pain trajectories in the increasing pain group. Higher service attendance at baseline was associated with a higher probability of being in the decreasing pain group. The increasing pain group and the consistently unchanging group reported more negative physical and mental health outcomes than the decreasing pain group.

  12. Repeated application of fuel reduction treatments in the southern Appalachian Mountains, USA: implications for achieving management goals

    Science.gov (United States)

    Thomas A. Waldrop; Donald L. Hagan; Dean M. Simon

    2016-01-01

    Fire and resource managers of the southern Appalachian Mountains, USA, have many questions about the use of prescribed fire and mechanical treatments to meet various land management objectives. Three common objectives include restoration to an open woodland, oak regeneration, and fuel reduction. This paper provides information about reaching each of these three...

  13. EGG PRODUCTION AND HATCHABILITY OF LOCAL DUCKS UNDER SEMI INTENSIVE VS EXTENSIVE MANAGEMENTS

    Directory of Open Access Journals (Sweden)

    P. Widiyaningrum

    2016-06-01

    Full Text Available The study aimed to compare the egg production and hatchability of local ducks under different management systems, namely semi-intensive and extensive. The research conducted was an experimental one-way classification with two treatments. Each treatment used 15 male and 120 females (mating ratio 1:8, and ducks aged 13-14 months. Eggs production was recorded during three weeks period. About 300 eggs were selected from each treatment to be hatched. Fertility was observed at 4th days of hatching process using egg candler. Data of eggs production, eggs weight, fertility, and hatchability were analyzed using unpaired two sample Student’s t-test. The results showed that average of egg weight, fertility and hatchability were not different under two management system, but egg production in the semi-intensive maintenance was significantly higher (P<0.05 than those in the extensive system. Egg production in the semi-intensive was 12.3% higher than those in the extensive. In conclusion, the semi-intensive system that is applied in this study the number of eggs production but did not affect the average of egg weight, fertility and hatchability.

  14. Intensive olive orchards on sloping land: good water and pest management are essential.

    Science.gov (United States)

    Metzidakis, I; Martinez-Vilela, A; Castro Nieto, G; Basso, B

    2008-11-01

    There is intensive cultivation of olives on sloping land in Jaen-Granada (Spain), Basilicata (Italy) and Western Crete (Greece). The intensive olive groves here are characterised by a tree density of about 250treesha(-1), yearly fertilisation and pruning, several chemical sprays for pest control, soil tillage once to thrice per year and irrigation up to 2700m3ha(-1)yr(-1). Intensive management results in high yields of 3600-6500kgha(-1) but also higher labour costs of 1154-1590euroha(-1)yr(-1), varying per area. The major environmental concerns in this system are related to chemical residues in the fruit, the extinction of useful insects, the depletion of groundwater resources, the pollution of soil and water and the erosion of soil. This paper describes the impact of intensive orchard management on natural resources and gives recommendations for soil and water conservation, reduction of chemicals use and biodiversity enhancement. The specific recommendations for the relevant stakeholders--farmers, technicians, agricultural services and policy makers--are based on the experimental evaluation of different agricultural practices and a socio-economic analysis of local and global production and markets.

  15. [Management of quality in an Intensive Care Unit: implementation of ISO 9001:2008 international standard].

    Science.gov (United States)

    Lorenzo Torrent, R; Sánchez Palacios, M; Santana Cabrera, L; Cobian Martinez, J L; García del Rosario, C

    2010-10-01

    The Quality Management Systems make it possible to prioritize actions to maintain the safety and efficacy of health technologies. The Intensive Care Unit of our hospital has implemented a quality management plan, which has obtained accreditation as "Service Certificate that manages its activities according to UNE-EN ISO 9001:2008" standard. With the application of quality management system, it has been possible to detect the needs that the Service can cover in order to obtain the satisfaction of the patient, relative or health personnel of the other services of the hospital, to improve communications inside and outside of service, to secure greater understanding of the processes of the organization and control of risk, to delimit responsibilities clearly to all the personnel, to make better use of the time and resources and, finally, to improve the motivation of the personnel. Copyright © 2009 Elsevier España, S.L. y SEMICYUC. All rights reserved.

  16. The interdecadal change in the intensity of interannual variation of spring precipitation over southern China and its relationship with the SST anomaly

    Science.gov (United States)

    Qiao, Y.; Xu, C.

    2017-12-01

    Based on the observed precipitation data from 756 China stations, ERA-interim reanalysis dataset, and HadISST dataset for 1979-2014, this paper investigates the intensity of interannual variation (IIV) of spring precipitation over southern China during 1979-2014 and related large-scale atmospheric and oceanic signal through empirical orthogonal function (EOF) method and other statistical analysis methods. The results show that the IIV of spring precipitation over South China (SC) was stronger during 1979-1994, which is related to the spring western Pacific (WP) sea surface temperature anomaly (SSTA) and the previous winter South Pacific tripole (SPT) pattern of SSTA. Anomalous cooler (warmer) WP SSTA triggers anomalous descending (ascending) motion and lower-level anticyclone (cyclone), which in turn induces anomalous ascent (descent) over SC through an anomalous vertical circulation. The SPT can influence the spring precipitation over SC by impacting WP SST. The stronger IIV of WP SST and SPT led to an intensified IIV of spring rainfall over SC. The IIV of spring precipitation over middle and lower reaches of the Yangtze River (YZR) was more intense during 1995-2006. The intensified interannual variability of spring rainfall over YZR is interrelated with the increase in the amplitude of the spring southern Indian Ocean dipole (SIOD) in early 1990s. During the positive (negative) SIOD, the western Pacific subtropical high (WPSH) is stronger (weaker), which is favorable (unfavorable) for the transportation of vapor from Pacific to YZR. At the same time, the pressure ridge over Siberia and East Asian trough is weaker (stronger), enhancing (weakening) the spring precipitation over YZR.

  17. Household Land Management and Biodiversity: Secondary Succession in a Forest-Agriculture Mosaic in Southern Mexico

    Directory of Open Access Journals (Sweden)

    Rinku Roy Chowdhury

    2007-12-01

    Full Text Available This study evaluates anthropogenic and ecological dimensions of secondary forest succession in Mexico's southern Yucatán peninsular region, a hotspot of biodiversity and tropical deforestation. Secondary succession in particular constitutes an ecologically and economically important process, driven by and strongly influencing land management and local ecosystem structure and dynamics. As agents of local land management, smallholding farmers in communal, i.e., ejido lands affect rates of forest change, biodiversity, and sustainability within and beyond their land parcels. This research uses household surveys and land parcel mapping in two ejidos located along the buffer of the Calakmul Biosphere Reserve to analyze how household socioeconomics and policy institutions drive allocations to successional forests in traditional crop fallows and in enriched fallows. Results indicate that household tenancy, livestock holdings, labor-consumer ratios, and receipts of agricultural subsidies are the strongest determinants of traditional fallow areas. Whereas the latter two factors also influence enriched successions, local agroforestry and reforestation programs were the strongest drivers of fallow enrichment. Additionally, the study conducts field vegetation sampling in a nested design within traditional and enriched fallow sites to comparatively assess biodiversity consequences of fallow management. Although enriched fallows display greater species richness in 10x10 m plots and 2x2 m quadrats, plot-scale data reveal no significant differences in Shannon-Wiener or Simpson's diversity indices. Traditional fallows display greater species heterogeneity at the quadrat scale, however, indicating a complex relationship of diversity to fallow management over time. The article discusses the implications of the social and ecological analyses for land change research and conservation policies.

  18. Management intensity affects traits of soil microarthropod community in montane spruce forest

    Czech Academy of Sciences Publication Activity Database

    Farská, Jitka; Prejzková, Kristýna; Rusek, Josef

    2014-01-01

    Roč. 75, March (2014), s. 71-79 ISSN 0929-1393 R&D Projects: GA ČR GA526/03/1259; GA ČR GAP504/12/1218; GA MŠk LC06066 Grant - others:GAJU(CZ) 143/2010/P Institutional support: RVO:60077344 Keywords : Oribatida * Collembola * spruce forest * trait * management intensity Subject RIV: EH - Ecology, Behaviour Impact factor: 2.644, year: 2014

  19. Arbuscular mycorrhiza and their effect on the soil structure in farms with agroecological and intensive management

    Directory of Open Access Journals (Sweden)

    Juan David Lozano Sánchez

    2015-10-01

    Full Text Available Arbuscular mycorrhizal fungi help to reduce the damage caused by erosion and maintain soil structure through the production of mycelium and adhering substances. This study evaluated the structural stability; estimated the diversity and density of mycorrhizal spores present in three systems of soil (eroded, forest and coffee plantations in the rural area of Dagua, Valle del Cauca, Colombia. The systems evaluated were classified as farms with intensive or agroecological management. There were 25 morphospecies of mycorrhiza grouped in 13 genera, being Glomus and Entrophospora the most representative. The mean index values of mean weight (DPM and geometric (DGM diameters and diversity of mycorrhizal spores were statistically higher in farms with agroecological management than in farms with intensive management. The aggregate stability analysis revealed that eroded soils have significantly lower stability than forest and crop soils. A statistically significant correlation was found between diversity (r = 0.579 and spore density (r = 0.66 regarding DGM, and DPM with Shannon diversity (r = 0.54. Differences in practices, use and soil management affect mycorrhizal diversity found on farms and its effect such as particle aggregation agent generates remarkable changes in the stability and soil structure of evaluated areas. It is concluded, that agroecological management tends to favour both mycorrhizae and the structure of soils.

  20. Importance of Wetlands Management for West Nile Virus Circulation Risk, Camargue, Southern France

    Directory of Open Access Journals (Sweden)

    Sophie Pradier

    2014-08-01

    Full Text Available To assess environmental and horse-level risk factors associated with West Nile Virus (WNV circulation in Camargue, Southern France, a serosurvey was conducted on non-vaccinated horses (n = 1159 from 134 stables in 2007 and 2008. Fifteen Landsat images were examined to quantify areas with open water and flooded vegetation around sampled horses. Mean percentages of areas of open water and flooded vegetation, as well as variations in these percentages between 3 periods (November to February = NOT, March to July = END and August to October = EPI, were calculated for buffers of 2 km radius around the stables. Results of the final logistic regression showed that the risk of WNV seropositivity in horses decreased with their date of acquisition and age. Results also demonstrated the significant role of environmental variables. Horse serological status was associated with variations of open water areas between the NOT (November to February and END (March to July periods, as well as between END and EPI (August to October. WNV spillover was found more intense in areas where water level decreased strongly from winter to spring and from spring to summer.

  1. Synergies across the natural resources management fields in Southern Africa: Disaster Risk Reduction and One Health

    Directory of Open Access Journals (Sweden)

    Clara Bocchino

    2013-02-01

    Full Text Available For various reasons, Southern Africa may be considered the playground as well as the thinking tank for many theories and practices in the natural resources management field. History has contributed to reshape conservation practices through colonial times, and recent wars have led to the relocation of people from their homelands and the appropriation by people of previously protected areas due to socio-economic pressures. Contemporary practices stemming from sustainable development have not yielded the expected results in resolving critical socio-economic stresses that impact on environmental health. Furthermore, human health has deteriorated in remote rural areas due to the failures of governance systems and the perpetration of non-participatory models for natural resources management, especially conservation. This paper seeks to explore how two relatively new approaches, Disaster Risk Reduction and One Health, can together tap into the theoretical and practical gaps left by previous paradigms in order to instill a sustainable development approach that can benefit both people and natural resources in remote and poor rural areas.

  2. Agricultural nematology in East and Southern Africa: problems, management strategies and stakeholder linkages.

    Science.gov (United States)

    Talwana, Herbert; Sibanda, Zibusiso; Wanjohi, Waceke; Kimenju, Wangai; Luambano-Nyoni, Nessie; Massawe, Cornel; Manzanilla-López, Rosa H; Davies, Keith G; Hunt, David J; Sikora, Richard A; Coyne, Danny L; Gowen, Simon R; Kerry, Brian R

    2016-02-01

    By 2050, Africa's population is projected to exceed 2 billion. Africa will have to increase food production more than 50% in the coming 50 years to meet the nutritional requirements of its growing population. Nowhere is the need to increase agricultural productivity more pertinent than in much of Sub-Saharan Africa, where it is currently static or declining. Optimal pest management will be essential, because intensification of any system creates heightened selection pressures for pests. Plant-parasitic nematodes and their damage potential are intertwined with intensified systems and can be an indicator of unsustainable practices. As soil pests, nematodes are commonly overlooked or misdiagnosed, particularly where appropriate expertise and knowledge transfer systems are meager or inadequately funded. Nematode damage to roots results in less efficient root systems that are less able to access nutrients and water, which can produce symptoms typical of water or nutrient deficiency, leading to misdiagnosis of the underlying cause. Damage in subsistence agriculture is exacerbated by growing crops on degraded soils and in areas of low water retention where strong root growth is vital. This review focuses on the current knowledge of economically important nematode pests affecting key crops, nematode control methods and the research and development needs for sustainable management, stakeholder involvement and capacity building in the context of crop security in East and Southern Africa, especially Kenya, Tanzania, Uganda and Zimbabwe. © 2015 Society of Chemical Industry.

  3. Predictive Factors for Delayed Extubation in the Intensive Care Unit after Coronary Artery Bypass Grafting; A Southern Iranian Experience

    Directory of Open Access Journals (Sweden)

    Shahrbanoo Shahbazi

    2012-12-01

    Full Text Available Background: Early extubation is implemented in cardiothoracic units worldwide for its advantages such as decreased mortality, morbidity, and hospitalization costs. We conducted a retrospective study to evaluate potential factors which may affect extubation time. Methods: The records of 334 eligible patients who underwent elective coronary artery bypass grafting (CABG in 2008 in Kowsar Hospital in Shiraz, southern Iran were evaluated to find the factors that can affect the extubation time. The patients were divided to early (equal or less than 6 hours and late extubation groups. The patients’ demographic data and operative variables were extracted from the records. We excluded patients with difficult intubation, severe acid base disturbance, neurological problems, and cardiovascular instability; and those who used intra-aortic balloon pump, had underwent emergency operation, or had another concomitant surgery. Results: Multiple logistic regressions comparing age, sex, number of grafts, ejection fraction, pump time, hematocrit, number of risk factors, and number of inotropic drugs, identified only age as a predictor of delayed extubation (odds ratio=1.07, CI 95%=1.04-1.10, P<0.001. Also, in both studied groups the men to women ratio was higher (P<0.05.Conclusion: Although in our study age was the only predictive factor for delayed extubation, a comprehensive study including preoperative, perioperative, and postoperative factors is recommended in our area.

  4. Mainstreaming biodiversity and wildlife management into climate change policy frameworks in selected east and southern African countries

    Directory of Open Access Journals (Sweden)

    Olga L. Kupika

    2016-04-01

    Full Text Available The Rio+20 outcomes document, the Future We Want, enshrines green economy as one of the platforms to attain sustainable development and calls for measures that seek to address climate change and biodiversity management. This paper audits climate change policies from selected east and southern African countries to determine the extent to which climate change legislation mainstreams biodiversity and wildlife management. A scan of international, continental, regional and national climate change policies was conducted to assess whether they include biodiversity and/or wildlife management issues. The key finding is that many climate change policy–related documents, particularly the National Adaptation Programme of Actions (NAPAs, address threats to biodiversity and wildlife resources. However, international policies like the United Nations Framework Convention on Climate Change and Kyoto Protocol do not address the matter under deliberation. Regional climate change policies such as the East African Community, Common Market for Eastern and Southern Africa and African Union address biodiversity and/or wildlife issues whilst the Southern African Development Community region does not have a stand-alone policy for climate change. Progressive countries like Rwanda, Uganda, Tanzania and Zambia have recently put in place detailed NAPAs which are mainstream responsive strategies intended to address climate change adaptation in the wildlife sector. Keywords: mainstreaming, biodiversity, wildlife, climate change policy, east and southern Africa

  5. Management intensity and vegetation complexity affect web-building spiders and their prey.

    Science.gov (United States)

    Diehl, Eva; Mader, Viktoria L; Wolters, Volkmar; Birkhofer, Klaus

    2013-10-01

    Agricultural management and vegetation complexity affect arthropod diversity and may alter trophic interactions between predators and their prey. Web-building spiders are abundant generalist predators and important natural enemies of pests. We analyzed how management intensity (tillage, cutting of the vegetation, grazing by cattle, and synthetic and organic inputs) and vegetation complexity (plant species richness, vegetation height, coverage, and density) affect rarefied richness and composition of web-building spiders and their prey with respect to prey availability and aphid predation in 12 habitats, ranging from an uncut fallow to a conventionally managed maize field. Spiders and prey from webs were collected manually and the potential prey were quantified using sticky traps. The species richness of web-building spiders and the order richness of prey increased with plant diversity and vegetation coverage. Prey order richness was lower at tilled compared to no-till sites. Hemipterans (primarily aphids) were overrepresented, while dipterans, hymenopterans, and thysanopterans were underrepresented in webs compared to sticky traps. The per spider capture efficiency for aphids was higher at tilled than at no-till sites and decreased with vegetation complexity. After accounting for local densities, 1.8 times more aphids were captured at uncut compared to cut sites. Our results emphasize the functional role of web-building spiders in aphid predation, but suggest negative effects of cutting or harvesting. We conclude that reduced management intensity and increased vegetation complexity help to conserve local invertebrate diversity, and that web-building spiders at sites under low management intensity (e.g., semi-natural habitats) contribute to aphid suppression at the landscape scale.

  6. Spatial distribution of diuron sorption affinity as affected by soil, terrain and management practices in an intensively managed apple orchard.

    Science.gov (United States)

    Umali, Beng P; Oliver, Danielle P; Ostendorf, Bertram; Forrester, Sean; Chittleborough, David J; Hutson, John L; Kookana, Rai S

    2012-05-30

    We investigated how the sorption affinity of diuron (3'-(3,4-dichlorophenyl)-1,1-dimenthyl-urea), a moderately hydrophobic herbicide, is affected by soil properties, topography and management practices in an intensively managed orchard system. Soil-landscape analysis was carried out in an apple orchard which had a strong texture contrast soil and a landform with relief difference of 50 m. Diuron sorption (K(d)) affinity was successfully predicted (R(2)=0.79; pdiuron K(d) with TOC, pH(w), slope and WI as key variables. Mean diuron K(d) values were also significantly different (pdiuron than soil in the alleys. Younger stands, which were found to have lower TOC than in the older stands, also had lower diuron K(d) values. In intensively managed orchards, sorption affinity of pesticides to soils was not only affected by soil properties and terrain attributes but also by management regime. Copyright © 2012 Elsevier B.V. All rights reserved.

  7. Oribatid Mite Community Decline Two Years after Low-Intensity Burning in the Southern Cascade Range of California, USA

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    Nancy E. Gillette

    2012-10-01

    Full Text Available To assess effects of low-intensity fire, we combined two silvicultural prescriptions with prescribed fire in the California Cascade Range. In the first treatment, two 100-ha stands were thinned to reduce density while retaining old-growth structural characteristics, yielding residual stands with high structural diversity (HSD. Two other 100-ha plots were thinned to minimize old growth structure, producing even-aged stands of low structural diversity (LSD, and one 50-ha split-plot from each treatment was burned. In addition, two 50 ha old-growth Research Natural Areas (RNA were selected as untreated reference plots, one of which was also burned. Fire treatments profoundly altered mite assemblages in the short term, and forest structure modification likely exacerbated that response. Sampling conducted two years following treatment confirmed a continuing decline in oribatid mite abundance. Oribatid species richness and assemblage heterogeneity also declined, and community dominance patterns were disrupted. Oribatid responses to fire were either more intense or began earlier in the LSD treatments, suggesting that removal of old-growth structure exacerbated mite responses to fire. Prostigmatids recovered quickly, but their populations nonetheless diminished significantly in burned split-plots. Mite assemblage responses to prescribed fire were continuing nearly two years later, with no clear evidence of recovery.

  8. Challenges encountered by critical care unit managers in the large intensive care units.

    Science.gov (United States)

    Matlakala, Mokgadi C; Bezuidenhout, Martie C; Botha, Annali D H

    2014-04-04

    Nurses in intensive care units (ICUs) are exposed regularly to huge demands interms of fulfilling the many roles that are placed upon them. Unit managers, in particular, are responsible for the efficient management of the units and have the responsibilities of planning, organising, leading and controlling the daily activities in order to facilitate the achievement of the unit objectives. The objective of this study was to explore and present the challenges encountered by ICU managers in the management of large ICUs. A qualitative, exploratory and descriptive study was conducted at five hospital ICUs in Gauteng province, South Africa. Data were collected through individual interviews from purposively-selected critical care unit managers, then analysed using the matic coding. Five themes emerged from the data: challenges related to the layout and structure of the unit, human resources provision and staffing, provision of material resources, stressors in the unit and visitors in the ICU. Unit managers in large ICUs face multifaceted challenges which include the demand for efficient and sufficient specialised nurses; lack of or inadequate equipment that goes along with technology in ICU and supplies; and stressors in the ICU that limit the efficiency to plan, organise, lead and control the daily activities in the unit. The challenges identified call for multiple strategies to assist in the efficient management of large ICUs.

  9. Challenges encountered by critical care unit managers in the large intensive care units

    Directory of Open Access Journals (Sweden)

    Mokgadi C. Matlakala

    2014-04-01

    Full Text Available Background: Nurses in intensive care units (ICUs are exposed regularly to huge demands interms of fulfilling the many roles that are placed upon them. Unit managers, in particular, are responsible for the efficient management of the units and have the responsibilities of planning, organising, leading and controlling the daily activities in order to facilitate the achievement of the unit objectives. Objectives: The objective of this study was to explore and present the challenges encountered by ICU managers in the management of large ICUs. Method: A qualitative, exploratory and descriptive study was conducted at five hospital ICUs in Gauteng province, South Africa. Data were collected through individual interviews from purposively-selected critical care unit managers, then analysed using the matic coding. Results: Five themes emerged from the data: challenges related to the layout and structure of the unit, human resources provision and staffing, provision of material resources, stressors in the unit and visitors in the ICU. Conclusion: Unit managers in large ICUs face multifaceted challenges which include the demand for efficient and sufficient specialised nurses; lack of or inadequate equipment that goes along with technology in ICU and supplies; and stressors in the ICU that limit the efficiency to plan, organise, lead and control the daily activities in the unit. The challenges identified call for multiple strategies to assist in the efficient management of large ICUs.

  10. Building waste management core indicators through Spatial Material Flow Analysis: net recovery and transport intensity indexes.

    Science.gov (United States)

    Font Vivanco, David; Puig Ventosa, Ignasi; Gabarrell Durany, Xavier

    2012-12-01

    In this paper, the material and spatial characterization of the flows within a municipal solid waste (MSW) management system are combined through a Network-Based Spatial Material Flow Analysis. Using this information, two core indicators are developed for the bio-waste fraction, the Net Recovery Index (NRI) and the Transport Intensity Index (TII), which are aimed at assessing progress towards policy-related sustainable MSW management strategies and objectives. The NRI approaches the capacity of a MSW management system for converting waste into resources through a systematic metabolic approach, whereas the TII addresses efficiency in terms of the transport requirements to manage a specific waste flow throughout the entire MSW management life cycle. Therefore, both indicators could be useful in assessing key MSW management policy strategies, such as the consecution of higher recycling levels (sustainability principle) or the minimization of transport by locating treatment facilities closer to generation sources (proximity principle). To apply this methodological approach, the bio-waste management system of the region of Catalonia (Spain) has been chosen as a case study. Results show the adequacy of both indicators for identifying those points within the system with higher capacity to compromise its environmental, economic and social performance and therefore establishing clear targets for policy prioritization. Moreover, this methodological approach permits scenario building, which could be useful in assessing the outcomes of hypothetical scenarios, thus proving its adequacy for strategic planning. Copyright © 2012 Elsevier Ltd. All rights reserved.

  11. [Morbidity and mortality after intensive care management of hemorrhagic stroke in Djibouti].

    Science.gov (United States)

    Benois, A; Raynaud, L; Coton, T; Petitjeans, F; Hassan, A; Ilah, A; Sergent, H; Grassin, F; Leberre, J

    2009-02-01

    Prospective data on management and outcome of stroke in Africa is scarce. The purpose of this prospective descriptive study is to present epidemiologic, clinical and outcome data for a series of patients with hemorrhagic stroke in Djibouti. All patients admitted to the intensive care unit of the Bouffard Medical-Surgical Center in Djibouti for cerebral hemorrhage documented by CT-scan of the brain were recruited in this study. A total of 18 patients including 16 men were enrolled. The median patient age in this series was 51.5 years [range, 20-72]. The median duration of intensive care was 3 days [range, 1-38]. Mean Glasgow score at time of admission was 9 [range, 3-14]. Five patients were brought in by emergency medical airlift. The main risk factors for stroke were arterial hypertension, smoking, and regular khat use. Mechanical ventilation was performed in 10 patients with a survival rate of 40%. Six patients (33%) died in the intensive care unit. Hospital mortality within one month was 39% and mortality at 6 months was 44.4%. One-year survival for patients with a Glasgow score < or = 7 at the time of admission was 33%. Arterial hypertension, khat use, and smoking appeared to be major risk factors for male Djiboutians. Neurologic intensive care techniques provided hospital mortality rates similar to those reported in hospitals located in Western countries. Functional outcome in local survivors appeared to be good despite the absence of functional intensive care. These data argue against the passive, fatalistic approach to management of hemorrhagic stroke and for primary prevention of cardiovascular risk factors.

  12. The use and management of water in the Likangala Irrigation Scheme Complex in Southern Malawi

    Science.gov (United States)

    Mulwafu, Wapulumuka O.; Nkhoma, Bryson G.

    This paper examines the uses and management of water for agriculture in Lake Chilwa catchment area in Zomba district of Southern Malawi. It focuses on the Likangala Rice Irrigation Scheme Complex situated along the Likangala River. The scheme is one of the largest government-run schemes. Established in the late 1960s by the government to meet the growing demand for rice, the scheme contributes greatly to the agricultural industry of the country. Besides, the scheme was established to ensure maximum utilization of Malawi's largest wetland, which, due to its hydromorphic soils and the littoral floodplains, does not favour the production of traditional upland seasonal crops such as maize. The scheme's overdependence on water from the Likangala River has attracted a considerable degree of academic interest in the use and management of the river to ensure that there is equity and efficiency for both productive and domestic users. The paper focuses on four main issues: the historical development of the scheme, the distribution of water to farmers, social relations, and the overall contribution of the scheme towards the social and economic development of the area and the country in general. The paper contends that the growing population of the basin and the increase in the number of formal and informal smallholder farmers, contributes greatly to the growth of competition and conflicts over water, which tends to undermine the economic potential of the scheme. Furthermore, the paper provides clearest indication of the need for a realistic and informed water management policy and strategy to solve the growing problem of social inequity without necessarily compromising the production of rice in the scheme.

  13. [Effects of intensive management on soil C and N pools and soil enzyme activities in Moso bamboo plantations.

    Science.gov (United States)

    Yang, Meng; Li, Yong Fu; Li, Yong Chun; Xiao, Yong Heng; Yue, Tian; Jiang, Pei Kun; Zhou, Guo Mo; Liu, Juan

    2016-11-18

    In order to elucidate the effects of intensive management on soil carbon pool, nitrogen pool, enzyme activities in Moso bamboo (Phyllostachys pubescens) plantations, we collected soil samples from the soil surface (0-20 cm) and subsurface (20-40 cm) layers in the adjacent Moso bamboo plantations with extensive and intensive managements in Sankou Township, Lin'an City, Zhejiang Province. We determined different forms of C, N and soil invertase, urease, catalase and acid phosphatase activities. The results showed that long-term intensive management of Moso bamboo plantations significantly decreased the content and storage of soil organic carbon (SOC), with the SOC storage in the soil surface and subsurface layers decreased by 13.2% and 18.0%, respectively. After 15 years' intensive management of Masoo bamboo plantations, the contents of soil water soluble carbon (WSOC), hot water soluble carbon (HWSOC), microbial carbon (MBC) and readily oxidizable carbon (ROC) were significantly decreased in the soil surface and subsurface layers. The soil N storage in the soil surface and subsurface layers in intensively managed Moso bamboo plantations increased by 50.8% and 36.6%, respectively. Intensive management significantly increased the contents of nitrate-N (NO 3 - -N) and ammonium-N (NH 4 + -N), but decreased the contents of water-soluble nitrogen (WSON) and microbial biomass nitrogen (MBN). After 15 years' intensive management of Masoo bamboo plantations, the soil invertase, urease, catalase and acid phosphatase activities in the soil surface layer were significantly decreased, the soil acid phosphatase activity in the soil subsurface layer were significantly decreased, and other enzyme activities in the soil subsurface layer did not change. In conclusion, long-term intensive management led to a significant decline of soil organic carbon storage, soil labile carbon and microbial activity in Moso bamboo plantations. Therefore, we should consider the use of organic

  14. PanDA Beyond ATLAS: Workload Management for Data Intensive Science

    CERN Document Server

    Schovancova, J; The ATLAS collaboration; Klimentov, A; Maeno, T; Nilsson, P; Oleynik, D; Panitkin, S; Petrosyan, A; Vaniachine, A; Wenaus, T; Yu, D

    2013-01-01

    The PanDA Production ANd Distributed Analysis system has been developed by ATLAS to meet the experiment's requirements for a data-driven workload management system for production and distributed analysis processing capable of operating at LHC data processing scale. After 7 years of impressively successful PanDA operation in ATLAS there are also other experiments which can benefit from PanDA in the Big Data challenge, with several at various stages of evaluation and adoption. The new project "Next Generation Workload Management and Analysis System for Big Data" is extending PanDA to meet the needs of other data intensive scientific applications in HEP, astro-particle and astrophysics communities, bio-informatics and other fields as a general solution to large scale workload management. PanDA can utilize dedicated or opportunistic computing resources such as grids, clouds, and High Performance Computing facilities, and is being extended to leverage next generation intelligent networks in automated workflow mana...

  15. Intensive management in grasslands causes diffuse water pollution at the farm scale.

    Science.gov (United States)

    Peukert, Sabine; Griffith, Bruce A; Murray, Phillip J; Macleod, Christopher J A; Brazier, Richard E

    2014-11-01

    Arable land use is generally assumed to be the largest contributor to agricultural diffuse pollution. This study adds to the growing evidence that conventional temperate intensively managed lowland grasslands contribute significantly to soil erosion and diffuse pollution rates. This is the first grassland study to monitor hydrological characteristics and multiple pollutant fluxes (suspended sediment [SS] and the macronutrients: total oxidized nitrogen-N [TON], total phosphorus [TP], and total carbon [TC]) at high temporal resolution (monitoring up to every 15 min) over 1 yr. Monitoring was conducted across three fields (6.5-7.5 ha) on the North Wyke Farm Platform, UK. The estimated annual erosion rates (up to 527.4 kg ha), TP losses (up to 0.9 kg ha), and TC losses (up to 179 kg ha) were similar to or exceeded the losses reported for other grassland, mixed land-use, and arable sites. Annual yields of TON (up to 3 kg ha) were less than arable land-use fluxes and earlier grassland N studies, an important result as the study site is situated within a Nitrate Vulnerable Zone. The high-resolution monitoring allowed detailed "system's functioning" understanding of hydrological processes, mobilization- transport pathways of individual pollutants, and the changes of the relative importance of diffuse pollutants through flow conditions and time. Suspended sediment and TP concentrations frequently exceeded water quality guidelines recommended by the European Freshwater Fisheries Directive (25 mg L) and the European Water Framework Directive (0.04 mg soluble reactive P L), suggesting that intensively managed grasslands pose a significant threat to receiving surface waters. Such sediment and nutrient losses from intensively managed grasslands should be acknowledged in land management guidelines and advice for future compliance with surface water quality standards. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of

  16. Critical Zone Services as a Measure for Evaluating the Trade-offs in Intensively Managed Landscapes

    Science.gov (United States)

    Richardson, M.; Kumar, P.

    2015-12-01

    The Critical Zone includes the range of biophysical processes occurring from the top of the vegetation canopy to the weathering zone below the groundwater table. These services (Field et al. 2015) provide a measure to value processes that support the goods and services from our landscapes. In intensively managed landscapes the provisioning and regulating services are being altered through anthropogenic energy inputs so as to derive more agricultural productivity from the landscapes. Land use change and other alterations to the environment result in positive and/or negative net Critical Zone services. Through studies in the Critical Zone Observatory for Intensively Managed Landscapes (IMLCZO), this research seeks to answer questions such as: Are perennial bioenergy crops or annual replaced crops better for the land and surrounding environment? How do we evaluate the products and services from the land for the energy and resources we put in? Before the economic valuation of Critical Zone services, these questions seemed abstract. However, with developments such as Critical Zone services and life cycle assessments, they are more concrete. To evaluate the trade-offs between positive and negative impacts, life cycle assessments are used to create an inventory of all the energy inputs and outputs in a landscape management system. Total energy is computed by summing the mechanical energy used to construct tile drains, fertilizer, and other processes involved in intensely managed landscapes and the chemical energy gained by the production of biofuels from bioenergy crops. A multi-layer canopy model (MLCan) computes soil, water, and nutrient outputs for each crop type, which can be translated into Critical Zone services. These values are then viewed alongside the energy inputs into the system to show the relationship between agricultural practices and their corresponding ecosystem and environmental impacts.

  17. Climate Change Effects of Forest Management and Substitution of Carbon-Intensive Materials and Fossil Fuels

    Science.gov (United States)

    Sathre, R.; Gustavsson, L.; Haus, S.; Lundblad, M.; Lundström, A.; Ortiz, C.; Truong, N.; Wikberg, P. E.

    2016-12-01

    Forests can play several roles in climate change mitigation strategies, for example as a reservoir for storing carbon and as a source of renewable materials and energy. To better understand the linkages and possible trade-offs between different forest management strategies, we conduct an integrated analysis where both sequestration of carbon in growing forests and the effects of substituting carbon intensive products within society are considered. We estimate the climate effects of directing forest management in Sweden towards increased carbon storage in forests, with more land set-aside for protection, or towards increased forest production for the substitution of carbon-intensive materials and fossil fuels, relative to a reference case of current forest management. We develop various scenarios of forest management and biomass use to estimate the carbon balances of the forest systems, including ecological and technological components, and their impacts on the climate in terms of cumulative radiative forcing over a 100-year period. For the reference case of current forest management, increasing the harvest of forest residues is found to give increased climate benefits. A scenario with increased set-aside area and the current level of forest residue harvest begins with climate benefits compared to the reference scenario, but the benefits cannot be sustained for 100 years because the rate of carbon storage in set-aside forests diminishes over time as the forests mature, but the demand for products and fuels remains. The most climatically beneficial scenario, expressed as reduced cumulative radiative forcing, in both the short and long terms is a strategy aimed at high forest production, high residue recovery rate, and high efficiency utilization of harvested biomass. Active forest management with high harvest level and efficient forest product utilization will provide more climate benefit, compared to reducing harvest and storing more carbon in the forest. Figure

  18. Simulation of the Effect of Intensive Forest Management on Forest Production in Sweden

    Directory of Open Access Journals (Sweden)

    Ola Rosvall

    2011-03-01

    Full Text Available The effects of intensifying the management of 15% of the Swedish forest land on potential future forest production over a 100-year period were investigated in a simulation study. The intensive management treatments, which were introduced over a period of 50 years, were: intensive fertilization of Norway spruce (IntFert; bulking-up Norway spruce elite populations using somatic embryogenesis (SE-seedlings; planting of lodgepole pine, hybrid larch, and Sitka spruce (Contorta, Larch, and Sitka; fertilization with wood ash on peatlands (Wood ash; and conventional fertilization in mature forests (ConFert. Potential sites for applying intensive forest management (IFM to sites with low nature conservation values were determined with a nature conservation score (NCS. Four different scenarios were simulated: “Base scenario”, which aimed at reducing the negative impact on nature conservation values, “Fast implementation”, “No IntFert” (IntFert was not used, and “Large Forest Companies”, where the majority of plots were selected on company land. Total yields during the 100-year simulation period were about 85–92% higher for the intensive forest management scenarios than for the reference scenario (business as usual. In the “No IntFert” scenario total production was 1.8% lower and in the “Large Forest Companies” scenario total production was 4.8% lower than in the “Base scenario”. “Fast implementation” of IFM increased yield by 15% compared to the “Base scenario”. Norway spruce SE-seedlings and IntFert gave the highest yields, measured as total production during the 100-year simulation period, but relative to the yields in the reference scenario, the highest increases in yield were for Contorta. The “Base scenario” and “No IntFert” gave the highest yields for plots with the lowest NCS, but plots with higher NCS had to be used in the “Fast implementation” and “Large Forest Companies” scenarios. More than

  19. Integral Management of Irrigation Water in Intensive Horticultural Systems of Almería

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    Pedro Garcia-Caparros

    2017-12-01

    Full Text Available The development of intensive horticulture in Almería, with a huge increase in greenhouse surface area, is related to three essential factors: climatic characteristics, groundwater use and mulching sandy soil. The purpose of the present paper is to draw a picture of the integral management of water irrigation in the intensive horticultural systems in the region, by identifying the most significant water resource contributions and alternative water resources. Results indicate that the use of groundwater for the irrigation of horticultural crops in the greenhouses presents a high degree of overexploitation of the aquifers, but due to the continuous search for alternative water resources, such as desalinated and reclaimed water, as well as in-depth knowledge of the integral management of water irrigation through automated fertigation and localized irrigation systems, the current status of the water resources could be sustainable. Moreover, being conscious of the pollution generated by agricultural leachates, the horticultural system of Almería is implementing complementary sustainable systems such as recirculation, cascade cropping systems and phytodepuration for the reuse of the leachate. Considering all these factors, it can be concluded that the intensive horticultural system is on the right path towards respecting the environment and being sustainable in terms of water use.

  20. Species of conservation concern and environmental stressors: local regional and global effects: Chapter 6 in The Southern Nevada Agency Partnership science and research synthesis: science to support land management in southern Nevada

    Science.gov (United States)

    Ostoja, Steven M.; Brooks, Matthew L.; Chambers, Jeanne C.; Pendleton, Burton

    2013-01-01

    Species conservation has traditionally been based on individual species within the context of their requisite habitat, which is generally defined as the communities and ecosystems deemed necessary for their presence. Conservation decisions are hampered by the fact that environmental stressors that poetically threaten the persistence of species can operate at organizational levels larger than the habitat or home range of a focal species. Resource managers must therefore simultaneously consider local, regional, and/or global scale stressors for effective conservation and management of species of concern. The wide ranging effects associated with global stressors such as climate change may exceed or exacerbate the effects of local or regional stressors, they still need to understand the direct and interactive effects of global stressors and ultimately how they affect the lands they manage. Conservation of species in southern Nevada is further complication by the fact that the region includes one of the largest and fastest growing urban centers in North America. To accomplish the goal of species conservation, resource managers must identify actionable management options that mitigate the effects of local and regional stressor in the context of the effects of global stressors that are beyond their control. Species conservation is typically focused on a subset often referred to as species of conservation concern that have either demonstrated considerable decline or are naturally rare or have limited distributions. Stressors can directly and indirectly impact species in a variety of ways and through a diversity of mechanisms. Some stressors have been more intense in the past (e.g., livestock grazing) whereas other are now only emerging as new stressors (e.g., solar energy development, climate change). The primary stressors affecting southern Nevada ecosystems are listed in table 2.1 and reviewed in detail in Chapter 2. This chapter addresses Dub-goal 1.4 in the SNAP

  1. The Influence of Climate, Soil and Pasture Type on Productivity and Greenhouse Gas Emissions Intensity of Modeled Beef Cow-Calf Grazing Systems in Southern Australia

    Directory of Open Access Journals (Sweden)

    Richard J. Eckard

    2012-10-01

    Full Text Available A biophysical whole farm system model was used to simulate the interaction between the historical climate, soil and pasture type at sites in southern Australia and assess the balance between productivity and greenhouse gas emissions (expressed in carbon dioxide equivalents, CO2-eq. intensity of beef cow-calf grazing systems. Four sites were chosen to represent a range of climatic zones, soil and pasture types. Poorer feed quality and supply limited the annual carrying capacity of the kikuyu pasture compared to phalaris pastures, with an average long-term carrying capacity across sites estimated to be 0.6 to 0.9 cows/ha. A relative reduction in level of feed intake to productivity of calf live weight/ha at weaning by feeding supplementary feed reduced the average CO2-eq. emissions/kg calf live weight at weaning of cows on the kikuyu pasture (18.4 and 18.9 kg/kg with and without supplementation, respectively, whereas at the other sites studied an increase in intake level to productivity and emission intensity was seen (between 10.4 to 12.5 kg/kg without and with supplementary feed, respectively. Enteric fermentation and nitrous oxide emissions from denitrification were the main sources of annual variability in emissions intensity, particularly at the lower rainfall sites. Emissions per unit product of low input systems can be minimized by efficient utilization of pasture to maximize the annual turnoff of weaned calves and diluting resource input per unit product.

  2. The Management of Dental Waste in Dental Offices and Clinics in Shiraz, Southern Iran

    Directory of Open Access Journals (Sweden)

    M Danaei

    2014-01-01

    Full Text Available Background: Dental waste can be hazardous to humans and the environment. Objective: To determine the current status of dental waste management in private and public dental clinics and private dental offices in Shiraz, southern Iran. Methods: This cross-sectional study was conducted at the Shiraz University of Medical Sciences from February through June 2013. A stratified random sampling method was used to study 86 private offices, 14 private clinics and 10 public clinics. Types of waste studied included mercury and amalgam, lead foil packets, sharps, infectious tissues and fluids, pharmaceuticals and domestic waste materials. Compliance with established standards by the monitored dental offices and clinics and public clinics were compared. Results: 89.1% of dental offices and clinics disposed their infectious waste with domestic waste. Only 60% of centers used standard method for sharps disposal. None of the dental centers disposed their pharmaceutical waste and x-ray fixer waste by standard methods. Less than 10% of centers recycled the amalgam and lead foil pockets waste to the manufacture. Conclusion: Government agencies should establish monitoring programs for all dental offices and clinics to identify noncompliant activity and enforce recommended regulations.

  3. Consequences of More Intensive Forestry for the Sustainable Management of Forest Soils and Waters

    Directory of Open Access Journals (Sweden)

    Eva Ring

    2011-02-01

    Full Text Available Additions of nutrients, faster growing tree varieties, more intense harvest practices, and a changing climate all have the potential to increase forest production in Sweden, thereby mitigating climate change through carbon sequestration and fossil fuel substitution. However, the effects of management strategies for increased biomass production on soil resources and water quality at landscape scales are inadequately understood. Key knowledge gaps also remain regarding the sustainability of shorter rotation periods and more intensive biomass harvests. This includes effects of fertilization on the long-term weathering and supply of base cations and the consequences of changing mineral availability for future forest production. Furthermore, because soils and surface waters are closely connected, management efforts in the terrestrial landscape will potentially have consequences for water quality and the ecology of streams, rivers, and lakes. Here, we review and discuss some of the most pertinent questions related to how increased forest biomass production in Sweden could affect soils and surface waters, and how contemporary forestry goals can be met while minimizing the loss of other ecosystem services. We suggest that the development of management plans to promote the sustainable use of soil resources and water quality, while maximizing biomass production, will require a holistic ecosystem approach that is placed within a broader landscape perspective.

  4. Significant spread of extensively drug-resistant Acinetobacter baumannii genotypes of clonal complex 92 among intensive care unit patients in a university hospital in southern Iran.

    Science.gov (United States)

    Saffari, Fereshteh; Monsen, Tor; Karmostaji, Afsaneh; Azimabad, Fahimeh Bahadori; Widerström, Micael

    2017-11-01

    Infections associated with Acinetobacter baumannii represent an increasing threat in healthcare settings. Therefore, we investigated the epidemiological relationship between clinical isolates of A. baumannii obtained from patients in a university hospital in Bandar Abbas in southern Iran. Sixty-four consecutive non-duplicate clinical isolates collected during 2014-2015 were subjected to susceptibility testing, clonal relationship analysis using PFGE, multilocus variable-number tandem-repeat analysis (MLVA) and multilocus sequence typing (MLST), and examined for the presence of carbapenemases and integrons. Almost all A. baumannii isolates were extensively drug-resistant (XDR; 98 %) and carried an OXA carbapenemase gene (blaOXA-23-like; 98 %) and class 1 integrons (48 %). PFGE and MLST analysis identified three major genotypes, all belonging to clonal complex 92 (CC92): sequence type 848 (ST848) (n=23), ST451 (n=16) and ST195 (n=8). CC92 has previously been documented in the hospital setting in northern Iran, and ST195 has been reported in Arab States of the Persian Gulf. These data suggest national and global transmission of A. baumannii CC92. This report demonstrates the occurrence and potential spread of closely related XDR genotypes of A. baumannii CC92 within a university hospital in southern Iran. These genotypes were found in the majority of the investigated isolates, showed high prevalence of blaOXA-23 and integron class 1, and were associated with stay in the intensive care unit. Very few treatment options remain for healthcare-adapted XDR A. baumannii, and hence effective measures are desperately needed to reduce the spread of these strains and resultant infections in the healthcare setting.

  5. Sharing Perspectives and Learning from One Another: Southern Paiutes, Scientists, and Policymakers in the Glen Canyon Dam Adaptive Management Program

    Science.gov (United States)

    Austin, D. E.; Bulletts, K.; Bulletts, C.

    2017-12-01

    The traditional lands of the Southern Paiute people in the United States are bounded by more than 600 miles of the Colorado River from the Kaiparowits Plateau in the north to Blythe, California in the south. According to Southern Paiute traditional knowledge, Southern Paiutes were the first inhabitants of this region and are responsible for protecting and managing this land along with the water and all that is upon and within it. In 1963, the Bureau of Reclamation completed construction of Glen Canyon Dam on the Colorado River, and in 1972, the Glen Canyon National Recreation Area was established, encompassing Lake Mead above the Dam and a world class trout fishery on the Colorado River between the Dam and Lees Ferry. Below Lees Ferry on its way to Lake Mead and Hoover Dam, the Colorado River flows through Grand Canyon National Park and the Navajo and Hualapai reservations. U.S. federal law requires that Glen Canyon Dam be operated with minimal impact to the natural, recreational, and cultural resources of the region of the Colorado River that is potentially impacted by flows from the Dam. The Grand Canyon Protection Act and the Environmental Impact Statement (EIS) for the Operation of the Glen Canyon Dam established a program of long-term research and monitoring of the effects of the Dam on these resources. In 1991, three Southern Paiute tribes - the Kaibab Band of Paiute Indians, the Paiute Indian Tribe of Utah, and the San Juan Southern Paiute Tribe - agreed to participate in studies to identify cultural resources impacted by Glen Canyon Dam and to recommend strategies for their protection, In 1995, the EIS was completed and transition to the Adaptive Management Program (AMP) called for in the Grand Canyon Protection Act was begun. At that time, Southern Paiute activities expanded to include assessing potential environmental and cultural impacts of the dam, developing monitoring procedures, and interacting with scientists, other tribal representatives, and

  6. Building resilience into practical conservation: identifying local management responses to global climate change in the southern Great Barrier Reef

    Science.gov (United States)

    Maynard, J. A.; Marshall, P. A.; Johnson, J. E.; Harman, S.

    2010-06-01

    Climate change is now considered the greatest long-term threat to coral reefs, with some future change inevitable despite mitigation efforts. Managers must therefore focus on supporting the natural resilience of reefs, requiring that resilient reefs and reef regions be identified. We develop a framework for assessing resilience and trial it by applying the framework to target management responses to climate change on the southern Great Barrier Reef. The framework generates a resilience score for a site based on the evaluation of 19 differentially weighted indicators known or thought to confer resilience to coral reefs. Scores are summed, and sites within a region are ranked in terms of (1) their resilience relative to the other sites being assessed, and (2) the extent to which managers can influence their resilience. The framework was applied to 31 sites in Keppel Bay of the southern Great Barrier Reef, which has a long history of disturbance and recovery. Resilience and ‘management influence potential’ were both found to vary widely in Keppel Bay, informing site selection for the staged implementation of resilience-based management strategies. The assessment framework represents a step towards making the concept of resilience operational to reef managers and conservationists. Also, it is customisable, easy to teach and implement and effective in building support among local communities and stakeholders for management responses to climate change.

  7. Land degradation causes and sustainable land management practices in southern Jordan

    Science.gov (United States)

    Khresat, Saeb

    2014-05-01

    Jordan is one of the world's most water-deficit countries with only about 4% of the total land area considered arable. As a consequence agricultural production is greatly constrained by limited natural resources. Therefore, a major challenge for the country is to promote the sustainable use of natural resources for agricultural purposes. This challenge is being made harder by the ongoing processes of degradation due to increased population pressure, which undermine any social and economic development gains. In the southern plains of Jordan, sustainability of farming practices has worsened in the past three decades, exacerbating pressure on land and increasing land degradation processes. Non-sustainable land use practices include improper ploughing, inappropriate rotations, inadequate or inexistent management of plant residues, overgrazing of natural vegetation, random urbanization, land fragmentation and over-pumping of groundwater. The root cause is the high population growth which exerts excessive pressure on the natural resources to meet increased food and income demand. The poorest farmers who are increasingly growing cereals on marginal areas. Wheat and barley are now grown with little to no rotation, with no nutrient replenishment, and at places avoiding even fallow. Small landholding sizes and topographic features of the area tend to oblige longitudinal mechanized tillage operations along the slopes. Overall, the constraints facing the deprived land users such as, poor access to technology, capital and organization are the factors that lead into unsustainable practices. The main bottlenecks and barriers that hinder mainstreaming of sustainable land management in Jordan can be grouped into three main categories: (i) Knowledge, (ii) Institutional and Governance, and (iii) Economic and Financial. In this case study, the key challenge was to create a knowledge base among local stakeholders - including planners, extension officers, NGO/community leaders, teachers

  8. Avian species richness in relation to intensive forest management practices in early seral tree plantations.

    Science.gov (United States)

    Jones, Jay E; Kroll, Andrew J; Giovanini, Jack; Duke, Steven D; Ellis, Tana M; Betts, Matthew G

    2012-01-01

    Managers of landscapes dedicated to forest commodity production require information about how practices influence biological diversity. Individual species and communities may be threatened if management practices truncate or simplify forest age classes that are essential for reproduction and survival. For instance, the degradation and loss of complex diverse forest in young age classes have been associated with declines in forest-associated Neotropical migrant bird populations in the Pacific Northwest, USA. These declines may be exacerbated by intensive forest management practices that reduce hardwood and broadleaf shrub cover in order to promote growth of economically valuable tree species in plantations. We used a Bayesian hierarchical model to evaluate relationships between avian species richness and vegetation variables that reflect stand management intensity (primarily via herbicide application) on 212 tree plantations in the Coast Range, Oregon, USA. Specifically, we estimated the influence of broadleaf hardwood vegetation cover, which is reduced through herbicide applications, on bird species richness and individual species occupancy. Our model accounted for imperfect detection. We used average predictive comparisons to quantify the degree of association between vegetation variables and species richness. Both conifer and hardwood cover were positively associated with total species richness, suggesting that these components of forest stand composition may be important predictors of alpha diversity. Estimates of species richness were 35-80% lower when imperfect detection was ignored (depending on covariate values), a result that has critical implications for previous efforts that have examined relationships between forest composition and species richness. Our results revealed that individual and community responses were positively associated with both conifer and hardwood cover. In our system, patterns of bird community assembly appear to be associated with

  9. Severe fire weather and intensive forest management increase fire severity in a multi-ownership landscape.

    Science.gov (United States)

    Zald, Harold S J; Dunn, Christopher J

    2018-04-26

    Many studies have examined how fuels, topography, climate, and fire weather influence fire severity. Less is known about how different forest management practices influence fire severity in multi-owner landscapes, despite costly and controversial suppression of wildfires that do not acknowledge ownership boundaries. In 2013, the Douglas Complex burned over 19,000 ha of Oregon & California Railroad (O&C) lands in Southwestern Oregon, USA. O&C lands are composed of a checkerboard of private industrial and federal forestland (Bureau of Land Management, BLM) with contrasting management objectives, providing a unique experimental landscape to understand how different management practices influence wildfire severity. Leveraging Landsat based estimates of fire severity (Relative differenced Normalized Burn Ratio, RdNBR) and geospatial data on fire progression, weather, topography, pre-fire forest conditions, and land ownership, we asked (1) what is the relative importance of different variables driving fire severity, and (2) is intensive plantation forestry associated with higher fire severity? Using Random Forest ensemble machine learning, we found daily fire weather was the most important predictor of fire severity, followed by stand age and ownership, followed by topographic features. Estimates of pre-fire forest biomass were not an important predictor of fire severity. Adjusting for all other predictor variables in a general least squares model incorporating spatial autocorrelation, mean predicted RdNBR was higher on private industrial forests (RdNBR 521.85 ± 18.67 [mean ± SE]) vs. BLM forests (398.87 ± 18.23) with a much greater proportion of older forests. Our findings suggest intensive plantation forestry characterized by young forests and spatially homogenized fuels, rather than pre-fire biomass, were significant drivers of wildfire severity. This has implications for perceptions of wildfire risk, shared fire management responsibilities, and developing

  10. Building waste management core indicators through Spatial Material Flow Analysis: Net recovery and transport intensity indexes

    Energy Technology Data Exchange (ETDEWEB)

    Font Vivanco, David, E-mail: font@cml.leidenuniv.nl [Institut de Ciencia i Tecnologia Ambientals (ICTA), Departament d' Enginyeria Quimica, Universitat Autonoma de Barcelona (UAB), 08193 Bellaterra, Barcelona (Spain); Institute of Environmental Sciences (CML), Leiden University, P.O. Box 9518, 2300 RA Leiden (Netherlands); Puig Ventosa, Ignasi [ENT Environment and Management, Carrer Sant Joan 39, First Floor, 08800 Vilanova i la Geltru, Barcelona (Spain); Gabarrell Durany, Xavier [Institut de Ciencia i Tecnologia Ambientals (ICTA), Departament d' Enginyeria Quimica, Universitat Autonoma de Barcelona (UAB), 08193 Bellaterra, Barcelona (Spain)

    2012-12-15

    Highlights: Black-Right-Pointing-Pointer Sustainability and proximity principles have a key role in waste management. Black-Right-Pointing-Pointer Core indicators are needed in order to quantify and evaluate them. Black-Right-Pointing-Pointer A systematic, step-by-step approach is developed in this study for their development. Black-Right-Pointing-Pointer Transport may play a significant role in terms of environmental and economic costs. Black-Right-Pointing-Pointer Policy action is required in order to advance in the consecution of these principles. - Abstract: In this paper, the material and spatial characterization of the flows within a municipal solid waste (MSW) management system are combined through a Network-Based Spatial Material Flow Analysis. Using this information, two core indicators are developed for the bio-waste fraction, the Net Recovery Index (NRI) and the Transport Intensity Index (TII), which are aimed at assessing progress towards policy-related sustainable MSW management strategies and objectives. The NRI approaches the capacity of a MSW management system for converting waste into resources through a systematic metabolic approach, whereas the TII addresses efficiency in terms of the transport requirements to manage a specific waste flow throughout the entire MSW management life cycle. Therefore, both indicators could be useful in assessing key MSW management policy strategies, such as the consecution of higher recycling levels (sustainability principle) or the minimization of transport by locating treatment facilities closer to generation sources (proximity principle). To apply this methodological approach, the bio-waste management system of the region of Catalonia (Spain) has been chosen as a case study. Results show the adequacy of both indicators for identifying those points within the system with higher capacity to compromise its environmental, economic and social performance and therefore establishing clear targets for policy

  11. Zoning of the Russian Federation territory based on forest management and forest use intensity

    Directory of Open Access Journals (Sweden)

    A. A. Маrtynyuk

    2016-02-01

    zoned due to forest management and forest use intensity.

  12. Building waste management core indicators through Spatial Material Flow Analysis: Net recovery and transport intensity indexes

    International Nuclear Information System (INIS)

    Font Vivanco, David; Puig Ventosa, Ignasi; Gabarrell Durany, Xavier

    2012-01-01

    Highlights: ► Sustainability and proximity principles have a key role in waste management. ► Core indicators are needed in order to quantify and evaluate them. ► A systematic, step-by-step approach is developed in this study for their development. ► Transport may play a significant role in terms of environmental and economic costs. ► Policy action is required in order to advance in the consecution of these principles. - Abstract: In this paper, the material and spatial characterization of the flows within a municipal solid waste (MSW) management system are combined through a Network-Based Spatial Material Flow Analysis. Using this information, two core indicators are developed for the bio-waste fraction, the Net Recovery Index (NRI) and the Transport Intensity Index (TII), which are aimed at assessing progress towards policy-related sustainable MSW management strategies and objectives. The NRI approaches the capacity of a MSW management system for converting waste into resources through a systematic metabolic approach, whereas the TII addresses efficiency in terms of the transport requirements to manage a specific waste flow throughout the entire MSW management life cycle. Therefore, both indicators could be useful in assessing key MSW management policy strategies, such as the consecution of higher recycling levels (sustainability principle) or the minimization of transport by locating treatment facilities closer to generation sources (proximity principle). To apply this methodological approach, the bio-waste management system of the region of Catalonia (Spain) has been chosen as a case study. Results show the adequacy of both indicators for identifying those points within the system with higher capacity to compromise its environmental, economic and social performance and therefore establishing clear targets for policy prioritization. Moreover, this methodological approach permits scenario building, which could be useful in assessing the outcomes of

  13. Soil quality under two different management schemes in coffee plantations of southern Colombia.

    Directory of Open Access Journals (Sweden)

    Oscar Eduardo Valbuena-Calderón

    2016-12-01

    Full Text Available The aim of this work was to develop an additive soil quality index (ASQI in agrofostery managements of coffee (Coffea arabica L.. The study took place under two intense and traditional management schemes, in nine farms (32 lots in the south of Colombia, during 2013. A separation of means analysis was held through the LSD Fisher test (P<0,05 to each of the physical and chemical variables of the soil. The variables that showed differences between the schemes were submitted to a main components analysis to select the minimum data set (MDS of the components that explained the most variability and the redundancy was veri ed within the indicators, based on the correlation. The ASQI was obtained from the total sum of soil quality index (SQI of all the indicators, taking into account that the higher the score of the ASQI, the higher the quality of the soil within the study system. The selected physical variables were the content of sand and clay; while the chemical variables were: organic carbon (OC, P, CA, Mg, total bases (TB and Ca/Mg. The best ASQI was obtained from traditional management, because the value of the selected variables matched in a bigger proportion with the quality objective identi ed for the ASQI quanti cation; in this case the crop yield, based on limit values for coffee plantations.

  14. EFFECTS OF THE DECEMBER 2004 TSUNAMI AND DISASTER MANAGEMENT IN SOUTHERN THAILAND

    Directory of Open Access Journals (Sweden)

    Chanchai Thanawood

    2006-01-01

    Full Text Available A quake-triggered tsunami lashed the Andaman coast of southern Thailand on December 26, 2004 at around 9.30 am local time. It was the first to strike the shorelines of southern Thailand in living memory. Coastal provinces along the Andaman coast suffered a total of 5,395 deaths – more than half of whom were foreign tourists, with another 2,822 reported missing. Of the 6 affected coastal provinces, Phang Nga was the worst-hit province with some 4,224 lives lost and 7,003 ha of land area devastated. Takua Pa District, which was a prime tourist area with numerous beach resorts, was the most severely affected area in Phang Nga Province.Through the use of the aerial photographs and Ikonos images, it was found that 4,738 ha of Takua Pa District’s coastal area were affected by the tsunami. The tsunami run-up heights of 7-8, 5-7 and 10-12 metres, were observed at, respectively, Ban Namkhem, Pakarang Cape and Ban Bangnieng in Takua Pa District. The tsunami caused heavy damage to houses, tourist resorts, fishing boats and gear, culture ponds and crops, and consequently affected the livelihood of large numbers of the coastal communities. The destructive wave impacted not only soil and water resources, but also damaged healthy coral reefs, sea grass beds and beach forests. The surviving victims faced psychosocial stresses resulting from the loss of their loved ones, being rendered homeless and fears of another tsunami. The tsunami effects on human settlements, livelihoods, coastal resources, natural environment together with the psychosocial well being of the coastal communities have contributed to the degradation of the coastal ecosystems.Following the 2004 event, it has become apparent that the country’s disaster management strategies need to be strengthened through the implementation of mitigation and preparedness options to enhance the community’s resilience to natural events such as tsunami. The improved strategies are discussed in this paper.

  15. The response of sward-dwelling arthropod communities to reduced grassland management intensity in pastures

    Directory of Open Access Journals (Sweden)

    Helden Alvin J.

    2015-12-01

    Full Text Available We compared arthropod taxon richness, diversity and community structure of two replicated grassland husbandry experiments to investigate effects of reduced management intensity, as measured by nutrient input levels (390, 224 and 0 kg/ha per year N in one experiment, and 225 and 88 kg/ha per year N in another. Suction sampling was used to collect Araneae, Coleoptera, Hemiptera and Hymenoptera, with Araneae and Coleoptera also sampled with pitfall trapping. Univariate analyses found no significant differences in abundance and species density between treatments. However, with multivariate analysis, there were significant differences in arthropod community structure between treatments in both experiments.

  16. Southern high-latitude Digisonde observations of ionosphere E-region Bragg scatter during intense lacuna conditions

    Directory of Open Access Journals (Sweden)

    D. P. Monselesan

    2004-09-01

    Full Text Available During summer months at solar cycle minimum, F-region lacuna and slant-Es conditions (SEC are common features of daytime ionograms recorded around local magnetic noon at Casey, Antarctica. Digisonde measurements of drift velocity height profiles show that the occurrence of lacuna prevents the determination of F-region drift velocities and also affects E-region drift velocity measurements. Unique E-region spectral features revealed as intervals of Bragg scatter superimposed on typical background E-region reflection were observed in Digisonde Doppler spectra during intense lacuna conditions. Daytime E-region Doppler spectra recorded at carrier frequencies from 1.5 to 2.7MHz, below the E-region critical frequency foE, have two side-peaks corresponding to Bragg scatter at approximately ±1-2Hz symmetrically located on each side of a central-peak corresponding to near-zenith total reflections. Angle-of-arrival information and ray-tracing simulations show that echo returns are coming from oblique directions most likely resulting from direct backscatter from just below the total reflection height for each sounding frequency. The Bragg backscatter events are shown to manifest during polar lacuna conditions, and to affect the determination of E-region background drift velocities, and as such must be considered when using standard Doppler-sorted interferometry (DSI techniques to estimate ionospheric drift velocities. Given the Doppler and spatial separation of the echoes determined from high-resolution Doppler measurements, we are able to estimate the Bragg scatter phase velocity independently from the bulk E-region motion. The phase velocity coincides with the ExB direction derived from in situ fluxgate magnetometer records. When ionospheric refraction is considered, the phase velocity amplitudes deduced from DSI are comparable to the ion-acoustic speed expected in the E-region. We briefly consider the plausibility that these

  17. Southern high-latitude Digisonde observations of ionosphere E-region Bragg scatter during intense lacuna conditions

    Directory of Open Access Journals (Sweden)

    D. P. Monselesan

    2004-09-01

    Full Text Available During summer months at solar cycle minimum, F-region lacuna and slant-Es conditions (SEC are common features of daytime ionograms recorded around local magnetic noon at Casey, Antarctica. Digisonde measurements of drift velocity height profiles show that the occurrence of lacuna prevents the determination of F-region drift velocities and also affects E-region drift velocity measurements. Unique E-region spectral features revealed as intervals of Bragg scatter superimposed on typical background E-region reflection were observed in Digisonde Doppler spectra during intense lacuna conditions. Daytime E-region Doppler spectra recorded at carrier frequencies from 1.5 to 2.7MHz, below the E-region critical frequency foE, have two side-peaks corresponding to Bragg scatter at approximately ±1-2Hz symmetrically located on each side of a central-peak corresponding to near-zenith total reflections. Angle-of-arrival information and ray-tracing simulations show that echo returns are coming from oblique directions most likely resulting from direct backscatter from just below the total reflection height for each sounding frequency. The Bragg backscatter events are shown to manifest during polar lacuna conditions, and to affect the determination of E-region background drift velocities, and as such must be considered when using standard Doppler-sorted interferometry (DSI techniques to estimate ionospheric drift velocities. Given the Doppler and spatial separation of the echoes determined from high-resolution Doppler measurements, we are able to estimate the Bragg scatter phase velocity independently from the bulk E-region motion. The phase velocity coincides with the ExB direction derived from in situ fluxgate magnetometer records. When ionospheric refraction is considered, the phase velocity amplitudes deduced from DSI are comparable to the ion-acoustic speed expected in the E-region. We briefly consider the plausibility that these previously unreported polar

  18. Enhancing the diversity of breeding invertebrates within field margins of intensively managed grassland: Effects of alternative management practices.

    Science.gov (United States)

    Fritch, Rochelle A; Sheridan, Helen; Finn, John A; McCormack, Stephen; Ó hUallacháin, Daire

    2017-11-01

    Severe declines in biodiversity have been well documented for many taxonomic groups due to intensification of agricultural practices. Establishment and appropriate management of arable field margins can improve the diversity and abundance of invertebrate groups; however, there is much less research on field margins within grassland systems. Three grassland field margin treatments (fencing off the existing vegetation "fenced"; fencing with rotavation and natural regeneration "rotavated" and; fencing with rotavation and seeding "seeded") were compared to a grazed control in the adjacent intensively managed pasture. Invertebrates were sampled using emergence traps to investigate species breeding and overwintering within the margins. Using a manipulation experiment, we tested whether the removal of grazing pressure and nutrient inputs would increase the abundance and richness of breeding invertebrates within grassland field margins. We also tested whether field margin establishment treatments, with their different vegetation communities, would change the abundance and richness of breeding invertebrates in the field margins. Exclusion of grazing and nutrient inputs led to increased abundance and richness in nearly all invertebrate groups that we sampled. However, there were more complex effects of field margin establishment treatment on the abundance and richness of invertebrate taxa. Each of the three establishment treatments supported a distinct invertebrate community. The removal of grazing from grassland field margins provided a greater range of overwintering/breeding habitat for invertebrates. We demonstrate the capacity of field margin establishment to increase the abundance and richness in nearly all invertebrate groups in study plots that were located on previously more depauperate areas of intensively managed grassland. These results from grassland field margins provide evidence to support practical actions that can inform Greening (Pillar 1) and agri

  19. Outpatient management of intensively treated acute leukemia patients-the patients' perspective

    DEFF Research Database (Denmark)

    Jepsen, Lene Østergaard; Høybye, Mette Terp; Hansen, Dorte Gilså

    2016-01-01

    , responsibility and the home were performed. Twenty-two patients were interviewed the first time, and 15 of these were interviewed the second time. The data were analyzed in an everyday life relational perspective. RESULTS: Outpatient management facilitates time to be administrated by the patients and thereby...... the possibility of maintaining everyday life, which was essential to the patients. The privacy ensured by the home was important to patients, and they accepted the necessary responsibility that came with it. However, time spent together with fellow patients and their relatives was an important and highly valued...... part of their social life. CONCLUSIONS: Approached from the patient perspective, outpatient management provided a motivation for patients as it ensured their presence at home and provided the possibility of taking part in everyday life of the family, despite severe illness and intensive treatment...

  20. Diagnosis and management of tetanus outside the intensive care unit: a case report

    Science.gov (United States)

    Bravo, T. E.; Siregar, M. L.; Jamil, K. F.

    2018-03-01

    Tetanus is an acute, toxin-mediated disease caused by Clostridium tetani infection. Under favorable anaerobic conditions, such as in the unclean environment, necrotic wounds, this ubiquitous bacillus may produce tetanospasmin, an extremely potent neurotoxin. A 38-year-old man was admitted to an emergency room, at Zainoel Abidin General Hospital, with the main complaint of back-muscle stiffness. Based on physical examination, he was fully alert with a slightly rapid breathing, trismus with the maximum oral cavity opening was only about one finger width, but rhisus sardonicus was not evident. Ten days before admission, while gardening, his left foot accidentally stabbed by wooden tree stake. We immediately started a single dose of tetanus immunoglobulin followed by intravenous metronidazole, penicillin G, and intravenous diazepam. Tetanus diagnosed by physical clinical finding. The management of tetanus patients including the use of immunoglobulin and antibiotic therapy, analgesia, sedation and neuromuscular blockade management and mechanical ventilation, the care was delivered outside the Intensive care unit.

  1. [Necrotizing fasciitis: results of a survey on management practices in French-speaking intensive care units].

    Science.gov (United States)

    de Prost, N; Bosc, R; Brun-Buisson, C; Chosidow, O; Decousser, J-W; Dhonneur, G; Lepeule, R; Rahmouni, A; Sbidian, E; Amathieu, R

    2014-12-01

    Necrotizing fasciitis (NF) are rare and severe soft tissue infections associated with a high mortality rate. In order to assess the management of NF in French-speaking intensive care units (ICUs), we conducted a survey endorsed by the French Society of Anesthesia and Intensive Care (SFAR). Online self-administered survey. A link to an online survey was sent by email to 4620 anesthesiologists and/or intensivists and was available online from January to February 2014. One hundred and seventy-five physicians (3.8%) who worked in 135 ICUs filled out the online survey. Among respondents, 42% reported having managed up to two patients with NF during the previous year; 59% and 72% of respondents reported not having a surgical and a medical specialist consultant, respectively. A delayed access to the operating room (OR) of more than 6hours was reported in 31% of cases and access to the OR was reported not to be routinely considered as a priority in 13% of cases. Only 17% of respondents reported that time to transfer to the OR was never a cause for delayed surgery. The main causes for delayed surgery were: delayed diagnosis (45%), delayed validation of surgical intervention (37%), and difficulty of access to the OR (8%). Finally, 83% of respondents estimated that creating dedicated multidisciplinary teams for managing NFs could lead to improving outcomes. This survey illustrates the heterogeneous management of NF in French-speaking ICUs and points out several logistical aspects that should be improved to reduce the time to the first surgical debridement. Copyright © 2014 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.

  2. [Activity-based costing methodology to manage resources in intensive care units].

    Science.gov (United States)

    Alvear V, Sandra; Canteros G, Jorge; Jara M, Juan; Rodríguez C, Patricia

    2013-11-01

    An accurate estimation of resources use by individual patients is crucial in hospital management. To measure financial costs of health care actions in intensive care units of two public regional hospitals in Chile. Prospective follow up of 716 patients admitted to two intensive care units during 2011. The financial costs of health care activities was calculated using the Activity-Based Costing methodology. The main activities recorded were procedures and treatments, monitoring, response to patient needs, patient maintenance and coordination. Activity-Based Costs, including human resources and assorted indirect costs correspond to 81 to 88% of costs per disease in one hospital and 69 to 80% in the other. The costs associated to procedures and treatments are the most significant and are approximately $100,000 (Chilean pesos) per day of hospitalization. The second most significant cost corresponds to coordination activities, which fluctuates between $86,000 and 122,000 (Chilean pesos). There are significant differences in resources use between the two hospitals studied. Therefore cost estimation methodologies should be incorporated in the management of these clinical services.

  3. PanDA Beyond ATLAS : A Scalable Workload Management System For Data Intensive Science

    CERN Document Server

    Borodin, M; The ATLAS collaboration; Jha, S; Golubkov, D; Klimentov, A; Maeno, T; Nilsson, P; Oleynik, D; Panitkin, S; Petrosyan, A; Schovancova, J; Vaniachine, A; Wenaus, T

    2014-01-01

    The LHC experiments are today at the leading edge of large scale distributed data-intensive computational science. The LHC's ATLAS experiment processes data volumes which are particularly extreme, over 140 PB to date, distributed worldwide at over of 120 sites. An important element in the success of the exciting physics results from ATLAS is the highly scalable integrated workflow and dataflow management afforded by the PanDA workload management system, used for all the distributed computing needs of the experiment. The PanDA design is not experiment specific and PanDA is now being extended to support other data intensive scientific applications. PanDA was cited as an example of "a high performance, fault tolerant software for fast, scalable access to data repositories of many kinds" during the "Big Data Research and Development Initiative" announcement, a 200 million USD U.S. government investment in tools to handle huge volumes of digital data needed to spur science and engineering discoveries. In this talk...

  4. Closed-loop control for cardiopulmonary management and intensive care unit sedation using digital imaging

    Science.gov (United States)

    Gholami, Behnood

    This dissertation introduces a new problem in the delivery of healthcare, which could result in lower cost and a higher quality of medical care as compared to the current healthcare practice. In particular, a framework is developed for sedation and cardiopulmonary management for patients in the intensive care unit. A method is introduced to automatically detect pain and agitation in nonverbal patients, specifically in sedated patients in the intensive care unit, using their facial expressions. Furthermore, deterministic as well as probabilistic expert systems are developed to suggest the appropriate drug dose based on patient sedation level. Patients in the intensive care unit who require mechanical ventilation due to acute respiratory failure also frequently require the administration of sedative agents. The need for sedation arises both from patient anxiety due to the loss of personal control and the unfamiliar and intrusive environment of the intensive care unit, and also due to pain or other variants of noxious stimuli. In this dissertation, we develop a rule-based expert system for cardiopulmonary management and intensive care unit sedation. Furthermore, we use probability theory to quantify uncertainty and to extend the proposed rule-based expert system to deal with more realistic situations. Pain assessment in patients who are unable to verbally communicate is a challenging problem. The fundamental limitations in pain assessment stem from subjective assessment criteria, rather than quantifiable, measurable data. The relevance vector machine (RVM) classification technique is a Bayesian extension of the support vector machine (SVM) algorithm which achieves comparable performance to SVM while providing posterior probabilities for class memberships and a sparser model. In this dissertation, we use the RVM classification technique to distinguish pain from non-pain as well as assess pain intensity levels. We also correlate our results with the pain intensity

  5. Knowledge management and economic integration in Southern Africa: unpacking the contribution of a regional spatial perspective in building regional competitiveness and prosperity

    CSIR Research Space (South Africa)

    Chakwizira, J

    2009-05-01

    Full Text Available spatial planning office under-girded by a southern African spatial development perspective protocol. The office could become a fountain of enhanced spatial knowledge management and a platform for generating economic integration intervention levers...

  6. Fluoride in weathered rock aquifers of southern India: Managed Aquifer Recharge for mitigation.

    Science.gov (United States)

    Brindha, K; Jagadeshan, G; Kalpana, L; Elango, L

    2016-05-01

    Climatic condition, geology, and geochemical processes in an area play a major role on groundwater quality. Impact of these on the fluoride content of groundwater was studied in three regions-part of Nalgonda district in Telangana, Pambar River basin, and Vaniyar River basin in Tamil Nadu, southern India, which experience semi-arid climate and are predominantly made of Precambrian rocks. High concentration of fluoride in groundwater above 4 mg/l was recorded. Human exposure dose for fluoride through groundwater was higher in Nalgonda than the other areas. With evaporation and rainfall being one of the major contributors for high fluoride apart from the weathering of fluoride rich minerals from rocks, the effect of increase in groundwater level on fluoride concentration was studied. This study reveals that groundwater in shallow environment of all three regions shows dilution effect due to rainfall recharge. Suitable managed aquifer recharge (MAR) methods can be adopted to dilute the fluoride rich groundwater in such regions which is explained with two case studies. However, in deep groundwater, increase in fluoride concentration with increase in groundwater level due to leaching of fluoride rich salts from the unsaturated zone was observed. Occurrence of fluoride above 1.5 mg/l was more in areas with deeper groundwater environment. Hence, practicing MAR in these regions will increase the fluoride content in groundwater and so physical or chemical treatment has to be adopted. This study brought out the fact that MAR cannot be practiced in all regions for dilution of ions in groundwater and that it is essential to analyze the fluctuation in groundwater level and the fluoride content before suggesting it as a suitable solution. Also, this study emphasizes that long-term monitoring of these factors is an important criterion for choosing the recharge areas.

  7. Proceedings of the tenth biennial southern silvicultural research conference

    Science.gov (United States)

    James D. Haywood; [Editor

    1999-01-01

    One hundred and twenty-two papers and three poster summaries address a range of issues affecting southern forests. Papers are grouped in 15 sessions that included upland hardwoods, intensive management of bottomland hardwoods, intermediate hardwood management, hardwood and bottomland regeneration, ecological relationships, water and soil hydrology, site preparation for...

  8. Low flows and reservoir management for the Durance River basin (Southern France) in the 2050s

    Science.gov (United States)

    Sauquet, Eric

    2015-04-01

    The Durance River is one of the major rivers located in the Southern part of France. Water resources are under high pressure due to significant water abstractions for human uses within and out of the natural boundaries of the river basin through an extended open channel network. Water demands are related to irrigation, hydropower, drinking water, industries and more recently water management has included water needs for recreational uses as well as for preserving ecological services. Water is crucial for all these activities and for the socio-economic development of South Eastern France. Both socio-economic development and population evolution will probably modify needs for water supply, irrigation, energy consumption, tourism, industry, etc. In addition the Durance river basin will have to face climate change and its impact on water availability that may question the sustainability of the current rules for water allocation. The research project R²D²-2050 "Risk, water Resources and sustainable Development within the Durance river basin in 2050" aims at assessing future water availability and risks of water shortage in the 2050s by taking into account changes in both climate and water management. R²D²-2050 is partially funded by the French Ministry in charge of Ecology and the Rhône-Méditerranée Water Agency. This multidisciplinary project (2010-2014) involves Irstea, Electricité de France (EDF), the University Pierre et Marie Curie (Paris), LTHE (CNRS), the Société du Canal de Provence (SCP) and the research and consultancy company ACTeon. A set of models have been developed to simulate climate at regional scale (given by 330 projections obtained by applying three downscaling methods), water resources (provided by seven rainfall-runoff models forced by a subset of 330 climate projections), water demand for agriculture and drinking water, for different sub basins of the Durance River basin upstream of Mallemort under present day and under future conditions

  9. Computer versus paper system for recognition and management of sepsis in surgical intensive care.

    Science.gov (United States)

    Croft, Chasen A; Moore, Frederick A; Efron, Philip A; Marker, Peggy S; Gabrielli, Andrea; Westhoff, Lynn S; Lottenberg, Lawrence; Jordan, Janeen; Klink, Victoria; Sailors, R Matthew; McKinley, Bruce A

    2014-02-01

    A system to provide surveillance, diagnosis, and protocolized management of surgical intensive care unit (SICU) sepsis was undertaken as a performance improvement project. A system for sepsis management was implemented for SICU patients using paper followed by a computerized system. The hypothesis was that the computerized system would be associated with improved process and outcomes. A system was designed to provide early recognition and guide patient-specific management of sepsis including (1) modified early warning signs-sepsis recognition score (MEWS-SRS; summative point score of ranges of vital signs, mental status, white blood cell count; after every 4 hours) by bedside nurse; (2) suspected site assessment (vascular access, lung, abdomen, urinary tract, soft tissue, other) at bedside by physician or extender; (3) sepsis management protocol (replicable, point-of-care decisions) at bedside by nurse, physician, and extender. The system was implemented first using paper and then a computerized system. Sepsis severity was defined using standard criteria. In January to May 2012, a paper system was used to manage 77 consecutive sepsis encounters (3.9 ± 0.5 cases per week) in 65 patients (77% male; age, 53 ± 2 years). In June to December 2012, a computerized system was used to manage 132 consecutive sepsis encounters (4.4 ± 0.4 cases per week) in 119 patients (63% male; age, 58 ± 2 years). MEWS-SRS elicited 683 site assessments, and 201 had sepsis diagnosis and protocol management. The predominant site of infection was abdomen (paper, 58%; computer, 53%). Recognition of early sepsis tended to occur more using the computerized system (paper, 23%; computer, 35%). Hospital mortality rate for surgical ICU sepsis (paper, 20%; computer, 14%) was less with the computerized system. A computerized sepsis management system improves care process and outcome. Early sepsis is recognized and managed with greater frequency compared with severe sepsis or septic shock. The system

  10. Impact of climate change on irrigation management for olive orchards at southern Spain

    Science.gov (United States)

    Lorite, Ignacio; Gabaldón-Leal, Clara; Santos, Cristina; Belaj, Angjelina; de la Rosa, Raul; Leon, Lorenzo; Ruiz-Ramos, Margarita

    2017-04-01

    The irrigation management for olive orchards under future weather conditions requires the development of advanced tools for considering specific physiological and phenological components affected by the foreseen changes in climate and atmospheric [CO2]. In this study a new simulation model named AdaptaOlive has been considered to develop controlled deficit irrigation and full irrigation scheduling for the traditional olive orchards located in Andalusia region (southern Spain) under the projected climate generated by an ensemble of 11 climate models from the ENSEMBLES European project corresponding to the SRES A1B scenario. Irrigation requirements, irrigation water productivity (IWP) and net margin (NM) were evaluated for three periods (baseline, near future and far future) and three irrigation strategies (rainfed, RF, controlled deficit irrigation, CDI, and full irrigation, FI). For irrigation requirements, a very limited average increase for far future compared with baseline period was found (2.6 and 1.3%, for CDI and FI, respectively). Equally, when IWP was analyzed, significant increases were identified for both irrigation strategies (77.4 and 72.2%, for CDI and FI, respectively) due to the high simulated increase in yield. Finally, when net margin was analyzed, the irrigation water cost had a key significance. For low water costs FI provided higher net margin values than for CDI. However, for high water costs (expected in the future due to the foreseen reduction in rainfall and the increase of the competence for the available water resources), net margin is reduced significantly, generating a very elevated number of years with negative net margin. All the described results are affected by a high level of uncertainty as the projections from the ensemble of 11 climate models show large spread. Thus, for a representative location within Andalusia region as Baeza, a reduction of irrigation requirements under full irrigation strategy was found for the ensemble mean

  11. Mid-late Holocene changes in the El Niño Southern Oscillation and Hadley Cell intensity; their effect on sea-surface conditions in the mid-latitude southeast Pacific Ocean (41°S)

    OpenAIRE

    Verleye, T.

    2010-01-01

    The study focuses on the observed effects of changes in the El Niño Southern Oscillation (ENSO) and Hadley Cell intensity on sea-surface water conditions in the SE Pacific (41°S; Site ODP1233) during the last 8.000 years. Recent studies suggest that periods characterised by a negative Southern Oscillation Index (SOI; El Niño) cause positive precipitation anomalies during austral winter (and annually) in Mid-South Chile, while austral summer periods are rather drier. This because El Niño weake...

  12. Spatio-Temporal Analysis of Vegetation Dynamics in Relation to Shifting Inundation and Fire Regimes: Disentangling Environmental Variability from Land Management Decisions in a Southern African Transboundary Watershed

    Directory of Open Access Journals (Sweden)

    Narcisa G. Pricope

    2015-07-01

    Full Text Available Increasing temperatures and wildfire incidence and decreasing precipitation and river runoff in southern Africa are predicted to have a variety of impacts on the ecology, structure, and function of semi-arid savannas, which provide innumerable livelihood resources for millions of people. This paper builds on previous research that documents change in inundation and fire regimes in the Chobe River Basin (CRB in Namibia and Botswana and proposes to demonstrate a methodology that can be applied to disentangle the effect of environmental variability from land management decisions on changing and ecologically sensitive savanna ecosystems in transboundary contexts. We characterized the temporal dynamics (1985–2010 of vegetation productivity for the CRB using proxies of vegetation productivity and examine the relative importance of shifts in flooding and fire patterns to vegetation dynamics and effects of the association of phases of the El Niño—Southern Oscillation (ENSO on vegetation greenness. Our results indicate that vegetation in these semi-arid environments is highly responsive to climatic fluctuations and the long-term trend is one of increased but heterogeneous vegetation cover. The increased cover and heterogeneity during the growing season is especially noted in communally-managed areas of Botswana where long-term fire suppression has been instituted, in contrast to communal areas in Namibia where heterogeneity in vegetation cover is mostly increasing primarily outside of the growing season and may correspond to mosaic early dry season burns. Observed patterns of increased vegetation productivity and heterogeneity may relate to more frequent and intense burning and higher spatial variability in surface water availability from both precipitation and regional inundation patterns, with implications for global environmental change and adaptation in subsistence-based communities.

  13. An agent based architecture for high-risk neonate management at neonatal intensive care unit.

    Science.gov (United States)

    Malak, Jaleh Shoshtarian; Safdari, Reza; Zeraati, Hojjat; Nayeri, Fatemeh Sadat; Mohammadzadeh, Niloofar; Farajollah, Seide Sedighe Seied

    2018-01-01

    In recent years, the use of new tools and technologies has decreased the neonatal mortality rate. Despite the positive effect of using these technologies, the decisions are complex and uncertain in critical conditions when the neonate is preterm or has a low birth weight or malformations. There is a need to automate the high-risk neonate management process by creating real-time and more precise decision support tools. To create a collaborative and real-time environment to manage neonates with critical conditions at the NICU (Neonatal Intensive Care Unit) and to overcome high-risk neonate management weaknesses by applying a multi agent based analysis and design methodology as a new solution for NICU management. This study was a basic research for medical informatics method development that was carried out in 2017. The requirement analysis was done by reviewing articles on NICU Decision Support Systems. PubMed, Science Direct, and IEEE databases were searched. Only English articles published after 1990 were included; also, a needs assessment was done by reviewing the extracted features and current processes at the NICU environment where the research was conducted. We analyzed the requirements and identified the main system roles (agents) and interactions by a comparative study of existing NICU decision support systems. The Universal Multi Agent Platform (UMAP) was applied to implement a prototype of our multi agent based high-risk neonate management architecture. Local environment agents interacted inside a container and each container interacted with external resources, including other NICU systems and consultation centers. In the NICU container, the main identified agents were reception, monitoring, NICU registry, and outcome prediction, which interacted with human agents including nurses and physicians. Managing patients at the NICU units requires online data collection, real-time collaboration, and management of many components. Multi agent systems are applied as

  14. Building climate change adaptation on community experiences: Lessons from community-based natural resource management in southern Africa

    Energy Technology Data Exchange (ETDEWEB)

    Chishakwe, Nyasha; Murray, Laurel; Chambwera, Muyeye

    2012-05-15

    This publication, produced in collaboration with WWF Southern Africa, looks at how community-based natural resource management (CBNRM) can inform and contribute to climate change adaptation at the community level, specifically to community-based adaptation (CBA) to climate change. It provides a framework for analysing the two approaches at conceptual and practical levels. Using case studies from southern Africa, the publication demonstrates the synergies between CBA and CBNRM, most important of which are the adaptation co-benefits between the two. While local incentives have driven community action in CBNRM, it is the evolution of an enabling environment in the region, in the form of institutions, policies, capacity and collaboration which characterises the scaling up of CBNRM to national and regional levels.

  15. Diamondback Moth, Plutella xylostella (L. in Southern Africa: Research Trends, Challenges and Insights on Sustainable Management Options

    Directory of Open Access Journals (Sweden)

    Honest Machekano

    2017-02-01

    Full Text Available The diamondback moth (DBM, Plutella xylostella, is a global economic pest of brassicas whose pest status has been exacerbated by climate change and variability. Southern African small-scale farmers are battling to cope with increasing pressure from the pest due to limited exposure to sustainable control options. The current paper critically analysed literature with a climate change and sustainability lens. The results show that research in Southern Africa (SA remains largely constrained despite the region’s long acquaintance with the insect pest. Dependency on broad-spectrum insecticides, the absence of insecticide resistance management strategies, climate change, little research attention, poor regional research collaboration and coordination, and lack of clear policy support frameworks, are the core limitations to effective DBM management. Advances in Integrated Pest Management (IPM technologies and climate-smart agriculture (CSA techniques for sustainable pest management have not benefitted small-scale horticultural farmers despite the farmers’ high vulnerability to crop losses due to pest attack. IPM adoption was mainly limited by lack of locally-developed packages, lack of stakeholders’ concept appreciation, limited alternatives to chemical control, knowledge paucity on biocontrol, climate mismatch between biocontrol agents’ origin and release sites, and poor research expertise and funding. We discuss these challenges in light of climate change and variability impacts on small-scale farmers in SA and recommend climate-smart, holistic, and sustainable homegrown IPM options propelled through IPM-Farmer Field School approaches for widespread and sustainable adoption.

  16. Reproductive Performance of Saanen Goats under Rural or Intensive Management Systems in Elazığ Region, Turkey

    Directory of Open Access Journals (Sweden)

    Yaşar Akar

    2013-01-01

    Full Text Available This study was carried out to compare the reproductive performance of Saanen goats under rural (n:75 and intensive (n:206 management systems in Elazığ region. Single and multiple births, stillbirth, dystocia, abortion and kids survival rates were determined in both the goat flocks between February 1 and April 30 2011. Percentages of single and multiple births, stillbirth, dystocia and abortion were not statistically different between the flocks. However, the kids survival rates of intensive management system (74.05% were lower than rural management system (88.88%, (P<0.003. Overall percentage of single and multiple births, stillbirth, dystocia, abortion and kids survival in all goats were 45.08, 54.92, 17.62, 12.29, 13.16 and 78.40%, respectively. Our results show that rural and intensive management systems do not have an important effect on reproductive performance of Saanen goats.

  17. Simulation Based Exploration of Critical Zone Dynamics in Intensively Managed Landscapes

    Science.gov (United States)

    Kumar, P.

    2017-12-01

    The advent of high-resolution measurements of topographic and (vertical) vegetation features using areal LiDAR are enabling us to resolve micro-scale ( 1m) landscape structural characteristics over large areas. Availability of hyperspectral measurements is further augmenting these LiDAR data by enabling the biogeochemical characterization of vegetation and soils at unprecedented spatial resolutions ( 1-10m). Such data have opened up novel opportunities for modeling Critical Zone processes and exploring questions that were not possible before. We show how an integrated 3-D model at 1m grid resolution can enable us to resolve micro-topographic and ecological dynamics and their control on hydrologic and biogeochemical processes over large areas. We address the computational challenge of such detailed modeling by exploiting hybrid CPU and GPU computing technologies. We show results of moisture, biogeochemical, and vegetation dynamics from studies in the Critical Zone Observatory for Intensively managed Landscapes (IMLCZO) in the Midwestern United States.

  18. The role of models in managing the uncertainty of software-intensive systems

    International Nuclear Information System (INIS)

    Littlewood, Bev; Neil, Martin; Ostrolenk, Gary

    1995-01-01

    It is increasingly argued that uncertainty is an inescapable feature of the design and operational behaviour of software-intensive systems. This paper elaborates the role of models in managing such uncertainty, in relation to evidence and claims for dependability. Personal and group models are considered with regard to abstraction, consensus and corroboration. The paper focuses on the predictive property of models, arguing for the need for empirical validation of their trustworthiness through experimentation and observation. The impact on trustworthiness of human fallibility, formality of expression and expressiveness is discussed. The paper identifies two criteria for deciding the degree of trust to be placed in a model, and hence also for choosing between models, namely accuracy and informativeness. Finally, analogy and reuse are proposed as the only means by which empirical evidence can be established for models in software engineering

  19. A case of rhabdomyolysis after kidney transplantation successfully managed with intensive continuous dialysis.

    Science.gov (United States)

    Shahbazov, Rauf; Fox, Michael; Alejo, Jennifer L; Anjum, Malik A; Azari, Feredun; Doyle, Alden; Agarwal, Avinash; Brayman, Kenneth L

    2018-04-01

    Rhabdomyolysis is characterized by muscle cell death which can result in acute kidney injury from pigment nephropathy. We present a patient who developed rhabdomyolysis immediately after deceased donor kidney transplantation surgery and was managed with continuous renal replacement therapy that resulted in successful salvage of the kidney allograft. Patients who develop acute kidney failure requiring renal replacement therapy generally have a poor prognosis. It is worth noting that while continuous veno-venous hemofiltration (CVVHF) offers greater volume support and continuous clearance compared to hemodialysis (HD), recent studies have demonstrated no clinically significant improvement in clinical outcome between the two. Perhaps CVVHF is a better modality compared to HD in this setting to prevent further insult from pigment nephropathy to an allograft. A combination of early diagnosis and intensive continuous renal replacement therapy can be used for allograft salvage in a patient with rhabdomyolysis in the immediate post-kidney transplant period.

  20. Nitrogen deposition and its contribution to nutrient inputs to intensively managed agricultural ecosystems.

    Science.gov (United States)

    He, Chun-E; Wang, Xin; Liu, Xuejun; Fangmeier, Andreas; Christie, Peter; Zhang, Fusuo

    2010-01-01

    Interest in nitrogen inputs via atmospheric deposition to agricultural ecosystems has increased recently, especially on the North China Plain because of extremely intensive agricultural systems and rapid urbanization in this region. Nitrogen deposition may make a significant contribution to crop N requirements but may also impose a considerable nutrient burden on the environment in general. We quantified total N deposition at two locations, Dongbeiwang near Beijing and Quzhou in Hebei province, over a two-year period from 2005 to 2007 using an 15N tracer method, the integrated total N input (ITNI) system. Total airborne N inputs to a maize wheat rotation system at both locations ranged from 99 to 117 kg N x ha(-1) x yr(-1), with higher N deposition during the maize season (57-66 kg N/ha) than the wheat season (42-51 kg N/ha). Plant available N from deposition for maize and wheat was about 52 kg N x ha(-1) x yr(-1), accounting for 50% of the total N deposition or 31% of total N uptake by the two crop species. In addition, a correction factor was derived for the maize season to adjust values obtained from small pots (0.057 m2) compared with field trays (0.98 m2) because of higher plant density in the pots. The results indicate that atmospheric N deposition is a very important N input and must be taken into account when calculating nutrient budgets in very intensively managed agricultural ecosystems.

  1. Open source electronic health record and patient data management system for intensive care.

    Science.gov (United States)

    Massaut, Jacques; Reper, Pascal

    2008-01-01

    In Intensive Care Units, the amount of data to be processed for patients care, the turn over of the patients, the necessity for reliability and for review processes indicate the use of Patient Data Management Systems (PDMS) and electronic health records (EHR). To respond to the needs of an Intensive Care Unit and not to be locked with proprietary software, we developed a PDMS and EHR based on open source software and components. The software was designed as a client-server architecture running on the Linux operating system and powered by the PostgreSQL data base system. The client software was developed in C using GTK interface library. The application offers to the users the following functions: medical notes captures, observations and treatments, nursing charts with administration of medications, scoring systems for classification, and possibilities to encode medical activities for billing processes. Since his deployment in February 2004, the PDMS was used to care more than three thousands patients with the expected software reliability and facilitated data management and review processes. Communications with other medical software were not developed from the start, and are realized by the use of the Mirth HL7 communication engine. Further upgrade of the system will include multi-platform support, use of typed language with static analysis, and configurable interface. The developed system based on open source software components was able to respond to the medical needs of the local ICU environment. The use of OSS for development allowed us to customize the software to the preexisting organization and contributed to the acceptability of the whole system.

  2. Use and management of traditional medicinal plants by Maale and Ari ethnic communities in southern Ethiopia

    Science.gov (United States)

    2014-01-01

    Background Around 80% of the people of Ethiopia are estimated to be relying on medicinal plants for the treatment of different types of human health problems. The purpose of this study was to describe and analyse the use and management of medicinal plants used for the treatment of human health problems by the Maale and Ari communities in southern Ethiopia. Methods Quantitative and qualitative ethnobotanical field inquiries and analytical methods including individual and focus group discussions (18), observations, individual interviews (n = 74), preference ranking and paired comparison were used. Data were collected in three study sites and from two markets; the latter surveyed every 15 days from February 2011 to February 2012. Results A total of 128 medicinal plant species, belonging to 111 genera and 49 families, used as herbal medicine by Maale and Ari communities were documented. Predominantly harvested plant parts were leaves, which are known to have relatively low impact on medicinal plant resources. Species with high familiarity indices included Solanum dasyphyllum, Indigofera spicata, Ruta chalepensis, Plumbago zeylanica and Meyna tetraphylla. Low Jaccards similarity indices (≤ 0.33) indicated little correspondence in medicinal plant use among sites and between ethnic communities. The dominant ways of medicinal plant knowledge acquisition and transfer is vertical: from parents to children through oral means. Gender and site significantly influenced the number of human medicinal plants known currently in the study sites. Age was only a factor of significance in Maale. Marketing of medicinal plants harvested from wild and semi-wild stands is not common. Expansion of agricultural land and lack of cultivation efforts by local communities are mentioned by locals to affect the availability of medicinal plant resources. Conclusion S. dasyphyllum, I. spicata, P. zeylanica, M. tetraphylla, and Oxalis radicosa need to be considered for phytochemical and

  3. Incidence, Microbiological Profile and Risk Factors of Healthcare-Associated Infections in Intensive Care Units: A 10 Year Observation in a Provincial Hospital in Southern Poland

    Science.gov (United States)

    Kołpa, Małgorzata; Wałaszek, Marta; Gniadek, Agnieszka; Wolak, Zdzisław; Dobroś, Wiesław

    2018-01-01

    Healthcare-associated infections (HAIs) occurring in patients treated in an intensive care unit (ICU) are serious complications in the treatment process. Aetiological factors of these infections can have an impact on treatment effects, treatment duration and mortality. The aim of the study was to determine the prevalence and microbiological profile of HAIs in patients hospitalized in an ICU over a span of 10 years. The active surveillance method was used to detect HAIs in adult patients who spent over 48 h in a general ICU ward located in southern Poland between 2007 and 2016. The study was conducted in compliance with the methodology recommended by the Healthcare-associated Infections Surveillance Network (HAI-Net) of the European Centre for Disease Prevention and Control (ECDC). During the 10 years of the study, 1849 patients hospitalized in an ICU for a total of 17,599 days acquired 510 with overall HAIs rates of 27.6% and 29.0% infections per 1000 ICU days. Intubation-associated pneumonia (IAP) posed the greatest risk (15.2 per 1000 ventilator days), followed by CLA-BSI (8.0 per 1000 catheter days) and CA-UTI (3.0 per 1000 catheter days). The most common isolated microorganism was Acinetobacter baumannii (25%) followed by Coagulaase-negativ staphylococci (15%), Escherichia coli (9%), Pseudomonas aeruginosa (8%), Klebsiella pneumoniae (7%), Candida albicans (6%). Acinetobacter baumannii in 87% and were classified as extensive-drug resistant (XDR). In summary, in ICU patients pneumonia and bloodstream infections were the most frequently found. Acinetobacter baumannii strains were most often isolated from clinical materials taken from HAI patients and showed resistance to many groups of antibiotics. A trend of increasing resistance of Acinetobacter baumannii to carbapenems was observed. PMID:29324651

  4. Design and Implementation of the Intensive Care Unit Quality Management Registry: Monitoring Quality and Cost of an Adult Intensive Care Unit in a Greek State Hospital.

    Science.gov (United States)

    Kosmidis, Dimitrios; Koutsouki, Sotiria; Lampiri, Klairi; Nagy, Eva Ottilia; Papaioannou, Vasilios; Pneumatikos, Ioannis; Anastassopoulos, George

    2017-11-01

    Intensive care electronic registries have been instrumental in quality measurement, improvement, and assurance of intensive care. In this article, the development and pilot implementation of the Intensive Care Unit Quality Management Registry are described, with a particular focus on monitoring the quality and operational cost in an adult ICU at a northern Greek state hospital. A relational database was developed for a hospital ICU so that qualitative and financial data are recorded for further analysis needed for planning quality care improvement and enhanced efficiency. Key features of this database registry were low development cost, user friendliness, maximum data security, and interoperability in existing hospital information systems. The database included patient demographics, nursing and medical parameters, and quality and performance indicators as established in many national registries worldwide. Cost recording was based on a mixed approach: at patient level ("bottom-up" method) and at department level ("top-down" method). During the pilot phase of the database operation, regular monitoring of quality and cost data revealed several fields of quality excellence, while indicating room for improvement for others. Parallel recording and trending of multiple parameters showed that the database can be utilized for optimum ICU quality and cost management and also for further research purposes by nurses, physicians, and administrators.

  5. Information Architecture Used to Manage Multi-Domain Data Analysis in Intensively Managed Landscape - Critical Zone Observatory

    Science.gov (United States)

    Kooper, R.; Angelo, B.; Marini, L.; Kumar, P.; Muste, M.

    2016-12-01

    The Intensively Managed Landscapes-Critical Zone Observatory (IML-CZO) is a multi-agency partnership that aims to understand the coevoluationary dynamics of change in the context of the landscape, soil, and biota. The Data Management aspect of IML-CZO provides data preservation and analysis for each of the scientific domains as they pursue environmental monitoring throughout the midwestern United States. Data Management is facilitated via data ingestion and storage through Clowder, an open-source, scalable data repository for organizing and analyzing data; and Geodashboard, a web application that provides exploring, querying, visualizing and downloading the data ingested into Clowder. The data collected covers many domains including geology, hydrology, and bioengineering. The data across these domains varies greatly; from real-time streams of environmental measurements to individual soil samples that are sent through a series of laboratories for analysis. All data can be uploaded to Clowder where metadata can be extracted or dynamically calculated based on the nature of the information. Geodashboard was created to provide scientists with a tool to explore data across these varying domains, and to visualize the extracted data from Clowder. Once Clowder has extracted the data, it is available for querying from a REST API for standardized and streamlined access. Users are able to explore the data on multiple axis, and are able to download data across multiple domains in a standardized format for further analysis and research. IML-CZO's Clowder has over 60 users and over 180 datasets. There are over 1.1 million extracted data points that date back to 1992, and it is continually growing.

  6. Blood metabolites and some fertility parameters in dairy cows under intensive management system

    International Nuclear Information System (INIS)

    Osman, Awad Ali

    1998-08-01

    Dairy farms (1, 2, 3 and 4) of the intensive management system were selected. They are located 50 kilometers south of Khartoum state in a semi-arid zone. The effect of management on some fertility parameters, blood metabolites and minerals were investigated. Changes in blood metabolites with stage of lactation were also monitored. Other parameters studied were body weight, body condition score at calving. The results revealed that days to first P 4 rise after calving and number of services per conception (NSPC) were lower in the farm s contained the cross-bred (Fresian X Zebu) compared to the farm contained the pure Fresian breed. The pure Fresian cows showed heavier weights and less body score at calving compared to the cross breed. Blood metabolites reflected the nutritional status of the dairy cows under study, plasma total protein, albumin, globulin, urea and Glucose did not show significant changes either either either between farms or in response to lactation stages. However, high levels of Globulins might indicate inflammation due to some diseases such as mastitis, metritis and lameness. Plasma level of Calcium and Phosphorous did not change significantly either between farms or due to stages of lactation.(Author)

  7. Blood metabolites and some fertility parameters in dairy cows under intensive management system

    Energy Technology Data Exchange (ETDEWEB)

    Osman, Awad Ali [Faculty of Animal Production, University of Khartoum, Khartoum (Sudan)

    1998-08-01

    Dairy farms (1, 2, 3 and 4) of the intensive management system were selected. They are located 50 kilometers south of Khartoum state in a semi-arid zone. The effect of management on some fertility parameters, blood metabolites and minerals were investigated. Changes in blood metabolites with stage of lactation were also monitored. Other parameters studied were body weight, body condition score at calving. The results revealed that days to first P{sup 4} rise after calving and number of services per conception (NSPC) were lower in the farm s contained the cross-bred (Fresian X Zebu) compared to the farm contained the pure Fresian breed. The pure Fresian cows showed heavier weights and less body score at calving compared to the cross breed. Blood metabolites reflected the nutritional status of the dairy cows under study, plasma total protein, albumin, globulin, urea and Glucose did not show significant changes either either either between farms or in response to lactation stages. However, high levels of Globulins might indicate inflammation due to some diseases such as mastitis, metritis and lameness. Plasma level of Calcium and Phosphorous did not change significantly either between farms or due to stages of lactation.(Author) 129 refs. , 12 tabs.

  8. Is it working? A look at the changing nutrient practices in Oregon's Southern Willamette Valley Groundwater Management Area

    Science.gov (United States)

    Pearlstein, S.; Compton, J.; Eldridge, A.; Henning, A.; Selker, J. S.; Brooks, J. R.; Schmitz, D.

    2016-12-01

    Groundwater nitrate contamination affects thousands of households in the southern Willamette Valley and many more across the Pacific Northwest. The southern Willamette Valley Groundwater Management Area (SWV GWMA) was established in 2004 due to nitrate levels in the groundwater exceeding the human health standard of 10 mg nitrate-N L-1. Much of the nitrogen inputs to the GWMA comes from agricultural nitrogen use, and thus efforts to reduce N inputs to groundwater are focused upon improving N management. Previous work in the 1990s in the Willamette Valley by researchers at Oregon State University determined the importance of cover crops and irrigation practices and made recommendations to the local farm community for reducing nitrogen (N) leaching. We are currently re-sampling many of the same fields studied by OSU to examine the influence of current crops and nutrient management practices on nitrate leaching below the rooting zone. This study represents important crops currently grown in the GWMA and includes four grass fields, three vegetable row-crop fields, two peppermint and wheat fields, and one each of hazelnuts and blueberries. New nutrient management practices include slow release fertilizers and precision agriculture approaches in some of the fields. Results from the first two years of sampling show nitrate leaching is lower in some crops like row crops grown for seed and higher in others like perennial rye grass seed when compared to the 1990s data. We will use field-level N input-output balances in order to determine the N use efficiency and compare this across crops and over time. The goal of this project is to provide information and tools that will help farmers, managers and conservation groups quantify the water quality benefits of management practices they are conducting or funding.

  9. Acute intensive care unit management of mustard gas victims: the Turkish experience.

    Science.gov (United States)

    Kilic, Ertugrul; Ortatatli, Mesut; Sezigen, Sermet; Eyison, Rusen Koray; Kenar, Levent

    2018-05-07

    Sulphur mustard (SM) is an highly toxic and vesicant chemical weapon that was used in various military conflicts several times in the history. The severity of ocular, dermal, and pulmonary symptoms that may appear following a characteristic asymptomatic period are depending on the SM concentration and exposure duration. The aim of this study is to present the clinical features and share the intensive care unit (ICU) experiences for the medical management of mustard gas victims. Thirteen Free Syrian Army soldiers near Al-Bab region of North Syria were reportedly exposed to oily blackish smoke with garlic smell due to the explosion of a trapped bomb without causing any blast or thermal effect on 26th November 2016. None of them wore any chemical protective suits or gas masks during explosion. Since they observed skin lesions including bullous formation next day, they were admitted to the Turkish Field Hospital at the Turkish - Syrian border and then evacuated to the State Hospital of Gaziantep Province, Turkey for further management. Eight victims who were very close to point of explosion suffered burning eyes, sore throat, dry cough and dyspnoea after the chemical attack. On admission to hospital, all cases had conjunctivitis, hoarseness and bullae on various body areas. Blepharospasm and opacity were found in 8 patients and 5 of them had corneal erosions and periorbital oedema. Temporary loss of vision in 4 cases lasted for 24 h. Multiple fluid-filled blisters were observed especially on the scalp, neck, arms and hands, where direct skin exposure to the agent occurred. A definitive clinical care and infection prophylaxis measures along with the burn treatment and bronchodilators for respiratory effects were applied in ICU. Two patients received granulocyte-colony-stimulating factor due to the SM-mediated bone marrow suppression on the 16th day of exposure and one of them died because of necrotic bronchial pseudomembrane obstruction resulting in cardiopulmonary

  10. Management of patients in a dedicated burns intensive care unit (BICU) in a developing country.

    Science.gov (United States)

    Hashmi, Madiha; Kamal, Rehana

    2013-05-01

    In Pakistan the practice of managing extensive burns in dedicated intensive care units is not well established. This audit aims to define the characteristics of the victims of major burns and factors that increase mortality and outcome of the protocol-based management in a dedicated burns intensive care unit (BICU). This prospective audit included all patients admitted to the BICU of Suleiman Dawood Burns Unit in Karachi from 1st September 2002 to 31st August 2011. Demographic information, type and place of burn, total body surface area burn (TBSA), type of organ support provided, length of ICU stay, any associated medical diseases, and out outcome were documented. A total of 1597 patients were admitted to the BICU in 9 years. Median age of the patients was 22 (IQR =32-7). 32% victims were children 50 years old. Male to female ratio was 1.4:1. Fire was the leading cause of burns in adults (64%) and scald burns were most common in (64%) in children. 72.4% of the accidents happened at home, where kitchen was the commonest location (597 cases). Mean TBSA burnt was 32.5% (SD ± 22.95%, 95%CI: 31.36-33.61). 27% patients needed ventilatory support, 4% were dialyzed and split skin graftings were performed in 20% patients. Average length of ICU stay was 10.42 days. Epilepsy, psychiatric illness and drug addiction were not common associations with burns. Overall mortality was 41.30% but it decreased over the years from 75% to 27%. Groups of people most vulnerable to sustain burn are young females getting burnt in the kitchen, young males getting burnt at work, and small children falling in pots of hot water stored for drinking or bathing. TBSA >40%, age >50 years, fire burn and female gender were associated with a higher risk of death. Carefully planned, protocol based management of burn patients by burn teams of dedicated healthcare professionals, even with limited resources reduced mortality. Burn hazard awareness, prevention and educational programmes targeted at the

  11. Optimal Multi-scale Demand-side Management for Continuous Power-Intensive Processes

    Science.gov (United States)

    Mitra, Sumit

    With the advent of deregulation in electricity markets and an increasing share of intermittent power generation sources, the profitability of industrial consumers that operate power-intensive processes has become directly linked to the variability in energy prices. Thus, for industrial consumers that are able to adjust to the fluctuations, time-sensitive electricity prices (as part of so-called Demand-Side Management (DSM) in the smart grid) offer potential economical incentives. In this thesis, we introduce optimization models and decomposition strategies for the multi-scale Demand-Side Management of continuous power-intensive processes. On an operational level, we derive a mode formulation for scheduling under time-sensitive electricity prices. The formulation is applied to air separation plants and cement plants to minimize the operating cost. We also describe how a mode formulation can be used for industrial combined heat and power plants that are co-located at integrated chemical sites to increase operating profit by adjusting their steam and electricity production according to their inherent flexibility. Furthermore, a robust optimization formulation is developed to address the uncertainty in electricity prices by accounting for correlations and multiple ranges in the realization of the random variables. On a strategic level, we introduce a multi-scale model that provides an understanding of the value of flexibility of the current plant configuration and the value of additional flexibility in terms of retrofits for Demand-Side Management under product demand uncertainty. The integration of multiple time scales leads to large-scale two-stage stochastic programming problems, for which we need to apply decomposition strategies in order to obtain a good solution within a reasonable amount of time. Hence, we describe two decomposition schemes that can be applied to solve two-stage stochastic programming problems: First, a hybrid bi-level decomposition scheme with

  12. Strategic adaptation of nitrogen management for el nino southern oscillation-induced winter wheat system

    Science.gov (United States)

    The rainfall anomaly (RA) associated with El Niño-Southern Oscillation (ENSO) has various unwanted impacts on agricultural system globally. The loss of inorganic nitrogen (N) depending on extreme wet or dry conditions is a major concern. The main objective of this study was to adapt site-specific N ...

  13. Regional efforts to promote forestry best management practices: a southern success story

    Science.gov (United States)

    Herb Nicholson; John Colberg; Hughes Simpson; Tom Gerow; Wib Owen

    2016-01-01

    The Southern Group of State Foresters has a long history of water resource protection efforts, providing leadership in BMP development, improvement, and implementation, enhancing state BMP programs, establishing effective partnerships, and standardizing an approach to consistently monitor implementation across the region.

  14. Crew resource management training in the intensive care unit. A multisite controlled before-after study.

    Science.gov (United States)

    Kemper, Peter F; de Bruijne, Martine; van Dyck, Cathy; So, Ralph L; Tangkau, Peter; Wagner, Cordula

    2016-08-01

    There is a growing awareness today that adverse events in the intensive care unit (ICU) are more often caused by problems related to non-technical skills than by a lack of technical, or clinical, expertise. Team training, such as crew resource management (CRM), aims to improve these non-technical skills. The present study evaluated the effectiveness of CRM in the ICU. Six ICUs participated in a paired controlled trial, with one pretest and two post-test measurements (after 3 and 12 months). Three ICUs received CRM training and were compared with a matched control unit. The 2-day classroom-based training was delivered to multidisciplinary groups (ie, ICU physicians, nurses, managers). All levels of Kirkpatrick's evaluation framework were assessed using a mixed method design, including questionnaires, observations and routinely administered patient outcome data. Level I-reaction: participants were very positive directly after the training. Level II-learning: attitudes towards behaviour aimed at optimising situational awareness were relatively high at baseline and remained stable. Level III-behaviour: self-reported behaviour aimed at optimising situational awareness improved in the intervention group. No changes were found in observed explicit professional oral communication. Level IV-organisation: patient outcomes were unaffected. Error management culture and job satisfaction improved in the intervention group. Patient safety culture improved in both control and intervention units. We can conclude that CRM, as delivered in the present study, does not change behaviour or patient outcomes by itself, yet changes how participants think about errors and risks. This indicates that CRM requires a combination with other initiatives in order to improve clinical outcomes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  15. Presentation and management of organophosphate poisoning in an intensive care unit

    International Nuclear Information System (INIS)

    Asghar, S.P.; Ather, N.; Farooq, M.; Sarah, S.; Ijaz, A.

    2014-01-01

    To determine the various demographic factors, clinical features, management and outcome of organophosphate poisoning in an intensive care unit (ICU) setting. Study Design: Descriptive quantitative study. Place and Duration of study: ICU of PNS Shifa hospital, Karachi. From February 2008-February 2010. Patients and Methods: Total of 40 patients were admitted in the ICU of PNS Shifa hospital, Karachi from Feb 2008- Feb 2010 with the history of organophosphate (OP) ingestion. A complete history was taken from the patients and relatives. Baseline laboratory investigations were done. All the data was tabulated on a structured performed after tasking consent from the relatives. Variables of the study were demographic factors as gender, age, cause and mode of poisoning, clinical course, ICU management and its outcome. Results: Out of 40 patients 32 (80%) were females and 8 (20%) were males. The age varied from 12-56 years. Twenty eight (70%) were in the 14-28 years age group. Twenty nine (72%) had poison for suicidal purpose and rest had the insecticide accidently. Twenty six (62%) of them were unmarried. In 38 (95%) patients the clinical features of parasympathetic overactivity was observed. All these patients were given atropine and pralidoxime. Fifteen (37%) patients required mechanical ventilation. Five (12%) out of these patients developed ventilator associated pneumonia. The time duration of mechanical ventilation was 1-3 weeks. All the patients were successfully recovered. Total duration of hospital stay on our patients was 2-4 weeks. Conclusion: Early and aggressive management of organophosphate poisoning in an ICU setting reduces not only the mortality but also decreases the duration of hospital stay. (author)

  16. Intensive case management for high-risk patients with first-episode psychosis: service model and outcomes.

    Science.gov (United States)

    Brewer, Warrick J; Lambert, Timothy J; Witt, Katrina; Dileo, John; Duff, Cameron; Crlenjak, Carol; McGorry, Patrick D; Murphy, Brendan P

    2015-01-01

    The first episode of psychosis is a crucial period when early intervention can alter the trajectory of the young person's ongoing mental health and general functioning. After an investigation into completed suicides in the Early Psychosis Prevention and Intervention Centre (EPPIC) programme, the intensive case management subprogramme was developed in 2003 to provide assertive outreach to young people having a first episode of psychosis who are at high risk owing to risk to self or others, disengagement, or suboptimal recovery. We report intensive case management model development, characterise the target cohort, and report on outcomes compared with EPPIC treatment as usual. Inclusion criteria, staff support, referral pathways, clinical review processes, models of engagement and care, and risk management protocols are described. We compared 120 consecutive referrals with 50 EPPIC treatment as usual patients (age 15-24 years) in a naturalistic stratified quasi-experimental real-world design. Key performance indicators of service use plus engagement and suicide attempts were compared between EPPIC treatment as usual and intensive case management, and psychosocial and clinical measures were compared between intensive case management referral and discharge. Referrals were predominately unemployed males with low levels of functioning and educational attainment. They were characterised by a family history of mental illness, migration and early separation, with substantial trauma, history of violence, and forensic attention. Intensive case management improved psychopathology and psychosocial outcomes in high-risk patients and reduced risk ratings, admissions, bed days, and crisis contacts. Characterisation of intensive case management patients validated the clinical research focus and identified a first episode of psychosis high-risk subgroup. In a real-world study, implementation of an intensive case management stream within a well-established first episode of psychosis

  17. Uses and flock management practices of scavenging chickens in Wolaita Zone of southern Ethiopia.

    Science.gov (United States)

    Desta, Takele Taye; Wakeyo, Oli

    2012-03-01

    Rearing of scavenging chickens is among the most commonly practiced farm activities in Ethiopia. This system is dominated by indigenous chickens. Output from indigenous chickens is low due to poor management and absence of intense selection that is intended to improve economically important traits. This showed that village chickens are rather evolved for adaptation traits. However, the level of risk is low, and this has made rearing of scavenging chickens a choice of farm activity for smallholder farmers. The objective of this study was to characterize the scavenging chickens' production system in Wolaita Zone. Single-visit survey involving individual interview of 119 farmers and 6 focus group discussions was used to collect the data. Our results showed that rearing of scavenging chickens was constrained especially by disease and predation problems. However, farmers proposed a set of solutions to minimize the effect of these problems. Rearing of scavenging chickens fulfils the multi-functional need of the society. This system has special features because it can sustain in its own without the need for modern commercial chicken farming facilities. However, farmers also reported the drawbacks of rearing of scavenging chickens and these mainly include uproot of garden crops and tiresomeness of the night watching. Selection of chickens was mainly depending on physically observed traits like body size and plumage colour. The initial foundation flock was mainly obtained from the local market. The ideal place for scavenging chickens production is the one that has intermediate weather condition and has some trees that can be used as shade; however, it was substantiated that it has to be free from bush and shrubs, weeds and wet lands. Therefore, these pieces of knowledge embedded among smallholder farmers need to be well documented and synthesized to design an appropriate type of technology packages that can be communicated back to farmers to improve productivity of the

  18. Effects of inter-row management intensity on wild bee, plant and soil biota diversity in vineyards

    Science.gov (United States)

    Kratschmer, Sophie; Pachinger, Bärbel; Winter, Silvia; Zaller, Johann G.; Buchholz, Jacob; Querner, Pascal; Strauß, Peter; Bauer, Thomas; Stiper, Katrin

    2016-04-01

    Vineyards may provide a range of essential ecosystem services, which interact with a diverse community of above- and belowground organisms. Intensive soil management like frequent tilling has resulted in the degradation of habitat quality with consequences on biodiversity and ecosystem services. This study is part of the European BiodivERsA project "VineDivers - Biodiversity-based ecosystem services in vineyards". We study the effects of different soil management intensities on above- and below-ground biodiversity (plants, insect pollinators, and soil biota), their interactions and the consequences for ecosystem services. We investigated 16 vineyards in Austria assessing the diversity of (1) wild bees using a semi-quantitative transect method, (2) earthworms by hand sorting, (3) Collembola (springtails) via pitfall trapping and soil coring, (4) plants by relevés and (5) litter decomposition (tea bag method). Management intensity differed in tillage frequency from intermediate intensity resulting in temporary vegetation cover to no tillage in permanent vegetation cover systems. First results show opposed relationships between the biodiversity of selected species groups and management intensity. We will discuss possible explanations and evaluate ecological interactions between wild bee, plant and soil biota diversity.

  19. Genetic Diversity Approach to Fishery Management Spiny Lobster Southern Waters of Java Based on SWOT Analysis and AHP

    Directory of Open Access Journals (Sweden)

    Florensius Eko Haryono

    2017-05-01

    Full Text Available Indonesia as an archipelagic and tropical country, and known as the centre of megabiodiversity. Tropical spiny lobster consists of several species and able to survive without water for a certain period and this excess used to be distributed life conditions.  Spiny lobster fisheries is become an important issue in Indonesia now, due to the catch condition decrease for some decade, and need a policy to manage. Spiny lobster management strategy based on biodiversity genetic of lobster in Southern of Central Java (SCJ and Special  Region of Jogjakarta (SRJ waters done by collecting the lobster randomly, and collecting the questioner to fisherman, lobster collector, government and NGO from February-August 2015.  Data analyzed by SWOT and AHP methods.   The management priorities based on highest score. The first priority management based on genetic of lobster is not carried out on an isolated by each districts. Second priority management based on genetic lobster was avoid of each district management. Third priority was  optimizing new fishingground.  Fourth priority optimized of habitat utilization, optimized  fishing time, and increased number of fishing trips . Key word : Spiny lobster, diversity genetic, SWOT, AHP.

  20. Modeling Coupled Landscape Evolution and Soil Organic Carbon Dynamics in Intensively Management Landscapes

    Science.gov (United States)

    Yan, Q.; Kumar, P.

    2017-12-01

    Soil is the largest reservoir of carbon in the biosphere but in agricultural areas it is going through rapid erosion due disturbance arising from crop harvest, tillage, and tile drainage. Identifying whether the production of soil organic carbon (SOC) from the crops can compensate for the loss due to erosion is critical to ensure our food security and adapt to climate change. In the U.S. Midwest where large areas of land are intensively managed for agriculture practices, predicting soil quantity and quality are critical for maintaining crop yield and other Critical Zone services. This work focuses on modeling the coupled landscape evolutions soil organic carbon dynamics in agricultural fields. It couples landscape evolution, surface water runoff, organic matter transformation, and soil moisture dynamics to understand organic carbon gain and loss due to natural forcing and farming practices, such as fertilizer application and tillage. A distinctive feature of the model is the coupling of surface ad subsurface processes that predicts both surficial changes and transport along with the vertical transport and dynamics. Our results show that landscape evolution and farming practices play dominant roles in soil organic carbon (SOC) dynamics both above- and below-ground. Contrary to the common assumption that a vertical profile of SOC concentration decreases exponentially with depth, we find that in many situations SOC concentration below-ground could be higher than that at the surface. Tillage plays a complex role in organic matter dynamics. On one hand, tillage would accelerate the erosion rate, on the other hand, it would improve carbon storage by burying surface SOC into below ground. Our model consistently reproduces the observed above- and below-ground patterns of SOC in the field sites of Intensively Managed Landscapes Critical Zone Observatory (IMLCZO). This model bridges the gaps between the landscape evolution, below- and above-ground hydrologic cycle, and

  1. A flux footprint analysis to understand ecosystem fluxes in an intensively managed landscape

    Science.gov (United States)

    Hernandez Rodriguez, L. C.; Goodwell, A. E.; Kumar, P.

    2017-12-01

    Flux tower studies in agricultural sites have mainly been done at plot scale, where the footprint of the instruments is small such that the data reveals the behaviour of the nearby crop on which the study is focused. In the Midwestern United States, the agricultural ecosystem and its associated drainage, evapotranspiration, and nutrient dynamics are dominant influences on interactions between the soil, land, and atmosphere. In this study, we address large-scale ecohydrologic fluxes and states in an intensively managed landscape based on data from a 25m high eddy covariance flux tower. We show the calculated upwind distance and flux footprint for a flux tower located in Central Illinois as part of the Intensively Managed Landscapes Critical Zone Observatory (IMLCZO). In addition, we calculate the daily energy balance during the summer of 2016 from the flux tower measurements and compare with the modelled energy balance from a representative corn crop located in the flux tower footprint using the Multi-Layer Canopy model, MLCan. The changes in flux footprint over the course of hours, days, and the growing season have significant implications for the measured fluxes of carbon and energy at the flux tower. We use MLCan to simulate these fluxes under land covers of corn and soybeans. Our results demonstrate how the instrument heights impact the footprint of the captured eddy covariance fluxes, and we explore the implication for hydrological analysis. The convective turbulent atmosphere during the daytime shows a wide footprint of more than 10 km2, which reaches 3km length for the 90% contribution, where buoyancy is the dominant mechanism driving turbulence. In contrast, the stable atmosphere during the night-time shows a narrower footprint that goes beyond 8km2 and grows in the direction of the prevalent wind, which exceeds 4 km in length. This study improves our understanding of agricultural ecosystem behaviour in terms of the magnitude and variability of fluxes and

  2. Regional disaster risk management strategies for food security: Probing Southern African Development Community channels for influencing national policy

    Directory of Open Access Journals (Sweden)

    Happy M. Tirivangasi

    2018-05-01

    Full Text Available Natural disasters and food insecurity are directly interconnected. Climate change related hazards such as floods, hurricanes, tsunamis, droughts and other risks can weaken food security and severely impact agricultural activities. Consequently, this has an impact on market access, trade, food supply, reduced income, increased food prices, decreased farm income and employment. Natural disasters create poverty, which in turn increases the prevalence of food insecurity and malnutrition. It is clear that disasters put food security at risk. The poorest people in the community are affected by food insecurity and disasters; hence, there is a need to be prepared as well as be in a position to manage disasters. Without serious efforts to address them, the risks of disasters will become an increasingly serious obstacle to sustainable development and the achievement of sustainable development goals, particularly goal number 2 ‘end hunger, achieve food security and improved nutrition and promote sustainable agriculture’. In recent years, countries in southern Africa have experienced an increase in the frequency, magnitude and impact of climate change–related hazards such as droughts, veld fire, depleting water resources and flood events. This research aims to reveal Southern African Development Community disaster risk management strategies for food security to see how they an influence and shape policy at the national level in southern Africa. Sustainable Livelihood approach was adopted as the main theoretical framework for the study. The qualitative Analysis is based largely on data from databases such as national reports, regional reports and empirical findings on the disaster management–sustainable development nexus.

  3. Identity, reproductive potential, distribution, ecology and management of invasive Pomacea maculata in the southern United States

    Science.gov (United States)

    Burks, Romi L.; Bernatis, Jennifer; Byers, James E.; Carter, Jacoby; Martin, Charles M.; McDowell, William G.; Van Dyke, Jess; Joshi, R. C.; Cowie, R. H.; Sebastian, L. S.

    2017-01-01

    Established populations of introduced Pomacea maculata, a highly fecund, large species of apple snail native to South America, now occur throughout southeast Asia, in Spain and extensively across the southern United States. Substantial research on nonnative apple snails takes place in Southeast Asia and has frequently identified apple snails as P. canaliculata. That these Asian populations represent at least two Pomacea species, P. canaliculata and P. maculata, has been confirmed through anatomical and genetic

  4. Introduction to the Special Issue: Flows and practices – The politics of Integrated Water Resources Management (IWRM in southern Africa

    Directory of Open Access Journals (Sweden)

    Lyla Mehta

    2016-10-01

    Full Text Available For the past two decades, IWRM has been actively promoted by water experts as well as multilateral and bilateral donors who have considered it to be a crucial way to address global water management problems. IWRM has been incorporated into water laws, reforms and policies of southern African nations. This article introduces the special issue 'Flows and Practices: The Politics of IWRM in southern Africa'. It provides a conceptual framework to study: the flow of IWRM as an idea; its translation and articulation into new policies, institutions and allocation mechanisms, and the resulting practices and effects across multiple scales – global, regional, national and local. The empirical findings of the complexities of articulation and implementation of IWRM in South Africa, Zimbabwe, Mozambique, Tanzania and Uganda form the core of this special issue. We demonstrate how Africa has been a laboratory for IWRM experiments, while donors as well as a new cadre of water professionals and students have made IWRM their mission. The case studies reveal that IWRM may have resulted in an unwarranted policy focus on managing water instead of enlarging poor women’s and men’s access to water. The newly created institutional arrangements tended to centralise the power and control of the State and powerful users over water and failed to address historically rooted inequalities.

  5. Alarm management in a single-patient room intensive care units

    NARCIS (Netherlands)

    van Pul, C.; Joshi, R.; Dijkman, W.; van de Mortel, H.; Mohns, T.; Andriessen, P.; Chen, Wei; Carlos Augusto, Juan; Seoane, Fernando; Lehocki, Fedor; Wolf, Klaus-Henderik; Arends, Johan; Ungureanu, Constantin; Wichert, Reiner

    2015-01-01

    An international trend in intensive care is the shift from open, bay area intensive care units towards single-patient room care, since this is considered optimal for patient healing and family privacy. However, in the intensive care setting, an increasing number of devices and parameters are being

  6. Human resource management and unit performance in knowledge-intensive work.

    Science.gov (United States)

    Kehoe, Rebecca R; Collins, Christopher J

    2017-08-01

    To clarify the potential value of a targeted system of human resource (HR) practices, we explore the unique effects of a relationship-oriented HR system and the more commonly studied high commitment HR system on unit performance in the context of knowledge-intensive work. We develop theoretical arguments suggesting that the high commitment HR system contributes to unit performance through its positive effects on employees' collective organizational commitment, general and firm-specific human capital, and access to knowledge. We argue that the relationship-oriented HR system contributes to unit performance through its positive effects on employees' collective access to knowledge by fostering a social context and interpersonal exchange conditions which support employees' ongoing access to knowledge flows within and outside their unit and broader organization. Based on unit-level data collected from a matched sample of employees and managers in 128 units in the science and engineering division of a large hydroelectric power organization, our results suggest that the targeted, relationship-oriented HR system is related to firm performance and may complement a broader, high commitment approach to managing knowledge workers. Specifically, the positive relationship between the high commitment HR system and unit performance is mediated by employees' collective organizational commitment, firm-specific human capital, and access to knowledge in other organizational units; whereas the positive relationship between the relationship-oriented HR system and unit performance is mediated by units' access to knowledge within the unit, in other units, and outside the organization. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  7. [Invasive candidiasis in non-neutropenic adults : Guideline-based management in the intensive care unit].

    Science.gov (United States)

    Glöckner, A; Cornely, O A

    2013-12-01

    Invasive Candida infections represent a diagnostic and therapeutic challenge for clinicians particularly in the intensive care unit (ICU). Despite substantial advances in antifungal agents and treatment strategies, invasive candidiasis remains associated with a high mortality. Recent guideline recommendations on the management of invasive candidiasis by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) from 2012, the German Speaking Mycological Society and the Paul Ehrlich Society for Chemotherapy (DMykG/PEG) from 2011 and the Infectious Diseases Society of America (IDSA) from 2009 provide valuable guidance for diagnostic procedures and treatment of these infections but need to be interpreted in the light of the individual situation of the patient and the local epidemiology of fungal pathogens. The following recommendations for management of candidemia are common to all three guidelines. Any positive blood culture for Candida indicates disseminated infection or deep organ infection and requires antifungal therapy. Treatment should be initiated as soon as possible. Removal or changing of central venous catheters or other foreign material in the bloodstream is recommended whenever possible. Ophthalmological examination for exclusion of endophthalmitis and follow-up blood cultures during therapy are also recommended. Duration of therapy should be 14 days after clearance of blood cultures and resolution of symptoms. Consideration of surgical options and a prolonged antifungal treatment (weeks to months) are required when there is organ involvement. During the last decade several new antifungal agents were introduced into clinical practice. These innovative drugs showed convincing efficacy and favorable safety in randomized clinical trials. Consequently, they were integrated in recent therapeutic guidelines, often replacing former standard drugs as first-line options. Echinocandins have emerged as the generally preferred primary treatment in

  8. Effects of nitrogen application rates on net annual global warming potential and greenhouse gas intensity in double-rice cropping systems of the Southern China.

    Science.gov (United States)

    Chen, Zhongdu; Chen, Fu; Zhang, Hailin; Liu, Shengli

    2016-12-01

    The net global warming potential (NGWP) and net greenhouse gas intensity (NGHGI) of double-rice cropping systems are not well documented. We measured the NGWP and NGHGI including soil organic carbon (SOC) change and indirect emissions (IE) from double-crop rice fields with fertilizing systems in Southern China. These experiments with three different nitrogen (N) application rates since 2012 are as follows: 165 kgN ha -1 for early rice and 225 kgN ha -1 for late rice (N1), which was the local N application rates as the control; 135 kgN ha -1 for early rice and 180 kgN ha -1 for late rice (N2, 20 % reduction); and 105 kgN ha -1 for early rice and 135 kgN ha -1 for late rice (N3, 40 % reduction). Results showed that yields increased with the increase of N application rate, but without significant difference between N1 and N2 plots. Annual SOC sequestration rate under N1 was estimated to be 1.15 MgC ha -1  year -1 , which was higher than those under other fertilizing systems. Higher N application tended to increase CH 4 emissions during the flooded rice season and significantly increased N 2 O emissions from drained soils during the nonrice season, ranking as N1 > N2 > N3 with significant difference (P < 0.05). Two-year average IE has a huge contribution to GHG emissions mainly coming from the higher N inputs in the double-rice cropping system. Reducing N fertilizer usage can effectively decrease the NGWP and NGHGI in the double-rice cropping system, with the lowest NGHGI obtained in the N2 plot (0.99 kg CO 2 -eq kg -1 yield year -1 ). The results suggested that agricultural economic viability and GHG mitigation can be simultaneously achieved by properly reducing N fertilizer application in double-rice cropping systems.

  9. Prospective Observational Evaluation of Sedation and Pain Management Guideline Adherence Across New Jersey Intensive Care Units.

    Science.gov (United States)

    Brophy, Alison; Cardinale, Maria; Andrews, Liza B; Kaplan, Justin B; Adams, Christopher; Opsha, Yekaterina; Brandt, Kimberly A; Dixit, Deepali; Nerenberg, Steven F; Saleh, Julie A

    2018-01-01

    The practice guidelines for the management of pain, agitation, and delirium (PAD) from the Society of Critical Care Medicine shifted from primarily focusing on the treatment of anxiety in 2002 to the treatment of pain in 2013. This prospective, observational, multicenter study aimed to assess the degree of practice adherence to the PAD guidelines for ventilated patients in New Jersey intensive care units (ICUs). Pharmacist investigators at 8 centers designated 4 days at least 10 days apart to evaluate all patients on mechanical ventilation. The primary outcomes included adherence to 4 guideline recommendations: treatment of pain before sedation, use of nonnarcotic analgesic medications, use of nonbenzodiazepine sedative medications, and use of goal-directed sedation. Of 138 patients evaluated, 50% had a primary medical diagnosis (as opposed to surgical, cardiac, or neurological diagnosis), and the median Sequential Organ Failure Assessment (SOFA) score was 7. Pain was treated prior to administration of sedatives in 55.4% of subjects, with fentanyl being the primary analgesic used. In addition, 19% received no analgesia, and 11.5% received nonopioid analgesia. Sedative agents were administered to 87 subjects (48 nonbenzodiazepine and 39 benzodiazepine). Of those receiving benzodiazepines, 22 received intermittent bolus regimens and 16 received continuous infusions, of which 5 were for another indication besides sedation. Validated scales measuring the degree of sedation were completed at least once in 56 (81.6%) patients receiving sedatives. Current sedation practices suggest that integration of evidence-based PAD guidelines across New Jersey adult ICUs is inconsistent despite pharmacist involvement.

  10. Towards ethical decision support and knowledge management in neonatal intensive care.

    Science.gov (United States)

    Yang, L; Frize, M; Eng, P; Walker, R; Catley, C

    2004-01-01

    Recent studies in neonatal medicine, clinical nursing, and cognitive psychology have indicated the need to augment current decision-making practice in neonatal intensive care units with computerized, intelligent decision support systems. Rapid progress in artificial intelligence and knowledge management facilitates the design of collaborative ethical decision-support tools that allow clinicians to provide better support for parents facing inherently difficult choices, such as when to withdraw aggressive treatment. The appropriateness of using computers to support ethical decision-making is critically analyzed through research and literature review. In ethical dilemmas, multiple diverse participants need to communicate and function as a team to select the best treatment plan. In order to do this, physicians require reliable estimations of prognosis, while parents need a highly useable tool to help them assimilate complex medical issues and address their own value system. Our goal is to improve and structuralize the ethical decision-making that has become an inevitable part of modern neonatal care units. The paper contributes to clinical decision support by outlining the needs and basis for ethical decision support and justifying the proposed development efforts.

  11. Biopotentiality of High Efficient Aerobic Denitrifier Bacillus megaterium S379 for Intensive Aquaculture Water Quality Management.

    Science.gov (United States)

    Gao, Junqian; Gao, Dan; Liu, Hao; Cai, Jiajai; Zhang, Junqi; Qi, Zhengliang

    2018-05-24

    Excessive nitrite accumulation is a very tough issue for intensive aquaculture. A high efficient aerobic denitrifier Bacillus megaterium S379 with 91.71±0.17% of NO 2 - -N (65 mg L -1 ) removal was successfully isolated for solving the problem. Denitrification of S379 showed excellent environment adaptation that it kept high nitrite removal ratio (more than 85%) when temperature ranged from 25°C to 40°C and pH varied between 7.0 and 9.0, and could endure as high as 560 mg L -1 of NO 2 - -N. Immobilization of S379 could enhance denitrification even when NO 2 - -N adding amount got to 340 mg L -1 . Immobilized cells also showed well pollutants removal performance in aquaculture wastewater treatment. Moreover, S379 possessed positive hydrolase activities for starch, casein, cellulose and fat and bore more than 60 ppt of salinity. Totally, all the results revealed significant potentiality of immobilized S379 applied in aquaculture water quality management. Copyright © 2018 Elsevier Ltd. All rights reserved.

  12. Parameters of Carcass Cuts and Measurements of Martinik Lambs Managed under Intensive Conditions

    Directory of Open Access Journals (Sweden)

    G. Alexandre

    2008-02-01

    Full Text Available The Martinik sheep is selected for its good adaptive and reproductive traits. The production sector reproaches it with low carcass conformation, although its carcasses have been little described. Two intensive fattening experiments were conducted, whereby lambs were slaughtered for linear measurements and cuts. The variables were analyzed and allometric equations were determined. The database (n = 43 was adjusted for feeding levels and slaughter weight groups (SW: 28, 32 and 36 kg. Mean cold carcass (CC weights varied (P 0.05. The weights of all carcass cuts significantly (P < 0.01 increased with CC increase. Shoulders and legs represented 18 and 34% of CC, respectively. Various measurements taken on the carcass and pelvis width significantly increased (P < 0.05 with CC increase (near 9% difference between extreme weights. Indices of carcass and leg compactness (0.32 and 0.45, respectively did not vary with SW, whereas weight indices did. Allometric coefficients of the shoulder (0.915 and leg (0.891 were in line with those of the literature. This preliminary description of Martinik sheep carcasses could be made available to the sector actors in order to pursue the work and help to better select breeds and management systems.

  13. Critical Zone services as environmental assessment criteria in intensively managed landscapes

    Science.gov (United States)

    Richardson, Meredith; Kumar, Praveen

    2017-06-01

    The Critical Zone (CZ) includes the biophysical processes occurring from the top of the vegetation canopy to the weathering zone below the groundwater table. CZ services provide a measure for the goods and benefits derived from CZ processes. In intensively managed landscapes, cropland is altered through anthropogenic energy inputs to derive more productivity, as agricultural products, than would be possible under natural conditions. However, the actual costs of alterations to CZ functions within landscape profiles are unknown. Through comparisons of corn feed and corn-based ethanol, we show that valuation of these CZ services in monetary terms provides a more concrete tool for characterizing seemingly abstract environmental damages from agricultural production systems. Multiple models are combined to simulate the movement of nutrients throughout the soil system, enabling the measurement of agricultural anthropogenic impacts to the CZ's regulating services. Results indicate water quality and atmospheric stabilizing services, measured by soil carbon storage, carbon respiration, and nitrate leaching, among others, can cost more than double that of emissions estimated in previous studies. Energy efficiency in addition to environmental impact is assessed to demonstrate how the inclusion of CZ services is necessary in accounting for the entire life cycle of agricultural production systems. These results conclude that feed production systems are more energy efficient and less environmentally costly than corn-based ethanol.

  14. ANALYSIS OF AIR TRAFFIC CONTROL MANAGEMENT AT AIRPORTS WITH LOW FLIGHT INTENSITY IN FOREIGN COUNTRIES

    Directory of Open Access Journals (Sweden)

    Evgenii E. Nechaev

    2017-01-01

    Full Text Available This article discusses various options for air traffic management at low flight intensity airports and airports located remotely in the North, where air traffic control service is not necessary.There are some examples of already implemented concepts in foreign countries: such as remote control tower, which allows to control air traffic, being at a considerable distance from the airport. Such a remote control tower is already put into operation at the Örnsköldsvik airport (Sweden. The prospects of this system development in other countries are observed in this article. A remote control tower will also appear in the United States in the nearest future. Also the paper considers the pros and cons of this system and its effect on flight safety.Moreover, there are given the examples of using non-towered and uncontrolled airports, where air traffic control service is not provided. This kind of airports is partly used in the USA and in New Zealand. The article describes flight procedures in the area of uncontrolled airports, including visual flight rules and instrument flight rules.We also analyze the possibilities of remote control towers and uncontrolled airports adaptation in the Russian Federation. It is a very important problem for Russia because most airports do not provide more than 10 movements per day. But air traffic control service exists in all airports.

  15. Land-use changes, farm management and the decline of butterflies associated with semi-natural grasslands in southern Sweden

    Directory of Open Access Journals (Sweden)

    Sven G. Nilsson

    2013-11-01

    Full Text Available Currently, we are experiencing biodiversity loss on different spatial scales. One of the best studied taxonomic groups in decline is the butterflies. Here, we review evidence for such declines using five systematic studies from southern Sweden that compare old butterfly surveys with the current situation. Additionally, we provide data on butterfly and burnet moth extinctions in the region’s counties. In some local areas, half of the butterfly fauna has been lost during the last 60-100 years. In terms of extinctions, counties have lost 2-10 butterfly and burnet moth species. Land use has changed markedly with key butterfly habitats such as hay meadows disappearing at alarming rates. Grazed, mixed open woodlands have been transformed into dense coniferous forests and clear-cuts and domestic grazers have been relocated from woodlands to arable fields and semi-natural grasslands. Ley has increased rapidly and is used for bale silage repeatedly during the season. Overall, the changed and intensified land use has markedly reduced the availability of nectar resources in the landscape. Species that decline in Sweden are strongly decreasing or already extinct in other parts of Europe. Many typical grassland species that were numerous in former times have declined severely; among those Hesperia comma, Lycaena virgaureae, Lycaena hippothoe, Argynnis adippe, and Polyommatus semiargus. Also, species associated with open woodlands and wetlands such as, Colias palaeno, Boloria euphrosyne and the glade-inhabiting Leptidea sinapis have all decreased markedly. Current management practise and EU Common Agricultural Policy rules favour intensive grazing on the remaining semi-natural grasslands, with strong negative effects on butterfly diversity. Abandoned grasslands are very common in less productive areas of southern Sweden and these habitats may soon become forests. There is an urgent need for immediate action to preserve unfertilized, mown and lightly grazed

  16. Integration Of PanDA Workload Management System With Supercomputers for ATLAS and Data Intensive Science

    Science.gov (United States)

    Klimentov, A.; De, K.; Jha, S.; Maeno, T.; Nilsson, P.; Oleynik, D.; Panitkin, S.; Wells, J.; Wenaus, T.

    2016-10-01

    The.LHC, operating at CERN, is leading Big Data driven scientific explorations. Experiments at the LHC explore the fundamental nature of matter and the basic forces that shape our universe. ATLAS, one of the largest collaborations ever assembled in the sciences, is at the forefront of research at the LHC. To address an unprecedented multi-petabyte data processing challenge, the ATLAS experiment is relying on a heterogeneous distributed computational infrastructure. The ATLAS experiment uses PanDA (Production and Data Analysis) Workload Management System for managing the workflow for all data processing on over 150 data centers. Through PanDA, ATLAS physicists see a single computing facility that enables rapid scientific breakthroughs for the experiment, even though the data centers are physically scattered all over the world. While PanDA currently uses more than 250,000 cores with a peak performance of 0.3 petaFLOPS, LHC data taking runs require more resources than grid can possibly provide. To alleviate these challenges, LHC experiments are engaged in an ambitious program to expand the current computing model to include additional resources such as the opportunistic use of supercomputers. We will describe a project aimed at integration of PanDA WMS with supercomputers in United States, in particular with Titan supercomputer at Oak Ridge Leadership Computing Facility. Current approach utilizes modified PanDA pilot framework for job submission to the supercomputers batch queues and local data management, with light-weight MPI wrappers to run single threaded workloads in parallel on LCFs multi-core worker nodes. This implementation was tested with a variety of Monte-Carlo workloads on several supercomputing platforms for ALICE and ATLAS experiments and it is in full pro duction for the ATLAS since September 2015. We will present our current accomplishments with running PanDA at supercomputers and demonstrate our ability to use PanDA as a portal independent of the

  17. Integration Of PanDA Workload Management System With Supercomputers for ATLAS and Data Intensive Science

    Energy Technology Data Exchange (ETDEWEB)

    De, K [University of Texas at Arlington; Jha, S [Rutgers University; Klimentov, A [Brookhaven National Laboratory (BNL); Maeno, T [Brookhaven National Laboratory (BNL); Nilsson, P [Brookhaven National Laboratory (BNL); Oleynik, D [University of Texas at Arlington; Panitkin, S [Brookhaven National Laboratory (BNL); Wells, Jack C [ORNL; Wenaus, T [Brookhaven National Laboratory (BNL)

    2016-01-01

    The Large Hadron Collider (LHC), operating at the international CERN Laboratory in Geneva, Switzerland, is leading Big Data driven scientific explorations. Experiments at the LHC explore the fundamental nature of matter and the basic forces that shape our universe, and were recently credited for the discovery of a Higgs boson. ATLAS, one of the largest collaborations ever assembled in the sciences, is at the forefront of research at the LHC. To address an unprecedented multi-petabyte data processing challenge, the ATLAS experiment is relying on a heterogeneous distributed computational infrastructure. The ATLAS experiment uses PanDA (Production and Data Analysis) Workload Management System for managing the workflow for all data processing on over 150 data centers. Through PanDA, ATLAS physicists see a single computing facility that enables rapid scientific breakthroughs for the experiment, even though the data centers are physically scattered all over the world. While PanDA currently uses more than 250,000 cores with a peak performance of 0.3 petaFLOPS, LHC data taking runs require more resources than Grid computing can possibly provide. To alleviate these challenges, LHC experiments are engaged in an ambitious program to expand the current computing model to include additional resources such as the opportunistic use of supercomputers. We will describe a project aimed at integration of PanDA WMS with supercomputers in United States, Europe and Russia (in particular with Titan supercomputer at Oak Ridge Leadership Computing Facility (OLCF), MIRA supercomputer at Argonne Leadership Computing Facilities (ALCF), Supercomputer at the National Research Center Kurchatov Institute , IT4 in Ostrava and others). Current approach utilizes modified PanDA pilot framework for job submission to the supercomputers batch queues and local data management, with light-weight MPI wrappers to run single threaded workloads in parallel on LCFs multi-core worker nodes. This implementation

  18. Integration Of PanDA Workload Management System With Supercomputers for ATLAS and Data Intensive Science

    International Nuclear Information System (INIS)

    Klimentov, A; Maeno, T; Nilsson, P; Panitkin, S; Wenaus, T; De, K; Oleynik, D; Jha, S; Wells, J

    2016-01-01

    The.LHC, operating at CERN, is leading Big Data driven scientific explorations. Experiments at the LHC explore the fundamental nature of matter and the basic forces that shape our universe. ATLAS, one of the largest collaborations ever assembled in the sciences, is at the forefront of research at the LHC. To address an unprecedented multi-petabyte data processing challenge, the ATLAS experiment is relying on a heterogeneous distributed computational infrastructure. The ATLAS experiment uses PanDA (Production and Data Analysis) Workload Management System for managing the workflow for all data processing on over 150 data centers. Through PanDA, ATLAS physicists see a single computing facility that enables rapid scientific breakthroughs for the experiment, even though the data centers are physically scattered all over the world. While PanDA currently uses more than 250,000 cores with a peak performance of 0.3 petaFLOPS, LHC data taking runs require more resources than grid can possibly provide. To alleviate these challenges, LHC experiments are engaged in an ambitious program to expand the current computing model to include additional resources such as the opportunistic use of supercomputers. We will describe a project aimed at integration of PanDA WMS with supercomputers in United States, in particular with Titan supercomputer at Oak Ridge Leadership Computing Facility. Current approach utilizes modified PanDA pilot framework for job submission to the supercomputers batch queues and local data management, with light-weight MPI wrappers to run single threaded workloads in parallel on LCFs multi-core worker nodes. This implementation was tested with a variety of Monte-Carlo workloads on several supercomputing platforms for ALICE and ATLAS experiments and it is in full pro duction for the ATLAS since September 2015. We will present our current accomplishments with running PanDA at supercomputers and demonstrate our ability to use PanDA as a portal independent of the

  19. Sustainability of High Intensity Forest Management with Respect to Water QuaIity and Site Nutrient Reserves

    Science.gov (United States)

    Virginia R. Tolbert; Carl C. Trettin; Dale W. Johnson; John W. Parsons; Allan E. Houston; David A. Mays

    2001-01-01

    Ensuring sustainability of intensively managed woody crops requires determining soil and water quality effects using a combination of field data and modeling projections. Plot- and catchrnent-scale research, models, and meta-analyses are addressing nutrient availability, site quality, and measures to increase short-rotation woody crop (SRWC) productivity and site...

  20. Effectiveness of classroom based crew resource management training in the intensive care unit: Study design of a controlled trial

    NARCIS (Netherlands)

    Kemper, P.F.; de Bruijne, M.C.; van Dyck, C.; Wagner, C.

    2011-01-01

    Background: Crew resource management (CRM) has the potential to enhance patient safety in intensive care units (ICU) by improving the use of non-technical skills. However, CRM evaluation studies in health care are inconclusive with regard to the effect of this training on behaviour and

  1. Effectiveness of classroom based crew resource management training in the intensive care unit: study design of a controlled trial.

    NARCIS (Netherlands)

    Kemper, P.F.; Bruijne, M. de; Dyck, C. van; Wagner, C.

    2011-01-01

    Background: Crew resource management (CRM) has the potential to enhance patient safety in intensive care units (ICU) by improving the use of non-technical skills. However, CRM evaluation studies in health care are inconclusive with regard to the effect of this training on behaviour and

  2. Management of invasive candidiasis and candidemia in adult non-neutropenic intensive care unit patients: Part II. Treatment.

    NARCIS (Netherlands)

    Guery, B.P.; Arendrup, M.C.; Auzinger, G.; Azoulay, E.; Borges Sa, M.; Johnson, E.M.; Muller, E.; Putensen, C.; Rotstein, C.; Sganga, G.; Venditti, M.; Zaragoza Crespo, R.; Kullberg, B.J.

    2009-01-01

    BACKGROUND: Invasive candidiasis and candidemia are frequently encountered in the nosocomial setting particularly in the intensive care unit (ICU). OBJECTIVE AND METHODS: To review the current management of invasive candidiasis and candidemia in non-neutropenic adult ICU patients based on a review

  3. Comparison of net global warming potential and greenhouse gas intensity affected by management practices in two dryland cropping sites

    Science.gov (United States)

    Little is known about the effect of management practices on net global warming potential (GWP) and greenhouse gas intensity (GHGI) that account for all sources and sinks of greenhouse gas (GHG) emissions in dryland cropping systems. The objective of this study was to compare the effect of a combinat...

  4. Diabetes rehabilitation : development and first results of a Multidisciplinary Intensive Education Program for patients with prolonged self-management difficulties

    NARCIS (Netherlands)

    Keers, JC; Blaauwwiekel, EE; Hania, M; Bouma, J; Scholten-Jaegers, SMHJ; Sanderman, R; Links, TP

    For a number of diabetes patients regular care may be insufficient. A Multidisciplinary Intensive Education Program (MIEP), based on the empowerment approach, has been developed to help patients obtain their treatment goals (adequate self-management, glycemic control and quality of life). The aim of

  5. The annual variation in stomatal ammonia compensation point of rye grass (Lolium perenne L.) leaves in an intensively managed grassland

    NARCIS (Netherlands)

    Hove, van L.W.A.; Heeres, P.; Bossen, M.E.

    2002-01-01

    The stomatal ammonia compensation point for ammonia (NH3) of an intensively managed pasture of rye grass (Lolium perenne L.) was followed from mid January till November 2000. Leaf samples were taken every week. Simultaneously, the ambient NH3 concentration was measured. Meteorological data

  6. An assessment of fisher (Pekania pennanti) tolerance to forest management intensity on the landscape

    Science.gov (United States)

    William J. Zielinski; Craig M. Thompson; Kathryn L. Purcell; James D. Garner

    2013-01-01

    Forest restoration intended to reduce the overabundance of dense vegetation can be at odds with wildlife habitat conservation, particularly for species of wildlife that are strongly associated with structurally diverse forests with dense canopies. The fisher (Pekania pennanti), a mesopredator that occurs in mid-elevation forests of the southern...

  7. Management of agricultural area in preindustrial economies. The case of olive orchards in southern Spain

    Directory of Open Access Journals (Sweden)

    Juan Infante Amate

    2012-06-01

    Full Text Available In recent decades it has been developed a specialized literature on the study of particular features of preindustrial agricultures. This paper, in base to such research line, analyzes the case of olive orchards in southern Spain, which today represent the largest tree concentration in Europe, right in the previous moment to its great expansion (mid 18th Century. We seek to understand the geography of its spreading, its low expansion before industrialization and the why only few territories on Andalusia appeared like premature focus of specialization.

  8. Influence of Thinning and Pruning on Southern Pine Veneer Quality

    Science.gov (United States)

    Mark D. Gibson; Terry R. Clason; Gary L. Hill; George A. Grozdits

    2002-01-01

    This paper presents the effects of intensive pine plantation management on veneer yields, veneer grade distribution and veneer MOE as measured by ultrasonic stress wave transmission (Metriguard). Veneer production trials were done at a commercial southern pine plywood plant to elucidate the effects of silvicultural treatments on veneer quality, yield, and modulus of...

  9. Indigenous knowledge, use and on-farm management of enset (Ensete ventricosum (Welw.) Cheesman) diversity in Wolaita, Southern Ethiopia

    Science.gov (United States)

    2014-01-01

    Background Ensete ventricosum (Welw.) Cheesman is a major food security crop in Southern Ethiopia, where it was originally domesticated and during millennia became pivotal crop around which an entire farming system has developed. Although its cultivation is highly localized, the enset-based farming system provides sustenance to more than 20 million people. Precise ethnobotanical information of intra-specific enset diversity and local knowledge on how communities maintain, manage and benefit from enset genetic resources is imperative for the promotion, conservation and improvement of this crop and its farming system. Methods This study was conducted in Southern Ethiopia among the Wolaita 'enset culture' community. The research sample consisted of 270 households from 12 Kebeles (villages) representing three agro-ecological ranges. By establishing Participatory Rural Appraisal (PRA) based interactions and applying ethnobotanical interviewing methods of free-listing and open-ended questionnaires, information on the use and management of enset diversity, and its associated folk-biosystematics, food traditions and material culture was collected and analyzed. Results While enset agriculture is seen as cultural heritage and identity for the Wolaita, enset intra-specific diversity holds scenic, prestige and symbolic values for the household. In the present study we recorded 67 enset landraces under cultivation, and through a comprehensive literature review we identified 28 landraces reported from other areas of Wolaita, but not encountered in our survey. Landraces, identified using 11 descriptors primarily related to agro-morphological traits, are named after perceived places of origin, agro-morphological characteristics and cooking quality attributes. Folk classification of enset is based on its domestication status, 'gender', agro-ecological adaptability and landrace suitability for different food and other uses (fiber, feed, medicinal). Enset as a food crop is used to

  10. Weed suppression greatly increased by plant diversity in intensively managed grasslands: A continental-scale experiment.

    Science.gov (United States)

    Connolly, John; Sebastià, Maria-Teresa; Kirwan, Laura; Finn, John Anthony; Llurba, Rosa; Suter, Matthias; Collins, Rosemary P; Porqueddu, Claudio; Helgadóttir, Áslaug; Baadshaug, Ole H; Bélanger, Gilles; Black, Alistair; Brophy, Caroline; Čop, Jure; Dalmannsdóttir, Sigridur; Delgado, Ignacio; Elgersma, Anjo; Fothergill, Michael; Frankow-Lindberg, Bodil E; Ghesquiere, An; Golinski, Piotr; Grieu, Philippe; Gustavsson, Anne-Maj; Höglind, Mats; Huguenin-Elie, Olivier; Jørgensen, Marit; Kadziuliene, Zydre; Lunnan, Tor; Nykanen-Kurki, Paivi; Ribas, Angela; Taube, Friedhelm; Thumm, Ulrich; De Vliegher, Alex; Lüscher, Andreas

    2018-03-01

    consistently strong across mixtures varying widely in species' proportions and over time. The level of weed biomass did not vary greatly across mixtures varying widely in proportions of sown species. These diversity benefits in intensively managed grasslands are relevant for the sustainable intensification of agriculture and, importantly, are achievable through practical farm-scale actions.

  11. Analysis of the nutritional management practices in intensive care: Identification of needs for improvement.

    Science.gov (United States)

    Lázaro-Martín, N I; Catalán-González, M; García-Fuentes, C; Terceros-Almanza, L; Montejo-González, J C

    2015-12-01

    To analyze the nutritional management practices in Intensive Care (ICU) to detect the need for improvement actions. Re-evaluate the process after implementation of improvement actions. Prospective observational study in 3 phases: 1) observation; 2) analysis, proposal development and dissemination; 3) analysis of the implementation. ICU of a hospital of high complexity. Adult ICU forecast more than 48h of artificial nutrition. Parenteral nutrition (PN), enteral nutrition (EN) (type, average effective volume, complications) and average nutritional ratio. A total of 229 patients (phase 1: 110, phase 3: 119). After analyzing the initial results, were proposed: increased use and precocity of EN, increased protein intake, nutritional monitoring effectiveness and increased supplementary indication NP. The measures were broadcast at specific meetings. During phase 3 more patients received EN (55.5 vs. 78.2%, P=.001), with no significant difference in the start time (1.66 vs. 2.33 days), duration (6.82 vs. 10,12 days) or complications (37,7 vs. 47,3%).Use of hyperproteic diets was higher in phase 3 (0 vs. 13.01%, P<.05). The use of NP was similar (48.2 vs. 48,7%) with a tendency to a later onset in phase 3 (1.25±1.25 vs. 2.45±3.22 days). There were no significant differences in the average nutritional ratio (0.56±0.28 vs. 0.61±0.27, P=.56). The use of EN and the protein intake increased, without appreciating effects on other improvement measures. Other methods appear to be necessary for the proper implementation of improvement measures. Copyright © 2015 Elsevier España, S.L.U. and SEMICYUC. All rights reserved.

  12. Drought management plans and water availability in agriculture: A risk assessment model for a Southern European basin

    Directory of Open Access Journals (Sweden)

    Carlos Dionisio Pérez-Blanco

    2014-08-01

    Full Text Available The Drought Management Plans (DMPs are regulatory instruments that establish priorities among the different water uses and define more stringent constraints to access to publicly provided water during droughts, especially for non-priority uses such as agriculture. These plans have recently become widespread across EU southern basins. However, in some of these basins the plans were approved without an assessment of the potential impacts that they may have on the economic activities exposed to water restrictions. This paper develops a stochastic methodology to estimate the expected water availability in agriculture that results from the decision rules of the recently approved DMPs. The methodology is applied to the particular case of the Guadalquivir River Basin in southern Spain. Results show that if DMPs are successfully enforced, available water will satisfy in average 62.2% of current demand, and this figure may drop to 50.2% by the end of the century as a result of climate change. This is much below the minimum threshold of 90% that has been guaranteed to irrigators so far.

  13. Pain still hurts : pain assessment and pain management in intensive care patients

    NARCIS (Netherlands)

    S.J.G.M. Ahlers (Sabine)

    2012-01-01

    textabstractIntensive care patients are subject to many factors that may influence the patients’ state of comfort or distress. Pain is the main cause of distress experienced by many adult intensive care patients, which can be caused by different factors like underlying disease, prolonged immobility

  14. LTAR information management: Six examples of data intensive work at site and network levels

    Science.gov (United States)

    Information systems for managing research data from the Long-term Agroecosystem Research (LTAR) program are implemented at site and network levels. Different information management tools are necessary to manage a variety of data types. There is no one-size fits all solution for managing all LTAR dat...

  15. Climate change adaptation and mitigation options a guide for natural resource managers in southern forest ecosystems

    Science.gov (United States)

    James M. Vose; Kier D. Klepzig

    2014-01-01

    The rapid pace of climate change and its direct and indirect effects on forest ecosystems present a pressing need for better scientific understanding and the development of new science-management partnerships. Understanding the effects of stressors and disturbances (including climatic variability), and developing and testing science-based management options to deal...

  16. Late Quaternary vegetation, biodiversity and fire dynamics on the southern Brazilian highland and their implication for conservation and management of modern Araucaria forest and grassland ecosystems.

    Science.gov (United States)

    Behling, Hermann; Pillar, Valério DePatta

    2007-02-28

    Palaeoecological background information is needed for management and conservation of the highly diverse mosaic of Araucaria forest and Campos (grassland) in southern Brazil. Questions on the origin of Araucaria forest and grasslands; its development, dynamic and stability; its response to environmental change such as climate; and the role of human impact are essential. Further questions on its natural stage of vegetation or its alteration by pre- and post-Columbian anthropogenic activity are also important. To answer these questions, palaeoecological and palaeoenvironmental data based on pollen, charcoal and multivariate data analysis of radiocarbon dated sedimentary archives from southern Brazil are used to provide an insight into past vegetation changes, which allows us to improve our understanding of the modern vegetation and to develop conservation and management strategies for the strongly affected ecosystems in southern Brazil.

  17. Integrating spread dynamics and economics of timber production to manage Chinese tallow invasions in southern U.S. forestlands.

    Directory of Open Access Journals (Sweden)

    Hsiao-Hsuan Wang

    Full Text Available Economic costs associated with the invasion of nonnative species are of global concern. We estimated expected costs of Chinese tallow (Triadica sebifera (L. Small invasions related to timber production in southern U.S. forestlands under different management strategies. Expected costs were confined to the value of timber production losses plus costs for search and control. We simulated management strategies including (1 no control (NC, and control beginning as soon as the percentage of invaded forest land exceeded (2 60 (Low Control, (3 25 (Medium Control, or (4 0 (High Control using a spatially-explicit, stochastic, bioeconomic model. With NC, simulated invasions spread northward and westward into Arkansas and along the Gulf of Mexico to occupy ≈1.2 million hectares within 20 years, with associated expected total costs increasing exponentially to ≈$300 million. With LC, MC, and HC, invaded areas reached ≈275, 34, and 2 thousand hectares after 20 years, respectively, with associated expected costs reaching ≈$400, $230, and $200 million. Complete eradication would not be cost-effective; the minimum expected total cost was achieved when control began as soon as the percentage of invaded land exceeded 5%. These results suggest the importance of early detection and control of Chinese tallow, and emphasize the importance of integrating spread dynamics and economics to manage invasive species.

  18. Milk production, raw milk quality and fertility of dromedary camels (Camelus Dromedarius) under intensive management.

    Science.gov (United States)

    Nagy, Péter; Thomas, Sonia; Markó, Orsolya; Juhász, Jutka

    2013-03-01

    In many arid countries, dromedaries play an important role as a milk source in rural areas. However, the milk and meat production potential of this species is not well understood and documented. A large-scale camel dairy farm was established in 2006 in the United Arab Emirates. This study summarises the most important data on milk production, raw milk quality and reproductive efficiency collected on this farm during the first three years of operation. The average daily milk production, the mean length of lactation and the mean total milk production per lactation of 174 dromedaries were 6.0 ± 0.12 kg (± SEM), 586 ± 11.0 days (± SEM) and 3314 ± 98.5 kg (± SEM), respectively. The lactation curve reached its peak during the 4th month after parturition (mean ± SEM, 8.9 ± 0.04 kg), then it declined gradually, falling to 50% of the maximum by the 16th month postpartum (mean ± SEM, 4.3 ± 0.06 kg). Milking three times a day did not increase daily milk production compared to two times milking. Mean total viable bacterial count (TVC) and mean somatic cell count (SCC, ± SEM) of bulk raw camel milk were 4,403 ± 94 CFU/cm3 and 392,602 ± 5,999 cells/cm3 for a one-year period, respectively. There was a significant difference among months (P fat, protein, lactose, total solids (TS) and solid-non-fat (SNF) concentrations of individual milk samples were 2.51 ± 0.03%, 2.60 ± 0.01%, 4.03 ± 0.03%, 9.98 ± 0.03% and 7.56 ± 0.03%, respectively. Lactation period, average daily milk production and morning vs. evening milking significantly influenced milk chemical composition. For the 470 camels in the breeding programme, end-of-season pregnancy rate and birth rate were 87.0% and 82.6%, respectively, after natural mating. We have demonstrated that sustainable milk production is possible from a traditional species, the dromedary camel, under an intensive management system.

  19. An isotopic view of water and nitrate transport through the vadose zone in Oregon's southern Willamette Valley's Groundwater Management Area

    Science.gov (United States)

    Brooks, J. R.; Pearlstein, S.; Hutchins, S.; Faulkner, B. R.; Rugh, W.; Willard, K.; Coulombe, R.; Compton, J.

    2017-12-01

    Groundwater nitrate contamination affects thousands of households in Oregon's southern Willamette Valley and many more across the USA. The southern Willamette Valley Groundwater Management Area (GWMA) was established in 2004 due to nitrate levels in the groundwater exceeding the human health standard of 10 mg nitrate-N L-1. Much of the nitrogen (N) inputs to the GWMA comes from agricultural fertilizers, and thus efforts to reduce N inputs to groundwater are focused upon improving N management. However, the effectiveness of these improvements on groundwater quality is unclear because of the complexity of nutrient transport through the vadose zone and long groundwater residence times. Our objective was to focus on vadose zone transport and understand the dynamics and timing of N and water movement below the rooting zone in relation to N management and water inputs. Stable isotopes are a powerful tool for tracking water movement, and understanding N transformations. In partnership with local farmers and state agencies, we established lysimeters and groundwater wells in multiple agricultural fields in the GWMA, and have monitored nitrate, nitrate isotopes, and water isotopes weekly for multiple years. Our results indicate that vadose zone transport is highly complex, and the residence time of water collected in lysimeters was much longer than expected. While input precipitation water isotopes were highly variable over time, lysimeter water isotopes were surprisingly consistent, more closely resembling long-term precipitation isotope means rather than recent precipitation isotopic signatures. However, some particularly large precipitation events with unique isotopic signatures revealed high spatial variability in transport, with some lysimeters showing greater proportions of recent precipitation inputs than others. In one installation where we have groundwater wells and lysimeters at multiple depths, nitrate/nitrite concentrations decreased with depth. N concentrations

  20. Managing climate related stresses in southern Africa’s agricultural sector

    CSIR Research Space (South Africa)

    Nhemachena, C

    2008-11-01

    Full Text Available such as credit, inputs, and information (seasonal climate forecasts, agricultural production and management practices). National policies also need to support research and development that prepares the appropriate technologies to help farmers adapt to climate...

  1. Limnological criteria for management of water quality in the Southern hemisphere

    CSIR Research Space (South Africa)

    Hart, RC

    1984-12-01

    Full Text Available largely replaced by highlighting those processes considered essential not only in the implementation of modern limnological principles to water management practise, but also in drawing up research priorities....

  2. NOAA Office for Coastal Management Coastal Inundation Digital Elevation Model: Virginia, Southern

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These data were created as part of the National Oceanic and Atmospheric Administration Office for Coastal Management's efforts to create an online mapping viewer...

  3. NOAA Office for Coastal Management Coastal Inundation Digital Elevation Model: North Carolina, Southern 1

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These data were created as part of the National Oceanic and Atmospheric Administration Office for Coastal Management's efforts to create an online mapping viewer...

  4. Visual Evaluation of the Soil Structure under Different Management Systems in Lowlands in Southern Brazil

    DEFF Research Database (Denmark)

    Tuchtenhagen, Ivana Kruger; de Lima, Cláudia Liane Rodrigues; Bamberg, Adilson Luís

    2018-01-01

    ), and total organic carbon (TOC). It was concluded that VESS was efficient in differentiating the management system. The management systems based on minimum soil disturbance and mulching with crop residues improved the soil quality, as evidenced by the VESS scores, bulk density, porosity, aggregation......, and organic carbon. The TOC content was inversely related with ATS. The quality of a typic eutrophic Albaqualf was benefitted by organic matter in the surface layer....

  5. Management of asaí (Euterpe precatoria Mart.) for fruit production in southern Colombian Amazonia

    OpenAIRE

    Carolina Isaza Aranguren; Gloria Galeano Garcés; Rodrigo Bernal González

    2014-01-01

    The fruits of asaí (Euterpe precatoria Mart.) are a traditional food for Amazonian inhabitants who harvest it from wild populations, employing management practices that affect palm populations and productivity. Here we present management data on fruit harvesting in a Tikuna community in the Colombian Amazon. We identified the market structure in Leticia and evaluated the population structure and fruit productivity in a scarcely harvested forest and a heavily harvested one. We performed interv...

  6. Problems in knowledge management: a case study of a knowledge intensive company

    NARCIS (Netherlands)

    van Zolingen, S.J.; Streumer, Jan; Stooker, M.M.; Stooker, M.

    2001-01-01

    Knowledge management has become an important tool in staying ahead in the competition between companies. In this article five different phases of the knowledge management process are distinguished: acquiring knowledge, codifying knowledge, disseminating knowledge, developing knowledge and applying

  7. Improving Nursing Communication Skills in an Intensive Care Unit Using Simulation and Nursing Crew Resource Management Strategies: An Implementation Project.

    Science.gov (United States)

    Turkelson, Carman; Aebersold, Michelle; Redman, Richard; Tschannen, Dana

    Effective interprofessional communication is critical to patient safety. This pre-/postimplementation project used a multifaceted educational strategy with high-fidelity simulation to introduce evidence-based communication tools, adapted from Nursing Crew Resource Management, to intensive care unit nurses. Results indicated that participants were satisfied with the education, and their perceptions of interprofessional communication and knowledge improved. Teams (n = 16) that used the communication tools during simulation were more likely to identify the problem, initiate key interventions, and have positive outcomes.

  8. Critical care management of major disasters: a practical guide to disaster preparation in the intensive care unit.

    Science.gov (United States)

    Corcoran, Shawn P; Niven, Alexander S; Reese, Jason M

    2012-02-01

    Recent events and regulatory mandates have underlined the importance of medical planning and preparedness for catastrophic events. The purpose of this review is to provide a brief summary of current commonly identified threats, an overview of mass critical care management, and a discussion of resource allocation to provide the intensive care unit (ICU) director with a practical guide to help prepare and coordinate the activities of the multidisciplinary critical care team in the event of a disaster.

  9. An experience of knowledge co-production for setting up landslide risk management processes in a critical infrastructure: the case of Campania Region (Southern Italy)

    Science.gov (United States)

    Rianna, Guido; Roca Collell, Marta; Uzielli, Marco; Van Ruiten, Kees; Mercogliano, Paola; Ciervo, Fabio; Reder, Alfredo

    2017-04-01

    In Campania Region (Southern Italy), expected increases in heavy rainfall events under the effect of climate changes and demographic pressure could entail a growth of occurrence of weather induced landslides and associated damages. Indeed, already in recent years, pyroclastic covers mantling the slopes of a large part of the Region have been affected by numerous events often causing victims and damages to infrastructures serving the urban centers. Due to the strategic relevance of the area, landslide events affecting volcanic layers in Campania Region are one of the five case studies investigated in the FP7 European Project INTACT about the impacts of extreme weather on critical infrastructure. The main aim of INTACT project is to increase the resilience of critical infrastructures (CI) facing extreme weather events improving the awareness of stakeholders and asset managers about such phenomena and their potential variations due to Climate Changes and providing tools to support risk management strategies. A WIKI has been designed as a remote support for all stages of the risk process through brief theoretical explanations (in Wiki style) about tools and methods proposed and reports on the findings and hints returned by case studies investigations. In order to have a product tailored to the needs and background of CI owners, managers and policy makers, an intense effort of knowledge co-production between researchers and stakeholders have been carried out in different case studies through questionnaires, meetings, workshops and/or 1-to-1 interviews. This work presents the different tools and approaches adopted to facilitate the exchange with stakeholders in the Campanian case study such as the "Storytelling approach", aiming to stress the need for a comprehensive and overall approach to the issue between the different disaster management phases (mitigation, preparedness, response and recovery) and actors; the CIRCLE approach developed by Deltares, partner in INTACT

  10. Bovine Tuberculosis and Brucellosis in Traditionally Managed Livestock in Selected Districts of Southern Province of Zambia

    Directory of Open Access Journals (Sweden)

    J. B. Muma

    2013-01-01

    Full Text Available A study was performed in 2008 to estimate the prevalence of tuberculosis and brucellosis in traditionally reared cattle of Southern Province in Zambia in four districts. The single comparative intradermal tuberculin test (SCITT was used to identify TB reactors, and the Rose Bengal test (RBT, followed by confirmation with competitive enzyme-linked immunosorbent assay (c-ELISA, was used to test for brucellosis. A total of 459 animals were tested for tuberculosis and 395 for brucellosis. The overall prevalence of BTB based on the 4 mm and 3 mm cutoff criteria was 4.8% (95% CI: 2.6–7.0% and 6.3% (95% CI: 3.8–8.8%, respectively. Change in skin thickness on SCITT was influenced by initial skin-fold thickness at the inoculation site, where animals with thinner skin had a tendency to give a larger tuberculin response. Brucellosis seroprevalence was estimated at 20.7% (95% CI: 17.0–24.4%. Comparison between results from RBT and c-ELISA showed good agreement (84.1% and revealed subjectivity in RBT test results. Differences in brucellosis and tuberculosis prevalence across districts were attributed to type of husbandry practices and ecological factors. High prevalence of tuberculosis and brucellosis suggests that control control programmes are necessary for improved cattle productivity and reduced public health risk.

  11. Impact of climate change on management plans for lakes St. Francois and Aylmer in southern Quebec

    International Nuclear Information System (INIS)

    Fortin, L.G.; Turcotte, R.; Pugin, S.; Cyr, J.F.; Picard, F.

    2007-01-01

    The Centre d'Expertise Hydrique du Quebec (CEHQ) manages dams used for flood control, water supply, recreational activities and hydroelectricity in the province of Quebec. This paper addressed the issue of global warming and the impact on the hydrological regime within the next decades. The changes in the hydrological regime may pose a risk of losing the equilibrium between various objectives, identifiable through water management plans. The CEHQ conducted a pilot study for the Saint-Francois and Aylmer reservoirs in order to formulate a method for evaluating the adaptability of currently used management plans to climate change. The project was based on potential climate change scenarios as well as on deterministic and distributed hydrological models. Daily time steps were used to evaluate the hydrological impacts of climate change. The newly developed model makes it possible to evaluate and compare the occurrences where stream flows and water levels exceed critical values. The effectiveness of the management plans in both current and climate change scenarios was evaluated. Preliminary results suggest a possible increase in flood risk and fewer low water level occurrences. It was concluded that climate change will influence the trade-off between different management objectives of the reservoirs. Although adaptation measures may be feasible, it was determined that there is no unique solution to all climate change scenarios. 27 refs., 7 tabs., 12 figs

  12. Pain management intervention targeting nursing staff and general practitioners: Pain intensity, consequences and clinical relevance for nursing home residents.

    Science.gov (United States)

    Dräger, Dagmar; Budnick, Andrea; Kuhnert, Ronny; Kalinowski, Sonja; Könner, Franziska; Kreutz, Reinhold

    2017-10-01

    Although chronic pain is common in older adults, its treatment is frequently inappropriate. This problem is particularly prevalent in nursing home residents. We therefore developed an intervention to optimize pain management and evaluated its effects on pain intensity and pain interference with function in nursing home residents in Germany. In a cluster-randomized controlled intervention, 195 residents of 12 Berlin nursing homes who were affected by pain were surveyed at three points of measurement. A modified German version of the Brief Pain Inventory was used to assess pain sites, pain intensity and pain interference with function in various domains of life. The intervention consisted of separate training measures for nursing staff and treating physicians. The primary objective of reducing the mean pain intensity by 2 points was not achieved, partly because the mean pain intensity at baseline was relatively low. However, marginal reductions in pain were observed in the longitudinal assessment at 6-month follow up. The intervention and control groups differed significantly in the intensity sum score and in the domain of walking. Furthermore, the proportion of respondents with pain scores >0 on three pain intensity items decreased significantly. Given the multifocal nature of the pain experienced by nursing home residents, improving the pain situation of this vulnerable group is a major challenge. To achieve meaningful effects not only in pain intensity, but especially in pain interference with function, training measures for nursing staff and physicians need to be intensified, and long-term implementation appears necessary. Geriatr Gerontol Int 2017; 17: 1534-1543. © 2016 Japan Geriatrics Society.

  13. Physiologic and psychosocial approaches to global management of the hemodialysis patient in the Southern Alberta Renal Program.

    Science.gov (United States)

    Cormier, Tina; Magat, Ofelia; Hager, Suzy; Ng, Fanny; Lee, Miran

    2012-01-01

    As frontline nurses, we know firsthand the many challenges of renal disease faced by our patients and the impact on their lives and their families. How can we help them cope with their illness? How can we improve their quality of life? How can we prevent the complications inherent to the disease? How do we know we are doing a good job? Where do we start? The purpose of this presentation is to showcase the global management of the hemodialysis (HD) patient. It provides a collaborative and systematic approach to assessing, implementing, evaluating and coordinating the physiologic and the psychosocial aspects of their care. It is a model of case management followed by the Southern Alberta Renal Program (SARP) in meeting the many and complex needs of our hemodialysis patients. The quality indicators, to name a few, that relate to the physiologic aspects of their care are dialysis adequacy and fluid removal, improved blood pressure (BP) control, maintenance and improved vascular access function, anemia, bone and mineral disease management, nutritional, and diabetes management. The psychosocial aspects of care encompass goals of care, residential support, transportation, and mobility programs in the community. There may be positive implications resulting from our practice that we believe would be invaluable in terms of improved patient care, increased adherence to therapeutic regimens, improved mortality and morbidity and overall enhanced quality of life. Moreover, better communication would possibly be fostered and wise and prompt use of resources may be a result. To date, we have not done studies to prove or disprove these outcomes.

  14. Incorporating genetic sampling in long-term monitoring and adaptive management in the San Diego County Management Strategic Plan Area, Southern California

    Science.gov (United States)

    Vandergast, Amy G.

    2017-06-02

    Habitat and species conservation plans usually rely on monitoring to assess progress towards conservation goals. Southern California, USA, is a hotspot of biodiversity and home to many federally endangered and threatened species. Here, several regional multi-species conservation plans have been implemented to balance development and conservation goals, including in San Diego County. In the San Diego County Management Strategic Plan Area (MSPA), a monitoring framework for the preserve system has been developed with a focus on species monitoring, vegetation monitoring, threats monitoring and abiotic monitoring. Genetic sampling over time (genetic monitoring) has proven useful in gathering species presence and abundance data and detecting population trends, particularly related to species and threats monitoring objectives. This report reviews genetic concepts and techniques of genetics that relate to monitoring goals and outlines components of a genetic monitoring scheme that could be applied in San Diego or in other monitoring frameworks throughout the Nation.

  15. Intensive interdisciplinary outpatient pain management program for chronic back pain: a pilot study

    Directory of Open Access Journals (Sweden)

    Artner J

    2012-07-01

    Full Text Available Juraj Artner, Stephan Kurz, Balkan Cakir, Heiko Reichel, Friederike LattigDepartment of Orthopaedic Surgery, University of Ulm, RKU, GermanyBackground: Chronic back pain is relatively resistant to unimodal therapy regimes. The aim of this study was to introduce and evaluate the short-term outcome of a three-week intensive multidisciplinary outpatient program for patients with back pain and sciatica, measured according to decrease of functional impairment and pain.Methods: The program was designed for patients suffering from chronic back pain to provide intensive interdisciplinary therapy in an outpatient setting, consisting of interventional injection techniques, medication, exercise therapy, back education, ergotherapy, traction, massage therapy, medical training, transcutaneous electrical nerve stimulation, aquatraining, and relaxation.Results: Based on Oswestry Disability Index (ODI and Numeric Rating Scale (NRS scores, a significant improvement in pain intensity and functionality of 66.83% NRS and an ODI of 33.33% were achieved by our pain program within 3 weeks.Conclusion: This paper describes the organization and short-term outcome of an intensive multidisciplinary program for chronic back pain on an outpatient basis provided by our orthopedic department, with clinically significant results.Keywords: chronic back pain, intense, multidisciplinary, program, outpatient

  16. Climate variability and El Niño Southern Oscillation: implications for natural coastal resources and management

    Science.gov (United States)

    Thatje, Sven; Heilmayer, Olaf; Laudien, Jürgen

    2008-03-01

    The El Niño Southern Oscillation (ENSO) significantly influences marine ecosystems and the sustained exploitation of marine resources in the coastal zone of the Humboldt Current upwelling system. Both its warm (El Niño: EN) and cold (La Niña: LN) phase have drastic implications for the ecology, socio-economy and infrastructure along most of Pacific South America. Local artisanal fisheries, which especially suffer from the effects of EN, represent a major part for the domestic economy of Chile and Peru and in consequence a huge amount of published and unpublished studies exists aiming at identifying effects of EN and LN. However, most processes and underlying mechanisms fostering the ecology of organisms along Pacific South America have not been analyzed yet and for the marine realm most knowledge is traditionally based on rather descriptive approaches. We herein advocate that small-scale comparative and interdisciplinary process studies work as one possible solution to understand better the variability observed in EN/LN effects at local scale. We propose that differences in small-scale impacts of ENSO along the coast rather than the macro-ecological and oceanographic view are essential for the sustainable management of costal ecosystems and the livelihood of the people depending on it. Based on this, we summarize the conceptual approach from the EU-funded International Science and Technology Cooperation (INCO) project “Climate variability and El Niño Southern Oscillation: Implications for Natural Coastal Resources and Management (CENSOR)” that aims at enhancing the detection, compilation, and understanding of EN and LN effects on the coastal zone and its natural resources. We promote a multidisciplinary avenue within present international funding schemes, with the intention to bridge the traditional gap between basic and applied coastal research. The long-term aim is an increased mitigation of harm caused by EN as well as a better use of beneficial effects

  17. Chronic Diseases in North-West Tanzania and Southern Uganda. Public Perceptions of Terminologies, Aetiologies, Symptoms and Preferred Management.

    Directory of Open Access Journals (Sweden)

    Soori Nnko

    Full Text Available Research has shown that health system utilization is low for chronic diseases (CDs other than HIV. We describe the knowledge and perceptions of CDs identified from rural and urban communities in north-west Tanzania and southern Uganda.Data were collected through a quantitative population survey, a quantitative health facility survey and focus group discussions (FGDs and in-depth interviews (IDIs in subgroups of population survey participants. The main focus of this paper is the findings from the FGDs and IDIs.We conducted 24 FGDs, involving approximately 180 adult participants and IDIs with 116 participants (≥18 years. CDs studied included: asthma/chronic obstructive lung disease (COPD, diabetes, epilepsy, hypertension, cardiac failure and HIV- related disease. The understanding of most chronic conditions involved a combination of biomedical information, gleaned from health facility visits, local people who had suffered from a complaint or knew others who had and beliefs drawn from information shared in the community. The biomedical contribution shows some understanding of the aetiology of a condition and the management of that condition. However, local beliefs for certain conditions (such as epilepsy suggest that biomedical treatment may be futile and therefore work counter to biomedical prescriptions for management.Current perceptions of selected CDs may represent a barrier that prevents people from adopting efficacious health and treatment seeking behaviours. Interventions to improve this situation must include efforts to improve the quality of existing health services, so that people can access relevant, reliable and trustworthy services.

  18. The southern Hessen waste management task force - initial situation, objectives, state of development; Suedhessische Arbeitsgemeinschaft Abfallwirtschaft - Ausgangssituation, Zielsetzung und Entwicklungsstand

    Energy Technology Data Exchange (ETDEWEB)

    Braun, H.J. [Stadt Darmstadt (Germany)

    1998-12-31

    In 1994, the rural districts of Darmstadt-Dieburg, Bergstrasse, Odenwald and Gross-Gerau in southern Hessen and the town of Darmstadt concluded a cooperation agreement permitting them to meet the future demands of the technical code on municipal waste and the `Kreislaufwirtschafts- und Abfallgesetz` (act concerning waste recycling and waste management). In order to formally prepare different forms of cooperation and to accompany corresponding preliminary investigations, the Suedhessische Arbeitsgemeinschaft Abfallwirtschaft (SAGA) was founded as a municipal task force. SAGA`s task is to debate common affairs in the waste management sector with a view to joint planning and joint facilities. In particular, the requirements of the technical code on municipal waste must be met. (orig.) [Deutsch] Im Jahre 1994 haben die suedhessischen Landkreise Darmstadt-Dieburg, Bergstrasse, Odenwald, Gross-Gerau sowie die Stadt Darmstadt beschlossen, bezueglich der kuenftigen Anforderung der TA Siedlungsabfall und des Kreislaufwirtschafts- und Abfallgesetzes zu kooperieren. Zur formellen Vorbereitung von verschiedenen dann auszufuehrenden Kooperationsformen und zur Begleitung entsprechender Voruntersuchungen wurde die Suedhessische Arbeitsgemeinschaft Abfallwirtschaft (SAGA) als Kommunale Arbeitsgemeinschaft gegruendet. Aufgabe der Kommunalen Arbeitsgemeinschaft ist es, gemeinsam beruehrende Angelegenheiten im Abfallbereich unter dem Gesichtspunkt gemeinsamer Planung und gemeinsamer Einrichtungen zu beraten. Hierbei sollen insbesondere die Vorgaben der TA Siedlungsabfall beruecksichtigt werden. (orig.)

  19. Integrated water resources management and infrastructure planning for water security in Southern Africa

    Science.gov (United States)

    Mapani, Benjamin; Magole, Lapologang; Makurira, Hodson; Meck, Maideyi; Mkandawire, Theresa; Mul, Marloes; Ngongondo, Cosmo

    2017-08-01

    This volume has brought together papers that are peer reviewed emanating from the WaterNet/WARFSA/GWP-SA 16th Symposium. The papers cover the following themes: Hydrology, Water and Environment, Water and Land, Water and Society, Water Supply and Sanitation and Water Resources Management.

  20. Integrating the Indigenous Knowledge of Borana Pastoralists into Rangeland Management Strategies in Southern Ethiopia

    OpenAIRE

    World Bank

    2005-01-01

    Pastoralists' indigenous knowledge (IK) about ecology and social organization led to rangeland-management strategies appropriate to deal with the erratic rainfall in African drylands. Herd mobility was traditionally practiced as the key strategy to make use of the scattered rangeland resources on a large scale.

  1. Use of Glyphosate and Imazapyr for Cogongrass (Imperata cylindrica) management in southern pine forests

    Science.gov (United States)

    Patrick J. Minogue; James H. Miller; Dwight K. Lauer

    2012-01-01

    Cogongrass (Imperata cylindrica [L.] P. Beauv. var. major [Nees] C.E. Hubb) is one of the most invasive perennial grasses worldwide and has progressively infested managed and natural habitats in the mid-South over the past 100 years. To extend past research toward the goal of eradication on forested sites, we tested the most effective herbicides (glyphosate and...

  2. Diversity in crop residue management across an intensification gradient in southern Africa

    NARCIS (Netherlands)

    Rusinamhodzi, Leonard; Corbeels, Marc; Giller, Ken E.

    2016-01-01

    Crop residues are important for livestock feed and nutrient cycling among many other functions on smallholder farming systems of sub-Saharan Africa. The objective of this study was to assess differences in resource endowment, crop productivity and crop residue management in selected sites in

  3. Clinical features, management and outcomes of progressive outer retinal necrosis (PORN) in southern Thailand.

    Science.gov (United States)

    Sittivarakul, Wantanee; Aui-aree, Nipat

    2009-03-01

    To study the demographics, clinical features, treatment, and visual outcomes of progressive outer retinal necrosis (PORN) in a group of Thai patients. All cases of AIDS with a clinical diagnosis of PORN in a major tertiary referral hospital in southern Thailand between January 2003 and June 2007 were retrospectively reviewed. Demographic data, clinical features, treatment regimens, and visual outcomes were analyzed. Seven patients (11 eyes) were studied. The mean age was 44.7 years. The median CD4 count was 12 cells/mm3. A known history of cutaneous zoster was documented in 57% of cases. The median follow-up period was 17 weeks. Fifty-seven percent of the patients had bilateral disease. A majority of eyes (45.4%) had initial visual acuity of less than 20/50 to equal to or better than 20/200. About two-thirds of the eyes had anterior chamber cells. Vitritis and retinal lesions scattered throughout both posterior pole and peripheral retina were found in 72.7%. Either intravenous acyclovir in combination with intravitreal ganciclovir injections or intravenous aclyclovir alone was used for initial treatment. Retinal detachment occurred in 54.5%. Final visual acuity worsened (loss of 3 lines on the ETDRS chart or more) in 60%. Visual acuity was no light perception in 45.5% at the final recorded follow-up. Demographics, clinical features and treatment outcomes of PORN in this group of Thai patients were comparable with studies from other countries. Visual prognosis is still poor with current treatment regimens.

  4. Soil management effect on soil quality indicators in vineyards of the Appellation of Origin "Montilla-Moriles" in southern Spain

    Science.gov (United States)

    Guzmán, Gema; Cabezas, José Manuel; Bauer, Thomas; Strauss, Peter; Winter, Silvia; Zaller, Johann; Gómez, José Alfonso

    2017-04-01

    The effect soil management on several indicators frequently used in the assessment of soil quality it is not always reflected unambiguously when measured at the field although it is normally assumed that this relation is straightforward. Within the European project VineDivers (www.vinedivers.eu), sixteen commercial vineyards belonging to the Appellation of Origin "Montilla-Moriles" (Córdoba) and covering a wide range of textural classes were selected. These farms were classified 'a priori' under two soil management categories: temporal cover crop and bare soil during the whole year. In each of the vineyards one representative inter-row was selected in order to characterise different physical, chemical and biological parameters to evaluate some aspects related to soil quality. Results indicate that the studied indicators respond clearly to soil textural class and vegetation cover biomass. However, there was no clear difference in above-ground biomass of the two management categories (Guzmán et al., 2016). These results suggest that the interpretation and extrapolation of the indicators evaluated should incorporate complementary information to characterise small variations of soil management intensity among vineyards that are apparently managed under the same management category. The communication presents this analysis based on the number and type of soil disturbance events of all vineyards. The high variability found among vineyards under the same management highlights the relevance of measuring these soil parameters used as quality indicators, instead of extrapolating from other vineyards or agricultural systems, and interpreting them according to baseline levels. References: Guzmán G., Cabezas J.M., Gómez J.A. 2016. Evaluación preliminar del efecto del manejo del suelo en indicadores que determinan su calidad en viñedos de la Denominación de Origen Montilla Moriles. II Jornadas de Viticultura SECH. Madrid.

  5. Impact of river basin management on coastal water quality and ecosystem services: A southern Baltic estuary

    Science.gov (United States)

    Schernewski, Gerald; Hürdler, Jens; Neumann, Thomas; Stybel, Nardine; Venohr, Markus

    2010-05-01

    Eutrophication management is still a major challenge in the Baltic Sea region. Estuaries or coastal waters linked to large rivers cannot be managed independently. Nutrient loads into these coastal ecosystems depend on processes, utilisation, structure and management in the river basin. In practise this means that we need a large scale approach and integrated models and tools to analyse, assess and evaluate the effects of nutrient loads on coastal water quality as well as the efficiency of river basin management measures on surface waters and especially lagoons and estuaries. The Odra river basin, the Szczecin Lagoon and its coastal waters cover an area of about 150,000 km² and are an eutrophication hot-spot in the Baltic region. To be able to carry out large scale, spatially integrative analyses, we linked the river basin nutrient flux model MONERIS to the coastal 3D-hydrodynamic and ecosystem model ERGOM. Objectives were a) to analyse the eutrophication history in the river basin and the resulting functional changes in the coastal waters between early 1960's and today and b) to analyse the effects of an optimal nitrogen and phosphorus management scenario in the Oder/Odra river basin on coastal water quality. The models show that an optimal river basin management with reduced nutrient loads (e.g. N-load reduction of 35 %) would have positive effects on coastal water quality and algae biomass. The availability of nutrients, N/P ratios and processes like denitrification and nitrogen-fixation would show spatial and temporal changes. It would have positive consequences for ecosystems functions, like the nutrient retention capacity, as well. However, this optimal scenario is by far not sufficient to ensure a good coastal water quality according to the European Water Framework Directive. A "good" water quality in the river will not be sufficient to ensure a "good" water quality in the coastal waters. Further, nitrogen load reductions bear the risk of increased

  6. Management of neutropenic patients in the intensive care unit (NEWBORNS EXCLUDED) recommendations from an expert panel from the French Intensive Care Society (SRLF) with the French Group for Pediatric Intensive Care Emergencies (GFRUP), the French Society of Anesthesia and Intensive Care (SFAR), the French Society of Hematology (SFH), the French Society for Hospital Hygiene (SF2H), and the French Infectious Diseases Society (SPILF).

    Science.gov (United States)

    Schnell, David; Azoulay, Elie; Benoit, Dominique; Clouzeau, Benjamin; Demaret, Pierre; Ducassou, Stéphane; Frange, Pierre; Lafaurie, Matthieu; Legrand, Matthieu; Meert, Anne-Pascale; Mokart, Djamel; Naudin, Jérôme; Pene, Frédéric; Rabbat, Antoine; Raffoux, Emmanuel; Ribaud, Patricia; Richard, Jean-Christophe; Vincent, François; Zahar, Jean-Ralph; Darmon, Michael

    2016-12-01

    Neutropenia is defined by either an absolute or functional defect (acute myeloid leukemia or myelodysplastic syndrome) of polymorphonuclear neutrophils and is associated with high risk of specific complications that may require intensive care unit (ICU) admission. Specificities in the management of critically ill neutropenic patients prompted the establishment of guidelines dedicated to intensivists. These recommendations were drawn up by a panel of experts brought together by the French Intensive Care Society in collaboration with the French Group for Pediatric Intensive Care Emergencies, the French Society of Anesthesia and Intensive Care, the French Society of Hematology, the French Society for Hospital Hygiene, and the French Infectious Diseases Society. Literature review and formulation of recommendations were performed using the Grading of Recommendations Assessment, Development and Evaluation system. Each recommendation was then evaluated and rated by each expert using a methodology derived from the RAND/UCLA Appropriateness Method. Six fields are covered by the provided recommendations: (1) ICU admission and prognosis, (2) protective isolation and prophylaxis, (3) management of acute respiratory failure, (4) organ failure and organ support, (5) antibiotic management and source control, and (6) hematological management. Most of the provided recommendations are obtained from low levels of evidence, however, suggesting a need for additional studies. Seven recommendations were, however, associated with high level of evidences and are related to protective isolation, diagnostic workup of acute respiratory failure, medical management, and timing surgery in patients with typhlitis.

  7. Service Level Agreements as Vehicles for Managing Acquisition of Software-Intensive Systems

    National Research Council Canada - National Science Library

    Gaines, Leonard T; Michael, James B

    2005-01-01

    ... to support quality and process control throughout the entire lifecycle of a software-intensive system. This article defines SLAs, discusses software quality and describes how SLAS can be utilized to incorporate requirements pertaining to product, process, project, and deployment quality throughout the software lifecycle.

  8. The Role of Leadership: The Challenge of Knowledge Management and Learning in Knowledge-Intensive Organizations

    Science.gov (United States)

    Mas-Machuca, Marta

    2014-01-01

    Knowledge and learning are important driving forces for business success and competitiveness, especially in the knowledge-intensive organizations (KIO's) whose core business is to create and sell knowledge (e.g. education, R&D units, and consultancy organizations, among others). Previous works suggested one of the Critical Success Factor (CSF)…

  9. Effectiviteit van een klassieke Crew Resource Management training in de Intensive Care: een gecontroleerde studie.

    NARCIS (Netherlands)

    Kemper, P.F.; Bruijne, M. de; Dyck, C. van; So, K.L.; Tangkau, P.; Wagner, C.

    2013-01-01

    Achtergrond: Er is een toenemende bewustwording dat onbedoelde zorg gerelateerde schade in de gezondheidszorg vaker voortvloeit uit problemen met niet-technische vaardigheden, dan door een gebrek in technische, of klinische, vaardigheden. Dit is vooral van belang in de Intensive Care (IC), waar

  10. Forest Edge Regrowth Typologies in Southern Sweden—Relationship to Environmental Characteristics and Implications for Management

    DEFF Research Database (Denmark)

    Wiström, Björn; Nielsen, Anders Busse

    2017-01-01

    clustering approaches, dominant tree species to be controlled and future building block species for management were identified. Using multivariate regression trees, the most decisive environmental variables were identified and used to develop a regrowth typology and to calculate species indicator values....... Five regrowth types and ten indicator species were identified along the environmental gradients of soil moisture, soil fertility, and altitude. Six tree species dominated the regrowth across the regrowth types, but clustering showed that if these were controlled by selective thinning, lower tree...... and shrub species were generally present so they could form the “building blocks” for development of a graded edge. We concluded that selective thinning targeted at controlling a few dominant tree species, here named Functional Species Control, is a simple and easily implemented management concept...

  11. Mining residential water and electricity demand data in Southern California to inform demand management strategies

    Science.gov (United States)

    Cominola, A.; Spang, E. S.; Giuliani, M.; Castelletti, A.; Loge, F. J.; Lund, J. R.

    2016-12-01

    Demand side management strategies are key to meet future water and energy demands in urban contexts, promote water and energy efficiency in the residential sector, provide customized services and communications to consumers, and reduce utilities' costs. Smart metering technologies allow gathering high temporal and spatial resolution water and energy consumption data and support the development of data-driven models of consumers' behavior. Modelling and predicting resource consumption behavior is essential to inform demand management. Yet, analyzing big, smart metered, databases requires proper data mining and modelling techniques, in order to extract useful information supporting decision makers to spot end uses towards which water and energy efficiency or conservation efforts should be prioritized. In this study, we consider the following research questions: (i) how is it possible to extract representative consumers' personalities out of big smart metered water and energy data? (ii) are residential water and energy consumption profiles interconnected? (iii) Can we design customized water and energy demand management strategies based on the knowledge of water- energy demand profiles and other user-specific psychographic information? To address the above research questions, we contribute a data-driven approach to identify and model routines in water and energy consumers' behavior. We propose a novel customer segmentation procedure based on data-mining techniques. Our procedure consists of three steps: (i) extraction of typical water-energy consumption profiles for each household, (ii) profiles clustering based on their similarity, and (iii) evaluation of the influence of candidate explanatory variables on the identified clusters. The approach is tested onto a dataset of smart metered water and energy consumption data from over 1000 households in South California. Our methodology allows identifying heterogeneous groups of consumers from the studied sample, as well as

  12. Forest Edge Regrowth Typologies in Southern Sweden-Relationship to Environmental Characteristics and Implications for Management.

    Science.gov (United States)

    Wiström, Björn; Busse Nielsen, Anders

    2017-07-01

    After two major storms, the Swedish Transport Administration was granted permission in 2008 to expand the railroad corridor from 10 to 20 m from the rail banks, and to clear the forest edges in the expanded area. In order to evaluate the possibilities for managers to promote and control the species composition of the woody regrowth so that a forest edge with a graded profile develops over time, this study mapped the woody regrowth and environmental variables at 78 random sites along the 610-km railroad between Stockholm and Malmö four growing seasons after the clearing was implemented. Through different clustering approaches, dominant tree species to be controlled and future building block species for management were identified. Using multivariate regression trees, the most decisive environmental variables were identified and used to develop a regrowth typology and to calculate species indicator values. Five regrowth types and ten indicator species were identified along the environmental gradients of soil moisture, soil fertility, and altitude. Six tree species dominated the regrowth across the regrowth types, but clustering showed that if these were controlled by selective thinning, lower tree and shrub species were generally present so they could form the "building blocks" for development of a graded edge. We concluded that selective thinning targeted at controlling a few dominant tree species, here named Functional Species Control, is a simple and easily implemented management concept to promote a wide range of suitable species, because it does not require field staff with specialist taxonomic knowledge.

  13. Implementation of crew resource management: a qualitative study in 3 intensive care units.

    NARCIS (Netherlands)

    Kemper, P.F.; Dyck, C. van; Wagner, C.; Bruijne, M. de

    2017-01-01

    Objectives: Classroom-based crew resource management (CRM) training has been increasingly applied in health care to improve safe patient care. Crew resource management aims to increase participants' understanding of how certain threats can develop as well as provides tools and skills to respond to

  14. Assessing participatory practices in community-based natural resource management: experiences in community engagement from southern Africa.

    Science.gov (United States)

    Dyer, J; Stringer, L C; Dougill, A J; Leventon, J; Nshimbi, M; Chama, F; Kafwifwi, A; Muledi, J I; Kaumbu, J-M K; Falcao, M; Muhorro, S; Munyemba, F; Kalaba, G M; Syampungani, S

    2014-05-01

    The emphasis on participatory environmental management within international development has started to overcome critiques of traditional exclusionary environmental policy, aligning with shifts towards decentralisation and community empowerment. However, questions are raised regarding the extent to which participation in project design and implementation is meaningful and really engages communities in the process. Calls have been made for further local-level (project and community-scale) research to identify practices that can increase the likelihood of meaningful community engagement within externally initiated projects. This paper presents data from three community-based natural resource management (CBNRM) project case studies from southern Africa, which promote Joint Forest Management (JFM), tree planting for carbon and conservation agriculture. Data collection was carried out through semi-structured interviews with key stakeholders, community-level meetings, focus groups and interviews. We find that an important first step for a meaningful community engagement process is to define 'community' in an open and participatory manner. Two-way communication at all stages of the community engagement process is shown to be critical, and charismatic leadership based on mutual respect and clarity of roles and responsibilities is vital to improve the likelihood of participants developing understanding of project aims and philosophy. This can lead to successful project outcomes through community ownership of the project goals and empowerment in project implementation. Specific engagement methods are found to be less important than the contextual and environmental factors associated with each project, but consideration should be given to identifying appropriate methods to ensure community representation. Our findings extend current thinking on the evaluation of participation by making explicit links between the community engagement process and project outcomes, and by

  15. The neutron beam intensity increase by in-core fuel management enhancement in multipurpose research reactors

    International Nuclear Information System (INIS)

    Martinc, R.; Vukadin, Z.; Konstantinovic, J.

    1986-01-01

    The exploitation characteristics of an existing multipurpose research reactor can be increased not only by great reconstruction, but also, to the considerable extent, by the in-core fuel management sophistication. The optimisation of the in-core fuel management procedure in such reactors is governed (among others) by the identified reactor utilisation goals, i.e. by weighting factors dedicated to different utilisation goals, which are often (regarding the in-core fuel management procedure) highly controversial. In this work the best solution for in-core fuel management is sought, with the highest weighting factor dedicated to the neutron beam usage, rather than sample irradiation in the reactor core. The term in-core fuel management includes: the core configuration, the locations of the fresh fuel inflow zone and spent fuel excite zone, and the fuel transfers between these two zones (author)

  16. [Managed care. Its impact on health care in the USA, especially on anesthesia and intensive care].

    Science.gov (United States)

    Bauer, M; Bach, A

    1998-06-01

    Managed care, i.e., the integration of health insurance and delivery of care under the direction of one organization, is gaining importance in the USA health market. The initial effects consisted of a decrease in insurance premiums, a very attractive feature for employers. Managed care promises to contain expenditures for health care. Given the shrinking public resources in Germany, managed care seems attractive for the German health system, too. In this review the development of managed care, the principal elements, forms of organisation and practical tools are outlined. The regulation of the delivery of care by means of controlling and financial incentives threatens the autonomy of physicians: the physician must act as a "double agent", caring for the interest for the individual patient and being restricted by the contract with the managed care organisation. Cost containment by managed care was achieved by reducing the fees for physicians and hospitals (and partly by restricting care for patients). Only a fraction of this cost reduction was handed over to the enrollee or employer, and most of the money was returned with profit to the shareholders of the managed care organisations. The preeminent role of primary care physicians as gatekeepers of the health network led to a reduced demand for specialist services in general and for university hospitals and anesthesiologists in particular. The paradigm of managed care, i.e., to guide the patient and the care giver through the health care system in order to achieve cost-effective and high quality care, seems very attractive. The stress on cost minimization by any means in the daily practice of managed care makes it doubtful if managed care should be an option for the German health system, in particular because there are a number of restrictions on it in German law.

  17. Southern African Business Review

    African Journals Online (AJOL)

    The Southern African Business Review is a refereed and accredited scientific journal of the College of Economic and Management Sciences of the .... The effects of extended water supply disruptions on the operations of SMEs · EMAIL FREE ...

  18. Importance of the use of protocols for the management of analgesia and sedation in pediatric intensive care unit

    Directory of Open Access Journals (Sweden)

    Emiliana Motta

    Full Text Available Summary Introduction: Analgesia and sedation are essential elements in patient care in the intensive care unit (ICU, in order to promote the control of pain, anxiety and agitation, prevent the loss of devices, accidental extubation, and improve the synchrony of the patient with mechanical ventilation. However, excess of these medications leads to rise in morbidity and mortality. The ideal management will depend on the adoption of clinical and pharmacological measures, guided by scales and protocols. Objective: Literature review on the main aspects of analgesia and sedation, abstinence syndrome, and delirium in the pediatric intensive care unit, in order to show the importance of the use of protocols on the management of critically ill patients. Method: Articles published in the past 16 years on PubMed, Lilacs, and the Cochrane Library, with the terms analgesia, sedation, abstinence syndrome, mild sedation, daily interruption, and intensive care unit. Results: Seventy-six articles considered relevant were selected to describe the importance of using a protocol of sedation and analgesia. They recommended mild sedation and the use of assessment scales, daily interruptions, and spontaneous breathing test. These measures shorten the time of mechanical ventilation, as well as length of hospital stay, and help to control abstinence and delirium, without increasing the risk of morbidity and morbidity. Conclusion: Despite the lack of controlled and randomized clinical trials in the pediatric setting, the use of protocols, optimizing mild sedation, leads to decreased morbidity.

  19. Strategic threat management: an exploration of nursing strategies in the pediatric intensive care unit.

    Science.gov (United States)

    Durso, Francis T; Ferguson, Ashley N; Kazi, Sadaf; Cunningham, Charlene; Ryan, Christina

    2015-03-01

    Part of the work of a critical care nurse is to manage the threats that arise that could impede efficient and effective job performance. Nurses manage threats by employing various strategies to keep performance high and workload manageable. We investigated strategic threat management by using the Threat-Strategy Interview. Threats frequently involved technology, staff, or organizational components. The threats were managed by a toolbox of multifaceted strategies, the most frequent of which involved staff-, treatment- (patient + technology), examination- (patient + clinician), and patient-oriented strategies. The profile of strategies for a particular threat often leveraged work facets similar to the work facet that characterized the threat. In such cases, the nurse's strategy was directed at eliminating the threat (not working around it). A description at both a domain invariant level - useful for understanding strategic threat management generally - and a description at an operational, specific level - useful for guiding interventions-- are presented. A structural description of the relationship among threats, strategies, and the cues that trigger them is presented in the form of an evidence accumulation framework of strategic threat management. Copyright © 2014 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  20. Traditional medicines and alternative practice in the management of prostate diseases in southern Ghana.

    Science.gov (United States)

    Kyei, Mathew Y; Klufio, George O; Ayamba, Ali; Mohammed, Sherif

    2017-09-01

    This study was aimed at identifying Ghanaian traditional medicines used for the management of prostate diseases and their constituents. Reviews of studies conducted on them are also presented. This was a prospective study. Traditional Medicine samples from consecutive patients with either lower urinary symptoms (LUTS) presenting at the Urology Unit of the Korle Bu Teaching Hospital (KBTH) in Accra from January 2015 to June 2016 and had a prior treatment with traditional medicines, had the samples retrieved. Additionally, all the 58 licensed pharmaceutical shops in Okaishie, a whole sale and retail depot for medicines in the main business district of Accra, were visited and traditional medicines for the management of prostate diseases acquired. The products constituent as labeled were documented and entered once on a proforma. This study was part of a study on the management of benign prostate hyperplasia at the KBTH approved by the Medical Directorate.The findings were analyzed and presented using descriptive statistics and presented as a table. Eleven products were identified with the main indigenous medicinal plant identified being the root extract of Croton membranaceus . This was the constituent in four products (Uro 500 ® , UR-Quick mixture ® , Prostacure® and prostat®60). Although studies on the basic pharmacology and animal studies have confirmed its effect on the prostate, only one clinical study was identified. Croton membranaceus was the indigenous traditional medicine identified for relieving LUTS due to prostate disease. There is the need for empirical evidence on its efficacy in treating Prostate cancer. Not declared.

  1. Management of asaí (Euterpe precatoria Mart. for fruit production in southern Colombian Amazonia

    Directory of Open Access Journals (Sweden)

    Carolina Isaza Aranguren

    2014-06-01

    Full Text Available The fruits of asaí (Euterpe precatoria Mart. are a traditional food for Amazonian inhabitants who harvest it from wild populations, employing management practices that affect palm populations and productivity. Here we present management data on fruit harvesting in a Tikuna community in the Colombian Amazon. We identified the market structure in Leticia and evaluated the population structure and fruit productivity in a scarcely harvested forest and a heavily harvested one. We performed interviews to determine management and market practices and we established plots to identify population structure and productivity. Harvesting is mostly for self-supply and palm felling is the main method. The fruits are mostly consumed and marketed as juice. The asaí market is small and seasonal but it represents an important source of income for many, mainly indigenous, families. The population density was 1 680 individuals and 248 adults/ha in San Martín de Amacayacu, where harvesting was from 2 % of all adult palms, and 916 individuals and 30 adults/ha in Leticia, where harvesting was from 23 % of all adult palms. The population structure in both sites followed an in-verted J-curve in which the majority of the individuals were seedlings. Productivity was 2.2 ton/ha/ year in San Martín de Amacayacu and 0.33 ton/ha/ year in Leticia. The population in Leticia is heavily harvested to supply the local market and the consequences of this use are a reduction in population density and fruit productivity and a low abundance of individuals in all size classes.

  2. Modelling predation by transient leopard seals for an ecosystem-based management of Southern Ocean fisheries

    Science.gov (United States)

    Forcada, J.; Royle, J. Andrew; Staniland, I.J.

    2009-01-01

    Correctly quantifying the impacts of rare apex marine predators is essential to ecosystem-based approaches to fisheries management, where harvesting must be sustainable for targeted species and their dependent predators. This requires modelling the uncertainty in such processes as predator life history, seasonal abundance and movement, size-based predation, energetic requirements, and prey vulnerability. We combined these uncertainties to evaluate the predatory impact of transient leopard seals on a community of mesopredators (seals and penguins) and their prey at South Georgia, and assess the implications for an ecosystem-based management. The mesopredators are highly dependent on Antarctic krill and icefish, which are targeted by regional fisheries. We used a state-space formulation to combine (1) a mark-recapture open-population model and individual identification data to assess seasonally variable leopard seal arrival and departure dates, numbers, and residency times; (2) a size-based bioenergetic model; and (3) a size-based prey choice model from a diet analysis. Our models indicated that prey choice and consumption reflected seasonal changes in leopard seal population size and structure, size-selective predation and prey vulnerability. A population of 104 (90?125) leopard seals, of which 64% were juveniles, consumed less than 2% of the Antarctic fur seal pup production of the area (50% of total ingested energy, IE), but ca. 12?16% of the local gentoo penguin population (20% IE). Antarctic krill (28% IE) were the only observed food of leopard seal pups and supplemented the diet of older individuals. Direct impacts on krill and fish were negligible, but the ?escapement? due to leopard seal predation on fur seal pups and penguins could be significant for the mackerel icefish fishery at South Georgia. These results suggest that: (1) rare apex predators like leopard seals may control, and may depend on, populations of mesopredators dependent on prey species

  3. Intensive care management of patients with severe intracerebral haemorrhage after endovascular treatment of brain arteriovenous malformations

    International Nuclear Information System (INIS)

    Keller, E.; Yonekawa, Y.; Imhof, H.G.; Tanaka, M.; Valavanis, Anton

    2002-01-01

    We studied the impact of emergency neurosurgery and intensive care on the outcome for patients with severe intracerebral haemorrhage after endovascular treatment of brain arteriovenous malformations (AVMs). We reviewed the case notes of 18 patients with severe haemorrhage after embolisation of a brain AVM between 1986 and 2001. During this period the treatment changed: before 1993, these patients were not surgically treated, and they died, while after 1994, all patients underwent emergency surgery. We established a standardised protocol for emergency treatment and intensive care in May 1998, and emergency surgery was performed as soon as possible after the onset of symptoms of haemorrhage. Postoperative intensive care was according to a standardised regime. During these 15 years, 24 out of 605 patients undergoing 1066 interventions had a haemorrhage during or after the procedure, of which 18 were severe (3% of patients, 1.7% of interventions). All patients had a severe clinical deficit (mean Glasgow coma scale 4.2); eight had uni- or bilateral mydriasis. From 1989 to April 1998 four (31%) of 13 patients died, one (7.5%) remained in a vegetative state and eight (61.5%) made a good recovery. All five patients treated between 1998 and 2001 had a favourable outcome. The mean time from onset of the symptoms of haemorrhage to reaching the operation room was 129 min between 1989 and 1998 and 24 min between 1998 and 2001. Standardised emergency treatment and intensive care with early resuscitation, minimal radiological exploration before rapid surgery improved the outcome. A short time between the onset of the symptoms of haemorrhage and evacuation of the haematoma may be the most important factor for a favourable outcome. (orig.)

  4. Greenhouse gas emissions from alternative futures of deforestation and agricultural management in the southern Amazon.

    Science.gov (United States)

    Galford, Gillian L; Melillo, Jerry M; Kicklighter, David W; Cronin, Timothy W; Cerri, Carlos E P; Mustard, John F; Cerri, Carlos C

    2010-11-16

    The Brazilian Amazon is one of the most rapidly developing agricultural areas in the world and represents a potentially large future source of greenhouse gases from land clearing and subsequent agricultural management. In an integrated approach, we estimate the greenhouse gas dynamics of natural ecosystems and agricultural ecosystems after clearing in the context of a future climate. We examine scenarios of deforestation and postclearing land use to estimate the future (2006-2050) impacts on carbon dioxide (CO(2)), methane (CH(4)), and nitrous oxide (N(2)O) emissions from the agricultural frontier state of Mato Grosso, using a process-based biogeochemistry model, the Terrestrial Ecosystems Model (TEM). We estimate a net emission of greenhouse gases from Mato Grosso, ranging from 2.8 to 15.9 Pg CO(2)-equivalents (CO(2)-e) from 2006 to 2050. Deforestation is the largest source of greenhouse gas emissions over this period, but land uses following clearing account for a substantial portion (24-49%) of the net greenhouse gas budget. Due to land-cover and land-use change, there is a small foregone carbon sequestration of 0.2-0.4 Pg CO(2)-e by natural forests and cerrado between 2006 and 2050. Both deforestation and future land-use management play important roles in the net greenhouse gas emissions of this frontier, suggesting that both should be considered in emissions policies. We find that avoided deforestation remains the best strategy for minimizing future greenhouse gas emissions from Mato Grosso.

  5. Comparative ethnoentomology of edible stinkbugs in southern Africa and sustainable management considerations

    Science.gov (United States)

    2013-01-01

    Insects, such as stinkbugs, are able to produce noxious defence chemicals to ward off predators, nevertheless, some ethnic groups have recipes to render them delicious. We provide an example of edible stinkbugs (Encosternum delegorguei) used by two locally separate ethnic groups in South Africa, the Vhavenda and Mapulana, with a third group, the Bolobedu using them for commercial purposes. Structured interview schedules and observations with 106 harvesters were conducted to determine differences in use, nomenclature and oral history, methods of collection and preparation as well as perceptions pertaining to availability. The stinkbugs’ foul defence chemical and flight response necessitates nocturnal harvesting when the insect is immobilised by cold. The defence chemical stains the skin and affects vision yet protective gear is not worn. Damage to host trees was recorded when harvesters poached from plantations or private land, whereas, in communal-lands, sustainable methods were preferred. The legitimisation of stinkbug harvesting and introduction of a collection funnel could reduce conflicts with managers of plantations and private land. Two methods to remove the defence chemical for increased palatability were used. Preparation methods differed in whether or not water was used and also whether the head was left intact or removed. Stinkbugs have numerous medicinal uses, in particular as a hangover cure. Awareness and optimal use of beneficial insects, such as stinkbugs, in rural areas could lead to a reconsideration of current environmental management strategies, where harvesters act as habitat stewards and clearing, grazing or burning indigenous vegetation is kept to a minimum. PMID:23531129

  6. Habitat modeling for cetacean management: Spatial distribution in the southern Pelagos Sanctuary (Mediterranean Sea)

    Science.gov (United States)

    Pennino, Maria Grazia; Mérigot, Bastien; Fonseca, Vinícius Prado; Monni, Virginia; Rotta, Andrea

    2017-07-01

    Effective management and conservation of wild populations requires knowledge of their habitats, especially by mean of quantitative analyses of their spatial distributions. The Pelagos Sanctuary is a dedicated marine protected area for Mediterranean marine mammals covering an area of 90,000 km2 in the north-western Mediterranean Sea between Italy, France and the Principate of Monaco. In the south of the Sanctuary, i.e. along the Sardinian coast, a range of diverse human activities (cities, industry, fishery, tourism) exerts several current ad potential threats to cetacean populations. In addition, marine mammals are recognized by the EU Marine Strategy Framework Directive as essential components of sustainable ecosystems. Yet, knowledge on the spatial distribution and ecology of cetaceans in this area is quite scarce. Here we modeled occurrence of the three most abundant species known in the Sanctuary, i.e. the striped dolphin (Stenella coeruleoalba), the bottlenose dolphin (Tursiops truncatus) and the fin whales (Balaenoptera physalus), using sighting data from scientific surveys collected from 2012 to 2014 during summer time. Bayesian site-occupancy models were used to model their spatial distribution in relation to habitat taking into account oceanographic (sea surface temperature, primary production, photosynthetically active radiation, chlorophyll-a concentration) and topographic (depth, slope, distance of the land) variables. Cetaceans responded differently to the habitat features, with higher occurrence predicted in the more productive areas on submarine canyons. These results provide ecological information useful to enhance management plans and establish baseline for future population trend studies.

  7. Comparative ethnoentomology of edible stinkbugs in southern Africa and sustainable management considerations.

    Science.gov (United States)

    Dzerefos, Catherine Maria; Witkowski, Ed Tadeusz Fernando; Toms, Rob

    2013-03-25

    Insects, such as stinkbugs, are able to produce noxious defence chemicals to ward off predators, nevertheless, some ethnic groups have recipes to render them delicious. We provide an example of edible stinkbugs (Encosternum delegorguei) used by two locally separate ethnic groups in South Africa, the Vhavenda and Mapulana, with a third group, the Bolobedu using them for commercial purposes. Structured interview schedules and observations with 106 harvesters were conducted to determine differences in use, nomenclature and oral history, methods of collection and preparation as well as perceptions pertaining to availability. The stinkbugs’ foul defence chemical and flight response necessitates nocturnal harvesting when the insect is immobilised by cold. The defence chemical stains the skin and affects vision yet protective gear is not worn. Damage to host trees was recorded when harvesters poached from plantations or private land, whereas, in communal-lands, sustainable methods were preferred. The legitimisation of stinkbug harvesting and introduction of a collection funnel could reduce conflicts with managers of plantations and private land. Two methods to remove the defence chemical for increased palatability were used. Preparation methods differed in whether or not water was used and also whether the head was left intact or removed. Stinkbugs have numerous medicinal uses, in particular as a hangover cure. Awareness and optimal use of beneficial insects, such as stinkbugs, in rural areas could lead to a reconsideration of current environmental management strategies, where harvesters act as habitat stewards and clearing, grazing or burning indigenous vegetation is kept to a minimum.

  8. Barriers to Use of Non-pharmacological Pain Management Methods in Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Y Zahedpasha

    2017-09-01

    CONCLUSION: According to the results of this study, inadequate nursing staff and insufficient knowledge about pain complications were the most important causes for lack of application of pain management methods for neonates

  9. Energy resource management under the influence of the weekend transition considering an intensive use of electric vehicles

    DEFF Research Database (Denmark)

    Sousa, T.; Morais, Hugo; Pinto, T.

    2015-01-01

    Energy resource scheduling is becoming increasingly important, as the use of distributed resources is intensified and of massive electric vehicle is envisaged. The present paper proposes a methodology for day-ahead energy resource scheduling for smart grids considering the intensive use of distri......Energy resource scheduling is becoming increasingly important, as the use of distributed resources is intensified and of massive electric vehicle is envisaged. The present paper proposes a methodology for day-ahead energy resource scheduling for smart grids considering the intensive use...... of distributed generation and Vehicle-to-Grid (V2G). This method considers that the energy resources are managed by a Virtual Power Player (VPP) which established contracts with their owners. It takes into account these contracts, the users' requirements subjected to the VPP, and several discharge price steps...

  10. Social-Ecological Transformation for Ecosystem Management: the Development of Adaptive Co-management of a Wetland Landscape in Southern Sweden

    Directory of Open Access Journals (Sweden)

    Per Olsson

    2004-12-01

    Full Text Available We analyze the emergence of an adaptive co-management system for wetland landscape governance in southern Sweden, a process where unconnected management by several actors in the landscape was mobilized, renewed, and reconfigured into ecosystem management within about a decade. Our analysis highlights the social mechanisms behind the transformation toward ecosystem management. The self-organizing process was triggered by perceived threats among members of various local stewardship associations and local government to the area's cultural and ecological values. These threats challenged the development of ecosystem services in the area. We show how one individual, a key leader, played an instrumental role in directing change and transforming governance. The transformation involved three phases: 1 preparing the system for change, 2 seizing a window of opportunity, and 3 building social-ecological resilience of the new desired state. This local policy entrepreneur initiated trust-building dialogue, mobilized social networks with actors across scales, and started processes for coordinating people, information flows and ongoing activities, and for compiling and generating knowledge, understanding, and management practices of ecosystem dynamics. Understanding, collaborative learning, and creating public awareness were part of the process. A comprehensive framework was developed with a shared vision and goals that presented conservation as development, turned problems into possibilities, and contributed to a shift in perception among key actors regarding the values of the wetland landscape. A window of opportunity at the political level opened, which made it possible to transform the governance system toward a trajectory of ecosystem management. The transformation involved establishing a new municipal organization, the Ecomuseum Kristianstads Vattenrike (EKV. This flexible organization serves as a bridge between local actors and governmental bodies and is

  11. Coupling biophysical processes and water rights to simulate spatially distributed water use in an intensively managed hydrologic system

    Science.gov (United States)

    Han, Bangshuai; Benner, Shawn G.; Bolte, John P.; Vache, Kellie B.; Flores, Alejandro N.

    2017-07-01

    Humans have significantly altered the redistribution of water in intensively managed hydrologic systems, shifting the spatiotemporal patterns of surface water. Evaluating water availability requires integration of hydrologic processes and associated human influences. In this study, we summarize the development and evaluation of an extensible hydrologic model that explicitly integrates water rights to spatially distribute irrigation waters in a semi-arid agricultural region in the western US, using the Envision integrated modeling platform. The model captures both human and biophysical systems, particularly the diversion of water from the Boise River, which is the main water source that supports irrigated agriculture in this region. In agricultural areas, water demand is estimated as a function of crop type and local environmental conditions. Surface water to meet crop demand is diverted from the stream reaches, constrained by the amount of water available in the stream, the water-rights-appropriated amount, and the priority dates associated with particular places of use. Results, measured by flow rates at gaged stream and canal locations within the study area, suggest that the impacts of irrigation activities on the magnitude and timing of flows through this intensively managed system are well captured. The multi-year averaged diverted water from the Boise River matches observations well, reflecting the appropriation of water according to the water rights database. Because of the spatially explicit implementation of surface water diversion, the model can help diagnose places and times where water resources are likely insufficient to meet agricultural water demands, and inform future water management decisions.

  12. Bermudagrass Management in the Southern Piedmont U.S. IV. Soil Surface Nitrogen Pools

    Directory of Open Access Journals (Sweden)

    Alan J. Franzluebbers

    2001-01-01

    Full Text Available The fate of nitrogen (N applied in forage-based agricultural systems is important for understanding the long-term production and environmental impacts of a particular management strategy. We evaluated the factorial combination of three types of N fertilization (inorganic, crimson clover [Trifolium incarnatum L.] cover crop plus inorganic, and chicken [Gallus gallus] broiler litter pressure and four types of harvest strategy (unharvested forage, low and high cattle [Bos Taurus] grazing pressure, and monthly haying in summer on surface residue and soil N pools during the first 5 years of ̒Coastal̓ bermudagrass (Cynodon dactylon [L.] Pers. management. The type of N fertilization used resulted in small changes in soil N pools, except at a depth of 0 to 2 cm, where total soil N was sequestered at a rate 0.2 g ‧ kg–1‧ year–11 greater with inorganic fertilization than with other fertilization strategies. We could account for more of the applied N under grazed systems (76–82% than under ungrazed systems (35–71%. As a percentage of applied N, 32 and 48% were sequestered as total soil N at a depth of 0 to 6 cm when averaged across fertilization strategies under low and high grazing pressures, respectively, which was equivalent to 6.8 and 10.3 g ‧ m–2 ‧ year–1. Sequestration rates of total soil N under the unharvested-forage and haying strategies were negligible. Most of the increase in total soil N was at a depth of 0 to 2 cm and was due to changes in the particulate organic N (PON pool. The greater cycling of applied N into the soil organic N pool with grazed compared with ungrazed systems suggests an increase in the long-term fertility of soil.

  13. A 130 year record of pollution in the Suances estuary (southern Bay of Biscay): Implications for environmental management

    Energy Technology Data Exchange (ETDEWEB)

    Irabien, M.J. [Departamento de Mineralogia y Petrologia, Facultad de Ciencia y Tecnologia, Universidad del Pais Vasco/EHU, Apartado 644, 48080 Bilbao (Spain)], E-mail: mariajesus.irabien@ehu.es; Cearreta, A. [Departamento de Estratigrafia y Paleontologia, Facultad de Ciencia y Tecnologia, Universidad del Pais Vasco/EHU, Apartado 644, 48080 Bilbao (Spain); Leorri, E. [Departamento de Estratigrafia y Paleontologia, Facultad de Ciencia y Tecnologia, Universidad del Pais Vasco/EHU, Apartado 644, 48080 Bilbao (Spain); Sociedad de Ciencias Aranzadi, Zorroagagaina kalea 11, 20014 Donostia-San Sebastian (Spain); Gomez, J. [Departamento de Ciencias Medicas y Quirurgicas, Facultad de Medicina, Universidad de Cantabria, Avda Herrera Oria s/n, 39011 Santander (Spain); Viguri, J. [Departamento de Ingenieria Quimica y Quimica Inorganica, ETSIIT, Universidad de Cantabria, Avda Los Castros s/n, 39005 Santander (Spain)

    2008-10-15

    Geochemical composition (Al, Zn, Pb, Cd, Cu, Ni, Cr and As) and foraminiferal assemblages in surface and core sediments were determined to assess the current situation and the recent environmental transformation of the Suances estuary (southern Bay of Biscay, Spain). Dating of the historical record has been achieved using isotopic analysis ({sup 210}Pb, {sup 137}Cs) and two benchmark events such as the beginning of the mineral exploitation in the Reocin Pb-Zn deposits and the evolution of the chlor-alkali industry (inputs of Hg). Concentrations of Zn, Pb and Cd in both surface and core samples are remarkably higher than background values, reflecting the existence of significant amounts of polluted materials. The dramatic environmental impact of this pollution is clearly recorded by the change of the foraminiferal assemblages that even reach an afaunal stage during recent decades. Application of two different sets of Sediment Quality Guidelines confirm that they exert potential risk to the environment, and therefore if dredged they should need specific management measures. The results provide a reference database to monitor future environmental changes in the Suances estuary, particularly as regards the contaminated sediment storage and the re-colonization by autochtonous meiofauna.

  14. A 130 year record of pollution in the Suances estuary (southern Bay of Biscay): Implications for environmental management

    International Nuclear Information System (INIS)

    Irabien, M.J.; Cearreta, A.; Leorri, E.; Gomez, J.; Viguri, J.

    2008-01-01

    Geochemical composition (Al, Zn, Pb, Cd, Cu, Ni, Cr and As) and foraminiferal assemblages in surface and core sediments were determined to assess the current situation and the recent environmental transformation of the Suances estuary (southern Bay of Biscay, Spain). Dating of the historical record has been achieved using isotopic analysis ( 210 Pb, 137 Cs) and two benchmark events such as the beginning of the mineral exploitation in the Reocin Pb-Zn deposits and the evolution of the chlor-alkali industry (inputs of Hg). Concentrations of Zn, Pb and Cd in both surface and core samples are remarkably higher than background values, reflecting the existence of significant amounts of polluted materials. The dramatic environmental impact of this pollution is clearly recorded by the change of the foraminiferal assemblages that even reach an afaunal stage during recent decades. Application of two different sets of Sediment Quality Guidelines confirm that they exert potential risk to the environment, and therefore if dredged they should need specific management measures. The results provide a reference database to monitor future environmental changes in the Suances estuary, particularly as regards the contaminated sediment storage and the re-colonization by autochtonous meiofauna

  15. Predicted implications of using percentage weight gain as single discharge criterion in management of acute malnutrition in rural southern Ethiopia.

    Science.gov (United States)

    Forsén, Emmanuel; Tadesse, Elazar; Berhane, Yemane; Ekström, Eva-Charlotte

    2015-10-01

    Mid-upper arm circumference (MUAC) is increasingly used in identifying and admitting children with acute malnutrition for treatment. It is easy to use because it does not involve height assessment, but its use calls for alternative discharge criteria. This study examined how use of percentage weight gain as discharge criterion would affect the nutritional status of children admitted into a community-based management programme for acute malnutrition in rural southern Ethiopia. Non-oedematous children (n = 631) aged 6-59 months and having a MUAC of weight was added to admission weight and their nutritional status by weight-for-height z-score (WHZ) was determined at each target. Moderate and severe wasting according to World Health Organization WHZ definitions was used as outcome. Applying the most commonly recommended target of 15% weight gain resulted in 9% of children with admission MUAC weight gain was sufficient to generate a similar result. Children failing to recover were the ones with the poorest nutritional status at admission. Increasing the percentage weight gain targets in the two groups to 20% and 15%, respectively, would largely resolve wasting but likely lead to increased programme costs by keeping already recovered children in the programme. Further research is needed on appropriate discharge procedures in programmes using MUAC for screening and admission. © 2013 John Wiley & Sons Ltd.

  16. FEED RESOURCES AND THEIR MANAGEMENT SYSTEMS IN ETHIOPIAN HIGHLANDS:THE CASE OF UMBULO WHACO WATERSHED IN SOUTHERN ETHIOPIA

    Directory of Open Access Journals (Sweden)

    Senbeto Funte

    2009-07-01

    Full Text Available A study was conducted to assess the prevailing feed resources and feeding management systems in Umbulo Wacho watershed, southern Ethiopia. The data used in the current study were obtained through individual interviews conducted on 85 randomly selected livestock owners, group discussions with key informants and from secondary sources. In the study area, livestock provide draught power, milk, meat and manure. Cattle were the dominant livestock species and cows comprised 36% of the total number of cattle. The average landholding per household was 0.7 ha, of which 0.1 ha was reported as grazing land. Communal and private grazing lands were gradually shrinking due to the expansion of crop production. This led to the growing practice of tethering and stall-feeding. The annual feed DM yield was only two-third of the DM requirement for livestock kept in the area. Natural pasture, crop residues, crop stubbles, enset by-products and sugarcane top were among the main feed resources. Crop residues were found to be major feed resources for the livestock in the study area, particularly during the dry season in which the biomass of the natural grazing lands is very minimal. Enhancing the quantity and quality of crop-residues will, therefore, be expected to bring about a positive impact on livestock production.

  17. Ecology and management of the invasive lionfish Pterois volitans/miles complex (Perciformes: Scorpaenidae) in Southern Costa Rica.

    Science.gov (United States)

    Sandel, Vera; Martínez-Fernández, Damián; Wangpraseurt, Daniel; Sierra, Luis

    2015-03-01

    Invasive species alter ecosystem integrity and functioning and are considered one of the major threats to biodiversity on a global scale. The indopacific lionfish (Plerois volitans [Linnaeus, 1758] / miles [Bennet, 1882] complex) is the first non-native marine fish that has established itself in the Western Atlantic. It was first reported in Florida in the 1980s and then spread across the entire Caribbean in subsequent years. In Costa Rica, lionfish were first sighted by the end of 2008 and are now present in all South Caribbean reefs. Lionfish are a major problem for local fisherman by displacing native fish species. The aim of this study was to determine population density, size and diet of lionfish populations at four study sites along the Southern Caribbean coast of Costa Rica. Two of the sites were located inside the National Park Cahuita where regular lionfish removal occurs, whereas the other two study sides do not experiment this kind of management. Total length and wet weight of >450 lionfish individuals were determined between March and June 2011. Three relative metrics of prey quantity (percent number, percent frequency, and percent weight) were compared from approximately 300 lionfish caught with the polespear in shallow waters (invasive lionfish in Costa Rica.

  18. Work Incapacity and Treatment Costs After Severe Accidents: Standard Versus Intensive Case Management in a 6-Year Randomized Controlled Trial.

    Science.gov (United States)

    Scholz, Stefan M; Andermatt, Peter; Tobler, Benno L; Spinnler, Dieter

    2016-09-01

    Purpose Case management is widely accepted as an effective method to support medical rehabilitation and vocational reintegration of accident victims with musculoskeletal injuries. This study investigates whether more intensive case management improves outcomes such as work incapacity and treatment costs for severely injured patients. Methods 8,050 patients were randomly allocated either to standard case management (SCM, administered by claims specialists) or intensive case management (ICM, administered by case managers). These study groups differ mainly by caseload, which was approximately 100 cases in SCM and 35 in ICM. The setting is equivalent to a prospective randomized controlled trial. A 6-year follow-up period was chosen in order to encompass both short-term insurance benefits and permanent disability costs. All data were extracted from administrative insurance databases. Results Average work incapacity over the 6-year follow-up, including contributions from daily allowances and permanent losses from disability, was slightly but insignificantly higher under ICM than under SCM (21.6 vs. 21.3 % of pre-accident work capacity). Remaining work incapacity after 6 years of follow-up showed no difference between ICM and SCM (8.9 vs. 8.8 % of pre-accident work incapacity). Treatment costs were 43,500 Swiss Francs (CHF) in ICM compared to 39,800 in SCM (+9.4 %, p = 0.01). The number of care providers involved in ICM was 10.5 compared to 10.0 in ICM (+5.0 %, p accident victims.

  19. Pregnant women's expectations about pain intensity during childbirth and their attitudes towards pain management: Findings from an Icelandic national study.

    Science.gov (United States)

    Karlsdottir, Sigfridur Inga; Sveinsdottir, Herdis; Olafsdottir, Olof Asta; Kristjansdottir, Hildur

    2015-12-01

    Pregnant women expect childbirth to be painful. However, little is known about their expectations of the intensity of pain in childbirth (EIPC) and their attitudes to pain management. The design was a cross-sectional survey, with self-reported questionnaires used to collect data from low-risk pregnant women (N = 1111) early in pregnancy at 26 of the largest primary health care centres in Iceland. This consecutive national sample was stratified by residency. The mean score for the EIPC was 5.58 (SD = 1.38) measured on a 7 point scale. The strongest predictors of a high EIPC score were: negative attitude to the impending childbirth (OR = 2.39), low manifestation of a sense of security (OR = 1.80), and a positive attitude to pain management with medication (OR = 1.63). Women living outside the capital area were less likely to have a high EIPC (OR = 0.68). Most women (77%) had a positive attitude towards pain management without medication and 35% had a positive attitude to pain management with medication. The study detected multiple predictors of women's EIPC and attitude to pain management. Early and throughout pregnancy, midwives and health care professionals need to address these predictors in order to assist women to prepare themselves for the pain of labour. Copyright © 2015 Elsevier B.V. All rights reserved.

  20. Development of Intensity-Duration-Frequency curves at ungauged sites: risk management under changing climate

    Science.gov (United States)

    Liew, San Chuin; Raghavan, Srivatsan V.; Liong, Shie-Yui

    2014-12-01

    The impact of a changing climate is already being felt on several hydrological systems both on a regional and sub-regional scale of the globe. Southeast Asia is one of the regions strongly affected by climate change. With climate change, one of the anticipated impacts is an increase in the intensity and frequency of extreme rainfall which further increase the region's flood catastrophes, human casualties and economic loss. Optimal mitigation measures can be undertaken only when stormwater systems are designed using rainfall Intensity-Duration-Frequency (IDF) curves derived from a long and good quality rainfall data. Developing IDF curves for the future climate can be even more challenging especially for ungauged sites. The current practice to derive current climate's IDF curves for ungauged sites is, for example, to `borrow' or `interpolate' data from regions of climatologically similar characteristics. Recent measures to derive IDF curves for present climate was performed by extracting rainfall data from a high spatial resolution Regional Climate Model driven by ERA-40 reanalysis dataset. This approach has been demonstrated on an ungauged site (Java, Indonesia) and the results were quite promising. In this paper, the authors extend the application of the approach to other ungauged sites particularly in Peninsular Malaysia. The results of the study undoubtedly have significance contribution in terms of local and regional hydrology (Malaysia and Southeast Asian countries). The anticipated impacts of climate change especially increase in rainfall intensity and its frequency appreciates the derivation of future IDF curves in this study. It also provides policy makers better information on the adequacy of storm drainage design, for the current climate at the ungauged sites, and the adequacy of the existing storm drainage to cope with the impacts of climate change.

  1. [The managment of serious pregnant disease in the intensive care unit].

    Science.gov (United States)

    Ali, Elhusseini; Bechir, Khemiri; Badis, Chennoufi Mohamed; Nabil, Mathlouthi; Hanene, Ellouze; Mourad, Bouchnak; Salah, Hendaoui Mohamed; Hayen, Maghrebi; Ezzeddine, Sfar; Hela, Chelli

    2005-02-01

    We report a retrospective study over a period of 4 years and half and bearing on 59 patients that require an intensive care. The number of childbirth during this period was 22237 with 8.97% of Caesareans. The main obstetrical diseases was: gravidic toxaemia 75.5%, uterine inertia 7%, cardiopathy 5% of the cases. The reasons for the transfer were: eclamptic state in 27% of the cases, hémostasis disorder 22% of the cases, and acute pulmonary oedema 18.6% of the cases. Average duration of hospitalization was 3.18 days. Five cases of death were noted.

  2. A Lightweight, High-performance I/O Management Package for Data-intensive Computing

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Jun

    2011-06-22

    Our group has been working with ANL collaborators on the topic bridging the gap between parallel file system and local file system during the course of this project period. We visited Argonne National Lab -- Dr. Robert Ross's group for one week in the past summer 2007. We looked over our current project progress and planned the activities for the incoming years 2008-09. The PI met Dr. Robert Ross several times such as HEC FSIO workshop 08, SC08 and SC10. We explored the opportunities to develop a production system by leveraging our current prototype to (SOGP+PVFS) a new PVFS version. We delivered SOGP+PVFS codes to ANL PVFS2 group in 2008.We also talked about exploring a potential project on developing new parallel programming models and runtime systems for data-intensive scalable computing (DISC). The methodology is to evolve MPI towards DISC by incorporating some functions of Google MapReduce parallel programming model. More recently, we are together exploring how to leverage existing works to perform (1) coordination/aggregation of local I/O operations prior to movement over the WAN, (2) efficient bulk data movement over the WAN, (3) latency hiding techniques for latency-intensive operations. Since 2009, we start applying Hadoop/MapReduce to some HEC applications with LANL scientists John Bent and Salman Habib. Another on-going work is to improve checkpoint performance at I/O forwarding Layer for the Road Runner super computer with James Nuetz and Gary Gridder at LANL. Two senior undergraduates from our research group did summer internships about high-performance file and storage system projects in LANL since 2008 for consecutive three years. Both of them are now pursuing Ph.D. degree in our group and will be 4th year in the PhD program in Fall 2011 and go to LANL to advance two above-mentioned works during this winter break. Since 2009, we have been collaborating with several computer scientists (Gary Grider, John bent, Parks Fields, James Nunez, Hsing

  3. A Catchment Systems Engineering (CSE) approach to managing intensively farmed land

    Science.gov (United States)

    Jonczyk, Jennine; Quinn, Paul; Barber, Nicholas; Wilkinson, Mark; ODonnell, Greg

    2014-05-01

    Rural land management practices can have a significant impact on the hydrological and nutrient dynamics within a catchment which can dramatically alter the way it processes water, exacerbating nutrient losses from the system. A collaborative and holistic approach for managing potential conflicts between land management activity for food production alongside the aspiration to achieve good water quality and the need to make space for water can ensure the long-term sustainability of our agricultural catchments. Catchment System Engineering (CSE) is an interventionist approach to altering the catchment scale runoff regime through the manipulation of hydrological flow pathways throughout the catchment. By targeting hydrological flow pathways at source, such as overland flow, field drain and ditch function, a significant component of the runoff generation can be managed, greatly reducing erosive soil losses. Coupled with management of farm nutrients at source many runoff attenuation features or measures can be co-located to achieve benefits for water quality. Examples of community-led mitigation measures using the CSE approach will be presented from two catchments in Northumberland, Northern England, that demonstrate the generic framework for identification of multipurpose features that slow, store and filter runoff at strategic locations in the landscape. Measures include within-field barriers, edge of field traps and within-field sediment filters and sediment traps which demonstrate how sediment can be trapped locally (including silt and clay fractions) and be recovered for use back on the land. Deliverables from this CSE approach includes the reduction of downstream flood risk and capturing of sediment and associated nutrients. The CSE approach allows for a more natural flood and nutrient management approach which helps to restore vital catchment functions to re-establish a healthy catchment system.

  4. Impact of Institutional Change on Irrigation Management: A Case Study from Southern Uzbekistan

    Directory of Open Access Journals (Sweden)

    Kakhramon Djumaboev

    2017-06-01

    Full Text Available The rapidly growing population in Uzbekistan has put massive pressure on limited water resources, resulting in frequent water shortages. Irrigation is by far the major water use. Improving irrigation water use through the institutional change of establishing water consumer associations (WCAs has been identified as a way to increase agricultural production and meet the food demand in the area. However, most WCAs are not fully able to organize collective action or generate sufficient funds to carry out their responsibilities. This study investigated the water-resource-related challenges faced by WCAs and local farmers in Kashkadarya Province in Uzbekistan, using semi-structured expert interviews and focus group discussions. The resulting data were analyzed using qualitative analysis software (Atlas.ti. The results indicated that outdated infrastructure, poor governance, and farmers’ non-payment of irrigation service fees hamper sustainable water management. Greater trust and communication within the WCAs would make an important contribution to effective collective action and to the long-term sustainability of local associations.

  5. Conceptual framework of knowledge management for ethical decision-making support in neonatal intensive care.

    Science.gov (United States)

    Frize, Monique; Yang, Lan; Walker, Robin C; O'Connor, Annette M

    2005-06-01

    This research is built on the belief that artificial intelligence estimations need to be integrated into clinical social context to create value for health-care decisions. In sophisticated neonatal intensive care units (NICUs), decisions to continue or discontinue aggressive treatment are an integral part of clinical practice. High-quality evidence supports clinical decision-making, and a decision-aid tool based on specific outcome information for individual NICU patients will provide significant support for parents and caregivers in making difficult "ethical" treatment decisions. In our approach, information on a newborn patient's likely outcomes is integrated with the physician's interpretation and parents' perspectives into codified knowledge. Context-sensitive content adaptation delivers personalized and customized information to a variety of users, from physicians to parents. The system provides structuralized knowledge translation and exchange between all participants in the decision, facilitating collaborative decision-making that involves parents at every stage on whether to initiate, continue, limit, or terminate intensive care for their infant.

  6. The Role of Dietary Protein and Fat in Glycaemic Control in Type 1 Diabetes: Implications for Intensive Diabetes Management.

    Science.gov (United States)

    Paterson, Megan; Bell, Kirstine J; O'Connell, Susan M; Smart, Carmel E; Shafat, Amir; King, Bruce

    2015-09-01

    A primary focus of the management of type 1 diabetes has been on matching prandial insulin therapy with carbohydrate amount consumed. However, even with the introduction of more flexible intensive insulin regimes, people with type 1 diabetes still struggle to achieve optimal glycaemic control. More recently, dietary fat and protein have been recognised as having a significant impact on postprandial blood glucose levels. Fat and protein independently increase the postprandial glucose excursions and together their effect is additive. This article reviews how the fat and protein in a meal impact the postprandial glycaemic response and discusses practical approaches to managing this in clinical practice. These insights have significant implications for patient education, mealtime insulin dose calculations and dosing strategies.

  7. Management intensity at field and landscape levels affects the structure of generalist predator communities.

    Science.gov (United States)

    Rusch, Adrien; Birkhofer, Klaus; Bommarco, Riccardo; Smith, Henrik G; Ekbom, Barbara

    2014-07-01

    Agricultural intensification is recognised as a major driver of biodiversity loss in human-modified landscapes. Several agro-environmental measures at different spatial scales have been suggested to mitigate the negative impact of intensification on biodiversity and ecosystem services. The effect of these measures on the functional structure of service-providing communities remains, however, largely unexplored. Using two distinct landscape designs, we examined how the management options of organic farming at the field scale and crop diversification at the landscape level affect the taxonomic and functional structure of generalist predator communities and how these effects vary along a landscape complexity gradient. Organic farming as well as landscapes with longer and more diversified crop rotations enhanced the activity-density of spiders and rove beetles, but not the species richness or evenness. Our results indicate that the two management options affected the functional composition of communities, as they primarily enhanced the activity-density of functionally similar species. The two management options increased the functional similarity between spider species in regards to hunting mode and habitat preference. Organic farming enhanced the functional similarity of rove beetles. Management options at field and landscape levels were generally more important predictors of community structure when compared to landscape complexity. Our study highlights the importance of considering the functional composition of generalist predators in order to understand how agro-environmental measures at various scales shape community assemblages and ecosystem functioning in agricultural landscapes.

  8. Continuous EEG monitoring in the intensive care unit: beta scientific and management scientific aspects

    NARCIS (Netherlands)

    Sanders, P.M.H.; van Putten, Michel Johannes Antonius Maria; Jarm, T.; Kramar, P.; Zupanic, A.

    2007-01-01

    Due to various technological advances, it is now possible to continuously monitor critically ill patients using EEG, including the extraction of various quantitative features. In this study, several beta scientific and management scientific aspects of the implementation and use of cEEg on the ICU

  9. Characterizing European cultural landscapes: Accounting for structure, management intensity and value of agricultural and forest landscapes

    NARCIS (Netherlands)

    Tieskens, Koen F.; Schulp, Catharina J.E.; Levers, Christian; Lieskovský, Juraj; Kuemmerle, Tobias; Plieninger, Tobias; Verburg, Peter H.

    Abstract Almost all rural areas in Europe have been shaped or altered by humans and can be considered cultural landscapes, many of which now are considered to entail valuable cultural heritage. Current dynamics in land management have put cultural landscapes under a huge pressure of agricultural

  10. The development and current status of Intensive Care Unit management of prospective organ donors

    Directory of Open Access Journals (Sweden)

    Margaret Kathleen Menzel Ellis

    2016-01-01

    Conclusions: Management of deceased organ donors should focus first on maintaining adequate perfusion to all organ systems through adherence to standard critical care guidelines, early referral to OPOs, and family support. Furthermore, several specific DMGs and strategies have been recently shown to improve both the rates and outcomes of organ transplantation.

  11. Whole-tree bark and wood properties of loblolly pine from intensively managed plantations

    Science.gov (United States)

    Finto Antony; Laurence R. Schimleck; Richard F. Daniels; Alexander Clark; Bruce E. Borders; Michael B. Kane; Harold E. Burkhart

    2015-01-01

    A study was conducted to identify geographical variation in loblolly pine bark and wood properties at the whole-tree level and to quantify the responses in whole-tree bark and wood properties following contrasting silvicultural practices that included planting density, weed control, and fertilization. Trees were destructively sampled from both conventionally managed...

  12. Management practices followed for draught cattle in the southern part of India.

    Science.gov (United States)

    Akila, Natarajan; Chander, Mahesh

    2010-02-01

    A study was conducted to determine the management practices followed by the farmers for draught cattle in Tamil Nadu state, India. Methods of procurement of animals, use of female animals, breeds preferred, housing, health, disposal of animals, feeding, shoeing, purchase of animal-drawn implements and their maintenance were all assessed with 210 farmers from seven districts across different agro-climatic zones in Tamil Nadu. The results revealed that 86 % of the respondents purchased the draught cattle from the livestock markets, most were bullocks but 20 small farmers and 5 medium farmers used female animals for ploughing. Among the indigenous breeds, Kangeyam (33 %) and Hallikar (30 %) breeds were the most popular for work. Most farmers (69 %) provided a mixed type of housing (provision of housing only during the night time and the rainy season) for their draught cattle. The major health problem reported by 63 % of respondents was pyrexia. Almost all farmers sold their animals at the age of 8-10 years. The feeding practices for draught cattle were poor especially with the small farmers. The cattle were fed with mainly paddy straw and rice bran. Oilcakes and cotton seeds were given to the animals which work throughout the year mainly for ploughing and carting. The draught cattle were first shod at around 2.5 years of age. The majority of the farmers (71 %) used the traditional animal-drawn implements made by local artisans, and the farmers were not aware of the new implements to reduce the drudgery of work cattle, designed by the Agricultural Machinery Research Centre and Agricultural Engineering Departments located in India.

  13. Productivity assessment of timber harvesting techniques for supporting sustainable forest management of secondary Atlantic Forests in southern Brazil

    Directory of Open Access Journals (Sweden)

    Pedro Caldas Britto

    2017-12-01

    Full Text Available The Atlantic Forest in southern Brazil has been subject to overexploitation in the past prompting the formulation of a rigorous conservation orientated policy by the government including a strict ban of timber harvesting. In the region, the forestland is owned by farmers. The economic value of the forest is rather limited for those farmers, because of the prohibition of commercial timber harvesting as a source of income. Sustainable forest management systems can offer great potential as new income opportunities for land holders, and further actively support the process of ecosystem rehabilitation and protection for these ecosystems. Yet, successful implementation of such sustainable management systems requires feasible and adapted timber harvesting systems. In order to develop such harvesting systems, a regional comparative case study was conducted at a typical smallholder forestry venture with the objective to analyze and evaluate harvesting methods supporting sustainable management of the Atlantic Forest. This study assessed production rates and associated costs of a common conventional timber harvesting method (CM and a proposed alternative method (AM. CM was performed by a selected, typical forest landowner who had only basic training in chainsaw operations, but 20 years of experience at the wood yard of his small sawmill. In contrast, the AM employed a professional chainsaw operator from the Amazon forest, trained and experienced in reduced impact logging techniques using state of the art equipment, supplemented by a snatch block and a skidding cone for improved extraction. Time study based models identified tree volume, winching distance and skidding distance to the landing as the most significant independent variables affecting productivity. Total net productivity ranged from 4.9 m³ PMH0-1 for CM to 3.1 m³ PMH0-1 for AM. Corresponding gross-productivity ranged from 3.0 m³ SMH-1 to 1.9 m³ SMH-1 with an overall mean utilization rate of

  14. A Rectourethral Fistula due to Transrectal High-Intensity Focused Ultrasound Treatment: Diagnosis and Management

    Directory of Open Access Journals (Sweden)

    Valeria Fiaschetti

    2012-01-01

    Full Text Available Colovesical fistula (CVF is an abnormal connection between the enteric and the urinary systems. The rectourethral fistula (RUF is a possible but extremely rare complication of treatment of prostate cancer with “transrectal High-Intensity Focused Ultrasound (HIFU treatment.” We present a case of CVF due to HIFU treatment of recurrent prostate cancer. The case was assessed with cystography completed with a pelvic CT scan—with MPR, MIP, and VR reconstruction—before emptying the bladder. Since the CT scan confirmed that the fistula involved solely the urethra and excluded even a minimal involvement of the bladder, it was possible to employ a conservative treatment by positioning a Foley catheter of monthly duration, in order to allow the urethra to rest. Still today, after 6 months, the patient is in a good clinical condition and has not shown yet signs of a recurrence of the fistula.

  15. Heel blood sampling in European neonatal intensive care units: compliance with pain management guidelines

    DEFF Research Database (Denmark)

    Losacco, Valentina; Cuttini, Marina; Greisen, Gorm

    2011-01-01

    Objective To describe the use of heel blood sampling and non-pharmacological analgesia in a large representative sample of neonatal intensive care units (NICUs) in eight European countries, and compare their self-reported practices with evidence-based recommendations. Methods Information on use...... of heel blood sampling and associated procedures (oral sweet solutions, non-nutritive sucking, swaddling or positioning, topical anaesthetics and heel warming) were collected through a structured mail questionnaire. 284 NICUs (78% response rate) participated, but only 175 with >/=50 very low birth weight...... admissions per year were included in this analysis. Results Use of heel blood sampling appeared widespread. Most units in the Netherlands, UK, Denmark, Sweden and France predominantly adopted mechanical devices, while manual lance was still in use in the other countries. The two Scandinavian countries...

  16. Bomb Blast and Its Consequences: Successful Intensive Care Management of Massive Pulmonary Embolsim.

    Science.gov (United States)

    Shamim, Faisal; Rizwan, Muhammad; Aziz, Adil

    2016-06-01

    A suicide bomb blast in 2013 at a distant city of Pakistan killed 84 and wounded more than 150 people. Some patients were transferred to our tertiary care hospital because of extreme load on medical services there. This patient arrived at the Aga Khan Hospital, 2 days after the bomb blast injury and underwent an orthopedic procedure. Next day, he developed sudden tachypnea, desaturation, and circulatory collapse. After initial cardiopulmonary resuscitation, he was immediately transferred to surgical intensive care unit. Based on history, echocardiography findings and patient parameters, a clinical diagnosis of massive pulmonary embolism was made and immediate thrombolytic therapy with alteplase was started. The immediate improvement in hemodynamic status was evident following 2 hours of alteplase infusion. This case also highlights the aggressiveness of resuscitation, decision making in initiating thrombolytic therapy on clinical grounds, importance of deep venous thrombosis prophylaxis, and exhaustion of health resources due to blast related mass destruction.

  17. Does neonatal pain management in intensive care units differ between night and day? An observational study.

    Science.gov (United States)

    Guedj, Romain; Danan, Claude; Daoud, Patrick; Zupan, Véronique; Renolleau, Sylvain; Zana, Elodie; Aizenfisz, Sophie; Lapillonne, Alexandre; de Saint Blanquat, Laure; Granier, Michèle; Durand, Philippe; Castela, Florence; Coursol, Anne; Hubert, Philippe; Cimerman, Patricia; Anand, K J S; Khoshnood, Babak; Carbajal, Ricardo

    2014-02-20

    To determine whether analgesic use for painful procedures performed in neonates in the neonatal intensive care unit (NICU) differs during nights and days and during each of the 6 h period of the day. Conducted as part of the prospective observational Epidemiology of Painful Procedures in Neonates study which was designed to collect in real time and around-the-clock bedside data on all painful or stressful procedures. 13 NICUs and paediatric intensive care units in the Paris Region, France. All 430 neonates admitted to the participating units during a 6-week period between September 2005 and January 2006. During the first 14 days of admission, data were collected on all painful procedures and analgesic therapy. The five most frequent procedures representing 38 012 of all 42 413 (90%) painful procedures were analysed. Observational study. We compared the use of specific analgesic for procedures performed during each of the 6 h period of a day: morning (7:00 to 12:59), afternoon, early night and late night and during daytime (morning+afternoon) and night-time (early night+late night). 7724 of 38 012 (20.3%) painful procedures were carried out with a specific analgesic treatment. For morning, afternoon, early night and late night, respectively, the use of analgesic was 25.8%, 18.9%, 18.3% and 18%. The relative reduction of analgesia was 18.3%, pnight-time and 28.8%, pday. Parental presence, nurses on 8 h shifts and written protocols for analgesia were associated with a decrease in this difference. The substantial differences in the use of analgesics around-the-clock may be questioned on quality of care grounds.

  18. Sustaining the Productivity and Function of Intensively Managed Forests - Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Burger, James A.; Xu, Yi-Jun

    2001-03-23

    The main goal of this study is to ensure sustainable management of wetland forests in the southeastern United States. The study is projected to measure soil, hydrology, and forest responses to several management scenarios across a complete forest cycle. From August 1997 to August 2000 the study has received funding as one of the Agenda 2020 projects, from the U.S. Department of Energy (Cooperative Agreement Number DE-FC07-97ID13551), the National Council of the Paper Industry for Air and Stream Improvement, and Westvac Corporation. Quarterly progress reports were submitted regularly to the Department and all project participants. This final report summarizes the project results and progress achieved during this 3-year period. Over the past three years all research objectives planned for this project were completed.

  19. The role of metrics and measurements in a software intensive total quality management environment

    Science.gov (United States)

    Daniels, Charles B.

    1992-01-01

    Paramax Space Systems began its mission as a member of the Rockwell Space Operations Company (RSOC) team which was the successful bidder on a massive operations consolidation contract for the Mission Operations Directorate (MOD) at JSC. The contract awarded to the team was the Space Transportation System Operations Contract (STSOC). Our initial challenge was to accept responsibility for a very large, highly complex and fragmented collection of software from eleven different contractors and transform it into a coherent, operational baseline. Concurrently, we had to integrate a diverse group of people from eleven different companies into a single, cohesive team. Paramax executives recognized the absolute necessity to develop a business culture based on the concept of employee involvement to execute and improve the complex process of our new environment. Our executives clearly understood that management needed to set the example and lead the way to quality improvement. The total quality management policy and the metrics used in this endeavor are presented.

  20. A randomized controlled trial of intensive care management for disabled Medicaid beneficiaries with high health care costs.

    Science.gov (United States)

    Bell, Janice F; Krupski, Antoinette; Joesch, Jutta M; West, Imara I; Atkins, David C; Court, Beverly; Mancuso, David; Roy-Byrne, Peter

    2015-06-01

    To evaluate outcomes of a registered nurse-led care management intervention for disabled Medicaid beneficiaries with high health care costs. Washington State Department of Social and Health Services Client Outcomes Database, 2008-2011. In a randomized controlled trial with intent-to-treat analysis, outcomes were compared for the intervention (n = 557) and control groups (n = 563). A quasi-experimental subanalysis compared outcomes for program participants (n = 251) and propensity score-matched controls (n = 251). Administrative data were linked to describe costs and use of health services, criminal activity, homelessness, and death. In the intent-to-treat analysis, the intervention group had higher odds of outpatient mental health service use and higher prescription drug costs than controls in the postperiod. In the subanalysis, participants had fewer unplanned hospital admissions and lower associated costs; higher prescription drug costs; higher odds of long-term care service use; higher drug/alcohol treatment costs; and lower odds of homelessness. We found no health care cost savings for disabled Medicaid beneficiaries randomized to intensive care management. Among participants, care management may have the potential to increase access to needed care, slow growth in the number and therefore cost of unplanned hospitalizations, and prevent homelessness. These findings apply to start-up care management programs targeted at high-cost, high-risk Medicaid populations. © Health Research and Educational Trust.

  1. Factors that guide nurse managers regarding the staffing of agency nurses in intensive care units at private hospitals in Pretoria

    Directory of Open Access Journals (Sweden)

    Karien Jooste

    2013-03-01

    Full Text Available Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses. It is unclear how the role players (the nursing agency manager, the nurse manager and the agency nurse perceive the staffing of agency nurses in intensive care units (ICUs. The purpose of this study was to explore and describe the factors that guide nurse managers regarding the staffing of agency nurses in ICUs at private hospitals in Pretoria. A quantitative exploratory and descriptive design was used. A survey by means of a structured questionnaire was carried out. Probability sampling was implemented to obtain a study sample (n = 124. One similar self-administered 5-point scale instrument was completed by the participants. Data was analysed by means of descriptive and inferential statistics. The principles of validity and reliability were adhered to and ethical considerations were also taken into account. The results indicated limitations in the determining of posts, recruitment and advertising, as well as the selection and appointment of agency nurses in ICUs at private hospitals in Pretoria. Recommendations on staffing are made to nurse managers in ICUs.

  2. Factors that guide nurse managers regarding the staffing of agency nurses in intensive care units at private hospitals in Pretoria

    Directory of Open Access Journals (Sweden)

    Karien Jooste

    2013-01-01

    Full Text Available Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses. It is unclear how the role players (the nursing agency manager, the nurse manager and the agency nurse perceive the staffing of agency nurses in intensive care units (ICUs. The purpose of this study was to explore and describe the factors that guide nurse managers regarding the staffing of agency nurses in ICUs at private hospitals in Pretoria. A quantitative exploratory and descriptive design was used. A survey by means of a structured questionnaire was carried out. Probability sampling was implemented to obtain a study sample (n = 124. One similar self-administered 5-point scale instrument was completed by the participants. Data was analysed by means of descriptive and inferential statistics. The principles of validity and reliability were adhered to and ethical considerations were also taken into account. The results indicated limitations in the determining of posts, recruitment and advertising, as well as the selection and appointment of agency nurses in ICUs at private hospitals in Pretoria. Recommendations on staffing are made to nurse managers in ICUs.

  3. Nitrous oxide emissions from an intensively managed greenhouse vegetable cropping system in Northern China

    International Nuclear Information System (INIS)

    He Feifei; Jiang Rongfeng; Chen Qing; Zhang Fusuo; Su Fang

    2009-01-01

    Nitrous oxide (N 2 O) emissions from a typical greenhouse vegetable system in Northern China were measured from February 2004 to January 2006 using a close chamber method. Four nitrogen management levels (NN, MN, CN, and SN) were used. N 2 O emissions occurred intermittently in the growing season, strongly correlating with N fertilization and irrigation. No peak emissions were observed after fertilization in the late Autumn season due to low soil temperature. 57-94% of the seasonal N 2 O emissions came from the initial growth stage, corresponding to the rewetting process in the soil. The annual N 2 O emissions ranged from 2.6 to 8.8 kg N ha -1 yr -1 , accounting for 0.27-0.30% of the annual nitrogen input. Compared with conventional N management, site-specific N management reduced N fertilization rate by 69% in 2004 and by 76% in 2005, and consequently reduced N 2 O emissions by 51% in 2004 and 27% in 2005, respectively. - High N 2 O emissions coming from the initial growth stage can be attributed to the rewetting process in the greenhouse soil.

  4. Case management for high-intensity service users: towards a relational approach to care co-ordination.

    Science.gov (United States)

    McEvoy, Phil; Escott, Diane; Bee, Penny

    2011-01-01

    This study is based on a formative evaluation of a case management service for high-intensity service users in Northern England. The evaluation had three main purposes: (i) to assess the quality of the organisational infrastructure; (ii) to obtain a better understanding of the key influences that played a role in shaping the development of the service; and (iii) to identify potential changes in practice that may help to improve the quality of service provision. The evaluation was informed by Gittell's relational co-ordination theory, which focuses upon cross-boundary working practices that facilitate task integration. The Assessment of Chronic Illness Care Survey was used to assess the organisational infrastructure and qualitative interviews with front line staff were conducted to explore the key influences that shaped the development of the service. A high level of strategic commitment and political support for integrated working was identified. However, the quality of care co-ordination was variable. The most prominent operational factor that appeared to influence the scope and quality of care co-ordination was the pattern of interaction between the case managers and their co-workers. The co-ordination of patient care was much more effective in integrated co-ordination networks. Key features included clearly defined, task focussed, relational workspaces with interactive forums where case managers could engage with co-workers in discussions about the management of interdependent care activities. In dispersed co-ordination networks with fewer relational workspaces, the case managers struggled to work as effectively. The evaluation concluded that the creation of flexible and efficient task focused relational workspaces that are systemically managed and adequately resourced could help to improve the quality of care co-ordination, particularly in dispersed networks. © 2010 Blackwell Publishing Ltd.

  5. Growth and development of children aged 1-5 years in low-intensity armed conflict areas in Southern Thailand: a community-based survey.

    Science.gov (United States)

    Jeharsae, Rohani; Sangthong, Rassamee; Wichaidit, Wit; Chongsuvivatwong, Virasakdi

    2013-04-04

    A low-intensity armed conflict has been occurring for nearly a decade in southernmost region of Thailand. However, its impact on child health has not yet been investigated. This study aimed to estimate the prevalence of delayed child growth and development in the affected areas and to determine the association between the violence and health among children aged 1-5 years. A total of 498 children aged 1-5 years were recruited. Intensity of conflict for each sub-district was calculated as the 6-year average number of incidents per 100,000 population per year and classified into quartiles. Growth indices were weight-for-age, height-for-age, and weight-for-height, while development was measured by the Denver Development Screening Test II (Thai version). Food insecurity, child-rearing practice, health service accessibility, household sanitation, and depression among the caregivers were assessed using screening scales and questionnaires. Contextual information such as average income and numbers of violent events in each sub-district was obtained from external sources. Growth retardation was highly prevalent in the area as reported by rates of underweight, stunting, and wasting at 19.3%, 27.6% and 7.4%, respectively. The prevalence of developmental delay was also substantially high (37.1%). Multi-level analysis found no evidence of association between insurgency and health outcomes. However, children in areas with higher intensity of violence had a lower risk of delay in personal-social development (OR = 0.4; 95% CI = 0.2 - 0.9; p-value = 0.05). Unlike war refugees and internally-displaced persons in camp-like settings, the relationship between level of armed conflict and growth and developmental delay among children aged 1-5 years could not be demonstrated in the community setting of this study where food supply had been minimally perturbed.

  6. Management of multidrug-resistant Pseudomonas aeruginosa in the intensive care unit: state of the art.

    Science.gov (United States)

    Maraolo, Alberto Enrico; Cascella, Marco; Corcione, Silvia; Cuomo, Arturo; Nappa, Salvatore; Borgia, Guglielmo; De Rosa, Francesco Giuseppe; Gentile, Ivan

    2017-09-01

    Pseudomonas aeruginosa (PA) is one of the most important causes of healthcare-related infections among Gram-negative bacteria. The best therapeutic approach is controversial, especially for multidrug-resistant (MDR) and extensively drug-resistant (XDR) strains as well as in the setting of most severe patients, such as in the intensive care unit (ICU). Areas covered: This article addresses several points. First, the main microbiological aspects of PA, focusing on its wide array of resistance mechanisms. Second, risk factors and the worse outcome linked to MDR-PA infection. Third, the pharmacological peculiarity of ICU patients, that makes the choice of a proper antimicrobial therapy difficult. Eventually, the current therapeutic options against MDR-PA are reviewed, taking into account the main variables that drive antimicrobial optimization in critically ill patients. Literature search was carried out using Pubmed and Web of Science. Expert commentary: Methodologically rigorous studies are urgently needed to clarify crucial aspects of the treatment against MDR-PA, namely monotherapy versus combination therapy in empiric and targeted settings. In the meanwhile, useful options are represented by newly approved drugs, such as ceftolozane/tazobactam and ceftazidime/avibactam. In critically ill patients, at least as empirical approach, a combination therapy is a prudent choice when a MDR-PA strain is suspected.

  7. Intensive care management of severe hypernatraemia in the context of group A streptococcal septicaemia.

    Science.gov (United States)

    Davies, Bethan; Jesty, Robert; Uddin, Shahana; Metaxa, Victoria

    2018-04-26

    This case describes a 54-year-old woman with exudative eczema, who was admitted to the intensive care unit with a serum sodium concentration of 191 mmol/L, secondary to profound dehydration in the context of group A streptococcal septicaemia. Successful rehydration and electrolyte normalisation was achieved with continuous venovenous haemodiafiltration (CVVHDF), the replacement fluid of which was infused with hypertonic saline to limit the rate of sodium reduction. This case report comments on three areas of interest. First, hypernatraemia of this level is unusual. Second, the infusion of hypertonic saline into the replacement fluid of the CVVHDF filter is not common practice but successfully ensured a controlled reduction in serum sodium concentration while aggressively replacing a 9 L water deficit. Third, the notable physiological reserve demonstrated by the patient: despite an extraordinary serum sodium concentration in the context of overwhelming streptococcal septicaemia, she has made a full cognitive recovery. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  8. Management of outbreaks of nosocomial pathogens in Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    B. Ghirardi

    2013-12-01

    Full Text Available Outbreaks of nosocomial pathogens are one of the most relevant problems in Neonatal Intensive Care Unit (NICU. Many factors contribute to the onset of an epidemic, including virulence of the pathogen and vulnerability of the infants hospitalized in NICU. Outbreaks are often caused by multidrug-resistant organisms (MDROs. MDROs are defined as microorganisms, predominantly bacteria, that are resistant to one or more classes of antimicrobial agents. MDROs, including methicillin-resistant Staphylococcus aureus (MRSA, vancomycin-resistant enterococci (VRE and certain gram-negative bacilli (GNB, have important infection control implications. Once MDROs are introduced into a healthcare setting, transmission and persistence of the resistant strain is determined by the availability of vulnerable patients, selective pressure exerted by antimicrobial use, increased potential for transmission from larger numbers of infected or colonized patients (“colonization pressure”, and the impact of adherence to prevention efforts. Often, routine infection control measures are not enough to contain outbreaks, and additional control measures are needed, including implementation of hand hygiene, cohorting of infected/colonized infants, neonatal surveillance cultures, screening of healthcare workers and decolonization of neonates and/or healthcare workers in selected cases. In this review, we report the practices we developed in our NICU to contain an epidemic. These recommendations reflect the experience of the group, as well as the findings of the current literature.

  9. Aspects and Intensity of Pediatric Palliative Case Management Provided by a Hospital-Based Case Management Team: A Comparative Study Between Children With Malignant and Nonmalignant Disease.

    Science.gov (United States)

    Jagt-van Kampen, Charissa T; Colenbrander, Derk A; Bosman, Diederik K; Grootenhuis, Martha A; Kars, Marijke C; Schouten-van Meeteren, Antoinette Yn

    2018-01-01

    Anticipating case management is considered crucial in pediatric palliative care. In 2012, our children's university hospital initiated a specialized pediatric palliative care team (PPCT) to deliver inbound and outbound case management for children with life-shortening disease. The aim of this report is to gain insight in the first 9 months of this PPCT. Aspects of care during the first 9 months of the PPCT are presented, and comparison is made between patients with malignant disease (MD) and nonmalignant disease (NMD) in a retrospective study design. Insight in the aspects of care of all patients with a life-shortening disease was retrieved from web-based files and the hour registrations from the PPCT. Forty-three children were supported by the PPCT during the first 9 months: 22 with MD with a median of 50 (1-267) days and 29 minutes (4-615) of case management per patient per day and 21 patients with NMD with a median of 79.5 (5-211) days and 16 minutes of case management per day (6-64). Our data show significantly more interprofessional contacts for patients with MD and more in-hospital contacts for patients with NMD. The median number of admission days per patient was 11 (0-22) for MD (44% for anticancer therapy) and 44 (0-303) for NMD (36% for infectious diseases). This overview of aspects of pediatric palliative case management shows shorter but more intensive case management for MD in comparison with NMD. This insight in palliative case management guides the design of a PPCT.

  10. Cardiac Intensive Care Unit Management of Patients After Cardiac Arrest: Now the Real Work Begins.

    Science.gov (United States)

    Randhawa, Varinder K; Grunau, Brian E; Debicki, Derek B; Zhou, Jian; Hegazy, Ahmed F; McPherson, Terry; Nagpal, A Dave

    2018-02-01

    Survival with a good quality of life after cardiac arrest continues to be abysmal. Coordinated resuscitative care does not end with the effective return of spontaneous circulation (ROSC)-in fact, quite the contrary is true. Along with identifying and appropriately treating the precipitating cause, various components of the post-cardiac arrest syndrome also require diligent observation and management, including post-cardiac arrest neurologic injury and myocardial dysfunction, systemic ischemia-reperfusion phenomenon with potential consequent multiorgan failure, and the various sequelae of critical illness. There is growing evidence that an early invasive approach to coronary reperfusion with percutaneous coronary intervention, together with active targeted temperature management and optimization of hemodynamic, ventilator, and metabolic parameters, may improve survival and neurologic outcomes in cardiac arrest survivors. Neuroprognostication is complex, as are survivorship issues and long-term rehabilitation. Our paramedics, emergency physicians, and resuscitation specialists are all to be congratulated for ever-increasing success with ROSC… but now the real work begins. Copyright © 2017 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

  11. [Therapeutic restraint management in Intensive Care Units: Phenomenological approach to nursing reality].

    Science.gov (United States)

    Acevedo-Nuevo, M; González-Gil, M T; Solís-Muñoz, M; Láiz-Díez, N; Toraño-Olivera, M J; Carrasco-Rodríguez-Rey, L F; García-González, S; Velasco-Sanz, T R; Martínez-Álvarez, A; Martin-Rivera, B E

    2016-01-01

    To identify nursing experience on physical restraint management in Critical Care Units. To analyse similarities and differences in nursing experience on physical restraint management according to the clinical context that they are involved in. A multicentre phenomenological study was carried out including 14 Critical Care Units in Madrid, classified according to physical restraint use: Common/systematic use, lacking/personalised use, and mixed use. Five focus groups (23 participants were selected following purposeful sampling) were convened, concluding in data saturation. Data analysis was focused on thematic content analysis following Colaizzi's method. Six main themes: Physical restraint meaning in Critical Care Units, safety (self-retreat vital devices), contribution factors, feelings, alternatives, and pending issues. Although some themes are common to the 3 Critical Care Unit types, discourse differences are found as regards to indication, feelings, systematic use of pain and sedation measurement tools. In order to achieve real physical restraint reduction in Critical Care Units, it is necessary to have a deep understanding of restraints use in the specific clinical context. As self-retreat vital devices emerge as central concept, some interventions proposed in other settings could not be effective, requiring alternatives for critical care patients. Discourse variations laid out in the different Critical Care Unit types could highlight key items that determine the use and different attitudes towards physical restraint. Copyright © 2015 Elsevier España, S.L.U. y SEEIUC. All rights reserved.

  12. Ecology and management of the invasive lionfish Pterois volitans/miles complex (Perciformes: Scorpaenidae in Southern Costa Rica

    Directory of Open Access Journals (Sweden)

    Vera Sandel

    2015-03-01

    Full Text Available Invasive species alter ecosystem integrity and functioning and are considered one of the major threats to biodiversity on a global scale. The indopacific lionfish (Pterois volitans [Linnaeus, 1758] / miles [Bennet, 1882] complex is the first non-native marine fish that has established itself in the Western Atlantic. It was first reported in Florida in the 1980s and then spread across the entire Caribbean in subsequent years. In Costa Rica, lionfish were first sighted by the end of 2008 and are now present in all South Caribbean reefs. Lionfish are a major problem for local fisherman by displacing native fish species. The aim of this study was to determine population density, size and diet of lionfish populations at four study sites along the Southern Caribbean coast of Costa Rica. Two of the sites were located inside the National Park Cahuita where regular lionfish removal occurs, whereas the other two study sides do not experiment this kind of management. Total length and wet weight of >450 lionfish individuals were determined between March and June 2011. Three relative metrics of prey quantity (percent number, percent frequency, and percent weight were compared from ~300 lionfish caught with the polespear in shallow waters (<7m depth. Population density was assessed weekly through visual transect surveys. Our results showed that lionfish preyed mostly upon teleosts and crustaceans. Teleosts dominated lionfish diet in percent frequency (71% and percent weight (85%, whereas crustaceans had the highest percent number (58%. The top five teleost families of dietary importance were Pomacentridae, Acanthuridae, Blennidae, Labridae and Serranidae. The average total length (±SD of lionfish was 18.7(±5.7cm and varied significantly between sites (p<0.001. Mean density of lionfish was 92fish/ha with no significant differences between sites. Smallest fish and lowest densities were found at the two sites inside the National Park Cahuita. Despite

  13. Failure mode and effect analysis: improving intensive care unit risk management processes.

    Science.gov (United States)

    Askari, Roohollah; Shafii, Milad; Rafiei, Sima; Abolhassani, Mohammad Sadegh; Salarikhah, Elaheh

    2017-04-18

    Purpose Failure modes and effects analysis (FMEA) is a practical tool to evaluate risks, discover failures in a proactive manner and propose corrective actions to reduce or eliminate potential risks. The purpose of this paper is to apply FMEA technique to examine the hazards associated with the process of service delivery in intensive care unit (ICU) of a tertiary hospital in Yazd, Iran. Design/methodology/approach This was a before-after study conducted between March 2013 and December 2014. By forming a FMEA team, all potential hazards associated with ICU services - their frequency and severity - were identified. Then risk priority number was calculated for each activity as an indicator representing high priority areas that need special attention and resource allocation. Findings Eight failure modes with highest priority scores including endotracheal tube defect, wrong placement of endotracheal tube, EVD interface, aspiration failure during suctioning, chest tube failure, tissue injury and deep vein thrombosis were selected for improvement. Findings affirmed that improvement strategies were generally satisfying and significantly decreased total failures. Practical implications Application of FMEA in ICUs proved to be effective in proactively decreasing the risk of failures and corrected the control measures up to acceptable levels in all eight areas of function. Originality/value Using a prospective risk assessment approach, such as FMEA, could be beneficial in dealing with potential failures through proposing preventive actions in a proactive manner. The method could be used as a tool for healthcare continuous quality improvement so that the method identifies both systemic and human errors, and offers practical advice to deal effectively with them.

  14. THE KNOWLEDGE MANAGEMENT IN INTENSIVE ENVIRONMENTS OF KNOWLEDGE: THE SMALL INCUBATED SOFTWARES COMPANIES

    Directory of Open Access Journals (Sweden)

    Greyce Krambeck

    2009-07-01

    Full Text Available This article discusses the understanding and behavior of entrepreneurs incubated for software companies (development of information systems, provide services in information technology - hardware and software, and advise on the implementation of administrative management systems in relation to knowledge, in the obtaining and facilitating the use of knowledge and availability of media. Initially, it sought a fundamental concept for the study and is based contextualise the issue, making the connection with the knowledge of the views of academic and business. After an analysis was conducted based on applied research to executives on their understanding of the concept of knowledge regarding the way in which it operates (professional and personal, concluding with the importance of knowledge for business growth from the person.

  15. How Useful is Extravascular Lung Water Measurement in Managing Lung Injury in Intensive Care Unit?

    Science.gov (United States)

    Bhattacharjee, Anirban; Pradhan, Debasis; Bhattacharyya, Prithwis; Dey, Samarjit; Chhunthang, Daniala; Handique, Akash; Barman, Angkita; Yunus, Mohd

    2017-08-01

    The primary goal of septic shock management is optimization of organ perfusion, often at the risk of overloading the interstitium and causing pulmonary edema. The conventionally used end points of resuscitation do not generally include volumetric parameters such as extravascular lung water index (EVLWI) and pulmonary vascular permeability index (PVPI). This study aimed to assess the prognostic value of EVLWI and PVPI by calculating their correlation with the severity of lung injury. This prospective observational study included twenty mechanically ventilated critically ill patients with Acute Physiology and Chronic Health Evaluation score (APACHE II) >20. EVLWI and PVPI were measured using transpulmonary thermodilution, and simultaneously, PaO 2 :FiO 2 ratio, alveolar-arterial gradient of oxygen (AaDO 2 ), and chest radiograph scores from two radiologists were obtained. The correlation of EVLWI and PVPI with chest radiograph scores, PaO 2 :FiO 2 ratio, and AaDO 2 were calculated. The inter-observer agreement between the two radiologists was tested using kappa test. EVLWI and PVPI correlated modestly with PaO 2 :FiO 2 ( r = -0.32, P = 0.0004; r = -0.39, P = 0.0001). There was a better correlation of EVLWI and PVPI with PaO 2 :FiO 2 ratio ( r = -0.71, P < 0.0001; r = -0.58, P = 0.0001) in the acute respiratory distress syndrome (ARDS) subgroup. The EVLWI values correlated significantly with corresponding chest radiograph scores ( r = 0.71, P < 0.0001 for observer 1 and r = 0.68, P < 0.0001 for observer 2). EVLWI and PVPI may have a prognostic significance in the assessment of lung injury in septic shock patients with ARDS. Further research is required to reveal the usefulness of EVLWI as an end point of fluid resuscitation in the management of septic shock with ARDS.

  16. Review of Alternative Management Options of Vegetable Crop Residues to Reduce Nitrate Leaching in Intensive Vegetable Rotations

    Directory of Open Access Journals (Sweden)

    Laura Agneessens

    2014-12-01

    Full Text Available Vegetable crop residues take a particular position relative to arable crops due to often large amounts of biomass with a N content up to 200 kg N ha−1 left behind on the field. An important amount of vegetable crops are harvested during late autumn and despite decreasing soil temperatures during autumn, high rates of N mineralization and nitrification still occur. Vegetable crop residues may lead to considerable N losses through leaching during winter and pose a threat to meeting water quality objectives. However, at the same time vegetable crop residues are a vital link in closing the nutrient and organic matter cycle of soils. Appropriate and sustainable management is needed to harness the full potential of vegetable crop residues. Two fundamentally different crop residue management strategies to reduce N losses during winter in intensive vegetable rotations are reviewed, namely (i on-field management options and modifications to crop rotations and (ii removal of crop residues, followed by a useful and profitable application.

  17. Effect of soil type and soil management on soil physical, chemical and biological properties in commercial organic olive orchards in Southern Spain

    Science.gov (United States)

    Gomez, Jose Alfonso; Auxiliadora Soriano, Maria; Montes-Borrego, Miguel; Navas, Juan Antonio; Landa, Blanca B.

    2014-05-01

    One of the objectives of organic agriculture is to maintain and improve soil quality, while simultaneously producing an adequate yield. A key element in organic olive production is soil management, which properly implemented can optimize the use of rainfall water enhancing infiltration rates and controlling competition for soil water by weeds. There are different soil management strategies: eg. weed mowing (M), green manure with surface tillage in spring (T), or combination with animal grazing among the trees (G). That variability in soil management combined with the large variability in soil types on which organic olive trees are grown in Southern Spain, difficult the evaluation of the impact of different soil management on soil properties, and yield as well as its interpretation in terms of improvement of soil quality. This communications presents the results and analysis of soil physical, chemical and biological properties on 58 soils in Southern Spain during 2005 and 2006, and analyzed and evaluated in different studies since them. Those 58 soils were sampled in 46 certified commercial organic olive orchards with four soil types as well as 12 undisturbed areas with natural vegetation near the olive orchards. The four soil types considered were Eutric Regosol (RGeu, n= 16), Eutric Cambisol (CMeu, n=16), Calcaric Regosol (RGca, n=13 soils sampled) and Calcic Cambisol (CMcc), and the soil management systems (SMS) include were 10 light tillage (LT), 16 sheep grazing (G), 10 tillage (T), 10 mechanical mowing (M), and 12 undisturbed areas covered by natural vegetation (NV-C and NV-S). Our results indicate that soil management had a significant effect on olive yield as well as on key soil properties. Among these soil properties are physical ones, such as infiltration rate or bulk density, chemical ones, especially organic carbon concentration, and biological ones such as soil microbial respiration and bacterial community composition. Superimpose to that soil

  18. Development and validation of an observation tool for the assessment of nursing pain management practices in intensive care unit in a standardized clinical simulation setting.

    Science.gov (United States)

    Gosselin, Emilie; Bourgault, Patricia; Lavoie, Stephan; Coleman, Robin-Marie; Méziat-Burdin, Anne

    2014-12-01

    Pain management in the intensive care unit is often inadequate. There is no tool available to assess nursing pain management practices. The aim of this study was to develop and validate a measuring tool to assess nursing pain management in the intensive care unit during standardized clinical simulation. A literature review was performed to identify relevant components demonstrating optimal pain management in adult intensive care units and to integrate them in an observation tool. This tool was submitted to an expert panel and pretested. It was then used to assess pain management practice during 26 discrete standardized clinical simulation sessions with intensive care nurses. The Nursing Observation Tool for Pain Management (NOTPaM) contains 28 statements grouped into 8 categories, which are grouped into 4 dimensions: subjective assessment, objective assessment, interventions, and reassessment. The tool's internal consistency was calculated at a Cronbach's alpha of 0.436 for the whole tool; the alpha varies from 0.328 to 0.518 for each dimension. To evaluate the inter-rater reliability, intra-class correlation coefficient was used, which was calculated at 0.751 (p nurses' pain management in a standardized clinical simulation. The NOTPaM is the first tool created for this purpose. Copyright © 2014 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  19. Geochemical and isotopic study to determine sources and processes affecting nitrate and sulphate in groundwater influenced by intensive human activity - carbonate aquifer Gliwice (southern Poland)

    International Nuclear Information System (INIS)

    Jakóbczyk-Karpierz, Sabina; Sitek, Sławomir; Jakobsen, Rasmus; Kowalczyk, Andrzej

    2017-01-01

    A multi-species, multi-stable-isotope approach (δ"1"5N_N_O_3, δ"1"8O_N_O_3_, δ"3"4S_S_O_4, δ"1"8O_S_O_4, δ"1"8O_H_2_O and δ"2H_H_2_O) was used together with environmental tracers (Ar, Ne, CFC-11 and CFC-12) and geochemical modelling to characterize sources and processes controlling concentrations of NO_3"− and SO_4"2"- in groundwater of the carbonate aquifer Gliwice (southern Poland). The study area represents a strongly transformed environment with a range of human activities i.a. Agriculture, urbanization and industry. The δ"1"5N_N_O_3 and δ"1"8O_N_O_3 indicated that most samples contained NO_3"− of mixed sources: artificial fertilizers, municipal and industrial sewage, while very good correlation between NO_3"− and CFC-12 suggested that nitrate originated primarily from residential and industrial sewage. Conversely, isotopic composition of sulphate in groundwater suggested agriculture as well as oxidation of sulphides as dominant. The conclusion was supported by the comparison of CFCs and sulphate concentrations which revealed no relevant correlation. Geochemical modelling confirmed the presence of sulphate reduction in areas where isotopic analyses were not possible due to undetectable sulphate. Thus, the integrated application of stable isotopes, environmental tracers, groundwater chemistry and geochemical modelling shows a complex origin of groundwater pollution in the study area as well as variety of geochemical processes controlling chemistry of groundwater in a triple-porosity aquifer influenced by different types of human activity. - Highlights: • CFCs helped to identify municipal and industrial sources of NO_3"− in groundwater. • δ"1"8O and δ"3"4S suggested domination of SO_4"2"- from agriculture and sulphide oxidation. • Sulphate reduction was confirmed using geochemical modelling for SO_4"2"-free water.

  20. Removal Characteristics of Nitrogen and Phosphorus and Their Land Application Rates During a Multi-level Treatment Process for Manure and Waste Water:An Example from Intensive Swine Farm in Water Network Region of Southern Jiangsu Province, China

    Directory of Open Access Journals (Sweden)

    JIN Hong-mei

    2018-03-01

    Full Text Available The actual removal rates of nitrogen and phosphorus in animal manure and waste water during multi-level treatment process remain vague for large-scale farms. This limits its land application in water network regions of China. The aims of this study were:(1 to verify the removal characteristics of total nitrogen(TN and phosphorus(TP during a multi-level treatment process for swine manure and waste water, and(2 to calculate its land carrying capacity. An intensive swine farm in Southern Jiangsu, which possessed a typical manure and waste water treatment plant with two anaerobic digesters, three natural sediment ponds, and one aquatic plant ponds, was chosen to monitor for the four seasons during a whole year. The results showed that total productions of manure and urine were 4 086.9 t and 10 995.8 t, respectively, in 2016. The collection rate of manure was around 90.5%. The available TN and TP were 183.12 t and 148.97 t, respectively, for land application. The removal rates of TN and TP were less than 25.3% and 57.2% respectively, after secondary anaerobic digestion. The residual TN and TP in the digestates could be removed more than 80% by oxygen ponds treatments. Then the effluent was processed by aquatic plants, and the removal rates for TN and TP were more than 95%, which guaranteed the effluent to be up to the discharge standard. The multi-level processing technology could improve the land carrying capacity and reduce the manure and waste water treatment costs for the intensive animal farms, which were suitable for very intensive, economically developed and land resource limited regions.

  1. A STUDY OF AETIOLOGY, CLINICAL FEATURES AND MANAGEMENT OF ACUTE PANCREATITIS IN A TERTIARY CARE HOSPITAL IN SOUTHERN ODISHA

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    Rajendra

    2016-05-01

    Full Text Available BACKGROUND Acute pancreatitis is a common condition involving the pancreas. The estimated incidence is about 3% of cases presenting with pain abdomen in the UK. The hospital admission rate for acute pancreatitis is 9.8/100,000 per year in UK and annual incidence may range from 5-50/100,000 worldwide. Gall stone disease and alcohol account for greater than 80% of all patients with acute pancreatitis, with biliary disease accounting for 45% and alcohol found in 35% of patients. Given the wide spectrum of disease seen, the care of patients with pancreatitis must be highly individualised. Patients with mild acute pancreatitis generally can be managed with resuscitation and supportive care. Aetiological factors are sought and treated, if possible, but operative therapy essentially has no role in the care of these patients. Those with severe and necrotising pancreatitis require intensive therapy, which may include wide operative debridement of the infected pancreas or surgical management of local complications of the disease. AIM OF THE STUDY 1. To study the age and sex prevalence of acute pancreatitis. 2. To study the various aetiological factors of acute pancreatitis. 3. To study the clinical presentation and management of acute pancreatitis. MATERIALS AND METHODS Patients admitted to the Department of General Surgery at M.K.C.G Medical College and Hospital, Berhampur were taken up for the study. Totally, 49 patients with 53 episodes of acute pancreatitis were studied from September 2013 to August 2015. RESULTS AND CONCLUSIONS Acute pancreatitis is a common cause of acute abdomen in patients presenting to the surgical emergency department. Alcohol being the most common cause of acute pancreatitis in this part of the country, it has a male preponderance and most commonly presents in the 4th decade of life. It is mainly a clinical diagnosis supplanted with biochemical and radiological findings. The management is mainly conservative, with surgery

  2. Gap formation in Danish beech (Fagus sylvatica) forests of low management intensity

    DEFF Research Database (Denmark)

    Ritter, Eva; Vesterdal, Lars

    2006-01-01

    -based managed forest, soil solution was collected for 5 years and soil moisture measured in the fourth year after gap formation. Average NO3-N concentrations were significantly higher in the gaps (9.9 and 8.1 mg NO3-N l(-1), respectively) than under closed canopy (0.2 mg l(-1)). In the semi-natural forest......, measurements were carried out up to 29 months after gap formation. Average NO3-N concentrations in the gap were 19.3 mg NO3-N l(-1). Gap formation alone did not account for this high level, as concentrations were high also under closed canopy (average 12.4 mg NO3-N l(-1)). However, the gap had significantly...... higher N concentrations when trees were in full leaf, and NO3-N drainage losses were significantly increased in the gap. No losses occurred under closed canopy in growing seasons. Soil moisture was close to field capacity in all three gaps, but decreased under closed canopy in growing seasons...

  3. Integration of quality assurance activities into a computerized patient data management system in an intensive care unit.

    Science.gov (United States)

    Weissman, C; Mossel, P; Haimet, S; King, T C

    1990-11-01

    A prototype computer-based patient data management system (PDMS) was developed for a surgery-anesthesiology intensive care unit (ICU) to reduce the time and staff needed to implement quality assurance (QA) functions. Goals of the system were to make QA functions routine and minimally intrusive to the daily operation of the ICU. PDMS collects general data (eg, admissions and discharges, lengths of stay, and bed utilization rates) and specialized data (eg, specific indicators) unique to the ICU and performs prospective monitoring for the occurrence of specific events (occurrence screening) and retrospective examinations of patient records (targeted reviews). Preliminary results suggest that PDMS facilitates the acquisition and analysis of QA data and reduces the time needed to acquire these data. Research to validate these claims and efforts to improve and expand the prototype system with a permanent production system are in progress.

  4. Assessment and Management of Acute Severe Mitral Regurgitation in the Intensive Care Unit.

    Science.gov (United States)

    Leitman, Marina; Tyomkin, Vladimir; Raanani, Ehud; Sharony, Ram; Tzatskin, Ludmila; Peleg, Eli; Blatt, Alex; Vered, Zvi

    2017-03-01

    Acute severe mitral regurgitation (MR) is a serious medical condition. Whilst clear guidelines exist regarding the management of chronic MR, acute severe MR is usually treated on an individual basis. Currently, few data exist regarding acute MR in the era of primary coronary interventions (PCI). The present study included patients admitted to the Department of Cardiology during recent years with acute severe MR of different etiologies, and an analysis of these data in the light of previous investigations. The digital database of the present authors' hospital was searched for patients diagnosed with severe MR between 2008 and 2015. From a total of 228 patients identified, 19 with primary MR and 17 with secondary (functional) MR were admitted to the Department of Cardiology. The clinical data and outcome of these patients were analyzed. Among patients with MR due to acute myocardial infarction (MI), 13 had functional MR and six had MR due to mechanical complications, namely rupture of the papillary muscle or chordae tendineae. Among patients with MR not in the setting of MI, 13 had primary MR and four had functional MR. Patients with MR due to acute MI were more often in cardiogenic shock or had pulmonary edema and had a higher mortality. The strongest predictor of mortality was the presence of shock, followed by female gender, hypertension, age ≥68 years; previous MI and pulmonary edema were also predictors of mortality. In patients with acute MI and secondary MR, PCI to the culprit coronary artery was associated with a lesser degree of MR on follow up. Patients with severe MR are at high risk of in-hospital death. Patients with functional MR are likely to benefit from prompt PCI to the culprit artery, and for those with primary MR urgent surgery is life-saving.

  5. Use of case-based reasoning to enhance intensive management of patients on insulin pump therapy.

    Science.gov (United States)

    Schwartz, Frank L; Shubrook, Jay H; Marling, Cynthia R

    2008-07-01

    This study was conducted to develop case-based decision support software to improve glucose control in patients with type 1 diabetes mellitus (T1DM) on insulin pump therapy. While the benefits of good glucose control are well known, achieving and maintaining good glucose control remains a difficult task. Case-based decision support software may assist by recalling past problems in glucose control and their associated therapeutic adjustments. Twenty patients with T1DM on insulin pumps were enrolled in a 6-week study. Subjects performed self-glucose monitoring and provided daily logs via the Internet, tracking insulin dosages, work, sleep, exercise, meals, stress, illness, menstrual cycles, infusion set changes, pump problems, hypoglycemic episodes, and other events. Subjects wore a continuous glucose monitoring system at weeks 1, 3, and 6. Clinical data were interpreted by physicians, who explained the relationship between life events and observed glucose patterns as well as treatment rationales to knowledge engineers. Knowledge engineers built a prototypical system that contained cases of problems in glucose control together with their associated solutions. Twelve patients completed the study. Fifty cases of clinical problems and solutions were developed and stored in a case base. The prototypical system detected 12 distinct types of clinical problems. It displayed the stored problems that are most similar to the problems detected, and offered learned solutions as decision support to the physician. This software can screen large volumes of clinical data and glucose levels from patients with T1DM, identify clinical problems, and offer solutions. It has potential application in managing all forms of diabetes.

  6. Land use and land management effects on soil organic carbon stock in Mediterranean agricultural areas (Southern Spain)

    Science.gov (United States)

    Parras-Alcántara, Luis; Lozano-García, Beatriz

    2014-05-01

    Anderson-Darling test at each horizon or a combination of horizons for each soil type. RESULTS The LUC had a negative impact in the soil, reducing the SOC and TN stocks. The conversion from AC to V and OG involved the loss of the SOC stock (52.7% and 64.9% to V and OG respectively) and the loss of the TN stock (42.6% and 38.1% to V and OG respectively). The reduction of SOC by LUC, can be explained by a degraded process (due to vegetation losses and unsustainable soil management, which result in progressive impoverishment in the soil organic matter (OM) content, causing low productivity, which derived in unsuitable chemical properties) and by the reduced input of OM in cultivated soils, which reduced physical protection of soil and increased water erosion. However, 46 years of LUC had a positive effect in the soil, increasing the SR (in V and OG) of SOC, TN and C:N ratio (Parras-Alcántara et al., 2013). REFERENCES Parras-Alcántara, L., Martín-Carrillo, M., Lozano-García, B. 2013. Impacts of land use change in soil carbon and nitrogen in a Mediterranean agricultural area (Southern Spain). Solid Earth, 4: 167-177.

  7. Control of Giardia infections with ronidazole and intensive hygiene management in a dog kennel.

    Science.gov (United States)

    Fiechter, Ruth; Deplazes, Peter; Schnyder, Manuela

    2012-06-08

    Infections with the intestinal protozoan parasite Giardia in dogs and cats are common. Clinical signs vary from asymptomatic to small bowel diarrhea and associated discomfort. The control of infections in dogs is frequently a frustrating issue for animal owners and veterinarians. Drugs with antiprotozoal activity such as fenbendazole and metronidazole are recommended, however, they do not show 100% efficacy and superinfections occur regularly. Ronidazole is currently the drug of choice for the treatment of Tritrichomonas foetus in cats and there is now limited information available about its efficacy against Giardia spp. In the kennel investigated, dogs regularly showed loose feces and the presence of Giardia (assemblage C, renamed as G. canis) cysts. An elimination strategy of this parasite involving strict hygiene management and disinfection of the enclosures with 4-chlorine-M-cresol, oral treatment with ronidazole (30-50mg/kg BW bid for 7 days) and two shampooings (containing chlorhexidine) at the beginning and the end of the treatments was implemented for a group of 6 dogs. As a control another group of 7 dogs was transferred to the disinfected enclosures and shampooed, but left untreated. Dog feces were tested for the presence of Giardia cysts (SAF concentration technique) or Giardia antigen with a commercial ELISA (NOVITEC(®)) and a quick immunochromatography-based test (SensPERT(®)) before and between 5 and 40 days after the last treatment. All ronidazole-treated dogs were negative for Giardia cysts and antigen up to 26 days after the last treatment, while between 1 and 5 of the control animals tested positive in each of the test series. At this point, also dogs of the control group were again moved into clean enclosures, shampooed twice and treated with ronidazole. Five, 12 and 19 days after the last treatment, the dogs in the control group tested negative for Giardia cysts and antigen. However, all animals had again positive results at later time points

  8. Greenhouse gas exchange in grasslands: impacts of climate, intensity of management and other factors

    Science.gov (United States)

    Smith, K. A.

    2003-04-01

    Grasslands occupy some 40% of the terrestrial land surface. They are generally categorised as natural (occurring mainly in those regions where the rainfall is too low to support forest ecosystems), semi-natural (where management, mainly by grazing, has changed the vegetation composition), and artificial (where forests have been cleared to create new pasture land). The soils of the natural and semi-natural grasslands constitute a large reservoir of carbon, and make a substantial contribution to the soil sink for atmospheric CH_4. The conversion of much of the natural temperate grassland to arable agriculture, e.g. in North America and Europe, resulted in a considerable decrease in soil organic carbon, and its release to the atmosphere as CO_2 has made a substantial contribution to the total atmospheric concentration of this gas. The associated increase in cycling of soil N (released from the organic matter) will have contributed to N_2O emissions, and land disturbance and fertilisation has resulted in a depletion of the soil CH_4 sink. Conversion of tropical forests to pastures has also been a major source of CO_2, and these pastures show elevated emissions of N_2O for some years after conversion. Seasonally flooded tropical grasslands are a significant source of CH_4 emissions. Consideration of grassland ecosystems in their entirety, in relation to GHG exchange, necessitates the inclusion of CH_4 production by fauna - domesticated livestock and wild herbivores, as well as some species of termites - in the overall assessment. Stocking rates on pasture land have increased, and the total CH_4 emissions likewise. The relationship between animal production and CH_4 emissions is dependent on the nutritional quality of the vegetation, as well as on animal numbers. In both temperate and tropical regions, increased N inputs as synthetic fertilisers and manures (and increased N deposition) are producing possibly a more-than-linear response in terms of emissions of N_2O. In

  9. Estimating CH4 emission from paddy managed soils in southern guinea savanna zone of Nigeria using an integrated approach

    Science.gov (United States)

    Akpeokhai, Agatha; Menz, Gunter; Thonfeld, Frank; Akinluyi, Francis

    2016-04-01

    ESTIMATING CH4 EMISSION FROM PADDY MANAGED SOILS IN SOUTHERN GUINEA SAVANNA ZONE OF NIGERIA USING AN INTEGRATED APPROACH Akpeokhai Agatha 1, Menz Gunter 1, Thonfeld Frank 1, Akinluyi Francis 2 1 Remote Sensing Research Group (RSRG), Geography Institute, University of Bonn, Germany. 2 Department Remote Sensing and Geo-Science Information System, School of Earth and Mineral Science, Federal University of Technology, Akure Nigeria. Methane is one of the most important greenhouse gases as it has the second greatest climate forcing potential. Paddy fields have been identified to be sources of methane and Nigerian paddies are not left out. In Nigeria, the guinea savanna region is regarded as the bread basket of the nation and this area is one of the major rice producing regions in Nigeria. Its location in the food basket region of the country makes this part a very important study site. However, since Nigerian paddies contribute to methane emission by how much do these paddies contribute to the emissions? Also, so far, there limited studies on methane from rice fields in West Africa thus making this study a very important start off point. To answer this huge question, methane emission will be estimated using an integrated approach in the North Central part of Nigeria. Land use change cultivated to rice was analysed using Remote sensing techniques to determine the changes in land cultivated to rice. Methane emission from these identified rice fields will be estimated using the IPCC Tier 1 set of equations. First relevant indices (Normalized Differential Moisture Index, Normalized Differential Wetness Index and Rice Growth Vegetation Index) were generated to aid classification of rice fields using LANDSAT data from the USGS. Next the LANDSAT datasets were analyzed for land use change cultivated to rice from 1990 to 2014 to generate rice field maps. ERDAS Imagine, ARCGIS and ENVI tools were used to meet these spatial needs. Methane emissions from this region will be

  10. Investigation and management of gastro-oesophageal reflux in United Kingdom neonatal intensive care units.

    Science.gov (United States)

    Rossor, Thomas; Andradi, Gwendolyn; Bhat, Ravindra; Greenough, Anne

    2018-01-01

    In 2004, wide variation in the investigation and management of gastro-oesophageal reflux (GOR) of infants on UK major neonatal units was demonstrated. Our aim was to resurvey neonatal practitioners to determine current practice and whether it was now evidence based. A questionnaire was sent to all 207 UK neonatal units. Responses were obtained from 84% of units. The most frequent 'investigation' was a trial of therapy (83% of units); pH studies were used in 38%, upper GI contrast studies in 19% and multichannel intraluminal impedance (MII)/pH studies in 5%. Only six units suggested a threshold for an abnormal pH study and two units for an abnormal MII study. Infants were commenced on antireflux medication without investigation always in 32% of units, often in 29%, occasionally in 19% and only never in 1%. Gaviscon was used as first line treatment in 60% of units, and other medications included ranitidine in 53%, thickening agents in 27%, proton pump inhibitors in 23%, domperidone in 22% and erythromycin in 6%. There remains a wide variation in diagnostic and treatment strategies for infants with suspected GOR on neonatal intensive care units, emphasising the need for randomised trials to determine appropriate GOR management. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  11. Long-term intensive management increased carbon occluded in phytolith (PhytOC) in bamboo forest soils

    Science.gov (United States)

    Huang, Zhang-Ting; Li, Yong-Fu; Jiang, Pei-Kun; Chang, Scott X.; Song, Zhao-Liang; Liu, Juan; Zhou, Guo-Mo

    2014-01-01

    Carbon (C) occluded in phytolith (PhytOC) is highly stable at millennium scale and its accumulation in soils can help increase long-term C sequestration. Here, we report that soil PhytOC storage significantly increased with increasing duration under intensive management (mulching and fertilization) in Lei bamboo (Phyllostachys praecox) plantations. The PhytOC storage in 0-40 cm soil layer in bamboo plantations increased by 217 Mg C ha-1, 20 years after being converted from paddy fields. The PhytOC accumulated at 79 kg C ha-1 yr-1, a rate far exceeding the global mean long-term soil C accumulation rate of 24 kg C ha-1 yr-1 reported in the literature. Approximately 86% of the increased PhytOC came from the large amount of mulch applied. Our data clearly demonstrate the decadal scale management effect on PhytOC accumulation, suggesting that heavy mulching is a potential method for increasing long-term organic C storage in soils for mitigating global climate change.

  12. Facilitated Nurse Medication-Related Event Reporting to Improve Medication Management Quality and Safety in Intensive Care Units.

    Science.gov (United States)

    Xu, Jie; Reale, Carrie; Slagle, Jason M; Anders, Shilo; Shotwell, Matthew S; Dresselhaus, Timothy; Weinger, Matthew B

    Medication safety presents an ongoing challenge for nurses working in complex, fast-paced, intensive care unit (ICU) environments. Studying ICU nurse's medication management-especially medication-related events (MREs)-provides an approach to analyze and improve medication safety and quality. The goal of this study was to explore the utility of facilitated MRE reporting in identifying system deficiencies and the relationship between MREs and nurses' work in the ICUs. We conducted 124 structured 4-hour observations of nurses in three different ICUs. Each observation included measurement of nurse's moment-to-moment activity and self-reports of workload and negative mood. The observer then obtained MRE reports from the nurse using a structured tool. The MREs were analyzed by three experts. MREs were reported in 35% of observations. The 60 total MREs included four medication errors and seven adverse drug events. Of the 49 remaining MREs, 65% were associated with negative patient impact. Task/process deficiencies were the most common contributory factor for MREs. MRE occurrence was correlated with increased total task volume. MREs also correlated with increased workload, especially during night shifts. Most of these MREs would not be captured by traditional event reporting systems. Facilitated MRE reporting provides a robust information source about potential breakdowns in medication management safety and opportunities for system improvement.

  13. Potential Carbon Transport: Linking Soil Aggregate Stability and Sediment Enrichment for Updating the Soil Active Layer within Intensely Managed Landscapes

    Science.gov (United States)

    Wacha, K.; Papanicolaou, T.; Abban, B. K.; Wilson, C. G.

    2014-12-01

    Currently, many biogeochemical models lack the mechanistic capacity to accurately simulate soil organic carbon (SOC) dynamics, especially within intensely managed landscapes (IMLs) such as those found in the U.S. Midwest. These modeling limitations originate by not accounting for downslope connectivity of flowpathways initiated and governed by landscape processes and hydrologic forcing, which induce dynamic updates to the soil active layer (generally top 20-30cm of soil) with various sediment size fractions and aggregates being transported and deposited along the downslope. These hydro-geomorphic processes, often amplified in IMLs by tillage events and seasonal canopy, can greatly impact biogeochemical cycles (e.g., enhanced mineralization during aggregate breakdown) and in turn, have huge implications/uncertainty when determining SOC budgets. In this study, some of these limitations were addressed through a new concept, Potential Carbon Transport (PCT), a term which quantifies a maximum amount of material available for transport at various positions of the landscape, which was used to further refine a coupled modeling framework focused on SOC redistribution through downslope/lateral connectivity. Specifically, the size fractions slaked from large and small aggregates during raindrop-induced aggregate stability tests were used in conjunction with rainfall-simulated sediment enrichment ratio (ER) experiments to quantify the PCT under various management practices, soil types and landscape positions. Field samples used in determining aggregate stability and the ER experiments were collected/performed within the historic Clear Creek Watershed, home of the IML Critical Zone Observatory, located in Southeastern Iowa.

  14. Epidemiology, Prognosis, and Evolution of Management of Septic Shock in a French Intensive Care Unit: A Five Years Survey

    Directory of Open Access Journals (Sweden)

    Nicolas Boussekey

    2010-01-01

    Full Text Available Purpose. To evaluate the epidemiology, prognosis, and management of septic shock patients hospitalized in our intensive care unit (ICU. Materiel and Methods. Five-year monocenter observational study including 320 patients. Results. ICU mortality was 54.4%. Independent mortality risk factors were mechanical ventilation (OR=4.97, Simplify Acute Physiology Score (SAPS II > 60 (OR=4.28, chronic alcoholism (OR=3.38, age >65 years (OR=2.65, prothrombin ratio <40% (OR=2.37, and PaO2/FiO2 ratio <150 (OR=1.91. These six mortality risk factors recovered allow screening immediately septic shock patients with a high mortality risk. Morbidity improved with time (diminution of septic shock complications, increase of the number of days alive free from mechanical ventilation and vasopressors on day 28, concomitant to an evolution of the management (earlier institution of all replacement and medical therapies and more initial volume expansion. There was no difference in mortality. Conclusion. Our study confirms a high mortality rate in septic shock patients despite a new approach of treatment.

  15. Containment of the western corn rootworm Diabrotica v.virgifera: continued successful management 2008 in southern Switzerland by monitoring and crop rotation.

    Science.gov (United States)

    Hummel, Hans E; Bertossa, M

    2009-01-01

    Diabrotica virgifera virgifera LeConte (Col.: Chrysomelidae), known as western corn rootworm (WCR) and endemic in North America, invaded Europe about two decades ago. Various unsuccessful attempts have been made to eradicate it from the Old World. Management with a variety of strategies is the option now remaining. WCR management in Southern Switzerland by a unique containment approach has been practiced successfully since 2003 using biotechnical means. Without any chemical pesticides or GMO input, the Swiss government mandated adherence to strict crop rotation. In addition to the economic benefits of this relatively simple approach, the environment was saved a considerable burden of pesticide applications. Other countries are invited to follow this example of sustainable pest management.

  16. Soil CH4 and N2O Emissions from Rice Paddy Fields in Southern Brazil as Affected by Crop Management Levels: a Three-Year Field Study

    Directory of Open Access Journals (Sweden)

    Tiago Zschornack

    2018-05-01

    Full Text Available ABSTRACT Rice yield increases in response to improvements in crop management, but the impact on greenhouse gas (GHG emissions in the subtropical region of Southern Brazil remains unknown. A three-year field study was developed aiming to evaluate the impact that an increase in crop management levels (high and very high has on soil methane (CH4 and nitrous oxide (N2O emissions, as compared to the level (medium currently adopted by farmers in Southern Brazil. Differences in crop management included seed and fertilizer rates, irrigation, and pesticide use. The effect of crop management levels on the annual partial global warming potential (pGWP = CH4 × 25 + N2O × 298 ranged from 7,547 to 17,711 kg CO2eq ha−1 and this effect was larger than on the rice grain yield (9,280 to 12,260 kg ha−1, resulting in approximately 60 % higher yield-scaled GHG with the high crop management level compared to the current level. Soil CH4 emissions accounted for 98 % of pGWP in the flooded rice season, whereas N2O prevailed during the drained non-rice season (≈65 %. Although it was impossible to relate emissions to any individual input or practice, soil CH4 emissions in the rice season were linearly related to the biomass produced by the rice crop (p<0.01 and by ryegrass in the previous non-rice season (p<0.1, both of which were possibly related to the supply of labile C for methanogenesis. A future increase in rice yield as a result of the adoption of improved crop management may require additional agricultural practices (e.g., intermittent irrigation to offset the increased GHG emissions.

  17. Evaluation of the groundwater flow model for southern Utah and Goshen Valleys, Utah, updated to conditions through 2011, with new projections and groundwater management simulations

    Science.gov (United States)

    Brooks, Lynette E.

    2013-01-01

    The U.S. Geological Survey (USGS), in cooperation with the Southern Utah Valley Municipal Water Association, updated an existing USGS model of southern Utah and Goshen Valleys for hydrologic and climatic conditions from 1991 to 2011 and used the model for projection and groundwater management simulations. All model files used in the transient model were updated to be compatible with MODFLOW-2005 and with the additional stress periods. The well and recharge files had the most extensive changes. Discharge to pumping wells in southern Utah and Goshen Valleys was estimated and simulated on an annual basis from 1991 to 2011. Recharge estimates for 1991 to 2011 were included in the updated model by using precipitation, streamflow, canal diversions, and irrigation groundwater withdrawals for each year. The model was evaluated to determine how well it simulates groundwater conditions during recent increased withdrawals and drought, and to determine if the model is adequate for use in future planning. In southern Utah Valley, the magnitude and direction of annual water-level fluctuation simulated by the updated model reasonably match measured water-level changes, but they do not simulate as much decline as was measured in some locations from 2000 to 2002. Both the rapid increase in groundwater withdrawals and the total groundwater withdrawals in southern Utah Valley during this period exceed the variations and magnitudes simulated during the 1949 to 1990 calibration period. It is possible that hydraulic properties may be locally incorrect or that changes, such as land use or irrigation diversions, occurred that are not simulated. In the northern part of Goshen Valley, simulated water-level changes reasonably match measured changes. Farther south, however, simulated declines are much less than measured declines. Land-use changes indicate that groundwater withdrawals in Goshen Valley are possibly greater than estimated and simulated. It is also possible that irrigation

  18. Does introduction of a Patient Data Management System (PDMS) improve the financial situation of an intensive care unit?

    Science.gov (United States)

    Castellanos, Ixchel; Schüttler, Jürgen; Prokosch, Hans-Ulrich; Bürkle, Thomas

    2013-09-16

    Patient Data Management Systems (PDMS) support clinical documentation at the bedside and have demonstrated effects on completeness of patient charting and the time spent on documentation. These systems are costly and raise the question if such a major investment pays off. We tried to answer the following questions: How do costs and revenues of an intensive care unit develop before and after introduction of a PDMS? Can higher revenues be obtained with improved PDMS documentation? Can we present cost savings attributable to the PDMS? Retrospective analysis of cost and reimbursement data of a 25 bed Intensive Care Unit at a German University Hospital, three years before (2004-2006) and three years after (2007-2009) PDMS implementation. Costs and revenues increased continuously over the years. The profit of the investigated ICU was fluctuating over the years and seemingly depending on other factors as well. We found a small increase in profit in the year after the introduction of the PDMS, but not in the following years. Profit per case peaked at 1039 € in 2007, but dropped subsequently to 639 € per case. We found no clear evidence for cost savings after the PDMS introduction. Our cautious calculation did not consider additional labour costs for IT staff needed for system maintenance. The introduction of a PDMS has probably minimal or no effect on reimbursement. In our case the observed increase in profit was too small to amortize the total investment for PDMS implementation.This may add some counterweight to the literature, where expectations for tools such as the PDMS can be quite unreasonable.

  19. Irrigation and fertilization effects on Nantucket Pine Tip Moth (Lepidoptera: Tortricidae) Damage levels and pupal weight in an intensively-managed pine plantation.

    Energy Technology Data Exchange (ETDEWEB)

    Coyle, David, R.; Nowak, John, T.; Fettig, Christopher, J.

    2003-10-01

    The widespread application of intensive forest management practices throughout the southeastern U.S. has increased loblolly pine, Pinus taeda L., yields and shortened conventional rotation lengths. Fluctuations in Nantucket pine tip moth, Rhyacionia frustrana (Comstock), population density and subsequent damage levels have been linked to variations in management intensity. We examined the effects of two practices, irrigation and fertilization, on R. frustrana damage levels and pupal weights in an intensively-managed P. taeda plantation in South Carolina. Trees received intensive weed control and one of the following treatments; irrigation only. fertilization only, irrigation + fertilization, or control. Mean whole-tree tip moth damage levels ranged from <1 to 48% during this study. Damage levels differed significantly among treatments in two tip moth generations in 2001, but not 2000. Pupal weight was significantly heavier in fertilization compared to the irrigation treatment in 2000, but no significant differences were observed in 2001. Tree diameter. height. and aboveground volume were significantly greater in the irrigation + fertilization than in the irrigation treatment after two growing seasons. Our data suggest that intensive management practices that include irrigation and fertilization do not consistently increase R. frustrana damage levels and pupal weights as is commonly believed. However, tip moth suppression efforts in areas adjacent to our study may have partially reduced the potential impacts of R. frustrana on this experiment.

  20. The mechanism and theoretical basis of the management of intensity of the heat transfer control through periodic influences on the turbulent boundary layer

    Science.gov (United States)

    Kovalnogov, Vladislav N.; Fedorov, Ruslan V.; Khakhaleva, Larisa V.; Chukalin, Andrey V.; Bondarenko, Aleksandr A.; Kovrizhnykh, Evgeny N.

    2017-07-01

    Generalization of classical model of a displacement way on the transfer of heat exchange and mass exchange of a stream in the boundary layer, confirmed by the control action of the different nature, is undertaken. Here are given the results of numerical research which have allowed explaining the mechanism, to reveal efficiency and limits of various ways of management of intensity in exchange processes. The possibility of management of intensity in processes of a thermolysis and friction by use of the perforated surface with the damping cavities is analyzed.

  1. Aquatic macrophytes in natural and managed wetlands of Rio Grande do Sul State, Southern Brazil Macrófitas aquáticas em áreas úmidas naturais e manejadas do Rio Grande do Sul, sul do Brasil

    OpenAIRE

    Ana Silvia Rolon; Henrique Flores Homem; Leonardo Maltchik

    2010-01-01

    AIM: This study gathers the main results obtained from studies regarding dynamic of aquatic macrophyte community in natural and managed wetlands of Southern Brazil. We analyzed the aquatic macrophytes diversity in wetlands of Southern Brazil, the environmental factors that determine the structure of the aquatic macrophyte community in fragmented wetlands, the effects of floods on the dynamics of macrophytes, and the contributions to the rice field for the conservation of aquatic macrophytes; ...

  2. Managing the effects of accelerated glacial melting on volcanic collapse and debris flows: Planchon-Peteroa Volcano, Southern Andes

    Science.gov (United States)

    Tormey, Daniel

    2010-11-01

    Glaciated mountains are among the most sensitive environments to climatic changes, and recent work has shown that large-scale glacial melting, including at the end of the Pleistocene, caused a significant increase in the incidence of large volcanic sector collapse and debris flows on then-active volcanoes. With current accelerated rates of glacial melting, glaciated active volcanoes are at an increasing risk of sector collapse, debris flow and landslide. These catastrophic events are Earth's most damaging erosion phenomenon, causing extensive property damage and loss of life. This paper illustrates these effects in well-studied settings, focusing on the end-Pleistocene to Holocene glaciovolcanic growth and destruction of the cone of the active volcano Planchon-Peteroa in the Andean Southern Volcanic Zone at latitude 35° 15' S, along the border between Chile and Argentina. The development of the volcano over the last 14,000 years illustrates how glacial melting and magmatic activity can trigger landslides and sector collapses. Planchon had a large sector collapse that produced a highly mobile and erosive debris avalanche 11,000 years BP, and other slope instabilities during the end-Pleistocene/early Holocene deglaciation. The summit amphitheater left after the sector collapse was subject to alternating periods of glaciation and melting-induced lake formation. Breaching of the moraine dams then formed lahars and landslides originating at the western edge of the summit amphitheater, and the deposits are preserved along the western flank of the volcano. Deep incision of moraine deposits further down the western slope of the volcano indicates that the lahars and landslides were water-rich and had high erosive power. As illustrated by Planchon-Peteroa, the interplay among glacial growth and melting, magmatic activity, and slope stability is complex, but must be accounted for in volcanic hazard assessment. Planchon-Peteroa currently has the southernmost temperate zone

  3. A Technical Evaluation of Wireless Connectivity from Patient Monitors to an Anesthesia Information Management System During Intensive Care Unit Surgery.

    Science.gov (United States)

    Simpao, Allan F; Galvez, Jorge A; England, W Randall; Wartman, Elicia C; Scott, James H; Hamid, Michael M; Rehman, Mohamed A; Epstein, Richard H

    2016-02-01

    Surgical procedures performed at the bedside in the neonatal intensive care unit (NICU) at The Children's Hospital of Philadelphia were documented using paper anesthesia records in contrast to the operating rooms, where an anesthesia information management system (AIMS) was used for all cases. This was largely because of logistical problems related to connecting cables between the bedside monitors and our portable AIMS workstations. We implemented an AIMS for documentation in the NICU using wireless adapters to transmit data from bedside monitoring equipment to a portable AIMS workstation. Testing of the wireless AIMS during simulation in the presence of an electrosurgical generator showed no evidence of interference with data transmission. Thirty NICU surgical procedures were documented via the wireless AIMS. Two wireless cases exhibited brief periods of data loss; one case had an extended data gap because of adapter power failure. In comparison, in a control group of 30 surgical cases in which wired connections were used, there were no data gaps. The wireless AIMS provided a simple, unobtrusive, portable alternative to paper records for documenting anesthesia records during NICU bedside procedures.

  4. Reproductive parameters in the critically endangered Blue-throated Macaw: limits to the recovery of a parrot under intensive management.

    Directory of Open Access Journals (Sweden)

    Igor Berkunsky

    Full Text Available Rediscovered in the wild twenty years ago, the breeding biology of wild Blue-throated Macaws remains largely unexplored, yet is essential to its effective conservation and recovery. Here, we analyse reproductive parameters in an intensively managed wild population of Blue-throated Macaws, providing the first data on the breeding biology of this critically endangered species. During the six-year study period, 2007-2012, the number of active breeding pairs either remained constant or decreased, depending on the site, and no new breeding pairs were discovered despite extensive searching. We documented nesting attempts in natural cavities in dead palms or live hardwoods, and artificial nest boxes. Egg-laying was concentrated during the end of dry season and the beginning of the wet season, August through December. Hatching failure was the greatest cause of egg losses. Half of the breeding attempts of Blue-throated Macaws produced at least one fledging, on average two, after a 85 days nestling period. An average of 4.3 nestlings per year fledged from all known wild nests combined. Each pair lost roughly 65% of its initial reproductive investment at each nesting attempt. In most successful nesting attempts of individualized pairs, a new nesting attempt was not detected the following year. All monitored breeding pairs showed high nest site fidelity, reusing hardwood-tree cavities and nest boxes. Our findings will aid conservation efforts by refining current actions and prompting new approaches towards the conservation and recovery of the Blue-throated Macaw.

  5. Linkage between N2O emission and functional gene abundance in an intensively managed calcareous fluvo-aquic soil

    Science.gov (United States)

    Yang, Liuqing; Zhang, Xiaojun; Ju, Xiaotang

    2017-02-01

    The linkage between N2O emissions and the abundance of nitrifier and denitrifier genes is unclear in the intensively managed calcareous fluvo-aquic soils of the North China Plain. We investigated the abundance of bacterial amoA for nitrification and narG, nirS, nirK, and nosZ for denitrification by in situ soil sampling to determine how the abundance of these genes changes instantly during N fertilization events and is related to high N2O emission peaks. We also investigated how long-term incorporated straw and/or manure affect(s) the abundance of these genes based on a seven-year field experiment. The overall results demonstrate that the long-term application of urea-based fertilizer and/or manure significantly enhanced the number of bacterial amoA gene copies leading to high N2O emission peaks after N fertilizer applications. These peaks contributed greatly to the annual N2O emissions in the crop rotation. A significant correlation between annual N2O emissions and narG, nirS, and nirK gene numbers indicates that the abundance of these genes is related to N2O emission under conditions for denitrification, thus partly contributing to the annual N2O emissions. These findings will help to draw up appropriate measures for mitigation of N2O emissions in this ‘hotspot’ region.

  6. Erythroneura lawsoni abundance and feeding injury levels are influenced by foliar nutrient status in intensively managed American sycamore.

    Energy Technology Data Exchange (ETDEWEB)

    Coyle, David, Robert: Aubrey, Doug, Patric; Bentz, Jo-Ann

    2010-01-01

    Abstract 1 Abundance and feeding injury of the leafhopper Erythroneura lawsoni Robinson was measured in an intensively-managed American sycamore Platanus occidentalis L. plantation. Trees were planted in spring 2000 in a randomized complete block design, and received one of three annual treatments: (i) fertilization (120 kg N/ha/year); (ii) irrigation (3.0 cm/week); (iii) fertilization + irrigation; or (iv) control (no treatment). 2 Foliar nutrient concentrations were significantly influenced by the treatments because only sulphur and manganese levels were not statistically greater in trees receiving fertilization. 3 Over 116 000 E. lawsoni were captured on sticky traps during the study. Leafhopper abundance was highest on nonfertilized trees for the majority of the season, and was positively correlated with foliar nutrient concentrations. Significant temporal variation in E. lawsoni abundance occurred, suggesting five discrete generations in South Carolina. 4 Significant temporal variation occurred in E. lawsoni foliar injury levels, with the highest injury ratings occurring in late June and August. Foliar injury was negatively correlated with foliar nutrient content, and higher levels of injury occurred more frequently on nonfertilized trees. 5 The results obtained in the present study indicated that increased E. lawsoni abundance occurred on trees that did not receive fertilization. Nonfertilized trees experienced greater foliar injury, suggesting that lower foliar nutrient status may have led to increased levels of compensatory feeding.

  7. Review of current Southern California edison load management programs and proposal for a new market-driven, mass-market, demand-response program

    Energy Technology Data Exchange (ETDEWEB)

    Weller, G.H.

    2002-01-01

    Utility load management programs, including direct load control and interruptible load programs, constitute a large installed base of controllable loads that are employed by utilities as system reliability resources. In response to energy supply shortfalls expected during the summer of 2001, the California Public Utilities Commission in spring 2001 authorized new utility load management programs as well as revisions to existing programs. This report provides an independent review of the designs of these new programs for a large utility (Southern California Edison) and suggests possible improvements to enhance the price responsiveness of the customer actions influenced by these programs. The report also proposes a new program to elicit a mass-market demand response to utility price signals.

  8. Actors’ Perceptions of Issues in the Implementation of the First Round of the Water Framework Directive: Examples from the Water Management and Forestry Sectors in Southern Sweden

    Directory of Open Access Journals (Sweden)

    E. Carina H. Keskitalo

    2015-05-01

    Full Text Available The EU Water Framework Directive exerts a major impact on water management structure and aims, and water use activities in the member states. This paper reviews the perceptions of the early WFD implementation in a case study area in southern Sweden. The focus is on the perceptions of both water management and forestry actors, the latter as a potential diffuse source impact on water quality. This study highlights the considerable complexity of reorienting or rescaling governance given the complex existing systems particular to the area, the multi-interpretable early policies on implementation and the complexity of interpreting the regionally-focused WFD approach in the largely locally-focused Swedish system. While the first phase of implementation is now long past, conclusions on the complexity of reorienting systems remain relevant, particularly with regard to non-point sources.

  9. Effect of Professionalism, Competence, Knowledge of Financial Management, and Intensity Guidance Apparatus Inspectorate for Quality of Financial Statements (Study on Inspectorate Regencies/Cities in Aceh

    Directory of Open Access Journals (Sweden)

    Darwanis Darwanis

    2016-04-01

    Full Text Available This research aims to: 1. Examine the influence of professionalism, competence, knowledge of financial management and intensity guidance apparatus Inspectorate together to the quality of the financial statements of Regions; 2. Examine the effect of professionalism partially on the quality of the financial statements of Regions; 3. Test the effect of partial competencies to the quality of the financial statements of Regions; 4. Examine the effect of knowledge of financial management partially on the quality of the financial statements of Regions; 5. The authorities test the effects of intensity guidance apparatus partially on the quality of the financial statements of Regions. The object of this research is the Government Internal Supervisory Apparatus (APIP working in the Inspectorate districts/cities in Aceh amounted to 23 people who perform inspection tasks.  The source of data in this study uses primary data which is the result of the acquisition of questionnaires from survey respondent, while research data collection techniques are done with documentation techniques. The analytical method used is Multiple Linear Regression Analysis. The results showed that: 1. Professionalism, competence, knowledge of financial management and intensity guidance apparatus jointly affect the quality of financial reporting area. 2. Professionalism partially affects the quality of financial reporting area. 3. Competence partially affects the quality of financial reporting area. 4. Knowledge of financial management partially affects the quality of financial reporting area. 5. The intensity guidance apparatus partially affects the quality of financial reporting area.

  10. Southern African Business Review: Submissions

    African Journals Online (AJOL)

    The Southern African Business Review is a refereed and accredited journal of the College of Economic and Management Sciences of the University of South Africa. ... the right to make minor editorial adjustments without consulting the author.

  11. A federated information management system for the Deep Space Network. M.S. Thesis - Univ. of Southern California

    Science.gov (United States)

    Dobinson, E.

    1982-01-01

    General requirements for an information management system for the deep space network (DSN) are examined. A concise review of available database management system technology is presented. It is recommended that a federation of logically decentralized databases be implemented for the Network Information Management System of the DSN. Overall characteristics of the federation are specified, as well as reasons for adopting this approach.

  12. A holistic life cycle analysis of waste management scenarios at increasing source segregation intensity: the case of an Italian urban area.

    Science.gov (United States)

    Di Maria, Francesco; Micale, Caterina

    2014-11-01

    Life cycle analysis of several waste management scenarios for an Italian urban area was performed on the basis of different source segregation collection (SS) intensities from 0% up to 52%. Source segregated waste was recycled and or/recovered by composting. Residual waste management options were by landfilling, incineration with energy recovery or solid recovered fuel (SRF) production to substitute for coal. The increase in fuel and materials consumption due to increase in SS had negligible influence on the environmental impact of the system. Recycling operations such as incineration and SRF were always advantageous for impact reduction. There was lower impact for an SS of 52% even though the difference with the SS intensity of 35% was quite limited, about 15%. In all the configurations analyzed, the best environmental performance was achieved for the management system producing SRF by the biodrying process. Copyright © 2014 Elsevier Ltd. All rights reserved.

  13. Foundations of data-intensive science: Technology and practice for high throughput, widely distributed, data management and analysis systems

    Science.gov (United States)

    Johnston, William; Ernst, M.; Dart, E.; Tierney, B.

    2014-04-01

    Today's large-scale science projects involve world-wide collaborations depend on moving massive amounts of data from an instrument to potentially thousands of computing and storage systems at hundreds of collaborating institutions to accomplish their science. This is true for ATLAS and CMS at the LHC, and it is true for the climate sciences, Belle-II at the KEK collider, genome sciences, the SKA radio telescope, and ITER, the international fusion energy experiment. DOE's Office of Science has been collecting science discipline and instrument requirements for network based data management and analysis for more than a decade. As a result of this certain key issues are seen across essentially all science disciplines that rely on the network for significant data transfer, even if the data quantities are modest compared to projects like the LHC experiments. These issues are what this talk will address; to wit: 1. Optical signal transport advances enabling 100 Gb/s circuits that span the globe on optical fiber with each carrying 100 such channels; 2. Network router and switch requirements to support high-speed international data transfer; 3. Data transport (TCP is still the norm) requirements to support high-speed international data transfer (e.g. error-free transmission); 4. Network monitoring and testing techniques and infrastructure to maintain the required error-free operation of the many R&E networks involved in international collaborations; 5. Operating system evolution to support very high-speed network I/O; 6. New network architectures and services in the LAN (campus) and WAN networks to support data-intensive science; 7. Data movement and management techniques and software that can maximize the throughput on the network connections between distributed data handling systems, and; 8. New approaches to widely distributed workflow systems that can support the data movement and analysis required by the science. All of these areas must be addressed to enable large

  14. Role of Micro-Topographic Variability on the Distribution of Inorganic Soil-Nitrogen Age in Intensively Managed Landscape

    Science.gov (United States)

    Woo, Dong K.; Kumar, Praveen

    2017-10-01

    How does the variability of topography structure the spatial heterogeneity of nutrient dynamics? In particular, what role does micro-topographic depression play in the spatial and temporal dynamics of nitrate, ammonia, and ammonium? We explore these questions using the 3-D simulation of their joint dynamics of concentration and age. To explicitly resolve micro-topographic variability and its control on moisture, vegetation, and carbon-nitrogen dynamics, we use a high-resolution LiDAR data over an agricultural site under a corn-soybean rotation in the Intensively Managed landscapes Critical Zone Observatory in the U.S. Midwest. We utilize a hybrid CPU-GPU parallel computing architecture to reduce the computational cost associated with such high-resolution simulations. Our results show that in areas that present closed topographic depressions, relatively lower nitrate concentration and age are observed compared to elsewhere. The periodic ponding in depressions increases the downward flux of water that carries more dissolved nitrate to the deeper soil layer. However, the variability in the depressions is relatively higher as a result of the episodic ponding pattern. When aggregate efflux from the soil domain at the bottom of the soil is considered, we find a gradual decrease in the age on the rising limb of nitrate efflux and a gradual increase on the falling limb. In addition, the age of the nitrate efflux ranges from 4 to 7 years. These are significantly higher as compared to the ages associated with a nonreactive tracer indicating that they provide an inaccurate estimate of residence time of a reactive constituent through the soil column.

  15. Effectiveness of classroom based crew resource management training in the intensive care unit: study design of a controlled trial

    Science.gov (United States)

    2011-01-01

    Background Crew resource management (CRM) has the potential to enhance patient safety in intensive care units (ICU) by improving the use of non-technical skills. However, CRM evaluation studies in health care are inconclusive with regard to the effect of this training on behaviour and organizational outcomes, due to weak study designs and the scarce use of direct observations. Therefore, the aim of this study is to determine the effectiveness and cost-effectiveness of CRM training on attitude, behaviour and organization after one year, using a multi-method approach and matched control units. The purpose of the present article is to describe the study protocol and the underlying choices of this evaluation study of CRM in the ICU in detail. Methods/Design Six ICUs participated in a paired controlled trial, with one pre-test and two post test measurements (respectively three months and one year after the training). Three ICUs were trained and compared to matched control ICUs. The 2-day classroom-based training was delivered to multidisciplinary groups. Typical CRM topics on the individual, team and organizational level were discussed, such as situational awareness, leadership and communication. All levels of Kirkpatrick's evaluation framework (reaction, learning, behaviour and organisation) were assessed using questionnaires, direct observations, interviews and routine ICU administration data. Discussion It is expected that the CRM training acts as a generic intervention that stimulates specific interventions. Besides effectiveness and cost-effectiveness, the assessment of the barriers and facilitators will provide insight in the implementation process of CRM. Trial registration Netherlands Trial Register (NTR): NTR1976 PMID:22073981

  16. Effectiveness of classroom based crew resource management training in the intensive care unit: study design of a controlled trial

    Directory of Open Access Journals (Sweden)

    Kemper Peter F

    2011-11-01

    Full Text Available Abstract Background Crew resource management (CRM has the potential to enhance patient safety in intensive care units (ICU by improving the use of non-technical skills. However, CRM evaluation studies in health care are inconclusive with regard to the effect of this training on behaviour and organizational outcomes, due to weak study designs and the scarce use of direct observations. Therefore, the aim of this study is to determine the effectiveness and cost-effectiveness of CRM training on attitude, behaviour and organization after one year, using a multi-method approach and matched control units. The purpose of the present article is to describe the study protocol and the underlying choices of this evaluation study of CRM in the ICU in detail. Methods/Design Six ICUs participated in a paired controlled trial, with one pre-test and two post test measurements (respectively three months and one year after the training. Three ICUs were trained and compared to matched control ICUs. The 2-day classroom-based training was delivered to multidisciplinary groups. Typical CRM topics on the individual, team and organizational level were discussed, such as situational awareness, leadership and communication. All levels of Kirkpatrick's evaluation framework (reaction, learning, behaviour and organisation were assessed using questionnaires, direct observations, interviews and routine ICU administration data. Discussion It is expected that the CRM training acts as a generic intervention that stimulates specific interventions. Besides effectiveness and cost-effectiveness, the assessment of the barriers and facilitators will provide insight in the implementation process of CRM. Trial registration Netherlands Trial Register (NTR: NTR1976

  17. Utilization of the southern pines

    Energy Technology Data Exchange (ETDEWEB)

    Koch, P

    1972-01-01

    After several years out of print, this book is again available. The two-volume reference characterizes the southern pine tree as raw material and describes the process by which it is converted to use. All 10 species are considered. The book is addressed primarily to the incoming generation of researchers and industrial managers in the southern pine industry. Foremen, superintendents, quality control personnel, wood procurement men, forest managers, extension workers, professors, and students of wood technology should find the handbook of value.

  18. Measuring the association between artemisinin-based case management and malaria incidence in southern Vietnam, 1991-2010.

    Science.gov (United States)

    Peak, Corey M; Thuan, Phung Duc; Britton, Amadea; Nguyen, Tran Dang; Wolbers, Marcel; Thanh, Ngo Viet; Buckee, Caroline O; Boni, Maciej F

    2015-04-01

    In addition to being effective, fast-acting, and well tolerated, artemisinin-based combination therapies (ACTs) are able to kill certain transmission stages of the malaria parasite. However, the population-level impacts of ACTs on reducing malaria transmission have been difficult to assess. In this study on the history of malaria control in Vietnam, we assemble annual reporting on malaria case counts, coverage with insecticide-treated nets (ITN) and indoor residual spraying (IRS), and drug purchases by provincial malaria control programs from 1991 to 2010 in Vietnam's 20 southern provinces. We observe a significant negative association between artemisinin use and malaria incidence, with a 10% absolute increase in the purchase proportion of artemisinin-containing regimens being associated with a 29.1% (95% confidence interval: 14.8-41.0%) reduction in slide-confirmed malaria incidence, after accounting for changes in urbanization, ITN/IRS coverage, and two indicators of health system capacity. One budget-related indicator of health system capacity was found to have a smaller association with malaria incidence, and no other significant factors were found. Our findings suggest that including an artemisinin component in malaria drug regimens was strongly associated with reduced malaria incidence in southern Vietnam, whereas changes in urbanization and coverage with ITN or IRS were not. © The American Society of Tropical Medicine and Hygiene.

  19. Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015 – short version

    Directory of Open Access Journals (Sweden)

    DAS-Taskforce 2015

    2015-11-01

    Full Text Available In 2010, under the guidance of the DGAI (German Society of Anaesthesiology and Intensive Care Medicine and DIVI (German Interdisciplinary Association for Intensive Care and Emergency Medicine, twelve German medical societies published the “Evidence- and Consensus-based Guidelines on the Management of Analgesia, Sedation and Delirium in Intensive Care”. Since then, several new studies and publications have considerably increased the body of evidence, including the new recommendations from the American College of Critical Care Medicine (ACCM in conjunction with Society of Critical Care Medicine (SCCM and American Society of Health-System Pharmacists (ASHP from 2013. For this update, a major restructuring and extension of the guidelines were needed in order to cover new aspects of treatment, such as sleep and anxiety management. The literature was systematically searched and evaluated using the criteria of the Oxford Center of Evidence Based Medicine. The body of evidence used to formulate these recommendations was reviewed and approved by representatives of 17 national societies. Three grades of recommendation were used as follows: Grade “A” (strong recommendation, Grade “B” (recommendation and Grade “0” (open recommendation. The result is a comprehensive, interdisciplinary, evidence and consensus-based set of level 3 guidelines. This publication was designed for all ICU professionals, and takes into account all critically ill patient populations. It represents a guide to symptom-oriented prevention, diagnosis, and treatment of delirium, anxiety, stress, and protocol-based analgesia, sedation, and sleep-management in intensive care medicine.

  20. Increasing physical activity for veterans in the Mental Health Intensive Case Management Program: A community-based intervention.

    Science.gov (United States)

    Harrold, S Akeya; Libet, Julian; Pope, Charlene; Lauerer, Joy A; Johnson, Emily; Edlund, Barbara J

    2018-04-01

    Individuals with severe mental illness (SMI), experience increased mortality-20 years greater disparity for men and 15 years greater disparity for women-compared to the general population (Thornicroft G. Physical health disparities and mental illness: The scandal of premature mortality. Br J Psychiatr. 2011;199:441-442). Numerous factors contribute to premature mortality in persons with SMI, including suicide and accidental death (Richardson RC, Faulkner G, McDevitt J, Skrinar GS, Hutchinson D, Piette JD. Integrating physical activity into mental health services for persons with serious mental illness. Psychiatr Serv. 2005;56(3):324-331; Thornicroft G. Physical health disparities and mental illness: The scandal of premature mortality. Br J Psychiatr. 2011;199:441-442), but research has shown that adverse health behaviors-including smoking, low rate of physical activity, poor diet, and high alcohol consumption-also significantly contribute to premature deaths (Jones J. Life expectancy in mental illness. Psychiatry Services. 2010. Retrieved from http://psychcentral.com/news/2010/07/13/life-expectancy-in-mental-illness). This quality improvement (QI) project sought to improve health and wellness for veterans in the Mental Health Intensive Case Management Program (MHICM), which is a community-based intensive program for veterans with SMI at risk for decompensation and frequent hospitalizations. At the time of this QI project, the program had 69 veterans who were assessed and treated weekly in their homes. The project introduced a pedometer steps intervention adapted from the VA MOVE! Program-a physical activity and weight management program-with the addition of personalized assistance from trained mental health professionals in the veteran's home environment. Because a large percentage of the veterans in the MHICM program had high blood pressure and increased weight, these outcomes were the focus of this project. Through mental health case management involvement and

  1. Microbiological parameters as indicators of soil quality under various soil management and crop rotation systems in southern Brazil.

    OpenAIRE

    FRANCHINI, J. C.; CRISPINO, C. C.; SOUZA, R. A.; TORRES, E.; HUNGRIA, M.

    2006-01-01

    Metadata only record This article attempts to recognize soil parameters that can be used to monitor soil quality under different crop and soil management systems. The rates of CO2 emissions (soil respiration) were affected by variations in the sampling period, as well as in soil management and crop rotation. Considering all samples, CO2 emissions were 21% greater in conventional tillage. Soil microbial biomass was also influenced by sampling period and soil management, but not by crop rota...

  2. A holistic life cycle analysis of waste management scenarios at increasing source segregation intensity: The case of an Italian urban area

    International Nuclear Information System (INIS)

    Di Maria, Francesco; Micale, Caterina

    2014-01-01

    Highlights: • Waste management scenarios starting from different SS intensity were analyzed by LCA. • Several experimental data were utilized for the inventory. • Collection activities influences marginally global impact. • Maximum global environmental gain was achieved by SRF for coke substitution. - Abstract: Life cycle analysis of several waste management scenarios for an Italian urban area was performed on the basis of different source segregation collection (SS) intensities from 0% up to 52%. Source segregated waste was recycled and or/recovered by composting. Residual waste management options were by landfilling, incineration with energy recovery or solid recovered fuel (SRF) production to substitute for coal. The increase in fuel and materials consumption due to increase in SS had negligible influence on the environmental impact of the system. Recycling operations such as incineration and SRF were always advantageous for impact reduction. There was lower impact for an SS of 52% even though the difference with the SS intensity of 35% was quite limited, about 15%. In all the configurations analyzed, the best environmental performance was achieved for the management system producing SRF by the biodrying process

  3. A holistic life cycle analysis of waste management scenarios at increasing source segregation intensity: The case of an Italian urban area

    Energy Technology Data Exchange (ETDEWEB)

    Di Maria, Francesco, E-mail: francesco.dimaria@unipg.it; Micale, Caterina

    2014-11-15

    Highlights: • Waste management scenarios starting from different SS intensity were analyzed by LCA. • Several experimental data were utilized for the inventory. • Collection activities influences marginally global impact. • Maximum global environmental gain was achieved by SRF for coke substitution. - Abstract: Life cycle analysis of several waste management scenarios for an Italian urban area was performed on the basis of different source segregation collection (SS) intensities from 0% up to 52%. Source segregated waste was recycled and or/recovered by composting. Residual waste management options were by landfilling, incineration with energy recovery or solid recovered fuel (SRF) production to substitute for coal. The increase in fuel and materials consumption due to increase in SS had negligible influence on the environmental impact of the system. Recycling operations such as incineration and SRF were always advantageous for impact reduction. There was lower impact for an SS of 52% even though the difference with the SS intensity of 35% was quite limited, about 15%. In all the configurations analyzed, the best environmental performance was achieved for the management system producing SRF by the biodrying process.

  4. Recreational use management and wildfires in Southern California: Using GIS and visual landscape simulation models for economic assessment

    Science.gov (United States)

    Daniel Moya; Armando González-Cabán; José J. Sánchez; José de la Heras

    2013-01-01

    Recent advances in fire behavior are conforming strategies for forest management in nonindustrial private and public forests in the western United States. The strategy developed should include identifying the most cost-effective ways for allocating fire management budgets. In recreational areas, visitors’ opinion should be included in forest planning decisions and...

  5. 77 FR 57579 - Notice of Intent To Prepare a Resource Management Plan Amendment for the Southern Diablo Mountain...

    Science.gov (United States)

    2012-09-18

    ... management, energy development, livestock grazing, fire management, and lands available for disposal or... applicable laws; 2. Coordination with local and county governments for analysis of economic and social... impacts to such resources in the context of NEPA and the NHPA. The BLM will consult with Indian tribes on...

  6. Sanitation options for managing oak wood infested with the invasive goldspotted oak borer (Coleoptera: Buprestidae) in Southern California

    Science.gov (United States)

    Michael I. Jones; Tom W. Coleman; Andrew D. Graves; Mary Louise. Flint; Steven J. Seybold

    2013-01-01

    Movement of invasive wood-boring insects in wood products presents a threat to forest health and a management challenge for public and private land managers. The goldspotted oak borer, Agrilus auroguttatus Schaeffer (Coleoptera: Buprestidae), is a new pest in San Diego and Riverside Cos., CA, believed to have been introduced on firewood. This beetle...

  7. Usability and Visual Communication for Southern California Tsunami Evacuation Information: The importance of information design in disaster risk management

    Science.gov (United States)

    Jaenichen, C.; Schandler, S.; Wells, M.; Danielsen, T.

    2015-12-01

    Evacuation behavior, including participation and response, is rarely an individual and isolated process and the outcomes are usually systemic. Ineffective evacuation information can easily attribute to delayed evacuation response. Delays increase demands on already extended emergency personal, increase the likelihood of traffic congestion, and can cause harm to self and property. From an information design perspective, addressing issues in cognitive recall and emergency psychology, this case study examines evacuation messaging including written, audio, and visual presentation of information, and describes the application of design principles and role of visual communication for Southern California tsunami evacuation outreach. The niche of this project is the inclusion of cognitive processing as the driving influence when making formal design decisions and measurable data from a 4-year cognitive recall study to support the solution. Image included shows a tsunami evacaution map before and after the redesign.

  8. Analyzing the Efficiency of a Start-Up Cable Yarding Crew in Southern China under New Forest Management Perspectives

    Directory of Open Access Journals (Sweden)

    Stephan Hoffmann

    2016-08-01

    Full Text Available This case study analyzed the performance of a start-up cable yarding crew in southern China through operational monitoring by consecutive time studies, long-term log book recordings and efficiency evaluation by stochastic frontier analysis (SFA. The crew, which used a KOLLER K303 H mobile tower yarder, was monitored for two years. During this period, detailed data recordings of 687 yarding cycles of 12 yarding corridors as well as log book recordings of an additional 1122 scheduled system hours (SSH, including all delays were generated. Mean extraction productivity of the system ranged between 5.23 and 6.40 m3 per productive system hour (PSH0, excluding all delays, mostly depending on slope yarding distance and lateral distance. Corresponding gross-productivity ranged from 1.91 to 2.24 m3/SSH, with an overall mean machine utilization rate of 31%. Unproductive yarding times and delays associated with the relative low utilization rate were mainly caused by lengthy rigging processes, as well as organizational deficiencies and not yet fully developed skill sets of the operating crew. The latter was reflected in a mean efficiency effect frontier value of 0.62 based on evaluation of data sets of individual yarding cycles recorded during detailed assessments, suggesting a mean improvement potential of 38% based on the SFA, translating in a potentially achievable gross-productivity of 2.64 to 3.09 m3/SSH. We conclude that current local operating conditions including insufficient planning, implementation and logistics and in particular, frequent discontinuations of system operations of up to three months all resulting in generally low operation hours per shift and per year, inhibit efficient operations and rapid skill development. These circumstances also inhibit an economic utilization of the equipment. Nevertheless, from a technical perspective, yarding systems have a promising potential in southern China.

  9. Large-scale population assessment informs conservation management for seabirds in Antarctica and the Southern Ocean: A case study of Adélie penguins

    Directory of Open Access Journals (Sweden)

    Colin Southwell

    2017-01-01

    Full Text Available Antarctica and the Southern Ocean are increasingly affected by fisheries, climate change and human presence. Antarctic seabirds are vulnerable to all these threats because they depend on terrestrial and marine environments to breed and forage. We assess the current distribution and total abundance of Adélie penguins in East Antarctica and find there are 3.5 (95% CI 2.9–4.2 million individuals of breeding age along the East Antarctic coastline and 5.9 (4.2–7.7 million individuals foraging in the adjacent ocean after the breeding season. One third of the breeding population numbering over 1 million individuals breed within 10 km of research stations, highlighting the potential for human activities to impact Adélie penguin populations despite their current high abundance. The 16 Antarctic Specially Protected Areas currently designated in East Antarctica offer protection to breeding populations close to stations in four of six regional populations. The East Antarctic breeding population consumes an average of 193 500 tonnes of krill and 18 800 tonnes of fish during a breeding season, with consumption peaking at the end of the breeding season. These findings can inform future conservation management decisions in the terrestrial environment under the Protocol on Environmental Protection to develop a systematic network of protected areas, and in the marine environment under the Convention for the Conservation of Antarctic Marine Living Resources to allow the consumption needs of Adélie penguins to be taken into account when setting fishery catch limits. Extending this work to other penguin, flying seabird, seal and whale species is a priority for conservation management in Antarctica and the Southern Ocean.

  10. Maritime and Underwater Cultural Heritage in South Africa: The Development of Relevant Management Strategies in the Historical Maritime Context of the Southern Tip of Africa

    Science.gov (United States)

    Sharfman, Jonathan; Boshoff, Jaco; Parthesius, Robert

    2012-10-01

    South Africans have a long association with water. It has provided a source of food, a medium for trade and a catalyst for migration and development. The country's geographical position as a crossroads of maritime trade between Europe and the East means that its history is inextricably linked to the history of the rest of the world. The result is a multi-faceted representation of sites, objects and mythologies related to water and maritime heritage that reflect not only local historical and social development, but global cultural change as well. Given the importance of South Africa's underwater cultural heritage (UCH), managers have grappled with management principles, ethics and theoretical models in an effort to produce and enforce heritage legislation that is relevant and effective. This paper outlines South Africa's maritime context from 1.5 million years ago until the present, summarises legislative and mitigation developments over the past half century and provides details of current trends in maritime archaeology and UCH management at the southern tip of Africa. Training programmes and public awareness are keys to this strategy to bring UCH and maritime archaeology into the mainstream and counter treasure hunting and looting of this rich, friable resource.

  11. Integrated marketing communications in high-quality hotels of central and southern Dalmatia: a study from the perspective of managers and guests

    Directory of Open Access Journals (Sweden)

    Maja Šerić

    2012-07-01

    Full Text Available Although the implementation of Integrated Marketing Communications (IMC has been studied in different contexts and countries all over the world, further contributions are needed to consolidate the concept. Little research has been done on the integration of marketing communications in tourism-related sectors. Moreover, previous studies have focused mainly on managers’ opinions while overlooking consumers’ perceptions of IMC. The purpose of this research is to study in greater detail the IMC concept in the tourism sector, specifically in the hotels of Central and Southern Dalmatia, from a double perspective: managers-guests. Therefore, managers of 15 high-quality hotels and 118 guests were interviewed during April and May 2010. The results of descriptive statistical analysis showed a high degree of IMC implementation in hotels and a high degree of guests’ perceptions of IMC. However, the Mann-Whitney U test revealed small but significant differences between managers’ and guests’ perceptions of some of the IMC items. The findings of this study are expected to provide useful information to hotel managers, who deal with an increasingly competitive marketplace where traditional marketing approaches are no longer sufficient to differentiate themselves from their competitors. Thus, IMC should be considered as a new approach which might enable hotels to gain competitive advantages.

  12. Data for Program Management: An Accuracy Assessment of Data Collected in Household Registers by Community Health Workers in Southern Kayonza, Rwanda.

    Science.gov (United States)

    Mitsunaga, Tisha; Hedt-Gauthier, Bethany L; Ngizwenayo, Elias; Farmer, Didi Bertrand; Gaju, Erick; Drobac, Peter; Basinga, Paulin; Hirschhorn, Lisa; Rich, Michael L; Winch, Peter J; Ngabo, Fidele; Mugeni, Cathy

    2015-08-01

    Community health workers (CHWs) collect data for routine services, surveys and research in their communities. However, quality of these data is largely unknown. Utilizing poor quality data can result in inefficient resource use, misinformation about system gaps, and poor program management and effectiveness. This study aims to measure CHW data accuracy, defined as agreement between household registers compared to household member interview and client records in one district in Eastern province, Rwanda. We used cluster-lot quality assurance sampling to randomly sample six CHWs per cell and six households per CHW. We classified cells as having 'poor' or 'good' accuracy for household registers for five indicators, calculating point estimates of percent of households with accurate data by health center. We evaluated 204 CHW registers and 1,224 households for accuracy across 34 cells in southern Kayonza. Point estimates across health centers ranged from 79 to 100% for individual indicators and 61 to 72% for the composite indicator. Recording error appeared random for all but the widely under-reported number of women on modern family planning method. Overall, accuracy was largely 'good' across cells, with varying results by indicator. Program managers should identify optimum thresholds for 'good' data quality and interventions to reach them according to data use. Decreasing variability and improving quality will facilitate potential of these routinely-collected data to be more meaningful for community health program management. We encourage further studies assessing CHW data quality and the impact training, supervision and other strategies have on improving it.

  13. Investigation of the Practices, Legislation, Supply Chain, and Regulation of Opioids for Clinical Pain Management in Southern Africa: A Multi-sectoral, Cross-National, Mixed Methods Study.

    Science.gov (United States)

    Namisango, Eve; Allsop, Matthew J; Powell, Richard A; Friedrichsdorf, Stefan J; Luyirika, Emmanuel B K; Kiyange, Fatia; Mukooza, Edward; Ntege, Chris; Garanganga, Eunice; Ginindza-Mdluli, Mavis Ntombifuthi; Mwangi-Powell, Faith; Mondlane, Lidia Justino; Harding, Richard

    2018-03-01

    Sub-Saharan Africa faces an increasing incidence and prevalence of life-limiting and life-threatening conditions. These conditions are associated with a significant burden of pain linked to high morbidity and disability that is poorly assessed and undertreated. Barriers to effective pain management partly relate to lack of access to opioid analgesia and challenges in their administration. To identify country-specific and broader regional barriers to access, as well as the administration of opioids, and generate recommendations for advancing pain management in Southern Africa. A parallel mixed methods design was used across three countries: Mozambique, Swaziland, and Zimbabwe. Three activities were undertaken: 1) a review of regulatory and policy documentation, 2) group interviews, and 3) a self-administered key informant survey. Barriers to accessing opioid analgesics for medical use include overly restrictive controlled medicines' laws; use of stigmatizing language in key documents; inaccurate actual opioid consumption estimation practices; knowledge gaps in the distribution, storage, and prescription of opioids; critical shortage of prescribers; and high out-of-pocket financial expenditures for patients against a backdrop of high levels of poverty. Policies and relevant laws should be updated to ensure that the legislative environment supports opioid access for pain management. Action plans for improving pain treatment for patients suffering from HIV or non-communicable diseases should address barriers at the different levels of the supply chain that involve policymakers, administrators, and service providers. Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  14. Effect of Intensive Atropine Doses (Rapid Incremental Loading and Titration for Management of Organophosphorus Pesticide Poisoning: a Case Series

    Directory of Open Access Journals (Sweden)

    Abu Saleh Ahmed

    2014-03-01

    , Basher A, Amin MR, Faiz MA. Effect of Intensive Atropine Doses (Rapid Incremental Loading and Titration for Management of Organophosphorus Pesticide Poisoning: a Case Series. Asia Pac J Med Toxicol 2014;3:23-6.

  15. Professional Immigrant Women's Experiences of Managing Work and Family Conflicts: The Case of Chinese and Taiwanese Faculty in Research Intensive Universities

    OpenAIRE

    Li, Yun Ling

    2017-01-01

    This study investigates first-generation Chinese and Taiwanese immigrant women faculty's workplace experiences and their strategies for managing work and family demands. By looking at how immigration, ethnicity, gender, and work processes shape these women's ideology and practices, this study addresses the following questions: How do married Chinese and Taiwanese immigrant women in research-intensive universities handle work and family conflicts? How do they negotiate their gender-role expect...

  16. Organic matter decomposition and microarthropod community structure in corn fields under low input and intensive management in Guaíra (SP

    Directory of Open Access Journals (Sweden)

    G.S Rodrigues

    1997-01-01

    Full Text Available The rate of organic matter decomposition and the structure of the communities of microarthropods were compared between two corn fields receiving contrasting agricultural management practices (low input and intensive farming. The rate of decomposition tended to be higher in the intensively managed field in the beginning of the growing season, but decreased to a level significantly lower than the observed in the low input field by the end of the growing season. This suggested that the biological community associated with the decomposition process could be negatively influenced in the intensively managed field. Analyses of the structure of microarthropod communities indicated differences between the two areas. The microarthropod populations present in the intensively managed field suffered abrupt decrease in numbers as the season progressed.A taxa de decomposição da matéria orgânica e a estrutura da comunidade de microartrópodes foram comparadas entre dois campos cultivados com milho mas recebendo manejos distintos, sendo um campo manejado intensivamente e outro com baixo uso de insumos. A taxa de decomposição foi mais alta no campo intensivamente manejado no início da cultura, mas decresceu para um nível significativamente inferior àquela observada no campo com baixo uso de insumos ao final da estação. Tal tendência sugeriu que a estrutura da comunidade dos organismos associados ao processo de decomposição poderia estar sendo negativamente influenciada no campo intensivamente manejado. Análises da estrutura das comunidades de microartrópodes indicaram que diferentes comunidades estavam presentes nos dois campos. As populações de microartrópodes presentes no campo sob manejo intensivo sofreram queda abrupta em números, sendo praticamente eliminadas já no segundo mês de desenvolvimento da cultura.

  17. Spatial distribution of soils determines export of nitrogen and dissolved organic carbon from an intensively managed agricultural landscape

    DEFF Research Database (Denmark)

    Wohlfart, T; Exbrayat, J-F; Schelde, Kirsten

    2012-01-01

    nitrogen (TDN), nitrate (NO3−), ammonium nitrogen and dissolved organic carbon (DOC) concentrations were measured, and dissolved organic nitrogen (DON) was calculated for each grabbed sample. Electrical conductivity, pH and flow velocity were measured during sampling. Statistical analyses showed...... significant differences between the northern, southern and converged stream parts, especially for NO3− concentrations with average values between 1.4 mg N l−1 and 9.6 mg N l−1. Furthermore, throughout the sampling period DON concentrations increased to 2.8 mg N l−1 in the northern stream contributing up to 81...

  18. The 2011-2012 eruption of Cordón Caulle volcano (Southern Andes): Evolution, crisis management and current hazards

    Science.gov (United States)

    Silva Parejas, C.; Lara, L. E.; Bertin, D.; Amigo, A.; Orozco, G.

    2012-04-01

    A new kind of integrated approach was for first time achieved during the eruptive crisis of Cordón Caulle volcano (Southern Andes, 40.59°S, 72.12°W) in Chile. The monitoring network of SERNAGEOMIN around the volcano detected the increasing precursory seismicity, alerting the imminence of an eruption about 5 hours before its onset, on June 4, 2011. In addition, SERNAGEOMIN generated daily forecasts of tephra dispersal and fall (ASHFALL advection-diffusion model), and prepared simulations of areas affected by the possible occurrence of lahars and pyroclastic flows. Models were improved with observed effects on the field and satellite imagery, resulting in a good correlation. The information was timely supplied to the authorities as well as recommendations in order to better precise the vulnerable areas. Eruption has initially occurred from a couple of overlapped cones located along the eastern fault scarp of the Pleistocene-Holocene extensional graben of Cordón Caulle. Eruptive products have virtually the same bulk composition as those of the historical 1921 and 1960 eruptions, corresponding to phenocryst-poor rhyodacites (67-70 % SiO2). During the first eruptive stage, a ca. 15-km strong Plinian column lasting 27 hours emitted 0.2-0.4 km3 of magma (DRE). Thick tephra deposits have been accumulated in Chile and Argentina, whereas fine particles and aerosols dispersion disrupted air navigation across the Southern Hemisphere. The second ongoing eruptive stage, which started in mid-June, has been characterized by lava emission already covering a total area comparable to the 1960 lava flows with a total estimated volume Argentina until the end of the year. Main current hazards at Cordón Caulle volcano are fine tephra fallout, secondary lahars, minor explosions and lava flow front collapse. Even if this case can be considered successful from the point of view of eruption forecast and hazard assessment, a new protocol of volcanic alerts has been recently signed

  19. Recent and old groundwater in the Niebla-Posadas regional aquifer (southern Spain): Implications for its management

    Science.gov (United States)

    Scheiber, Laura; Ayora, Carlos; Vázquez-Suñé, Enric; Cendón, Dioni I.; Soler, Albert; Custodio, Emilio; Baquero, Juan Carlos

    2015-04-01

    The Niebla-Posadas (NP) aquifer in southern Spain is one of the main groundwater sources for the lower Guadalquivir Valley, a semiarid region supporting an important population, agriculture and industry. To contribute to the understanding of this aquifer the assessment of sustainable use of groundwater, the residence time of groundwater in the NP aquifer has been estimated using 3H, 14C and 36Cl. Along the flow paths, recharged groundwater mixes with NaCl-type waters and undergoes calcite dissolution and is further modified by cation exchange (Ca-Na). Consequently, the water loses most of its calcium and the residual δ13CDIC in the groundwater is isotopically enriched. Further modifications take place along the flow path in deeper zones, where depleted δ13CDIC values are overprinted due to SO42- and iron oxide reduction, triggered by the presence of organic matter. Dating with 3H, 14C and 36Cl has allowed the differentiation of several zones: recharge zone (30 ky). An apparent link between the tectonic structure and the groundwater residence time zonation can be established. Regional faults clearly separates deep zone 1 from the distinctly older age (>30 ky) deep zone 2. From the estimated residence times, two groundwater areas of different behavior can be differentiated within the aquifer.

  20. Conceptualizing the cross-cultural gaps in managing international aid: HIV/AIDS and TB project delivery in Southern Africa.

    Science.gov (United States)

    Jackson, Terence

    2011-01-01

    There appears to be a gap between the billions of dollars inputted into fighting HIV/AIDS and TB and outcomes. This in part can be attributed to the lack of attention in International Development to managing programmes and projects within complex levels of cross-cultural interactions. International Development often ignores management issues, yet Management Studies is left wanting through a lack of engagement with development issues including the fight against disease and poverty. This paper attempts to link these two disciplines towards mutual benefit, through a critical cross-cultural approach. It provides contextualization of international development policies/strategies; conceptualization of dominant paradigms; structural analysis of how a programme/project fits into the global governance structure; analysis of complexities and levels of cross-cultural interaction and their consequences and the process and implications of knowledge transfer across cultural distances. It concludes with implications for policy and practice, as well as what is needed from cross-disciplinary research. This includes how feedback loops can be strengthened from local to global, how indigenous knowledge may be better understood and integrated, how power relations within the global governance structure could be managed, how cross-cultural interaction could be better understood, and how knowledge transfer/sharing should be critically managed. Copyright © 2010 John Wiley & Sons, Ltd.

  1. Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care: effects of a targeted protocol implementation for nursing and medical staff.

    Science.gov (United States)

    Knowles, Serena; Lam, Lawrence T; McInnes, Elizabeth; Elliott, Doug; Hardy, Jennifer; Middleton, Sandy

    2015-01-01

    Bowel management protocols have the potential to minimize complications for critically ill patients. Targeted implementation can increase the uptake of protocols by clinicians into practice. The theory of planned behaviour offers a framework in which to investigate clinicians' intention to perform the behaviour of interest. This study aimed to evaluate the effect of implementing a bowel management protocol on intensive care nursing and medical staffs' knowledge, attitude, subjective norms, perceived behavioural control, behaviour intentions, role perceptions and past behaviours in relation to three bowel management practices. A descriptive before and after survey using a self-administered questionnaire sent to nursing and medical staff working within three intensive care units before and after implementation of our bowel management protocol (pre: May - June 2008; post: Feb - May 2009). Participants had significantly higher knowledge scores post-implementation of our protocol (pre mean score 17.6; post mean score 19.3; p = 0.004). Post-implementation there was a significant increase in: self-reported past behaviour (pre mean score 5.38; post mean score 7.11; p = 0.002) and subjective norms scores (pre mean score 3.62; post mean score 4.18; p = 0.016) for bowel assessment; and behaviour intention (pre mean score 5.22; post mean score 5.65; p = 0.048) for administration of enema. This evaluation, informed by the theory of planned behaviour, has provided useful insights into factors that influence clinician intentions to perform evidence-based bowel management practices in intensive care. Addressing factors such as knowledge, attitudes and beliefs can assist in targeting implementation strategies to positively affect clinician behaviour change. Despite an increase in clinicians' knowledge scores, our implementation strategy did not, however, significantly change clinician behaviour intentions for all three bowel management practices. Further research is

  2. The Implementation of Pain Management and Assessment in Neonatal Intensive Care Units of Teaching Hospitals Affiliated to Tehran University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    O Rahimi

    2017-06-01

    Full Text Available BACKGROUND AND OBJECTIVE: Neonatal pain causes changes in the structure and function of brain in addition to acute physiologic symptoms and is followed by delayed development of infants. This study aims to determine the implementation of pain management and assessment in neonatal intensive care units. METHODS: This cross-sectional study was conducted among 138 nurses working in neonatal intensive care units through census. The data were collected using researcher – made questionnaire including two parts: pain management and assessment and demographic information. The minimum and maximum scores were 0 and 552, respectively, shown in the form of percentage. FINDINGS: At a response rate of 80.23%, the mean age of participants was 31.76±5.41 years and the mean experience of nurses working in a neonatal intensive care unit was 4.36 ± 3.58 years. The cases of implementation of pain management and assessment were as follows: care management for pain reduction (72.8%, allow parents to relieve pain (68.5%, swaddling (66.7%, pain assessment while implementing therapeutic and caring measures (62.9%, the use of sucrose solution (61.6%, teaching parents about observing pain symptoms in the infant’s face (58.7%, recording infant’s pain behaviors and the method for relieving the pain (52.4%, pain assessment at least every 4 hours (52.2% and the use of valid tools for pain assessment (36.8%. CONCLUSION: According to the results of this study, pain management and assessment was implemented in more than half of the cases.

  3. Risk assessment and management of brucellosis in the southern greater Yellowstone area (II): Cost-benefit analysis of reducing elk brucellosis prevalence.

    Science.gov (United States)

    Boroff, Kari; Kauffman, Mandy; Peck, Dannele; Maichak, Eric; Scurlock, Brandon; Schumaker, Brant

    2016-11-01

    Recent cases of bovine brucellosis (Brucella abortus) in cattle (Bos taurus) and domestic bison (Bison bison) of the southern Greater Yellowstone Area (SGYA) have been traced back to free-ranging elk (Cervus elaphus). Several management activities have been implemented to reduce brucellosis seroprevalence in elk, including test-and-slaughter, low-density feeding at elk winter feedgrounds, and elk vaccination. It is unclear which of these activities are most cost-effective at reducing the risk of elk transmitting brucellosis to cattle. In a companion paper, a stochastic risk model was used to translate a reduction in elk seroprevalence to a reduction in the risk of transmission to cattle. Here, we use those results to estimate the expected economic benefits and costs of reducing seroprevalence in elk using three different management activities: vaccination of elk with Brucella strain 19 (S19), low-density feeding of elk, and elk test-and-slaughter. Results indicate that the three elk management activities yield negative expected net benefits, ranging from -$2983 per year for low-density feeding to -$595,471 per year for test-and-slaughter. Society's risk preferences will determine whether strategies that generate small negative net benefit, such as low-density feeding, are worth implementing. However, activities with large negative net benefits, such as test-and-slaughter and S19 vaccination, are unlikely to be economically worthwhile. Given uncertainty about various model parameters, we identify some circumstances in which individual management activities might generate positive expected net benefit. Copyright © 2016 Elsevier B.V. All rights reserved.

  4. Southern African Business Review: Editorial Policies

    African Journals Online (AJOL)

    The Southern African Business Review is a refereed and accredited scientific ... Accounting, Public Management, Tourism Management and related fields. ... This journal provides immediate open access to its content on the principle that ...

  5. Southern African Journal of Environmental Education

    African Journals Online (AJOL)

    ... knowledge and community based management of wildlife resources: a study of the Mumbwa and Lupande Game Management areas of Zambia. ... Southern African Journal of Environmental Education ... AJOL African Journals Online.

  6. Evapotranspiration measurements in rainfed and irrigated cropland illustrate trade-offs in land and water management in Southern Amazonia's agricultural frontier

    Science.gov (United States)

    Lathuilliere, M. J.; Dalmagro, H. J.; Black, T. A.; Arruda, P. H. Z. D.; Hawthorne, I.; Couto, E. G.; Johnson, M. S.

    2017-12-01

    Southern Amazonia, Brazil, is home to a rapidly expanding agricultural frontier in which tropical forest and savanna landscapes have been increasingly replaced by agricultural land since the 1990s. One important impact of deforestation is the reduction in water vapour transferred to the atmosphere via evapotranspiration (ET) from rainfed agriculture landscapes compared to natural vegetation, leading to a reduction in regional precipitation recycling. Here, we discuss land and water management choices for future agricultural production in Southern Amazonia and their potential effects on the atmospheric water cycle. We illustrate these choices by presenting ET measurements on an agricultural landscape by eddy covariance (EC) between September 2015 and February 2017. Measurements were made for two fields adjacent to one micrometeorological EC tower: (1) one rainfed field containing a succession of soybean, maize, brachiara and soybean, and (2) one irrigated field with a succession of soybean, rice, beans, and soybean. Over the time period, total ET in the rainfed and irrigated fields was 1266 ± 294 mm and 1415 ± 180 mm, respectively for a total precipitation of 3099 mm. The main difference in ET between the fields was attributed to the application of 118 mm of surface water irrigated for bean production in the irrigated field between June and September 2016. In the rainfed field, soybean ET was 332 ± 82 mm (2015-2016) and 423 ± 99 mm (2016-2017) for 824 mm and 1124 mm of precipitation, respectively. In the irrigated field, soybean ET was 271 ± 38 mm (2015) and 404 ± 60 mm (2016-2017) with supplemental irrigation added in 2015. Our results illustrate how supplemental irrigation can favour early soybean planting while transferring additional water vapour to the atmosphere at levels similar to natural vegetation. We conclude by discussing our results in the context of future land and water trade-offs for agricultural intensification in Brazil's "arc-of-deforestation".

  7. Project delivery in HIV/AIDS and TB in Southern Africa: the cross-cultural management imperative.

    Science.gov (United States)

    Claeyé, Frederik; Jackson, Terence

    2011-01-01

    The purpose of this paper is to report the findings of a broad-based study that initially investigated a possible gap in global inputs into the fight against HIV/AIDS and TB co-infection, and outputs in terms of results achieved. It is proposed that such a gap may be hypothesized to be due, at least in part, to inappropriate management regimes within the global health governance structure. The research does not simply question the effectiveness of the management of programs and projects, but rather the inappropriateness resulting from the lack of addressing cross-cultural issues. The factors facilitating or hampering project service delivery were examined, by looking at 12 case studies in Botswana and South Africa. These data were complemented with seven semi-structured interviews with donor organizations and NGOs, conducted in the North. Cultural interactions were investigated by using the concept of "interfaces". The results suggest that there is a disjuncture between the global and local level that affects project delivery. The main issues hampering project outcomes can be summarized as systemic, structural and cultural. The article's main contributions are both theoretical, looking at global project delivery from a cross-cultural management perspective, as well as to development praxis by highlighting the need to focus more critically on cross-cultural management issues within the global health governance structure, and indeed within international development as a whole.

  8. The Dynamics of Social Capital in Influencing Use of Soil Management Options in the Chinyanja Triangle of Southern Africa

    Directory of Open Access Journals (Sweden)

    Jemimah M. Njuki

    2008-12-01

    Full Text Available Social capital has become a critical issue in agricultural development as it plays an important role in collective action, such as, management of common resources and collective marketing. Whilst literature exists on the role of social capital in the use and adoption of improved agricultural technology, such literature is fraught with issues of the measurement of social capital beyond membership of farmers in groups. We hypothesized that different types of social capital influence the adoption of soil management options differently. This study looked at the measurement of social capital, differentiating between the main types of social capital and employed factor analysis to aggregate indicators of social capital into bonding, bridging, and linking social capital. Using logit analysis, the role of these types of capitals on influencing use of different soil management options was analyzed. The study found that bonding, bridging, and linking social capital all influence the adoption and use of different soil management options differently, a trend that might be similar for other agricultural technologies as well. The study recommends more research investments in understanding the differentiated outcomes of these forms of social capital on use and adoption of technologies to further guide agricultural interventions.

  9. Livestock-rangeland management practices and community perceptions towards rangeland degradation in South Omo zone of Southern Ethiopia

    NARCIS (Netherlands)

    Admasu, T.; Abule, E.; Tessema, Z.K.

    2010-01-01

    A survey was conducted in Hamer and Benna-Tsemay districts of the South Omo zone of Ethiopia, with the objectives of assessing the range-livestock management practices and perceptions of the different pastoral groups (Hamer, Benna, and Tsemay) towards rangeland degradation. This information is

  10. Soil C and N storage and microbial biomass in US southern pine forests: Influence of forest management

    Science.gov (United States)

    J.A. Foote; T.W. Boutton; D.A. Scott

    2015-01-01

    Land management practices have strong potential to modify the biogeochemistry of forest soils, with implications for the long-term sustainability and productivity of forestlands. The Long-Term Soil Productivity (LTSP) program, a network of 62 sites across the USA and Canada, was initiated to address concerns over possible losses of soil productivity due to soil...

  11. Sustainable forest management of Natura 2000 sites: a case study from a private forest in the Romanian Southern Carpathians

    Directory of Open Access Journals (Sweden)

    Helge Walentowski

    2013-07-01

    Full Text Available Biodiversity and forest management are analyzed for a 500 ha privately owned forest within the Natura 2000 area “ROSCI0122 Muntii Fagaras”. Habitat types and indicator species are identified to measure environmental quality. Working towards an integrated approach to conservation, a range of options that will result in sustainable forest management are then considered. For beech forests light heterogeneity emerges as a crucial management target to ensure tree species richness and structural diversity as a basis for saving indicator species such as Morimus funereus, Cucujus cinnaberinus, Bolitophagus reticulatus and Xestobium austriacum. For spruce forests thinning over a broad range of diameters and maintenance of veteran trees would provide habitats for indicator species such asOlisthaerus substriatus. The populations of a number of bird species would be increased by strip-harvesting slopes: species such as Tetrao urogallus, Bonasia bonasia and Ficedula parva prefer forest margins. Steep slopes, and the areas around springs and watercourses, as well as rock faces, should remain unmanaged. Future management should start with a grid-based inventory to create an objective database of forest structure and life. An example is presented for high-elevation spruce forest. The inventory should quantify the variations in diameter, height and volume of trees per unit area. Such data would allow the advanced planning of forest operations. We discuss a wide range of administrative and organizational changes; changes that are needed for the sustainable forest management of the vast close-to-natural forests of the Muntii Fagaras, the maintenance of the Nardusgrasslands and the protection of wetland vegetation around springs and streams in this Natura 2000-area. 

  12. Sustainable forest management of Natura 2000 sites: a case study from a private forest in the Romanian Southern Carpathians

    Directory of Open Access Journals (Sweden)

    H. Walentowski

    2013-05-01

    Full Text Available Biodiversity and forest management are analyzed for a 500 haprivately owned forest within the Natura 2000 area “ROSCI0122 MunţiiFăgăraş”. Habitat types and indicator species are identified to measure environmental quality. Working towards an integrated approach to conservation, a range of options that will result in sustainable forest management are then considered. For beech forests light heterogeneity emerges as a crucial management target to ensure tree species richness and structural diversity as a basis for saving indicator species such as Morimus funereus, Cucujus cinnaberinus,Bolitophagus reticulatus and Xestobium austriacum. For spruceforests thinning over a broad range of diameters and maintenance of veteran trees would provide habitats for indicator species such as Olisthaerus substriatus. The populations of a number of bird species would be increased by strip-harvesting slopes: species such as Tetrao urogallus, Bonasia bonasia and Ficedula parva prefer forest margins. Steep slopes, and the areas around springs and watercourses, as well as rock faces, should remain unmanaged. Future management should start with a grid-based inventory to create an objective database of forest structure and life. An example is presented for high-elevation spruce forest. The inventory should quantify the variations in diameter, height and volume of trees per unit area. Such data would allowthe advanced planning of forest operations. We discuss a wide range ofadministrative and organizational changes; changes that are needed for the sustainable forest management of the vast close-to-natural forests of the Munţii Făgăraş, the maintenance of the Nardus grasslands and the protection of wetland vegetation around springs and streams in this Natura 2000-area.

  13. Soil carbon and nitrogen content and stabilization in mid-rotation, intensively managed sweetgum and loblolly stands

    Science.gov (United States)

    Kurt H. Johnsen; Lisa J. Samuelson; Felipe G. Sanchez; Bob Eaton

    2013-01-01

    Intensive forestry has resulted in considerable increases in aboveground stand productivity including foliar and belowground biomass which are the primary sources of soil organic matter. Soil organic matter is important for the maintenance of soil physical, chemical and biological quality. Additionally, sequestering carbon (C) in soils may provide a means of mitigating...

  14. 3-PG simulations of young ponderosa pine plantations under varied management intensity: why do they grow so differently?

    Science.gov (United States)

    Liang Wei; Marshall John; Jianwei Zhang; Hang Zhou; Robert Powers

    2014-01-01

    Models can be powerful tools for estimating forest productivity and guiding forest management, but their credibility and complexity are often an issue for forest managers. We parameterized a process-based forest growth model, 3-PG (Physiological Principles Predicting Growth), to simulate growth of ponderosa pine (Pinus ponderosa) plantations in...

  15. Post-fire forest management in southern Europe: a COST action for gathering and disseminating scientific knowledge

    OpenAIRE

    Vallejo R; Xanthopoulos G; Papageorgiou K; Moreira F; De Las Heras J; Fernandes P; Corona P; Arianoutsou M; Barbati A

    2010-01-01

    Every year about 45 000 forest fires occur in Europe, burning half a million hectares of forests and rural lands; between 1995 and 2004, more than 4 million hectares burned in the Mediterranean Region alone. Post-fire management of burned areas has been given much lesser attention than combating or preventing fires. However, important questions raise public concern and call for sound scientific knowledge to undertake appropriate post-fire actions: e.g., how to evaluate fire damages in economi...

  16. Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern ethiopia: one year follow-up.

    Directory of Open Access Journals (Sweden)

    Catherine Sikorski

    2010-11-01

    Full Text Available Podoconiosis is a non-filarial elephantiasis caused by long-term barefoot exposure to volcanic soils in endemic areas. Irritant silicate particles penetrate the skin, causing a progressive, debilitating lymphoedema of the lower leg, often starting in the second decade of life. A simple patient-led treatment approach appropriate for resource poor settings has been developed, comprising (1 education on aetiology and prevention of podoconiosis, (2 foot hygiene (daily washing with soap, water and an antiseptic, (3 the regular use of emollient, (4 elevation of the limb at night, and (5 emphasis on the consistent use of shoes and socks.We did a 12-month, non-comparative, longitudinal evaluation of 33 patients newly presenting to one clinic site of a non-government organization (the Mossy Foot Treatment & Prevention Association, MFTPA in southern Ethiopia. Outcome measures used for the monitoring of disease progress were (1 the clinical staging system for podoconiosis, and (2 the Amharic Dermatology Life Quality Index (DLQI, both of which have been recently validated for use in this setting. Digital photographs were also taken at each visit. Twenty-seven patients completed follow up. Characteristics of patients completing follow-up were not significantly different to those not. Mean clinical stage and lower leg circumference decreased significantly (mean difference -0.67 (95% CI -0.38 to -0.96 and -2.00 (95% CI -1.26 to -2.74, respectively, p<0.001 for both changes. Mean DLQI diminished from 21 (out of a maximum of 30 to 6 (p<0.001. There was a non-significant change in proportion of patients with mossy lesions (p = 0.375.This simple, resource-appropriate regimen has a considerable impact both on clinical progression and self-reported quality of life of affected individuals. The regimen appears ideal for scaling up to other endemic regions in Ethiopia and internationally. We recommend that further research in the area include analysis of cost

  17. Keep Talking & Monitoring: the importance of longitudinal research & community-based monitoring to support sustainable land management in southern Africa

    Science.gov (United States)

    Dougill, Andrew; Stringer, Lindsay

    2015-04-01

    Projects come and go with researchers, development practioners and government staff initiating new forms of community engagement in environmental monitoring and land management practices. We analyse interventions from Botswana and Swaziland and highlight that for benefits to be long-lived and lead to sustainable land management, requires community engagement in project design, implementation and for project outputs to be used in developing community-led environmental monitoring tools that can then help to guide local decision-making systems. We stress the vital importance of continued participatory engagement of researchers with community leaders and key government staff beyond the timeframe of their initial research such that longitudinal research approaches can realise significant benefits to all concerned. In dynamic (non-equilibrium) dryland environments, it is vitally important that research approaches address temporal and spatial variability by mapping patterns of change, using a range of participatory tools to enhance understandings of the causes of land degradation and the opportunities for shifts towards more sustainable land management. Decision-support tools, such as rangeland assessment guides produced for various Kalahari rangeland settings in Botswana (via a UNEP project and affiliated research), provide opportunities to support more sustainable land management. However, at present benefits are not being fully realised as project and research staff move on after projects end. Similarly, findings from mixed farming systems in Swaziland (assessing a JICA-funded project) show problems in maintaining new institutional structures to manage rangeland degradation, whilst issues on arable areas associated with parasitic weeds (Striga asiatica) remain problematic. Findings from longitudinal research in Swaziland also show that community understandings of environmental problems have evolved over 10 years and identify new problems associated with intensified

  18. Limitação de suporte de vida em três unidades de terapia intensiva pediátrica do sul do Brasil Life support limitation at three pediatric intensive care units in Southern Brazil

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    Patrícia M. Lago

    2005-04-01

    enfrentadas por intensivistas do sul do Brasil.OBJECTIVES: To describe causes of death and factors involved in the decision-making process related to life support limitation at three university-affiliated pediatric intensive care units in the south of Brazil. METHODS: A retrospective study was conducted, based on a review of the medical records of all deaths occurring during 2002 at three pediatric intensive care units in Porto Alegre. Three previously trained pediatric fellows from each service performed the study. Data were assessed relating to general case characteristics, causes of death (failed cardiopulmonary resuscitation, brain death, do-not-resuscitate orders, withholding or withdrawing life-sustaining treatment - the last three modes were classified as the life support limitation group, length of stay in hospital, end-of-life plans and the participation of patients' families and Ethics Committees. The Student t test, Mann Whitney, chi-square, odds ratio and multivariate analyses were used for comparisons. RESULTS: Close to 53.3% of fatal cases had received full cardiopulmonary resuscitation. The incidence of life support limitation was 36%, with statistical differences (p = 0.014 between the three hospitals (25 versus 54.3 and 45.5%, respectively. The most frequent form of life support limitation was a do-not-resuscitate order (70%. Life support limitation was associated with the presence of chronic disease (odds ratio = 8.2; 95%CI 3.2-21.3 and length stay in the pediatric intensive care unit (odds ratio = 4.4; 95%CI 1.6-11.8. The rate of involvement of families and Ethics Committees in the decision-making process was lesser than 10%. CONCLUSIONS: Cardiopulmonary resuscitation is offered more frequently than is observed in northern countries. In contrast, life support limitation is offered through do-not-resuscitate orders. These findings and the low participation of the families in the decision-making process reflect the difficulties to be overcome by those

  19. Managing the double burden: Effects of pregnancy on labor-intensive time use in rural China, Mexico and Tanzania

    Science.gov (United States)

    Peterman, Amber; Ng, Shu Wen; Palermo, Tia; Lee, I-Heng Emma

    2014-01-01

    Labor-intensive work is often a way of life for women in rural areas of developing countries. However, physical exertion may result in poor health outcomes for mother and infant if continued through pregnancy. Using longitudinal data from China, Mexico and Tanzania, we examine the relationship between pregnancy and four time use outcomes, measured as hours spent in the last week on: 1) housework, 2) care giving, 3) agricultural work, and 4) self-employed or non-agricultural work outside the home. An individual fixed effects approach is adopted to overcome potential time invariant woman-level endogeneity of pregnancy status. With a few exceptions, we do not find significantly different time use patterns between pregnant and non-pregnant women. The assumption that women decrease labor intensive work in developing countries during pregnancy needs revisiting, and may have implications for both women’s livelihood programming and assistance during childbearing periods. PMID:24323660

  20. Managing the double burden: pregnancy and labor-intensive time use in rural China, Mexico, and Tanzania.

    Science.gov (United States)

    Peterman, Amber; Ng, Shu Wen; Palermo, Tia; Lee, I-Heng Emma

    2013-12-01

    Labor-intensive work is often a way of life for women living in rural areas of developing countries. The physical exertion involved in such work may result in poor health outcomes for mothers and infants when continued through pregnancy. Using longitudinal data from China, Mexico, and Tanzania, we examine the relationship between pregnancy and four time-use outcomes, measured as hours spent in the past week on: (1) housework, (2) caregiving, (3) agricultural work, and (4) self-employment or nonagricultural work outside the home. An individual fixed-effects approach is adopted to overcome the potential time-invariant woman-level endogeneity of pregnancy status. With few exceptions, we do not find significantly different time-use patterns between pregnant and nonpregnant women. The assumption that women decrease labor-intensive work in developing countries during pregnancy needs revisiting and may have implications for both women's livelihood programming and assistance during childbearing periods. © 2013 The Population Council, Inc.

  1. Spatiotemporal Pattern and Driving Forces of Arable Land-Use Intensity in China: Toward Sustainable Land Management Using Emergy Analysis

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    Hualin Xie

    2014-05-01

    Full Text Available The level of arable land-use intensity has important impacts on food security and rural sustainable development. Using the emergy method, we investigate the spatial disparities and driving forces of arable land-use intensity in China from 1999 to 2008 at the national, regional and provincial levels. The empirical results show that chemical fertilizer was the largest component of agricultural inputs and that agricultural diesel oil recorded the highest growth rate. The degree of heterogeneities in arable land-use intensity in China showed a decreasing trend, which resulted mainly from the differences among the eastern, northeastern, central and western regions. The regional disparities in labor, pesticides and plastic sheeting decreased from 1999 to 2008. The per capita annual net incomes of household operations and the agricultural policies had a significant positive correlation with total inputs, fertilizer inputs, pesticide inputs and agricultural plastic sheeting. In addition, the nonagricultural population had a greater impact on agricultural plastic sheeting. Finally, we suggest that there is an urgent need to focus on the effects of chemical fertilizer and pesticide inputs on the ecological environment. Agricultural support policies should be introduced for the poor agricultural production provinces.

  2. Monitoring and Management of Karstic Coastal Groundwater in a Changing Environment (Southern Italy: A Review of a Regional Experience

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    Maurizio Polemio

    2016-04-01

    Full Text Available The population concentration in coastal areas and the increase of groundwater discharge in combination with the peculiarities of karstic coastal aquifers constitute a huge worldwide problem, which is particularly relevant for coastal aquifers of the Mediterranean basin. This paper offers a review of scientific activities realized to pursue the optimal utilization of Apulian coastal groundwater. Apulia, with a coastline extending for over 800 km, is the Italian region with the largest coastal karst aquifers. Apulian aquifers have suffered both in terms of water quality and quantity. Some regional regulations were implemented from the 1970s with the purpose of controlling the number of wells, well locations, and well discharge. The practical effects of these management criteria, the temporal and spatial trend of recharge, groundwater quality, and seawater intrusion effects are discussed based on long-term monitoring. The efficacy of existing management tools and the development of predictive scenarios to identify the best way to reconcile irrigation and demands for high-quality drinking water have been pursued in a selected area. The Salento peninsula was selected as the Apulian aquifer portion exposed to the highest risk of quality degradation due to seawater intrusion. The capability of large-scale numerical models in groundwater management was tested, particularly for achieving forecast scenarios to evaluate the impacts of climate change on groundwater resources. The results show qualitative and quantitative groundwater trends from 1930 to 2060 and emphasize the substantial decrease of the piezometric level and a serious worsening of groundwater salinization due to seawater intrusion.

  3. Safety Management of a Clinical Process Using Failure Mode and Effect Analysis: Continuous Renal Replacement Therapies in Intensive Care Unit Patients.

    Science.gov (United States)

    Sanchez-Izquierdo-Riera, Jose Angel; Molano-Alvarez, Esteban; Saez-de la Fuente, Ignacio; Maynar-Moliner, Javier; Marín-Mateos, Helena; Chacón-Alves, Silvia

    2016-01-01

    The failure mode and effect analysis (FMEA) may improve the safety of the continuous renal replacement therapies (CRRT) in the intensive care unit. We use this tool in three phases: 1) Retrospective observational study. 2) A process FMEA, with implementation of the improvement measures identified. 3) Cohort study after FMEA. We included 54 patients in the pre-FMEA group and 72 patients in the post-FMEA group. Comparing the risks frequencies per patient in both groups, we got less cases of under 24 hours of filter survival time in the post-FMEA group (31 patients 57.4% vs. 21 patients 29.6%; p FMEA, there were several improvements in the management of intensive care unit patients receiving CRRT, and we consider it a useful tool for improving the safety of critically ill patients.

  4. mHealth and the management of chronic conditions in rural areas: a note of caution from southern India.

    Science.gov (United States)

    Nahar, Papreen; Kannuri, Nanda Kishore; Mikkilineni, Sitamma; Murthy, G V S; Phillimore, Peter

    2017-04-01

    This article examines challenges facing implementation of likely mHealth programmes in rural India. Based on fieldwork in Andhra Pradesh in 2014, and taking as exemplars two chronic medical 'conditions' - type 2 diabetes and depression - we look at ways in which people in one rural area currently access medical treatment; we also explore how adults there currently use mobile phones in daily life, to gauge the realistic likelihood of uptake for possible mHealth initiatives. We identify the very different pathways to care for these two medical conditions, and we highlight the importance to the rural population of healthcare outside the formal health system provided by those known as registered medical practitioners (RMP), who despite their title are neither registered nor trained. We also show how limited is the use currently made of very basic mobile phones by the majority of the older adult population in this rural context. Not only may this inhibit mHealth potential in the near future; just as importantly, our data suggest how difficult it may be to identify a clinical partner for patients or their carers for any mHealth application designed to assist the management of chronic ill-health in rural India. Finally, we examine how the promotion of patient 'self-management' may not be as readily translated to a country like India as proponents of mHealth might assume.

  5. Ethnobotanical Study of Plants Used in the Management of HIV/AIDS-Related Diseases in Livingstone, Southern Province, Zambia

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    Kazhila C. Chinsembu

    2016-01-01

    Full Text Available Faced with critical shortages of staff, long queues, and stigma at public health facilities in Livingstone, Zambia, persons who suffer from HIV/AIDS-related diseases use medicinal plants to manage skin infections, diarrhoea, sexually transmitted infections, tuberculosis, cough, malaria, and oral infections. In all, 94 medicinal plant species were used to manage HIV/AIDS-related diseases. Most remedies are prepared from plants of various families such as Combretaceae, Euphorbiaceae, Fabaceae, and Lamiaceae. More than two-thirds of the plants (mostly leaves and roots are utilized to treat two or more diseases related to HIV infection. Eighteen plants, namely, Achyranthes aspera L., Lannea discolor (Sond. Engl., Hyphaene petersiana Klotzsch ex Mart., Asparagus racemosus Willd., Capparis tomentosa Lam., Cleome hirta Oliv., Garcinia livingstonei T. Anderson, Euclea divinorum Hiern, Bridelia cathartica G. Bertol., Acacia nilotica Delile, Piliostigma thonningii (Schumach. Milne-Redh., Dichrostachys cinerea (L. Wight and Arn., Abrus precatorius L., Hoslundia opposita Vahl., Clerodendrum capitatum (Willd. Schumach., Ficus sycomorus L., Ximenia americana L., and Ziziphus mucronata Willd., were used to treat four or more disease conditions. About 31% of the plants in this study were administered as monotherapies. Multiuse medicinal plants may contain broad-spectrum antimicrobial agents. However, since widely used plants easily succumb to the threats of overharvesting, they need special protocols and guidelines for their genetic conservation. There is still need to confirm the antimicrobial efficacies, pharmacological parameters, cytotoxicity, and active chemical ingredients of the discovered plants.

  6. Ethnobotanical Study of Plants Used in the Management of HIV/AIDS-Related Diseases in Livingstone, Southern Province, Zambia.

    Science.gov (United States)

    Chinsembu, Kazhila C

    2016-01-01

    Faced with critical shortages of staff, long queues, and stigma at public health facilities in Livingstone, Zambia, persons who suffer from HIV/AIDS-related diseases use medicinal plants to manage skin infections, diarrhoea, sexually transmitted infections, tuberculosis, cough, malaria, and oral infections. In all, 94 medicinal plant species were used to manage HIV/AIDS-related diseases. Most remedies are prepared from plants of various families such as Combretaceae, Euphorbiaceae, Fabaceae, and Lamiaceae. More than two-thirds of the plants (mostly leaves and roots) are utilized to treat two or more diseases related to HIV infection. Eighteen plants, namely, Achyranthes aspera L., Lannea discolor (Sond.) Engl., Hyphaene petersiana Klotzsch ex Mart., Asparagus racemosus Willd., Capparis tomentosa Lam., Cleome hirta Oliv., Garcinia livingstonei T. Anderson, Euclea divinorum Hiern, Bridelia cathartica G. Bertol., Acacia nilotica Delile, Piliostigma thonningii (Schumach.) Milne-Redh., Dichrostachys cinerea (L.) Wight and Arn., Abrus precatorius L., Hoslundia opposita Vahl., Clerodendrum capitatum (Willd.) Schumach., Ficus sycomorus L., Ximenia americana L., and Ziziphus mucronata Willd., were used to treat four or more disease conditions. About 31% of the plants in this study were administered as monotherapies. Multiuse medicinal plants may contain broad-spectrum antimicrobial agents. However, since widely used plants easily succumb to the threats of overharvesting, they need special protocols and guidelines for their genetic conservation. There is still need to confirm the antimicrobial efficacies, pharmacological parameters, cytotoxicity, and active chemical ingredients of the discovered plants.

  7. Does intensive management improve remission rates in patients with intermediate rheumatoid arthritis? (the TITRATE trial): study protocol for a randomised controlled trial.

    Science.gov (United States)

    Martin, Naomi H; Ibrahim, Fowzia; Tom, Brian; Galloway, James; Wailoo, Allan; Tosh, Jonathan; Lempp, Heidi; Prothero, Louise; Georgopoulou, Sofia; Sturt, Jackie; Scott, David L

    2017-12-08

    Uncontrolled active rheumatoid arthritis can lead to increasing disability and reduced quality of life over time. 'Treating to target' has been shown to be effective in active established disease and also in early disease. However, there is a lack of nationally agreed treatment protocols for patients with established rheumatoid arthritis who have intermediate disease activity. This trial is designed to investigate whether intensive management of disease leads to a greater number of remissions at 12 months. Levels of disability and quality of life, and acceptability and cost-effectiveness of the intervention will also be examined. The trial is a 12-month, pragmatic, randomised, open-label, two-arm, parallel-group, multicentre trial undertaken at specialist rheumatology centres across England. Three hundred and ninety-eight patients with established rheumatoid arthritis will be recruited. They will currently have intermediate disease activity (disease activity score for 28 joints assessed using an erythrocyte sedimentation rate of 3.2 to 5.1 with at least three active joints) and will be taking at least one disease-modifying anti-rheumatic drug. Participants will be randomly selected to receive intensive management or standard care. Intensive management will involve monthly clinical reviews with a specialist health practitioner, where drug treatment will be optimised and an individualised treatment support programme delivered based on several principles of motivational interviewing to address identified problem areas, such as pain, fatigue and adherence. Standard care will follow standard local pathways and will be in line with current English guidelines from the National Institute for Health and Clinical Excellence. Patients will be assessed initially and at 6 and 12 months through self-completed questionnaires and clinical evaluation. The trial will establish whether the known benefits of intensive treatment strategies in active rheumatoid arthritis are also seen

  8. CO2 Dynamics in winter wheat and canola under different management practices in the Southern Great Plains

    Science.gov (United States)

    Wagle, P.; Manjunatha, P.; Gowda, P. H.; Northup, B. K.; Neel, J. P. S.; Turner, K.; Steiner, J. L.

    2017-12-01

    Rising atmospheric carbon dioxide (CO2) concentration and increased air temperature and climatic variability concerns have prompted considerable interest regarding CO2 dynamics of terrestrial ecosystems in response to major climatic and biophysical factors. However, detailed information on CO2 dynamics in winter wheat (Triticum aestivum L.) and canola (Brassica napus L.) under different agricultural management practices is lacking. As a part of the GRL-FLUXNET, a cluster of eight eddy covariance (EC) systems was deployed on the 420-ha Grazinglands Research on agroEcosystems and the ENvironment (GREEN) Farm at the United States Department of Agriculture, Agricultural Research Service (USDA-ARS), Grazinglands Research Laboratory (GRL), El Reno, OK. The GRL is also one of 18 USDA-ARS Long-Term Agroecosystem Research (LTAR) network sites in the United States. A 4-year crop rotation plan at the farm includes winter wheat for grain only, graze-grain, and graze-out, and canola under conventional till and no-till management conditions. Biometric measurements such as biomass, leaf area index (LAI), canopy cover %, canopy height, and chlorophyll content were collected approximately every 16 days to coincide with Landsat satellite overpass dates. As expected, biomass and LAI were highest in the grain only wheat fields followed by graze-grain and graze-out wheat fields, but they were similar for till and no-till wheat fields within the same grazing practice. Biomass and LAI were similar in till and no-till canola in fall 2016, but both were substantially lower in no-till compared to tilled canola during spring 2017 due to more severe winter damage. Because net ecosystem CO2 exchange (NEE) is strongly regulated by vegetation cover, the magnitudes of NEE were highest in the grain only wheat fields due to more biomass and LAI, followed by graze-grain and graze-out wheat fields. Similarly, the magnitudes of NEE were also higher in tilled canola (i.e., higher biomass and LAI) than

  9. Implementation of a protocol for the prevention and management of extravasation injuries in the neonatal intensive care patient.

    Science.gov (United States)

    Warren, Diane

    2011-06-01

    This project sought to determine nurses' understanding and management of infants with intravenous (IV) therapy. There were three specific aims: • To improve identification and management of extravasation injuries in neonates • To ensure management of extravasation injuries in neonates is classified according to IV extravasation staging guidelines • To develop a protocol that outlined actions required to manage extravasation injuries. This project utilised a pre- and post-implementation audit strategy using the Joanna Briggs Institute (JBI) Getting Research into Practice (GRIP) program. This method has been used to improve clinical practice by utilising an audit, feedback and re-audit sequence. The project was implemented in four stages over a 7-month period from 21 October 2009 to 30 May 2010. Initially, there was poor compliance with all four criteria, ranging from zero to 63%. The GRIP phase of the project identified five barriers which were addressed throughout this project. These related to education of staff and the development of a protocol for the prevention and management of extravasation injuries in the neonatal population. Following implementation of best practice, the second audit showed a marked improvement in all four criteria, ranging from 70 to 100% compliance. Overall, this project has led to improvements in clinical practice in line with current evidence. This has resulted in enhanced awareness of the risks associated with IV therapy and of measures to prevent an injury occurring within this clinical setting. © 2011 The Author. International Journal of Evidence-Based Healthcare © 2011 The Joanna Briggs Institute.

  10. The Cost of Health Service Waste Management of (HSWM: A Case Study of Intensive Care Unit of Infectious Diseases at a Public Hospital in São Paulo.

    Directory of Open Access Journals (Sweden)

    Chennyfer Dobbins Paes da Rosa

    2015-08-01

    Full Text Available The Health Service Waste Management is a set of technical and legal procedures for waste management in any type of health facilities. It is known about the limited resources, so reducing environmental costs can contribute to the management of hospital costs. The objective was to estimate the cost of the phases of HSWM to the Intensive Care Unit for public service. Data collecting was done through a script of questions and observations on site at the Emilio Ribas Infectious Diseases Institute in Sao Paulo. The ABC costing method was used. The most costly step was wrapping (40.68%, followed by segregation (40.17%, which is justified by both being associated with health workers’ salaries. The daily cost of the management of health care waste from segregation to final disposal in the ICU was R$ 4,288.81 a day, being R$ 314.80/bed-patient/day. To know the cost of an activity allows for the analysis of strategies for price negotiation. Health care waste is little remembered when pricing a daily ICU, many managers believe this value to be irrelevant; but< if not measured, it may bring losses to the institution.

  11. Rapid restoration of bone mass after surgical management of hyperthyroidism: A prospective case control study in Southern India.

    Science.gov (United States)

    Karunakaran, Poongkodi; Maharajan, Chandrasekaran; Mohamed, Kamaludeen N; Rachamadugu, Suresh V

    2016-03-01

    The rate and the extent of bone remineralization at cancellous versus cortical sites after treatment of hyperthyroidism is unclear. Few studies have examined the effect of operative management of hyperthyroidism on recovery of bone mass. To evaluate prospectively the bone mineral density (BMD), bone mineral content (BMC), and bone areal size at the spine, hip, and forearm before and after total thyroidectomy. A prospective case control observational study from August 2011 to July 2014 in a single center. This study evaluated 40 overt hyperthyroid patients and 31 age-matched euthyroid controls who were operative candidates. Bone indices were measured at baseline and 6-month postoperatively using dual energy x-ray absorptiometry. Serum levels of alkaline phosphatase and 25-hydroxy vitamin D3 (25OHD) were assessed. Baseline BMD of hyperthyroid subjects at the spine, hip, and forearm were less than euthyroid controls (P = .001) with concomitant increases in serum alkaline phosphatase (mean ± SD, 143 ± 72 vs 72 ± 23 IU/L control; P hyperthyroid patients, posttreatment BMD expressed as g/cm(2) were 0.97 ± 0.12 (vs pretreatment 0.91 ± 0.14; P = .001) at the spine, 0.87 ± 0.12 (vs pretreatment 0.80 ± 0.13; P = .001) at the hip, and 0.67 ± 0.09 (vs pretreatment 0.64 ± 0.11; P = .191) at the forearm. The percent change in BMD was greatest at spine (8.3%) followed by the hip (7.6%) and forearm (3.0%). Operative management with total thyroidectomy improved the bone loss associated with hyperthyroidism as early as 6 months postoperatively at the hip and spine despite concomitant vitamin D deficiency. Delayed recovery of bone indices at the forearm, a cortical bone, requires further long-term evaluation. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. The paleolimnological development of the twin lakes Etujärvi and Takajärvi in Askola, southern Finland – implications for lake management

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    Samu E. Valpola

    2006-01-01

    Full Text Available The twin lakes Etujärvi and Takajärvi in Askola, southern Finland, are closely interconnected mesotrophic headwater lakes with a relatively small catchment area. Both of the lakes have suffered from eutrophication and its consequences. Remediation activities such as oxygenation and biomanipulation have not resolved the problems. In this study a large set of paleolimnological techniques (radiometric AMS dating, spherical carbonaceous particles analysis, sediment lithology, grain-size analysis, phosphorus fractionation, and diatom analysis were applied to put together the development of the basin and its water level fluctuations during the Holocene. The age for observed Trapa natans -horizons was determined, and lake management options were discussed. The studied lakes dried up after isolation from the Ancylus Lake at about 9500 cal. B.P. and remained at very low water level until ca. 8700–8500 cal. B.P. The mid-Holocene risein water level resulted in fluctuating water levels, and led to the most recent rise starting about 2500 cal. B.P. as wet and cool climate conditions prevailed. The pronounced water level fluctuations led to the extensive growth of peat deposits surrounding the lake andprobably also forced T. natans to disappear from lake flora. The unstable, erodable peat rims impact the lakes, causing heavy load of humic substances to the lake and presenting additional deterioration to their recreational value.

  13. A hybrid simulated annealing approach to handle energy resource management considering an intensive use of electric vehicles

    DEFF Research Database (Denmark)

    Sousa, Tiago; Vale, Zita; Carvalho, Joao Paulo

    2014-01-01

    The massification of electric vehicles (EVs) can have a significant impact on the power system, requiring a new approach for the energy resource management. The energy resource management has the objective to obtain the optimal scheduling of the available resources considering distributed...... to determine the best solution in a reasonable amount of time. This paper presents a hybrid artificial intelligence technique to solve a complex energy resource management problem with a large number of resources, including EVs, connected to the electric network. The hybrid approach combines simulated...... annealing (SA) and ant colony optimization (ACO) techniques. The case study concerns different EVs penetration levels. Comparisons with a previous SA approach and a deterministic technique are also presented. For 2000 EVs scenario, the proposed hybrid approach found a solution better than the previous SA...

  14. Range Analysis and Terrain Preference of Adult Southern White Rhinoceros (Ceratotherium simum in a South African Private Game Reserve: Insights into Carrying Capacity and Future Management.